Pub Date : 2024-11-27DOI: 10.1016/j.gerinurse.2024.11.001
Philip Broughton , Addison Niles , Adebobola Imeh-Nathaniel , Samuel Imeh-Nathaniel , Richard L. Goodwin , Laurie Theriot Roley , Thomas I. Nathaniel
Background
This study investigates risk factors in the population of Alzheimer disease (AD) patients with NPS (ADNPS).
Method
Baseline risk factors associated with male and female ADNPS were examined using data from a regional AD care center. Univariate analysis was used to determine factors in male and female patients, while logistic regression models were developed to generate odds ratios (OR) to predict risk factors that are associated with male or female ADNPS.
Results
In the adjusted analysis, dyslipidemia (OR = 0.630, 95 % CI, 0.431–0.992, P = 0.017), thyroid dysfunction (OR = 0.549, 95 % CI, 0.377–0.798, P = 0.002), and cerebral infarction (OR = 0.684, 95 % CI, 0.472–0.991, P = 0.0085) were associated with male ADNPS patients, whereas chronic heart failure (OR = 1.408, 95 % CI, 0.953–2.079, P = 0.0085) was associated with female ADNPS patients.
Conclusions
Our results reveal that female ADNPS patients were associated with heart failure, whereas male patients were associated with dyslipidemia and cerebral infarction.
{"title":"Risk factors of male and female Alzheimer's disease patients with neuropsychiatric symptoms","authors":"Philip Broughton , Addison Niles , Adebobola Imeh-Nathaniel , Samuel Imeh-Nathaniel , Richard L. Goodwin , Laurie Theriot Roley , Thomas I. Nathaniel","doi":"10.1016/j.gerinurse.2024.11.001","DOIUrl":"10.1016/j.gerinurse.2024.11.001","url":null,"abstract":"<div><h3>Background</h3><div>This study investigates risk factors in the population of Alzheimer disease (AD) patients with NPS (ADNPS).</div></div><div><h3>Method</h3><div>Baseline risk factors associated with male and female ADNPS were examined using data from a regional AD care center. Univariate analysis was used to determine factors in male and female patients, while logistic regression models were developed to generate odds ratios (OR) to predict risk factors that are associated with male or female ADNPS.</div></div><div><h3>Results</h3><div>In the adjusted analysis, dyslipidemia (OR = 0.630, 95 % CI, 0.431–0.992, <em>P</em> = 0.017), thyroid dysfunction (OR = 0.549, 95 % CI, 0.377–0.798, <em>P</em> = 0.002), and cerebral infarction (OR = 0.684, 95 % CI, 0.472–0.991, <em>P</em> = 0.0085) were associated with male ADNPS patients, whereas chronic heart failure (OR = 1.408, 95 % CI, 0.953–2.079, <em>P</em> = 0.0085) was associated with female ADNPS patients.</div></div><div><h3>Conclusions</h3><div>Our results reveal that female ADNPS patients were associated with heart failure, whereas male patients were associated with dyslipidemia and cerebral infarction.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 371-377"},"PeriodicalIF":2.5,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142721179","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 : 2024-11-26DOI: 10.1016/j.gerinurse.2024.10.058
Jing Zhang PhD , Pengpeng Ye PhD , Xinyi Zhang MPH , Gang Liu MD , Xinbao Wu MD, PhD , Minghui Yang MD , Maoyi Tian PhD
Objectives
The study aimed to explore the effects of post-discharge physical exercise combined with co-managed care on health the outcomes of older patients with hip fracture.
Methods
Based on a completed non-randomised controlled trial which evaluated a co-managed care of patients aged 65 years and above with hip fracture, provided by orthopedists and geriatricians within an acute setting, a retrospective post-hoc factorial analysis was further conducted. The analysis observed the health outcomes of older patients with post-discharge physical exercise combined with co-managed care within hospitals compared to those had either post-discharge physical exercise or co-managed care. The collected data included demographics, clinical characteristics, and follow-up information about post-discharge physical exercises and health outcomes at one-month, four-month, and one-year after admission. The health outcomes comprised the cumulative mortality, complications, ambulatory ability (Fracture Mobility Score), and quality of life (the five-level EuroQol five-dimensional questionnaire) at each follow-up visit.
Results
Patients who having the conjoint interventions benefited more reduction of one-year mortality (RR 0.59, 95 %CI: 0.38, 0.80) but no reduction of complications (RR 0.70, 95 %CI: 0.43, 1.14) than each single intervention. Ambulance ability (at one-year follow-up) and quality of life (at four-month follow-up) of patients who having the conjoint interventions were observed a significant improvement against each single intervention.
Conclusion
The conjoint intervention with co-managed care and post-discharge physical exercise might contribute more to the quality improvement of hip fracture care in a long run.
{"title":"Conjoint effect of post-discharge physical exercise and co-managed care on health outcomes of older patients with hip fracture in China: A post-hoc factorial analysis","authors":"Jing Zhang PhD , Pengpeng Ye PhD , Xinyi Zhang MPH , Gang Liu MD , Xinbao Wu MD, PhD , Minghui Yang MD , Maoyi Tian PhD","doi":"10.1016/j.gerinurse.2024.10.058","DOIUrl":"10.1016/j.gerinurse.2024.10.058","url":null,"abstract":"<div><h3>Objectives</h3><div>The study aimed to explore the effects of post-discharge physical exercise combined with co-managed care on health the outcomes of older patients with hip fracture.</div></div><div><h3>Methods</h3><div>Based on a completed non-randomised controlled trial which evaluated a co-managed care of patients aged 65 years and above with hip fracture, provided by orthopedists and geriatricians within an acute setting, a retrospective post-hoc factorial analysis was further conducted. The analysis observed the health outcomes of older patients with post-discharge physical exercise combined with co-managed care within hospitals compared to those had either post-discharge physical exercise or co-managed care. The collected data included demographics, clinical characteristics, and follow-up information about post-discharge physical exercises and health outcomes at one-month, four-month, and one-year after admission. The health outcomes comprised the cumulative mortality, complications, ambulatory ability (Fracture Mobility Score), and quality of life (the five-level EuroQol five-dimensional questionnaire) at each follow-up visit.</div></div><div><h3>Results</h3><div>Patients who having the conjoint interventions benefited more reduction of one-year mortality (RR 0.59, 95 %CI: 0.38, 0.80) but no reduction of complications (RR 0.70, 95 %CI: 0.43, 1.14) than each single intervention. Ambulance ability (at one-year follow-up) and quality of life (at four-month follow-up) of patients who having the conjoint interventions were observed a significant improvement against each single intervention.</div></div><div><h3>Conclusion</h3><div>The conjoint intervention with co-managed care and post-discharge physical exercise might contribute more to the quality improvement of hip fracture care in a long run.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 364-370"},"PeriodicalIF":2.5,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142697883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-25DOI: 10.1016/j.gerinurse.2024.10.076
Candace C. Harrington PhD, DNP, APRN, AGPCNP-BC, CNE, FAAN, Shuying Sha PhD, Sarah Markgraf DNP, BSN, APRN, FNP-C, Maya Thomas
Background
Skilled Nursing residents who have cognitive impairment (CI) in heart failure(HF) have a significantly higher mortality rate. These residents’ ability to self-manage their complex care upon discharge is critical for positive health outcomes.
Method
We conducted a secondary data analysis of admission MDS records for 79 residents admitted for HF care from 2021 to 2022.
Results
Seventy-nine eligible admission MDS records were included in the study. Only one additional with DC diagnoses of CI in HF was captured upon discharge. Twenty-seven (35.1 %) records affirming CI in HF were omitted from the discharge diagnosis list or discharge summary.
Conclusion
This secondary data analysis of admission MDS records in two large mid-south metropolitan nursing facilities uncovered quality improvement opportunities, including improving facility interprofessional communication, opportunities to capture and improve diagnostic accuracy, the potential value of an evidence-based discharge planning program, opportunity for improved hand-offs back to community primary care providers.
{"title":"Use of admission MDS data to capture unrecognized cognitive impairment in heart failure: Implications for community care transitions","authors":"Candace C. Harrington PhD, DNP, APRN, AGPCNP-BC, CNE, FAAN, Shuying Sha PhD, Sarah Markgraf DNP, BSN, APRN, FNP-C, Maya Thomas","doi":"10.1016/j.gerinurse.2024.10.076","DOIUrl":"10.1016/j.gerinurse.2024.10.076","url":null,"abstract":"<div><h3>Background</h3><div>Skilled Nursing residents who have cognitive impairment (CI) in heart failure(HF) have a significantly higher mortality rate. These residents’ ability to self-manage their complex care upon discharge is critical for positive health outcomes.</div></div><div><h3>Method</h3><div>We conducted a secondary data analysis of admission MDS records for 79 residents admitted for HF care from 2021 to 2022.</div></div><div><h3>Results</h3><div>Seventy-nine eligible admission MDS records were included in the study. Only one additional with DC diagnoses of CI in HF was captured upon discharge. Twenty-seven (35.1 %) records affirming CI in HF were omitted from the discharge diagnosis list or discharge summary.</div></div><div><h3>Conclusion</h3><div>This secondary data analysis of admission MDS records in two large mid-south metropolitan nursing facilities uncovered quality improvement opportunities, including improving facility interprofessional communication, opportunities to capture and improve diagnostic accuracy, the potential value of an evidence-based discharge planning program, opportunity for improved hand-offs back to community primary care providers.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 349-352"},"PeriodicalIF":2.5,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142697996","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 : 2024-11-25DOI: 10.1016/j.gerinurse.2024.11.013
Marwa Ibrahim Mahfouz Khalil , Reem Said Shaala , Enas Fouad Sayed Mousa , Mohamed Ali Zoromba , Mohamed Hussein Ramadan Atta
Aim
To examine the associations between emotionally charged reactions to climate change, self-care, quality of life among older adults, coping mechanisms, and pro-environmental practices.
Background
Older adults often face unique challenges in coping with climate change and its detrimental effect on self-care and quality of life. They may be particularly vulnerable to this pressing global issue.
Method
A multi-center, descriptive, correlational approach from three governorates in Egypt. A convenience sample of 609 older adults answered the Inventory of Climate Emotions, the Older People's Quality of Life-Brief, the Self-care Ability Scale for the Elderly, the Pro-Environmental Practices Assessment, and the Coping Scale with Climate Change.
Results
The overall emotionally charged reactions to the idea of climate change showed a negative correlation with both the older adults’ QoL total score (r = -.762) and the Self-care Ability Scale (r = -.775), yet a positive correlation with Pro-environmental Practices (r = .692) and Coping Strategies (r = .992). The regression analyses revealed that emotions explain a substantial variance in the older adult's quality of life (85.6%) and self-care (79.7%), as well as their pro-environmental actions (72%) and coping strategies (38.8%).
Recommendations and implications
The research underscores climate change's significant emotional and psychological ramifications on older adults, yielding valuable insights for geriatric nursing practice. The findings can facilitate the development of precise interventions to promote self-care, bolster coping strategies, and advocate for pro-environmental conduct among older adults. Understanding these associations can contribute to the enhancement of quality of life and the fortification of resilience. The research implications may offer pivotal guidance for geriatric nursing education, clinical protocols, and community initiatives dedicated to fortifying older adults' mental well-being, contending with the repercussions of climate change.
{"title":"Examining the associations between emotionally charged reactions toward climate change and self-care, quality of life among older adults, coping mechanisms, and pro-environmental practices","authors":"Marwa Ibrahim Mahfouz Khalil , Reem Said Shaala , Enas Fouad Sayed Mousa , Mohamed Ali Zoromba , Mohamed Hussein Ramadan Atta","doi":"10.1016/j.gerinurse.2024.11.013","DOIUrl":"10.1016/j.gerinurse.2024.11.013","url":null,"abstract":"<div><h3>Aim</h3><div>To examine the associations between emotionally charged reactions to climate change, self-care, quality of life among older adults, coping mechanisms, and pro-environmental practices.</div></div><div><h3>Background</h3><div>Older adults often face unique challenges in coping with climate change and its detrimental effect on self-care and quality of life. They may be particularly vulnerable to this pressing global issue.</div></div><div><h3>Method</h3><div>A multi-center, descriptive, correlational approach from three governorates in Egypt. A convenience sample of 609 older adults answered the Inventory of Climate Emotions, the Older People's Quality of Life-Brief, the Self-care Ability Scale for the Elderly, the Pro-Environmental Practices Assessment, and the Coping Scale with Climate Change.</div></div><div><h3>Results</h3><div>The overall emotionally charged reactions to the idea of climate change showed a negative correlation with both the older adults’ QoL total score (r = -.762) and the Self-care Ability Scale (r = -.775), yet a positive correlation with Pro-environmental Practices (r = .692) and Coping Strategies (r = .992). The regression analyses revealed that emotions explain a substantial variance in the older adult's quality of life (85.6%) and self-care (79.7%), as well as their pro-environmental actions (72%) and coping strategies (38.8%).</div></div><div><h3>Recommendations and implications</h3><div>The research underscores climate change's significant emotional and psychological ramifications on older adults, yielding valuable insights for geriatric nursing practice. The findings can facilitate the development of precise interventions to promote self-care, bolster coping strategies, and advocate for pro-environmental conduct among older adults. Understanding these associations can contribute to the enhancement of quality of life and the fortification of resilience. The research implications may offer pivotal guidance for geriatric nursing education, clinical protocols, and community initiatives dedicated to fortifying older adults' mental well-being, contending with the repercussions of climate change.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 353-363"},"PeriodicalIF":2.5,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142697997","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 : 2024-11-22DOI: 10.1016/j.gerinurse.2024.10.056
Mari Groenendaal MA , Hanneke J.A. Smaling PhD , Wilco P. Achterberg MD, PhD , Monique A.A. Caljouw PhD
Objectives
This study compared whether the categories of activities that persons with dementia engage in changed between home and after nursing home admission. Also investigated were the methods for assessing the wishes, needs, and abilities regarding activities, and informal caregivers’ satisfaction with the degree of assessment of activities during the transition.
Methods
A cross-sectional survey in which 81 informal caregivers of nursing home residents with dementia participated (37 % male, mean age 65.0 years, SD 10.1).
Results
Persons with dementia performed activities in fewer activity categories in the nursing home compared to home (Z = -3.74, p<.01). Conversation was the most used assessment method. Informal caregivers rated their satisfaction with the degree of assessment of activities during transition with a median score of 7 (IQR 5–8) on a scale from 0 to 10.
Conclusion
Monitoring the activities for persons with dementia during the transition is essential and activities should be assessed repeatedly over time to prevent potential activity decline.
{"title":"Activities of persons with dementia at home and after nursing home admission: A survey study","authors":"Mari Groenendaal MA , Hanneke J.A. Smaling PhD , Wilco P. Achterberg MD, PhD , Monique A.A. Caljouw PhD","doi":"10.1016/j.gerinurse.2024.10.056","DOIUrl":"10.1016/j.gerinurse.2024.10.056","url":null,"abstract":"<div><h3>Objectives</h3><div>This study compared whether the categories of activities that persons with dementia engage in changed between home and after nursing home admission. Also investigated were the methods for assessing the wishes, needs, and abilities regarding activities, and informal caregivers’ satisfaction with the degree of assessment of activities during the transition.</div></div><div><h3>Methods</h3><div>A cross-sectional survey in which 81 informal caregivers of nursing home residents with dementia participated (37 % male, mean age 65.0 years, SD 10.1).</div></div><div><h3>Results</h3><div>Persons with dementia performed activities in fewer activity categories in the nursing home compared to home (<em>Z =</em> -3.74, <em>p</em><.01). Conversation was the most used assessment method. Informal caregivers rated their satisfaction with the degree of assessment of activities during transition with a median score of 7 (IQR 5–8) on a scale from 0 to 10.</div></div><div><h3>Conclusion</h3><div>Monitoring the activities for persons with dementia during the transition is essential and activities should be assessed repeatedly over time to prevent potential activity decline.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 336-341"},"PeriodicalIF":2.5,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142695384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-22DOI: 10.1016/j.gerinurse.2024.11.003
Qiuyue Cui, Ying Zhong, Yuxin Gui, Shuai Ma, Yuan Ge
Objective
To examine and synthesize qualitative data about the experiences of fear of falling in older adults.
Method
This review used the Joanna Briggs methodology for qualitative systematic reviews. The PubMed, Cochrane Library, Embase, Web of Science, PsycINFO, CINAHL, CBMdisc, CNKI, Wanfang, and VIP databases were searched up to December 2023. In addition, gray literature was manually searched and the references of included studies were traced. Qualitative data was evaluated, synthesized, and analyzed by meta-synthesis.
Result
18 studies were included and 3 themes were summarized, including: multiple fear disturbances; needs not fully met; and self-management strategies.
Conclusion
The experiences of older adults suffering from fear of falling needs more attention. Health care providers should identify problems from Older adults' experiences of fear of falling, they should recognize the subjective experiences and unique needs of older adults, understand the underlying behavioral reasons for their fear of falling, and offer effective self-management techniques to enhance their quality of life.
{"title":"Experiences and perceptions of fear of falling in older adults: A systematic review and meta-synthesis of qualitative studies","authors":"Qiuyue Cui, Ying Zhong, Yuxin Gui, Shuai Ma, Yuan Ge","doi":"10.1016/j.gerinurse.2024.11.003","DOIUrl":"10.1016/j.gerinurse.2024.11.003","url":null,"abstract":"<div><h3>Objective</h3><div>To examine and synthesize qualitative data about the experiences of fear of falling in older adults.</div></div><div><h3>Method</h3><div>This review used the Joanna Briggs methodology for qualitative systematic reviews. The PubMed, Cochrane Library, Embase, Web of Science, PsycINFO, CINAHL, CBMdisc, CNKI, Wanfang, and VIP databases were searched up to December 2023. In addition, gray literature was manually searched and the references of included studies were traced. Qualitative data was evaluated, synthesized, and analyzed by meta-synthesis.</div></div><div><h3>Result</h3><div>18 studies were included and 3 themes were summarized, including: multiple fear disturbances; needs not fully met; and self-management strategies.</div></div><div><h3>Conclusion</h3><div>The experiences of older adults suffering from fear of falling needs more attention. Health care providers should identify problems from Older adults' experiences of fear of falling, they should recognize the subjective experiences and unique needs of older adults, understand the underlying behavioral reasons for their fear of falling, and offer effective self-management techniques to enhance their quality of life.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 324-335"},"PeriodicalIF":2.5,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142695791","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 : 2024-11-22DOI: 10.1016/j.gerinurse.2024.11.004
Vignesh Sivasamy BSc, MBBS, MRCP , Rachel Qiao Ming Ng BSc, MD, MMed, MRCP , Julian Hui Min Lee MN, BHSN , Kaysar Mamun ABIM, ABGM, FAMS
In Singapore's rapidly ageing population where the demand for tailored healthcare services is increasing, but is confronted with a shortage of geriatric medicine trained physicians, innovative and sustainable ways to provide quality healthcare care for frail older adults need to be explored. Recognising, developing, growing and establishing the role of geriatric Advanced Practice Nurses (APNs) in Singapore, not just in clinical practice but in education and research as well, potentially offers one such solution to this problem. This narrative review, therefore, examines the available literature on how geriatric APNs can meet the healthcare needs of frail older adults in various local healthcare settings. Using a combination of keywords, a comprehensive search for relevant literature (original articles, theses, and abstracts published in English between 1999 till present) was conducted across databases including PubMed and Cochrane Library. Additional articles referenced in chosen articles were also reviewed when deemed relevant to the topic. Based on more established overseas models of care, it is evident that geriatric APNs can positively and significantly contribute to the healthcare of frail older adults locally. However, there is ambiguity surrounding the definition and description of the APN's role in Singapore, resulting in challenges that limit APNs from functioning to the full extent of their capabilities. A clear definition of the roles, responsibilities and expectations of geriatric APNs will facilitate their effective and significant contribution to caring for frail older adults in Singapore.
{"title":"A narrative review of the role of geriatric advanced practice nurses in the care of frail older adults in Singapore","authors":"Vignesh Sivasamy BSc, MBBS, MRCP , Rachel Qiao Ming Ng BSc, MD, MMed, MRCP , Julian Hui Min Lee MN, BHSN , Kaysar Mamun ABIM, ABGM, FAMS","doi":"10.1016/j.gerinurse.2024.11.004","DOIUrl":"10.1016/j.gerinurse.2024.11.004","url":null,"abstract":"<div><div>In Singapore's rapidly ageing population where the demand for tailored healthcare services is increasing, but is confronted with a shortage of geriatric medicine trained physicians, innovative and sustainable ways to provide quality healthcare care for frail older adults need to be explored. Recognising, developing, growing and establishing the role of geriatric Advanced Practice Nurses (APNs) in Singapore, not just in clinical practice but in education and research as well, potentially offers one such solution to this problem. This narrative review, therefore, examines the available literature on how geriatric APNs can meet the healthcare needs of frail older adults in various local healthcare settings. Using a combination of keywords, a comprehensive search for relevant literature (original articles, theses, and abstracts published in English between 1999 till present) was conducted across databases including PubMed and Cochrane Library. Additional articles referenced in chosen articles were also reviewed when deemed relevant to the topic. Based on more established overseas models of care, it is evident that geriatric APNs can positively and significantly contribute to the healthcare of frail older adults locally. However, there is ambiguity surrounding the definition and description of the APN's role in Singapore, resulting in challenges that limit APNs from functioning to the full extent of their capabilities. A clear definition of the roles, responsibilities and expectations of geriatric APNs will facilitate their effective and significant contribution to caring for frail older adults in Singapore.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 342-348"},"PeriodicalIF":2.5,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142695397","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 : 2024-11-21DOI: 10.1016/j.gerinurse.2024.11.011
Yu Zhao MD , Fang Long BS , Xiu-ting Wu BS , Juan Lei BS, Xiu-qin Ma MD, Xin-yu Luan BS
Aims
The purpose of this study was to explore the dose-response relationship between the age at diagnosis of cardiovascular metabolic multimorbidity and cognitive impairment among middle-aged and older adults in China.
Methods
This is a secondary study using the China Health Retirement Longitudinal Study 2018(CHARLS 2018). The study included 1338 middle-aged and older adults. The middle-aged and older adults is defined as having cardiovascular metabolic multimorbidity if he or she has two or more of the five diseases (hypertension, diabetes, dyslipidemia, stroke, and heart disease). We measured cognitive functions by evaluating situational memory capacity and mental status. The total cognitive function score ranges from 0 to 31. Participants defined cognitive impairment as a function of subject educational level: illiteracy<17, primary school<20, junior high school and above<24. Restrictive cubic splines were used to examine the shape of the association between the age at diagnosis of cardiovascular metabolic multimorbidity and cognitive impairment.
Results
The mean age was 67.72±9.96 years, with 52.0 % being female. Of the total sample, 79.1 % were cognitive impairment. When all covariates were adjusted, our study showed that the later the age of diagnosis of cardiovascular metabolic multimorbidity in middle-aged and older adults, the more cognitive impairment is exacerbated.
Conclusion
The later age of diagnosis of CMM in middle-aged and older adults, the higher the risk of cognitive impairment. This suggests that nurses should promptly emphasize the relationship between CMM and cognitive impairment to their patients in their daily practice and encourage patients to be screened for CMM as early as possible.
{"title":"Dose-response relationship between the age at diagnosis of cardiovascular metabolic multimorbidity and cognitive impairment among middle-aged and older adults in China","authors":"Yu Zhao MD , Fang Long BS , Xiu-ting Wu BS , Juan Lei BS, Xiu-qin Ma MD, Xin-yu Luan BS","doi":"10.1016/j.gerinurse.2024.11.011","DOIUrl":"10.1016/j.gerinurse.2024.11.011","url":null,"abstract":"<div><h3>Aims</h3><div>The purpose of this study was to explore the dose-response relationship between the age at diagnosis of cardiovascular metabolic multimorbidity and cognitive impairment among middle-aged and older adults in China.</div></div><div><h3>Methods</h3><div>This is a secondary study using the China Health Retirement Longitudinal Study 2018(CHARLS 2018). The study included 1338 middle-aged and older adults. The middle-aged and older adults is defined as having cardiovascular metabolic multimorbidity if he or she has two or more of the five diseases (hypertension, diabetes, dyslipidemia, stroke, and heart disease). We measured cognitive functions by evaluating situational memory capacity and mental status. The total cognitive function score ranges from 0 to 31. Participants defined cognitive impairment as a function of subject educational level: illiteracy<17, primary school<20, junior high school and above<24. Restrictive cubic splines were used to examine the shape of the association between the age at diagnosis of cardiovascular metabolic multimorbidity and cognitive impairment.</div></div><div><h3>Results</h3><div>The mean age was 67.72±9.96 years, with 52.0 % being female. Of the total sample, 79.1 % were cognitive impairment. When all covariates were adjusted, our study showed that the later the age of diagnosis of cardiovascular metabolic multimorbidity in middle-aged and older adults, the more cognitive impairment is exacerbated.</div></div><div><h3>Conclusion</h3><div>The later age of diagnosis of CMM in middle-aged and older adults, the higher the risk of cognitive impairment. This suggests that nurses should promptly emphasize the relationship between CMM and cognitive impairment to their patients in their daily practice and encourage patients to be screened for CMM as early as possible.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 311-315"},"PeriodicalIF":2.5,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693910","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 : 2024-11-21DOI: 10.1016/j.gerinurse.2024.10.063
Servet Kalyoncuo, Pınar Tekinsoy Kartin RN, Ph.D.
Background
With the increase in life expectancy in the world, active aging has become an important issue. This study aims to investigate the relationship between healthy lifestyle behaviors and active aging in the elderly.
Methods
This study, which used a descriptive and correlational survey model, was conducted with the participation of 145 individuals aged 65 years and over enrolled in the University Hospital in a city center in Türkiye. Research data were collected with the Patient Information Form, Healthy Lifestyle Behaviors Scale-II (HLBS-II), and Active Aging Scale (AAS). Descriptive statistics, Shapiro Wilk test, Student t-test, ANOVA, Tukey test, Pearson correlation analysis, and multiple linear regression analysis were used in the analysis of the data.
Results
A statistically significant positive correlation was found between the individuals' HLBS-II and the total score of AAS, at a normal level (r = 0.569). The participating elderlies' Active Aging Scale total mean score was 132.01 ± 27.13, and the Healthy Lifestyle Behaviors Scale-II total mean score was 154.96 ± 18.18. A significant negative correlation was found between age and the total score of the Active Aging Scale.
Conclusions
It was determined that healthy lifestyle behaviors contributed positively to the active aging of elderlies. Active aging is negatively affected with increasing age. For the elderly to have an active aging process, it is recommended to strengthen physical activity, nutrition, methods of coping with stress, and spiritual development as much as possible, and to organize applied training programs to protect and improve the health of the elderly and to increase their awareness.
{"title":"The relationship between active aging and healthy lifestyle behaviors of individuals aged 65 years and older: A cross‐sectional study","authors":"Servet Kalyoncuo, Pınar Tekinsoy Kartin RN, Ph.D.","doi":"10.1016/j.gerinurse.2024.10.063","DOIUrl":"10.1016/j.gerinurse.2024.10.063","url":null,"abstract":"<div><h3>Background</h3><div>With the increase in life expectancy in the world, active aging has become an important issue. This study aims to investigate the relationship between healthy lifestyle behaviors and active aging in the elderly.</div></div><div><h3>Methods</h3><div>This study, which used a descriptive and correlational survey model, was conducted with the participation of 145 individuals aged 65 years and over enrolled in the University Hospital in a city center in Türkiye. Research data were collected with the Patient Information Form, Healthy Lifestyle Behaviors Scale-II (HLBS-II), and Active Aging Scale (AAS). Descriptive statistics, Shapiro Wilk test, Student <em>t</em>-test, ANOVA, Tukey test, Pearson correlation analysis, and multiple linear regression analysis were used in the analysis of the data.</div></div><div><h3>Results</h3><div>A statistically significant positive correlation was found between the individuals' HLBS-II and the total score of AAS, at a normal level (<em>r</em> = 0.569). The participating elderlies' Active Aging Scale total mean score was 132.01 ± 27.13, and the Healthy Lifestyle Behaviors Scale-II total mean score was 154.96 ± 18.18. A significant negative correlation was found between age and the total score of the Active Aging Scale.</div></div><div><h3>Conclusions</h3><div>It was determined that healthy lifestyle behaviors contributed positively to the active aging of elderlies. Active aging is negatively affected with increasing age. For the elderly to have an active aging process, it is recommended to strengthen physical activity, nutrition, methods of coping with stress, and spiritual development as much as possible, and to organize applied training programs to protect and improve the health of the elderly and to increase their awareness.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 316-323"},"PeriodicalIF":2.5,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693893","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}
Subjective cognitive decline (SCD) is more prevalent in the elderly Chinese population, and individuals with hypertension are at greater risk for cognitive impairment. The aim of this study was to investigate the prevalence and factors affecting SCD in elderly hypertensive patients and to develop a risk prediction model. This was a cross-sectional study of 1098 elderly hypertensive patients in a tertiary care hospital. The prevalence of SCD in elderly hypertensive patients was 45.2 %. Education level, exercise, disease duration, blood pressure grade, depression, nutrition, debility, and sleep disorders were influential factors. A prediction model was constructed using these factors. The internal validation AUROC is 0.877 and the external validation AUROC is 0.813. Calibration curves and DCA curves indicated that the prediction model was well fitted. The predictive model constructed in this study may be useful for clinical screening and the development of targeted intervention programs.
{"title":"Analysis of factors affecting subjective cognitive decline in elderly hypertensive patients and the construction of a risk prediction model","authors":"Xing Jiang, Mingshu Huo, Qian Yu, Jiarong Yan, Zhiyang Cong, Hongyu Yu","doi":"10.1016/j.gerinurse.2024.10.071","DOIUrl":"10.1016/j.gerinurse.2024.10.071","url":null,"abstract":"<div><div>Subjective cognitive decline (SCD) is more prevalent in the elderly Chinese population, and individuals with hypertension are at greater risk for cognitive impairment. The aim of this study was to investigate the prevalence and factors affecting SCD in elderly hypertensive patients and to develop a risk prediction model. This was a cross-sectional study of 1098 elderly hypertensive patients in a tertiary care hospital. The prevalence of SCD in elderly hypertensive patients was 45.2 %. Education level, exercise, disease duration, blood pressure grade, depression, nutrition, debility, and sleep disorders were influential factors. A prediction model was constructed using these factors. The internal validation AUROC is 0.877 and the external validation AUROC is 0.813. Calibration curves and DCA curves indicated that the prediction model was well fitted. The predictive model constructed in this study may be useful for clinical screening and the development of targeted intervention programs.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 302-310"},"PeriodicalIF":2.5,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683313","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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