Pub Date : 2024-11-07DOI: 10.1016/j.gerinurse.2024.10.051
Jiashuang Xu, Qiqi Ji, Pengjuan Ji, Yian Chen, Miaojing Song, Jianing Ma, Lin Zhang, Leilei Guo
Objective: This study aimed to investigate the influence of sleep quality on the quality of life in middle-aged and older inpatients with chronic diseases (MAOICDs) while examining the mediating role of frailty and the moderating role of self-esteem.
Methods: This study utilized a cross-sectional design. Between October 2021 and February 2022, we administered questionnaires to 319 subjects at the Second Hospital of Zhejiang University School of Medicine, Zhejiang Province, China. The questionnaire consisted of the General Information Scale, the Cumulative Disease Rating Scale, the Sleep Quality Questionnaire, the Frailty Scale, the Self-Esteem Scale, and the Quality of Life Questionnaire. Data were analyzed using SPSS 25.0 software and PROCESS3.5 macros for descriptive statistics, correlation analysis, and tests for mediating and moderating effects.
Results: The results of this study suggest that sleep quality is negatively related to quality of life and mediated by frailty. Self-esteem plays a moderating role in the relationship between frailty and quality of life.
Conclusion: Frailty mediates the relationship between sleep quality and quality of life. Meanwhile, self-esteem plays a moderating role in the relationship between frailty and life quality. Specifically, the correlation between frailty and life quality becomes stronger at higher levels of self-esteem. Therefore, to improve the life quality of MAOICDs, interventions should focus not only on enhancing sleep quality and reducing frailty but also on helping patients maintain an appropriate level of self-esteem.
{"title":"The relationship between sleep quality and quality of life in middle-aged and older inpatients with chronic diseases: Mediating role of frailty and moderating role of self-esteem.","authors":"Jiashuang Xu, Qiqi Ji, Pengjuan Ji, Yian Chen, Miaojing Song, Jianing Ma, Lin Zhang, Leilei Guo","doi":"10.1016/j.gerinurse.2024.10.051","DOIUrl":"https://doi.org/10.1016/j.gerinurse.2024.10.051","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the influence of sleep quality on the quality of life in middle-aged and older inpatients with chronic diseases (MAOICDs) while examining the mediating role of frailty and the moderating role of self-esteem.</p><p><strong>Methods: </strong>This study utilized a cross-sectional design. Between October 2021 and February 2022, we administered questionnaires to 319 subjects at the Second Hospital of Zhejiang University School of Medicine, Zhejiang Province, China. The questionnaire consisted of the General Information Scale, the Cumulative Disease Rating Scale, the Sleep Quality Questionnaire, the Frailty Scale, the Self-Esteem Scale, and the Quality of Life Questionnaire. Data were analyzed using SPSS 25.0 software and PROCESS3.5 macros for descriptive statistics, correlation analysis, and tests for mediating and moderating effects.</p><p><strong>Results: </strong>The results of this study suggest that sleep quality is negatively related to quality of life and mediated by frailty. Self-esteem plays a moderating role in the relationship between frailty and quality of life.</p><p><strong>Conclusion: </strong>Frailty mediates the relationship between sleep quality and quality of life. Meanwhile, self-esteem plays a moderating role in the relationship between frailty and life quality. Specifically, the correlation between frailty and life quality becomes stronger at higher levels of self-esteem. Therefore, to improve the life quality of MAOICDs, interventions should focus not only on enhancing sleep quality and reducing frailty but also on helping patients maintain an appropriate level of self-esteem.</p>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632311","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}
Pub Date : 2024-11-07DOI: 10.1016/j.gerinurse.2024.10.041
Lee Anne Siegmund, Lorraine M Novosel, James F Bena, Shannon L Morrison
Background: Age-related changes put older adults at risk for frailty. The Frailty Care Model was created to inform the care of older adults with or at risk for frailty. The purpose was to test the Frailty Care Model.
Methods: This was a cross-sectional study to identify associations between factors in the Frailty Care Model, and frailty components in older adults' strength, fatigue, ability to ambulate, and weight loss over the last year. Comparisons across frailty groups used Pearson's chi-square tests or Fisher's exact tests. ANOVA tests and Kruskal-Wallis tests were used. Multivariable ordinal regression models were fit.
Results: Odds of frailty increased by 137% for those who lived alone, 20% for those who were depressed, and 433% for those who were classified as "at risk for malnutrition".
Conclusions: This study was the first to test the Frailty Care Model with a focus on modifiable factors that predict frailty.
{"title":"Frailty prevalence and associated factors in community dwelling older adults: An examination of the frailty care model.","authors":"Lee Anne Siegmund, Lorraine M Novosel, James F Bena, Shannon L Morrison","doi":"10.1016/j.gerinurse.2024.10.041","DOIUrl":"https://doi.org/10.1016/j.gerinurse.2024.10.041","url":null,"abstract":"<p><strong>Background: </strong>Age-related changes put older adults at risk for frailty. The Frailty Care Model was created to inform the care of older adults with or at risk for frailty. The purpose was to test the Frailty Care Model.</p><p><strong>Methods: </strong>This was a cross-sectional study to identify associations between factors in the Frailty Care Model, and frailty components in older adults' strength, fatigue, ability to ambulate, and weight loss over the last year. Comparisons across frailty groups used Pearson's chi-square tests or Fisher's exact tests. ANOVA tests and Kruskal-Wallis tests were used. Multivariable ordinal regression models were fit.</p><p><strong>Results: </strong>Odds of frailty increased by 137% for those who lived alone, 20% for those who were depressed, and 433% for those who were classified as \"at risk for malnutrition\".</p><p><strong>Conclusions: </strong>This study was the first to test the Frailty Care Model with a focus on modifiable factors that predict frailty.</p>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632073","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}
To comprehensively evaluate and synthesize fear of falling assessment tools and their psychometric properties.
Methods
The literature in PubMed, Web of Science Core Collection, Cochrane Library, Embase, Google Scholar, CNKI, Wanfang, VIP, and CBM was systematically searched, and the search period was from the establishment of the database to September 1, 2023, and updated on September 1, 2024.
Results
A total of 104 documents covering 19 assessment tools were included. Of the 19 instruments, the Falls Efficacy Scale-International was the most widely used and had been tested for reliability and validity in different countries and populations. A total of 18 studies focused on tool development and validation, and the remaining 86 were related to tool validation.
Conclusion
Scientific and reliable assessment instruments for FOF are an important part of future targeted intervention research. The future research direction of tools should be based on local demographic characteristics and qualitative interview results, combined with objective quantitative indicators measured by professional instruments.
{"title":"Assessment tools of the fear of falling: A scoping review","authors":"Xing Xie Master degree candidate (Student), Jingjing Fu Master degree candidate (Student), Le Chen Master degree candidate (Student), Zhe Gao Master degree candidate (Student), Ruiying Zhang Master degree candidate (Student), Guifei Li MD (Lecturer)","doi":"10.1016/j.gerinurse.2024.10.055","DOIUrl":"10.1016/j.gerinurse.2024.10.055","url":null,"abstract":"<div><h3>Aim</h3><div>To comprehensively evaluate and synthesize fear of falling assessment tools and their psychometric properties.</div></div><div><h3>Methods</h3><div>The literature in PubMed, Web of Science Core Collection, Cochrane Library, Embase, Google Scholar, CNKI, Wanfang, VIP, and CBM was systematically searched, and the search period was from the establishment of the database to September 1, 2023, and updated on September 1, 2024.</div></div><div><h3>Results</h3><div>A total of 104 documents covering 19 assessment tools were included. Of the 19 instruments, the Falls Efficacy Scale-International was the most widely used and had been tested for reliability and validity in different countries and populations. A total of 18 studies focused on tool development and validation, and the remaining 86 were related to tool validation.</div></div><div><h3>Conclusion</h3><div>Scientific and reliable assessment instruments for FOF are an important part of future targeted intervention research. The future research direction of tools should be based on local demographic characteristics and qualitative interview results, combined with objective quantitative indicators measured by professional instruments.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"60 ","pages":"Pages 643-653"},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606306","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}
Pub Date : 2024-11-01DOI: 10.1016/j.gerinurse.2024.10.042
Huijing Zhang , Wenping Liu , Ye Sun , Linya Ma , Di Zhang , Xi Vivien Wu , Kun Li
This cross-sectional study aimed to investigate the multi-dimensional factors associated with adequate social participation among stroke survivors based on the social ecological model, and to identify the gender and living place differences. A total of 470 stroke survivors were recruited through convenience sampling method in two northern tertiary hospitals in China. Stepwise multiple logistic regression models showed that multi-dimensional factors (except for political factors) accounted for 10.10 % of the variance in adequate social participation. Intrapersonal (i.e., anxiety, motivation) and physical environmental factors (i.e., healthcare service accessibility) were strong associated determinants. Health condition (i.e., stroke sequelae) was one of significant determinants of perceiving adequacy in participation only for females. Interpersonal (i.e., social support) and organizational factors (i.e., frequency of community activities) were significant predictors of participation only for males and people living in rural. Comprehensive interventions addressing negative emotions, improving social support and integrating community resources are necessary for full social participation among stroke survivors.
{"title":"Multi-dimensional factors associated with adequate social participation among stroke survivors based on the social ecological model: A cross-sectional study on the gender and living place differences","authors":"Huijing Zhang , Wenping Liu , Ye Sun , Linya Ma , Di Zhang , Xi Vivien Wu , Kun Li","doi":"10.1016/j.gerinurse.2024.10.042","DOIUrl":"10.1016/j.gerinurse.2024.10.042","url":null,"abstract":"<div><div>This cross-sectional study aimed to investigate the multi-dimensional factors associated with adequate social participation among stroke survivors based on the social ecological model, and to identify the gender and living place differences. A total of 470 stroke survivors were recruited through convenience sampling method in two northern tertiary hospitals in China. Stepwise multiple logistic regression models showed that multi-dimensional factors (except for political factors) accounted for 10.10 % of the variance in adequate social participation. Intrapersonal (i.e., anxiety, motivation) and physical environmental factors (i.e., healthcare service accessibility) were strong associated determinants. Health condition (i.e., stroke sequelae) was one of significant determinants of perceiving adequacy in participation only for females. Interpersonal (i.e., social support) and organizational factors (i.e., frequency of community activities) were significant predictors of participation only for males and people living in rural. Comprehensive interventions addressing negative emotions, improving social support and integrating community resources are necessary for full social participation among stroke survivors.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"60 ","pages":"Pages 654-663"},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606307","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}
Pub Date : 2024-11-01DOI: 10.1016/j.gerinurse.2024.10.029
Ke Tang , Jin Yao , Run Wang , Weiqing Ruan , Xianhong Chen , Lingli Yang , Yueping Li , Rui Zhang , Chunlan Zhou
Aims
to explore factors that can influence proactive health behaviors in pre-frailty older adults.
Design
this is a qualitative content analysis study.
Methods
data collected through interviews with 20 pre-frailty older adults in a geriatric unit at a general hospital in Guangzhou, China. We used deductive content analysis to categorize codes and calculate their frequency based on the theory of planned behavior. Inductive content analysis was used to analyze data that could not be analyzed according to the theory of planned behavior.
Results
the data were analyzed and grouped into categories by beliefs similarity, counted from the frequencies. The factors of 6 behavioral beliefs, 6 normative beliefs, and 14 control beliefs were issued. Six themes emerged, including positive attitudes toward proactive health behaviors outcomes, lack of proactive health awareness the negative influence of children on proactive health behaviors, lack of knowledge of proactive health behaviors, spouses play an important role in proactive health behaviors, low resistance to unhealthy behavior.
Conclusion
this research will support to the construction of a psychometric scale to measure the intentions of proactive health behaviors in pre-frailty older adults. These influencing factors will also help us to develop measures to improve the ability of pre-frailty older adults to be proactive health in the future.
Impact
this research validates and extends the theory of planned behavior. The findings of factors influencing proactive health behaviors help us to develop strategies to enhance proactive health in pre-frailty older adults in the future. These findings also provide content for the construction of the psychometrics of proactive health intentions scales.
{"title":"Factors influencing proactive health behaviors in pre-frailty older adults: A qualitative study based on theory of planned behavior","authors":"Ke Tang , Jin Yao , Run Wang , Weiqing Ruan , Xianhong Chen , Lingli Yang , Yueping Li , Rui Zhang , Chunlan Zhou","doi":"10.1016/j.gerinurse.2024.10.029","DOIUrl":"10.1016/j.gerinurse.2024.10.029","url":null,"abstract":"<div><h3>Aims</h3><div>to explore factors that can influence proactive health behaviors in pre-frailty older adults.</div></div><div><h3>Design</h3><div>this is a qualitative content analysis study.</div></div><div><h3>Methods</h3><div>data collected through interviews with 20 pre-frailty older adults in a geriatric unit at a general hospital in Guangzhou, China. We used deductive content analysis to categorize codes and calculate their frequency based on the theory of planned behavior. Inductive content analysis was used to analyze data that could not be analyzed according to the theory of planned behavior.</div></div><div><h3>Results</h3><div>the data were analyzed and grouped into categories by beliefs similarity, counted from the frequencies. The factors of 6 behavioral beliefs, 6 normative beliefs, and 14 control beliefs were issued. Six themes emerged, including positive attitudes toward proactive health behaviors outcomes, lack of proactive health awareness the negative influence of children on proactive health behaviors, lack of knowledge of proactive health behaviors, spouses play an important role in proactive health behaviors, low resistance to unhealthy behavior.</div></div><div><h3>Conclusion</h3><div>this research will support to the construction of a psychometric scale to measure the intentions of proactive health behaviors in pre-frailty older adults. These influencing factors will also help us to develop measures to improve the ability of pre-frailty older adults to be proactive health in the future.</div></div><div><h3>Impact</h3><div>this research validates and extends the theory of planned behavior. The findings of factors influencing proactive health behaviors help us to develop strategies to enhance proactive health in pre-frailty older adults in the future. These findings also provide content for the construction of the psychometrics of proactive health intentions scales.</div></div><div><h3>Reporting Method</h3><div>this study follows the COREQ reporting norms.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"60 ","pages":"Pages 671-676"},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632314","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}
Pub Date : 2024-11-01DOI: 10.1016/j.gerinurse.2024.10.038
Tingting Liu PhD, RN, FAAN , Wen-Juo Lo PhD , Jie Chen PhD, RN , Jing Wang PhD, RN, MPH, FAAN , Changwei Li MD, PhD, MPH
Aim
The purposes of this pilot randomized controlled trial were to establish feasibility of participant recruitment and engagement in the exercise intervention.
Methods
A total of 50 participants with type 2 diabetes were recruited from the study and randomly assigned to an aerobic exercise group or an attention control group.
Results
Our study demonstrated the feasibility of the exercise program, achieving a recruitment rate of 2.94 persons per month, a 76% retention rate, and an 80.56% attendance rate. The adherence rates were 79.54% and 76.48% for the aerobic exercise and attention control groups, respectively. However, we were not able to detect any statistically significant difference between the two groups.
Conclusions
This pilot study established the feasibility of recruiting and engaging middle-aged older adults with type 2 diabetes in aerobic exercise. Based on these findings, a large-scale study assessing the effects of aerobic exercise on cognitive function in this population is needed.
{"title":"The effects of aerobic exercise on cognitive function in middle-aged and older individuals with type 2 diabetes: A pilot randomized controlled trial","authors":"Tingting Liu PhD, RN, FAAN , Wen-Juo Lo PhD , Jie Chen PhD, RN , Jing Wang PhD, RN, MPH, FAAN , Changwei Li MD, PhD, MPH","doi":"10.1016/j.gerinurse.2024.10.038","DOIUrl":"10.1016/j.gerinurse.2024.10.038","url":null,"abstract":"<div><h3>Aim</h3><div>The purposes of this pilot randomized controlled trial were to establish feasibility of participant recruitment and engagement in the exercise intervention.</div></div><div><h3>Methods</h3><div>A total of 50 participants with type 2 diabetes were recruited from the study and randomly assigned to an aerobic exercise group or an attention control group.</div></div><div><h3>Results</h3><div>Our study demonstrated the feasibility of the exercise program, achieving a recruitment rate of 2.94 persons per month, a 76% retention rate, and an 80.56% attendance rate. The adherence rates were 79.54% and 76.48% for the aerobic exercise and attention control groups, respectively. However, we were not able to detect any statistically significant difference between the two groups.</div></div><div><h3>Conclusions</h3><div>This pilot study established the feasibility of recruiting and engaging middle-aged older adults with type 2 diabetes in aerobic exercise. Based on these findings, a large-scale study assessing the effects of aerobic exercise on cognitive function in this population is needed.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"60 ","pages":"Pages 677-685"},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632329","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}
This study evaluated the association between multimorbidity patterns and socioeconomic conditions with functional limitation in individuals aged 60 years or older from the State of Minas Gerais, Brazil. This was a cross-sectional study with data from the last National Health Survey. Dependent variables were functional limitations in basic (BADL) and instrumental activities of daily living (IADL). The independent variables were multimorbidity patterns and socioeconomic conditions. Multimorbidity patterns were defined using an exploratory factor analysis. The association between multimorbidity patterns and dependent variables was tested using logistic regression models adjusted for covariates. Multimorbidity patterns were associated with limitations in BADL and IADL, except for the metabolic profile for IADL. Individuals with higher income had lower chances of being limited in BADL. Older adults with a higher level of education and income had lower chances of limitation in IADL. Multimorbidity patterns and socioeconomic conditions were associated with limitations in BADL and IADL.
{"title":"Multimorbidity patterns and socioeconomic conditions: Association with functional limitations in older adults","authors":"Karine Larissa Barbosa , Ana Carolina Rocha Borges , Karine Amélia Alves de Souza Oliveira , Viviane Santos Borges PhD , Jair Lício Ferreira Santos PhD , Fabíola Bof de Andrade PhD","doi":"10.1016/j.gerinurse.2024.10.024","DOIUrl":"10.1016/j.gerinurse.2024.10.024","url":null,"abstract":"<div><div>This study evaluated the association between multimorbidity patterns and socioeconomic conditions with functional limitation in individuals aged 60 years or older from the State of Minas Gerais, Brazil. This was a cross-sectional study with data from the last National Health Survey. Dependent variables were functional limitations in basic (BADL) and instrumental activities of daily living (IADL). The independent variables were multimorbidity patterns and socioeconomic conditions. Multimorbidity patterns were defined using an exploratory factor analysis. The association between multimorbidity patterns and dependent variables was tested using logistic regression models adjusted for covariates. Multimorbidity patterns were associated with limitations in BADL and IADL, except for the metabolic profile for IADL. Individuals with higher income had lower chances of being limited in BADL. Older adults with a higher level of education and income had lower chances of limitation in IADL. Multimorbidity patterns and socioeconomic conditions were associated with limitations in BADL and IADL.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"60 ","pages":"Pages 664-670"},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606387","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}
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