Geriatric Nursing最新文献_第5页

Impact of a nurse-led in-hospital mobility intervention on older adult patient functional outcomes and perceptions 护士主导的院内活动干预对老年患者功能结局和认知的影响

IF 2.4 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing

Pub Date : 2026-01-27 DOI: 10.1016/j.gerinurse.2026.103897

Barbara King PhD , Mary Hook PhD , Roger Brown PhD , Jillian Bodden-Hoenisch DNP , Elizabeth Ann Wall DNP , Cynthia J. Brown MD, MPH , Linsey M. Steege PhD

Hospital-associated disabilities in older adults are common. Few studies have used a performance measure to evaluate the impact of ambulation on patient functional status during and after discharge or investigated older adult perceptions of ambulation during a hospitalization.

The purpose of this study was to evaluate the implementation of MOVIN (Mobilizing Older adults Via a systems-based INtervention) on older adult functional performance outcomes and to understand patients perceptions of mobility during their hospital stay.

A non-randomized observational study using a quasi-experimental design was conducted. Multiple methods using quantitative and qualitative approaches were used. Functional measures included gait speed and self-report on the Katz Activities of Daily Living scale and the University of Alabama at Birmingham (UAB) Life Space Mobility Index. In-person interviews were used to collect qualitative data.

The study was conducted on a 23-bed adult medical unit at an academic medical center. Older adults (N = 40) were recruited for data collection during their hospital stay and post-discharge. General linear mixed random-effects modeling was used to analyze functional outcomes. Inductive content analysis was used to analyze qualitative data.

The intervention group had a significant increase in gait speed at discharge compared to admission (p = 0.022) and at 3 months (p = 0.006) compared to discharge and a significant increase in UAB score between admission to 3 months post-discharge (p = 0.049). Qualitative results identified four categories Maintaining Health, Being Connected, Filling Time and Ready to Go Home, which describe the patient perception.

This study provides evidence that an in-hospital mobility intervention can have significant impacts on older adults functional performance and psycho-social outcomes.

医院相关残疾在老年人中很常见。很少有研究使用性能测量来评估出院期间和出院后行走对患者功能状态的影响，或调查住院期间老年人对行走的看法。本研究的目的是评估MOVIN（动员老年人通过系统干预）对老年人功能表现结果的实施情况，并了解患者在住院期间对活动能力的看法。采用准实验设计进行非随机观察性研究。采用了定量和定性的多种方法。功能测量包括步态速度和卡茨日常生活活动量表的自我报告以及阿拉巴马大学伯明翰分校（UAB）生活空间移动指数。采用面对面访谈收集定性数据。该研究是在一个学术医疗中心的一个23张床位的成人医疗单位进行的。招募老年人（N = 40）收集住院期间和出院后的数据。一般线性混合随机效应模型用于分析功能结果。采用归纳内容分析法对定性数据进行分析。干预组出院时步态速度较入院时显著增加（p = 0.022）， 3个月时显著增加（p = 0.006），入院至出院后3个月UAB评分显著增加（p = 0.049）。定性结果确定了四个类别：保持健康、连接、填补时间和准备回家，这四个类别描述了患者的看法。本研究提供的证据表明，院内活动干预可以显著影响老年人的功能表现和心理社会结局。

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引用次数: 0

Characterizing symptom burden among community-dwelling older adults 社区居住老年人症状负担特征分析

IF 2.4 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing

Pub Date : 2026-01-27 DOI: 10.1016/j.gerinurse.2026.103899

Michelle A. McKay PhD , Paul Bernhardt PhD , Melissa O’Connor PhD , Suzanne Leveille PhD

Background

Older adults experience multiple co-occurring symptoms that contribute to increased healthcare utilization, decreased physical performance, and poorer quality of life.

Methods

This study aimed to characterize symptom burden in a population-based cohort of community-dwelling adults aged 70 years and older enrolled in the MOBILIZE Boston study (n=765). Descriptive statistics and chi-square tests were used to categorize symptom prevalence and associations with demographic factors for nine symptoms: pain, balance impairment, weakness, limited endurance, sleep difficulty, depression, anxiety, and hearing and vision impairments. Latent class analysis was used to identify distinct classes of symptom burden.

Results

Pain was the most prevalent symptom (81.3 %), with 43.1 % of individuals indicating severe pain. Symptoms related to vision, hearing, sleep, and endurance were also reported by over 40 % of individuals. Except for vision, reported symptoms were found to be positively correlated. Four symptom burden groups were identified via latent class analysis: mild (30.1 %), moderate (51.3 %), moderate-severe (10.2 %) and severe (8.4 %). Those in the severe symptom burden group experienced worse levels of all symptoms compared to other groups. Pain and vision symptoms were similar across all symptom burden classes. Balance, endurance, weakness, anxiety and sleep symptoms were comparatively more common and severe for the 18.6 % of individuals in the moderate-severe and severe groups.

Conclusion

Understanding overall symptom burden, both in terms of numbers and severity of symptoms, is the first step in determining the impact of symptom burden as a possible new clinical indicator for fall risk and other detrimental health outcomes.

背景：老年人会经历多种并发症状，导致医疗保健利用率增加、身体机能下降和生活质量下降。方法：本研究的目的是在一个以人群为基础的队列中，对一组70岁及以上的社区居民进行症状负担特征分析，该队列纳入了mobileboston研究（n=765）。采用描述性统计和卡方检验对疼痛、平衡障碍、虚弱、耐力有限、睡眠困难、抑郁、焦虑、听力和视力障碍等九种症状的症状患病率及其与人口统计学因素的关系进行分类。潜在类别分析用于识别不同类别的症状负担。结果西班牙是最常见的症状（81.3%），其中43.1%的个体表现为剧烈疼痛。超过40%的人还报告了与视力、听力、睡眠和耐力相关的症状。除视力外，报告的症状被发现呈正相关。通过潜在类别分析确定了四个症状负担组：轻度（30.1%）、中度（51.3%）、中度-重度（10.2%）和重度（8.4%）。与其他组相比，严重症状负担组的所有症状水平都更差。疼痛和视力症状在所有症状负担类别中相似。在中重度组和重度组中，18.6%的个体的平衡、耐力、虚弱、焦虑和睡眠症状相对更为常见和严重。结论了解总体症状负担，包括症状的数量和严重程度，是确定症状负担作为跌倒风险和其他有害健康结局可能的新临床指标的影响的第一步。

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引用次数: 0

Higher BMI, functional dependence and healthcare utilization in nursing facilities-a review 高BMI、功能依赖和护理机构的医疗保健利用综述

IF 2.4 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing

Pub Date : 2026-01-27 DOI: 10.1016/j.gerinurse.2026.103824

Maryam Hasan MD, Matthew McNabney MD, Michele Bellantoni MD, Laura Prichett MHs, PhD, Esther Oh MD, PhD , Fatima Sheikh MD, MPH

引用次数: 0

Coping strategies, psychological resilience, and professional commitment among nurse-aide students in Taiwan: A cross-sectional study 台湾护生应对策略、心理弹性与专业承诺之横断面研究。

IF 2.4 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing

Pub Date : 2026-01-24 DOI: 10.1016/j.gerinurse.2026.103890

Chia-Chen Chang PhD , Chen-Yin Tung PhD

Background

With rising global demand for long-term care, understanding nurse-aide students’ psychological and professional readiness is vital for effective training.

Purpose

This study explored coping strategies, psychological resilience, and professional commitment among senior nurse-aide students in Taiwan, assessing links to experiential factors to guide educational strategies.

Methods

A cross-sectional survey of 158 randomly selected senior students from Taiwan’s long-term care programs used validated tools to measure coping, resilience, and commitment. Data were analyzed with Pearson correlations, t-tests, ANOVA, and regression.

Results

Professional commitment varied significantly across professional-related training backgrounds. Students who had completed a nurse-aide internship or obtained a nurse-aide certificate demonstrated higher levels of commitment than those with no formal training. Similarly, students with long-term care work experience showed greater commitment than those without such experience. Both coping strategies and psychological resilience were positively associated with professional commitment, and together these psychological and experiential factors explained 35.1% of its variance.

Conclusions

Coping, resilience, and practical training reinforce professional commitment. Embedding these elements in long-term care education can enhance caregiving readiness and workforce sustainability in the context of global aging.

背景：随着全球对长期护理需求的增加，了解护理学生的心理和专业准备对有效培训至关重要。摘要目的：本研究探讨台湾护生应对策略、心理弹性与专业承诺之关系，探讨其与经验因素的关联，以指导教育策略。方法：采用横断面调查的方法，随机抽取158名台湾长期照护计划的高年级学生，使用有效的工具来测量他们的应对、复原力和承诺。数据分析采用Pearson相关性、t检验、方差分析和回归分析。结果：专业承诺在专业相关培训背景中存在显著差异。完成护士助理实习或获得护士助理证书的学生比没有接受过正式培训的学生表现出更高的承诺水平。同样，有长期护理工作经验的学生比没有这种经验的学生表现出更大的承诺。应对策略和心理弹性均与职业承诺呈正相关，心理和经验因素共同解释了35.1%的方差。结论：应对、弹性和实践训练增强了专业承诺。在全球老龄化背景下，将这些要素纳入长期护理教育可以提高护理准备和劳动力的可持续性。

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引用次数: 0

Current status and factors influencing analysis on readiness of hospital discharge among elderly patients following hip and knee arthroplasty under the concept of enhanced recovery after surgery: A cross-sectional study 以增强术后恢复为理念的老年髋关节置换术患者出院准备现状及影响因素分析：一项横断面研究

IF 2.4 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing

Pub Date : 2026-01-24 DOI: 10.1016/j.gerinurse.2026.103835

Yufeng Li MSc , Yun Li BSc , Shengying Wang BSc , Wenjiao Li MSc , Li Feng BSc , Zhibin Liu BSc , Yang Zhou MSc , Xiujie Sun MSc

Objectives

To identify factors affecting readiness of hospital discharge (RHD) among Chinese elderly patients after hip or knee arthroplasty under Enhanced Recovery After Surgery (ERAS).

Design

This study followed the cross-sectional descriptive design and the Strengthening the Reporting of Observational studies in Epidemiology (STROBE) guideline.

Methods

Data from 511 elderly patients who underwent hip or knee arthroplasty in a tertiary hospital (October 2021 to August 2023) were analyzed. Participants completed demographic, the Blaylock Risk Assessment Screening Score (BRASS), the Activities of Daily Living (ADL) score, and the Readiness for Hospital Discharge Scale (RHDS) before discharge. Correlations and multiple linear regression identified factors associated with RHD.

Results

The mean RHDS score was 100.45 ± 12.44, indicating moderate to high readiness. RHDS correlated positively with ADL (r = 0.586, p < 0.001) and negatively with BRASS (r = –0.501, p < 0.001). Regression showed that ADL, BRASS, gender, age, admission form, and surgical type were independent predictors (Adjusted R² = 0.414, p < 0.001).

Conclusion/Relevance to clinical practice

Elderly patients showed moderate to high RHD, which still requires improvement. Early evaluation, tailored discharge education, and follow-up nursing interventions can enhance recovery and reduce readmission. These findings underscore the importance of strengthening discharge readiness education in geriatric nursing practice.

目的：确定影响中国老年髋关节或膝关节置换术后增强康复（ERAS）患者出院准备度（RHD）的因素。设计：本研究遵循横断面描述性设计和加强流行病学观察性研究报告（STROBE）指南。方法：对2021年10月至2023年8月在某三级医院行髋关节或膝关节置换术的511例老年患者的数据进行分析。参与者在出院前完成人口统计、Blaylock风险评估筛选评分（BRASS）、日常生活活动（ADL）评分和出院准备量表（RHDS）。相关性和多元线性回归确定了与RHD相关的因素。结果：RHDS平均评分为100.45±12.44，为中度至高度准备。RHDS与ADL呈正相关（r = 0.586, p < 0.001），与BRASS呈负相关（r = -0.501, p < 0.001）。回归分析显示，ADL、BRASS、性别、年龄、入院方式、手术类型是独立预测因素（调整后R²= 0.414,p < 0.001）。结论/与临床实践的相关性：老年患者表现为中高RHD，仍需改善。早期评估，有针对性的出院教育和后续护理干预可以提高康复和减少再入院。这些发现强调了在老年护理实践中加强出院准备教育的重要性。

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引用次数: 0

Personal involvement and a holistic assessment: Patients and relatives’ experiences of a geriatric outpatient assessment during temporary stay in a community rehabilitation facility – A descriptive qualitative study 个人参与和整体评估：患者和亲属在社区康复机构临时停留期间的老年门诊评估经历-一项描述性定性研究。

IF 2.4 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing

Pub Date : 2026-01-24 DOI: 10.1016/j.gerinurse.2026.103854

Kristine Mildahl Kjærgaard MCN , Nina Gunge Riberholt MD , Connie Berthelsen MScN, PhD

Aim

To investigate and describe patients and their relatives’ experiences of participating in an initial geriatric outpatient assessment meeting during their temporary stay in a community rehabilitation facility.

Methods

The RADaR technique was used for data collection and analysis for this descriptive qualitative study. Six community rehabilitation facilities in a Danish region comprised the settings for the study where 15 semi-structured interviews were conducted with patients and their relatives from April to June 2024.

Findings

Four themes with inter-relations were found: Becoming personally involved by the geriatrician; Receiving a holistic geriatric assessment and plan; Collaborating with the geriatrician or the general practitioner; and Considering the geriatric outpatient assessment to benefit others.

Conclusions

The comprehensive outpatient geriatric assessment by a hospital geriatrician and nursing staff has vital importance for the elderly patients and their relatives in planning present and future care and treatment initiatives. This experience was supported by the personal presence of the geriatrician and an extensive knowledge about the patient.

目的：调查和描述患者及其亲属在社区康复机构临时住院期间参加首次老年门诊评估会议的经历。方法：采用RADaR技术进行资料收集和分析，进行描述性定性研究。丹麦地区的六个社区康复设施构成了研究的环境，在2024年4月至6月期间，对患者及其亲属进行了15次半结构化访谈。结果：发现了四个具有相互关系的主题：成为老年病专家的个人参与；接受全面的老年评估和计划；与老年病专家或全科医生合作；并考虑老年门诊评估，以造福他人。结论：由医院老年病专家和护理人员进行老年综合门诊评估，对老年患者及其家属制定当前和未来的护理和治疗方案具有重要意义。这一经验得到了老年病专家的亲自出席和对患者的广泛了解的支持。

{"title":"Personal involvement and a holistic assessment: Patients and relatives’ experiences of a geriatric outpatient assessment during temporary stay in a community rehabilitation facility – A descriptive qualitative study","authors":"Kristine Mildahl Kjærgaard MCN , Nina Gunge Riberholt MD , Connie Berthelsen MScN, PhD","doi":"10.1016/j.gerinurse.2026.103854","DOIUrl":"10.1016/j.gerinurse.2026.103854","url":null,"abstract":"<div><h3>Aim</h3><div>To investigate and describe patients and their relatives’ experiences of participating in an initial geriatric outpatient assessment meeting during their temporary stay in a community rehabilitation facility.</div></div><div><h3>Methods</h3><div>The RADaR technique was used for data collection and analysis for this descriptive qualitative study. Six community rehabilitation facilities in a Danish region comprised the settings for the study where 15 semi-structured interviews were conducted with patients and their relatives from April to June 2024.</div></div><div><h3>Findings</h3><div>Four themes with inter-relations were found: Becoming personally involved by the geriatrician; Receiving a holistic geriatric assessment and plan; Collaborating with the geriatrician or the general practitioner; and Considering the geriatric outpatient assessment to benefit others.</div></div><div><h3>Conclusions</h3><div>The comprehensive outpatient geriatric assessment by a hospital geriatrician and nursing staff has vital importance for the elderly patients and their relatives in planning present and future care and treatment initiatives. This experience was supported by the personal presence of the geriatrician and an extensive knowledge about the patient.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103854"},"PeriodicalIF":2.4,"publicationDate":"2026-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146047516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Associations of intrinsic capacity decline with frailty and disability in old inpatients: a retrospective study 老年住院患者内在能力下降与虚弱和残疾的关系：一项回顾性研究。

IF 2.4 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing

Pub Date : 2026-01-24 DOI: 10.1016/j.gerinurse.2026.103860

Xiuping Wu MMed , Suna Fu MBBS , Jianhong Yu MMed , Wei Mao MBBS

Objectives

There are increasing number of hospital admissions for old adults. The significance of frailty and disability has been recognized for this population. Hence, this paper investigates the relationship of intrinsic capacity (IC) decline with frailty and disability among hospitalized old patients.

Methods

A comprehensive review was conducted for hospitalization records of old patients aged ≥60 years at the Affiliated Hospital of Shaoxing University of Arts and Sciences from January 2022 to December 2022. To delve deeper into the interplay of intrinsic capacity (IC) with frailty and disability, we employed robust statistical methodologies, including the Spearman correlation coefficient analysis and a multivariate logistic regression model.

Results

914 patients were included, with 209 (22.9%) experiencing frailty, 166 (18.2%) experiencing disability, and 607 (66.4%) demonstrating IC decline across various dimensions. Multivariate logistic regression analysis revealed that IC decline was an independent risk factor for frailty (OR = 6.41, 95% CI: 3.61–11.39) and disability (OR = 5.11, 95% CI: 2.79–9.34) among old patients.

Conclusion

IC decline is prevalent among hospitalized old individuals and is correlated with frailty and disability. Preventing IC decline is conducive to reducing the incidence of frailty and disability.

目的：老年人住院人数不断增加。脆弱和残疾对这一人群的重要性已得到承认。因此，本研究旨在探讨住院老年患者内在能力（IC）下降与虚弱和残疾的关系。方法：对2022年1月至2022年12月在绍兴文理学院附属医院住院的年龄≥60岁老年患者的住院记录进行综合分析。为了深入研究内在能力（IC）与脆弱和残疾的相互作用，我们采用了稳健的统计方法，包括Spearman相关系数分析和多元逻辑回归模型。结果：纳入914例患者，其中209例（22.9%）表现为虚弱，166例（18.2%）表现为残疾，607例（66.4%）表现为各方面的IC下降。多因素logistic回归分析显示，IC下降是老年患者虚弱（OR = 6.41, 95% CI: 3.61 ~ 11.39）和残疾（OR = 5.11, 95% CI: 2.79 ~ 9.34）的独立危险因素。结论：IC下降在住院老年人中普遍存在，并与虚弱和残疾相关。预防IC下降有利于减少虚弱和残疾的发生率。

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引用次数: 0

Analysis of factors influencing breathlessness catastrophizing in patients with chronic obstructive pulmonary disease: A cross-sectional study 慢性阻塞性肺疾病患者发生呼吸困难的影响因素分析：一项横断面研究

IF 2.4 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing

Pub Date : 2026-01-23 DOI: 10.1016/j.gerinurse.2026.103836

Li He BS , Bing Liang PhD , Siming Cheng BS , Binbin Sun BS , Zhan Wang BS , XinBang Ren BS , Rong Yan BS , Yuewei Li PhD

Aim

To identify factors affecting breathlessness catastrophizing severity in Chinese COPD patients.

Methods

A cross-sectional study of 300 COPD patients from a tertiary hospital in Changchun, China was conducted. Demographic information and indicators such as breathlessness catastrophizing were measured using structured questionnaires. Multiple linear regression was used for analysis.

Results

Participants' median age was 68 years (IQR 60-73). Multiple regression identified anxiety (β' = 0.397, p < 0.001), activities of daily living (β' = 0.200, p < 0.001), average monthly income (β' = 0.138, p = 0.001), health status (β' = 0.179, p = 0.004), and smoking history (β' = 0.096, p = 0.025) as significant predictors. These factors collectively explained 48.0% of the variance in catastrophizing scores (R² = 0.480, p < 0.001).

Conclusions

Breathlessness catastrophizing was multifactorial, linked to psychological distress, physical impairment, health status, and socioeconomic factors, highlighting key targets for management strategies.

目的探讨影响中国慢性阻塞性肺病患者呼吸困难严重程度的因素。方法对长春市某三级医院300例慢性阻塞性肺病患者进行横断面研究。人口统计信息和指标，如呼吸困难灾难测量使用结构化问卷。采用多元线性回归进行分析。结果参与者的中位年龄为68岁（IQR 60-73）。多元回归发现焦虑（β′= 0.397,p < 0.001）、日常生活活动（β′= 0.200,p < 0.001）、平均月收入（β′= 0.138,p = 0.001）、健康状况（β′= 0.179,p = 0.004）和吸烟史（β′= 0.096,p = 0.025）是显著预测因素。这些因素共同解释了灾难化得分中48.0%的方差（R²= 0.480,p < 0.001）。结论呼吸困难的灾难化是多因素的，与心理困扰、身体损害、健康状况和社会经济因素有关，强调了管理策略的重点目标。

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引用次数: 0

Association between anticholinergic burden scales and recurrent falls in independently living older adults: a cross-sectional study. 独立生活的老年人抗胆碱能负荷量表与复发性跌倒之间的关系：一项横断面研究。

IF 2.4 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing

Pub Date : 2026-01-23 DOI: 10.1016/j.gerinurse.2026.103853

Elena Casabona PhD , Jessica Cusato PhD , Marco Clari PhD , Beatrice Albanesi PhD , Dario Cattaneo PhD , Paola Di Giulio MScN , Valerio Dimonte MScN

This study examined the association between medications with anticholinergic (ACh) activity and the risk of falls in community-dwelling older adults enrolled in a home monitoring service. A cross-sectional design was applied, and logistic regression analyses were adjusted for age, sex, comorbidities, and functional status. The sample included 84 participants who had experienced at least one fall, of whom 72.6% were single fallers and 27.4% recurrent fallers (≥2 falls in 12-months of observation). Participants were divided into two groups: those taking medications (n = 55) and those not on medication (n = 29). A total of 126 falls were reported, with no significant difference in the number of falls between the two groups.

The prevalence of ACh burden, assessed using ten different scales, ranged from 5.4% to 30.9% among fallers. Within the medication group, no significant differences were observed in the presence of ACh burden (≥1) between single and recurrent fallers. However, recurrent fallers in this group (n = 15) had higher scores on some scales compared with single fallers. Despite this, the discriminative ability of the ACh burden scales for identifying recurrent fallers were limited, with several, particularly the ALS and CrAS scales, failing to reach acceptable thresholds. After adjustment, the AAS scale suggested that older adults were over nine times more likely to experience recurrent falls compared with a single fall (OR=9.24; 95% CI 1.02–77.49; p = 0.004).

Overall, these findings highlight the limited clinical utility of current ACh burden scales in supporting medication review as part of fall prevention strategies for older adults.

本研究考察了抗胆碱能（ACh）活性药物与参加家庭监测服务的社区居住老年人跌倒风险之间的关系。采用横断面设计，并根据年龄、性别、合并症和功能状态调整逻辑回归分析。样本包括84名至少经历过一次跌倒的参与者，其中72.6%为单次跌倒者，27.4%为复发性跌倒者（12个月内观察≥2次跌倒）。参与者被分为两组：服药组（n = 55）和非服药组（n = 29）。共报告了126例跌倒，两组之间的跌倒次数没有显著差异。使用10种不同的量表评估的乙酰氨基酚负担患病率在跌倒者中从5.4%到30.9%不等。在给药组内，单次跌倒者和复发跌倒者之间乙酰胆碱负荷（≥1）的存在无显著差异。然而，该组中复发性跌倒者（n = 15）在某些量表上的得分高于单一跌倒者。尽管如此，乙酰胆碱负担量表鉴别复发性跌倒者的能力有限，有几个，特别是ALS和CrAS量表，未能达到可接受的阈值。调整后，AAS量表显示老年人复发性跌倒的可能性是单次跌倒的9倍以上（OR=9.24; 95% CI 1.02-77.49; p = 0.004）。总的来说，这些发现强调了当前乙酰胆碱负担量表在支持药物审查作为老年人跌倒预防策略的一部分方面的有限临床效用。

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引用次数: 0

Transcultural adaptation of a French version the quality of life in late-stage dementia (QUALID) scale for older adults with severe cognitive impairment: A preliminary study and research perspectives. 法语版重度认知障碍老年人晚期痴呆（QUALID）生活质量量表的跨文化适应：初步研究和研究视角

IF 2.4 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing

Pub Date : 2026-01-23 DOI: 10.1016/j.gerinurse.2026.103855

Alex Chanteclair MD , Claire Corbineau MD , Chloé Etchegoyen MD , Romain Fossaert MD , Julien Coelho MD, PHD , Claire Roubaud-Baudron MD, PHD , Sophie Lloyd MD

Background

Assessing quality of life (QOL) in individuals with severe cognitive impaisrment is challenging, particularly in the absence of a validated tool in French. The Quality of Life in Late-Stage Dementia (QUALID) scale is an internationally used caregiver-reported measure of QOL. This study aimed to culturally adapt and assess the preliminary psychometric properties of the scale in a French-speaking population.

Methods

A structured cross-cultural adaptation was conducted with expert transversal panel, followed by a pilot study in a long-term care unit. Thirty caregivers assessed 38 patients using the translated scale. Reliability and acceptability were evaluated using intraclass correlation coefficient (ICC), internal consistency with Cronbach’s alpha, and caregivers' feedback.

Results

From independant scientific and non-scientific adaptations, consensus was rapidly achieved by the multidisciplinary expert panel on the final French adaptation. The pilot study confirmed the quality of the adaptation, where the QUALID scale demonstrated moderate inter-rater reliability (ICC = 0.74) but limited internal consistency (α = 0.28). It was well accepted among interviewed caregivers.

Conclusion

This study provides a French-adapted QoL scale for older adults with severe cognitive disorders and supports its feasibility in clinical settings, highlighting the need for large-scale psychometric validation of the French QUALID.”

背景：评估严重认知障碍患者的生活质量（QOL）具有挑战性，特别是在缺乏有效的法语工具的情况下。晚期痴呆患者的生活质量（QUALID）量表是一种国际上使用的护理人员报告的生活质量测量方法。本研究旨在文化适应和评估法语人口量表的初步心理测量特性。方法采用专家横向小组法进行结构化的跨文化适应研究，并在长期护理病房进行试点研究。30名护理人员使用翻译后的量表对38名患者进行了评估。信度和可接受性采用类内相关系数（ICC）、与Cronbach’s alpha的内部一致性和照顾者反馈进行评估。结果从独立的科学适应和非科学适应中，多学科专家小组就最终的法国适应迅速达成共识。初步研究证实了适应性的质量，其中QUALID量表显示出中等的评分者间信度（ICC = 0.74），但有限的内部一致性（α = 0.28）。这在接受采访的护理人员中得到了很好的接受。结论本研究提供了一套适用于老年严重认知障碍患者的法语版生活质量量表，并支持其在临床应用的可行性，强调了对法语版生活质量量表进行大规模心理测量验证的必要性。

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引用次数: 0