Physical therapists (PTs) in nursing homes often treat patients with Alzheimer's disease. This study evaluated their knowledge, attitudes, and practices (KAP) concerning Alzheimer's care.
Methods
A KAP survey-based questionnaire was administered to PTs in Belgian nursing homes and long-term care facilities, focusing on their understanding of Alzheimer's, care approaches, and practical care aspects.
Results
The survey, completed by 133 PTs, revealed strong knowledge and positive attitudes. PTs adapted communication methods, managed treatment refusals, and prioritized fall prevention and safety. Care practices focused on maintaining patient autonomy through exercises for strength, balance, and coordination. Techniques like massage or aromatherapy were less commonly used, despite potential benefits. Notably, knowledge, experience, or exposure to Alzheimer's patients did not significantly influence attitudes or practices.
Conclusion
Targeted practical training in dementia care techniques is needed to enhance caregiving skills, despite a solid foundation in knowledge and attitudes. Future research should examine diverse samples and evaluate training impact on practices.
{"title":"Exploring the knowledge, attitudes, and practices of physical therapists in care facilities assisting individuals with Alzheimer's disease","authors":"Olivier Bruyère , Léa Leroy , Catherine Olivier , Céline Demonceau , Fanny Buckinx , Mathilde Blavier , Françoise Lekeu","doi":"10.1016/j.gerinurse.2025.103710","DOIUrl":"10.1016/j.gerinurse.2025.103710","url":null,"abstract":"<div><h3>Introduction</h3><div>Physical therapists (PTs) in nursing homes often treat patients with Alzheimer's disease. This study evaluated their knowledge, attitudes, and practices (KAP) concerning Alzheimer's care.</div></div><div><h3>Methods</h3><div>A KAP survey-based questionnaire was administered to PTs in Belgian nursing homes and long-term care facilities, focusing on their understanding of Alzheimer's, care approaches, and practical care aspects.</div></div><div><h3>Results</h3><div>The survey, completed by 133 PTs, revealed strong knowledge and positive attitudes. PTs adapted communication methods, managed treatment refusals, and prioritized fall prevention and safety. Care practices focused on maintaining patient autonomy through exercises for strength, balance, and coordination. Techniques like massage or aromatherapy were less commonly used, despite potential benefits. Notably, knowledge, experience, or exposure to Alzheimer's patients did not significantly influence attitudes or practices.</div></div><div><h3>Conclusion</h3><div>Targeted practical training in dementia care techniques is needed to enhance caregiving skills, despite a solid foundation in knowledge and attitudes. Future research should examine diverse samples and evaluate training impact on practices.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"67 ","pages":"Article 103710"},"PeriodicalIF":2.4,"publicationDate":"2025-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145535096","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 : 2025-11-14DOI: 10.1016/j.gerinurse.2025.103712
Cheng Yin , Elias Mpofu , Kaye Brock , Xiaoli Li
Background and aim
This study examined the relationship between hospital admission and sacral pressure injuries (SPIs) in older adult patients in rehabilitation hospitals, controlling for comorbidity index scores, length of stay (LOS), and age.
Methods
A retrospective cohort analysis using the 2021 Texas Inpatient Public Use Data File included 1290 patients aged 60+ with SPIs and 37,626 without. Binary logistic regression, parallel mediation and moderated mediation analysis were used to predict SPI risk.
Results
Hospital admission significantly increased SPI risk. LOS was positively associated with SPI risk. Patients aged 60–69 had a higher SPI risk compared to those 80 and older. Comorbidities had a minimal impact.
Conclusion and implication
Targeted care plans in rehabilitation hospitals should focus on younger-old patients (60–69) with hospital admissions and extended stays, as they may be at higher SPI risk compared to those aged 80 and above. Managing comorbidities remains crucial for overall quality of care.
{"title":"Risk of sacral pressure injuries in rehabilitation hospital patients: Mediation by comorbidities index scores and length of stay in hospitals and moderation by age cohort","authors":"Cheng Yin , Elias Mpofu , Kaye Brock , Xiaoli Li","doi":"10.1016/j.gerinurse.2025.103712","DOIUrl":"10.1016/j.gerinurse.2025.103712","url":null,"abstract":"<div><h3>Background and aim</h3><div>This study examined the relationship between hospital admission and sacral pressure injuries (SPIs) in older adult patients in rehabilitation hospitals, controlling for comorbidity index scores, length of stay (LOS), and age.</div></div><div><h3>Methods</h3><div>A retrospective cohort analysis using the 2021 Texas Inpatient Public Use Data File included 1290 patients aged 60+ with SPIs and 37,626 without. Binary logistic regression, parallel mediation and moderated mediation analysis were used to predict SPI risk.</div></div><div><h3>Results</h3><div>Hospital admission significantly increased SPI risk. LOS was positively associated with SPI risk. Patients aged 60–69 had a higher SPI risk compared to those 80 and older. Comorbidities had a minimal impact.</div></div><div><h3>Conclusion and implication</h3><div>Targeted care plans in rehabilitation hospitals should focus on younger-old patients (60–69) with hospital admissions and extended stays, as they may be at higher SPI risk compared to those aged 80 and above. Managing comorbidities remains crucial for overall quality of care.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"67 ","pages":"Article 103712"},"PeriodicalIF":2.4,"publicationDate":"2025-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145500343","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 : 2025-11-13DOI: 10.1016/j.gerinurse.2025.103709
Adam E. Tratner , Diana C. Oviedo , Giselle A. Rangel , Maria B. Carreira , Ivonne Torres-Atencio , Eugenia Flores Millender , Sid O’Bryant , Alcibiades E. Villarreal , Gabrielle B. Britton , Panama Aging Research Initiative-Health Disparities (PARI-HD) Study
Falls are the leading cause of injury among older adults, but few studies have focused on falls in Hispanic older adults outside of the U.S. Here we used linear and multinomial regression to assess the association between falls and a wide range of known risk factors, including cognitive impairment, depression, frailty and inflammatory biomarkers in older adults enrolled in the PARI-HD study. This analysis included 468 participants ≥60 years of age (M = 69.9, SD=6.8). 26.1 % (CI95% 22.0–30.3 %) of participants reported at least one fall in the preceding 12 months; 14.5 % (CI95% 11.5–18.1 %) reported a single fall and 11.5 % (CI95% 8.8–14.8 %) reported multiple falls. Depressive symptoms and elevated inflammatory biomarkers were positively associated with number of falls, female sex and elevated IL-6 were associated with single falls, and increasing depressive symptoms were positively associated with recurrent falls. Our results may help to guide prevention programs focused on reducing fall risks.
{"title":"Falls and associated risks in community-dwelling Hispanic older adults enrolled in the PARI-HD study","authors":"Adam E. Tratner , Diana C. Oviedo , Giselle A. Rangel , Maria B. Carreira , Ivonne Torres-Atencio , Eugenia Flores Millender , Sid O’Bryant , Alcibiades E. Villarreal , Gabrielle B. Britton , Panama Aging Research Initiative-Health Disparities (PARI-HD) Study","doi":"10.1016/j.gerinurse.2025.103709","DOIUrl":"10.1016/j.gerinurse.2025.103709","url":null,"abstract":"<div><div>Falls are the leading cause of injury among older adults, but few studies have focused on falls in Hispanic older adults outside of the U.S. Here we used linear and multinomial regression to assess the association between falls and a wide range of known risk factors, including cognitive impairment, depression, frailty and inflammatory biomarkers in older adults enrolled in the PARI-HD study. This analysis included 468 participants ≥60 years of age (<em>M</em> = 69.9, <em>SD</em>=6.8). 26.1 % (CI<sub>95</sub> <sub>%</sub> 22.0–30.3 %) of participants reported at least one fall in the preceding 12 months; 14.5 % (CI<sub>95</sub> <sub>%</sub> 11.5–18.1 %) reported a single fall and 11.5 % (CI<sub>95</sub> <sub>%</sub> 8.8–14.8 %) reported multiple falls. Depressive symptoms and elevated inflammatory biomarkers were positively associated with number of falls, female sex and elevated IL-6 were associated with single falls, and increasing depressive symptoms were positively associated with recurrent falls. Our results may help to guide prevention programs focused on reducing fall risks.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"67 ","pages":"Article 103709"},"PeriodicalIF":2.4,"publicationDate":"2025-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145500297","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 : 2025-11-13DOI: 10.1016/j.gerinurse.2025.103722
Nurhan Doğan PhD , Kerime Hacıköylü MSc
The aim of this study was to predict which demographic characteristics contribute to attitudes towards aging and old age and death anxiety in geriatric individuals with chronic disease. artificial neural network (ANN) modeling, a machine learning method, was used to provide this prediction. Full factorial test data (3456 value) were analyzed, considering variables such as age, gender, marital status, education, income, number of children, and relationships with children. Findings show that Turkish Death Anxiety Scale is moderate (TDAS=40–60 points), with women, married individuals, and those with higher income exhibiting higher anxiety. Anxiety decreases with higher education and more children, while worsening relationships with children increase anxiety. Attitudes toward Ageing and Elderliness Scale (ATAES=140–170 points) are highest at 90 years of age, with similar levels in both genders. Education level and poor relationships with children lead to more negative attitudes. Single individuals have stronger negative attitudes than married ones. ANN prediction performance of at least 72.24% was achieved. These insights highlight modifiable risk factors that can be addressed to reduce death anxiety and improve attitudes toward aging in older adult individuals with chronic diseases. ANN performed well in predicting the effect of demographic characteristics on attitudes toward aging and old age and death anxiety in older adult individuals with chronic diseases. By using ANN, predictions of factors that may pose risk in terms of demographic characteristics of individuals can be determined.
{"title":"Attitude toward aging and elderliness and death anxiety in geriatric individuals with chronic diseases in Turkey: Artificial neural network prediction","authors":"Nurhan Doğan PhD , Kerime Hacıköylü MSc","doi":"10.1016/j.gerinurse.2025.103722","DOIUrl":"10.1016/j.gerinurse.2025.103722","url":null,"abstract":"<div><div>The aim of this study was to predict which demographic characteristics contribute to attitudes towards aging and old age and death anxiety in geriatric individuals with chronic disease. artificial neural network (ANN) modeling, a machine learning method, was used to provide this prediction. Full factorial test data (3456 value) were analyzed, considering variables such as age, gender, marital status, education, income, number of children, and relationships with children. Findings show that Turkish Death Anxiety Scale is moderate (TDAS=40–60 points), with women, married individuals, and those with higher income exhibiting higher anxiety. Anxiety decreases with higher education and more children, while worsening relationships with children increase anxiety. Attitudes toward Ageing and Elderliness Scale (ATAES=140–170 points) are highest at 90 years of age, with similar levels in both genders. Education level and poor relationships with children lead to more negative attitudes. Single individuals have stronger negative attitudes than married ones. ANN prediction performance of at least 72.24% was achieved. These insights highlight modifiable risk factors that can be addressed to reduce death anxiety and improve attitudes toward aging in older adult individuals with chronic diseases. ANN performed well in predicting the effect of demographic characteristics on attitudes toward aging and old age and death anxiety in older adult individuals with chronic diseases. By using ANN, predictions of factors that may pose risk in terms of demographic characteristics of individuals can be determined.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"67 ","pages":"Article 103722"},"PeriodicalIF":2.4,"publicationDate":"2025-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145500300","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 : 2025-11-13DOI: 10.1016/j.gerinurse.2025.103714
Anitha M. Tind PhD , Bente Hoeck PhD , Helle Elisabeth Andersen PhD , Charlotte Delmar PhDFAAN
The term “social determinants of health” (SDoH) describes conditions contributing to health inequities. While extensively studied in the working-age population, research on their impact among older people is limited. This study investigates how SDoH influence older people's health and homecare nursing. Using an interpretive phenomenological approach, data were generated through participant observations, situational interviews, and small group interviews with twelve homecare nurses from two municipalities. Data analysis included paradigm cases, exemplars, thematic analysis, and collaborative data analysis to incorporate perspectives from older people and civil society stakeholders. Findings identified digitalization, social networks, transport, financial insecurity, and healthcare access as impactful SDoH. The complexity of the healthcare system and its demands on patients, juxtaposed with the functional decline of aging populations, significantly affect older people's health and homecare nursing. SDoH profoundly impact older people's health, necessitating additional support from homecare nurses and highlighting the need for equitable access and a holistic nursing approach.
{"title":"Navigating health inequities in aging: The impact of social determinants on health and homecare nursing for older people","authors":"Anitha M. Tind PhD , Bente Hoeck PhD , Helle Elisabeth Andersen PhD , Charlotte Delmar PhDFAAN","doi":"10.1016/j.gerinurse.2025.103714","DOIUrl":"10.1016/j.gerinurse.2025.103714","url":null,"abstract":"<div><div>The term “social determinants of health” (SDoH) describes conditions contributing to health inequities. While extensively studied in the working-age population, research on their impact among older people is limited. This study investigates how SDoH influence older people's health and homecare nursing. Using an interpretive phenomenological approach, data were generated through participant observations, situational interviews, and small group interviews with twelve homecare nurses from two municipalities. Data analysis included paradigm cases, exemplars, thematic analysis, and collaborative data analysis to incorporate perspectives from older people and civil society stakeholders. Findings identified digitalization, social networks, transport, financial insecurity, and healthcare access as impactful SDoH. The complexity of the healthcare system and its demands on patients, juxtaposed with the functional decline of aging populations, significantly affect older people's health and homecare nursing. SDoH profoundly impact older people's health, necessitating additional support from homecare nurses and highlighting the need for equitable access and a holistic nursing approach.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"67 ","pages":"Article 103714"},"PeriodicalIF":2.4,"publicationDate":"2025-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145500298","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}
Heart failure with preserved ejection fraction (HFpEF) affects over half of heart failure cases, leading to high mortality and exercise intolerance, significantly impacting elderly patients' daily life. Consequently, exercise tolerance in HFpEF patients is a key research focus.
Objectives and Methods
Using CiteSpace 6.3.R1, this study analyzed Web of Science Core Collection literature, examining publication volume, journals, countries, institutions, authors, keywords, and co-citation timelines to summarize hotspots, trends, and frontiers in HFpEF and exercise research.
Results and Conclusions
1. A total of 2438 papers were included, with publication volume rising over the past 15 years. 2. In HFpEF and exercise research, the USA leads via a “high-yield platform-academic leader” model, with institutions like Mayo Clinic and scholars such as Borlaug Barry A. Germany’s dual-core institutions (German Centre for Cardiovascular Research and the Berlin Institute of Health) drive European mechanistic studies. Imperial College London engages in regional collaboration with France’s APHP. Asia, with key researchers such as Lam Carolyn SP from Singapore, sees growing influence from China, Japan, and South Korea, forming a “North American dominance, European collaboration, Asian rise” landscape. 3. Since 2010, HFpEF research has expanded beyond single lesions, forming “pathology-assessment-comorbidity” and “imaging-intervention-metabolism” themes. 4. Future focus: (1) Multi-omics-based HFpEF subtypes and personalized exercise algorithms; (2) Drug and non-drug strategies focused on exercise and nutrition; (3) Cross-regulation of inflammatory-metabolic pathways and interdisciplinary diagnosis; (4) A transcontinental database for racial metabolic differences, long-term follow-up, and AI-driven upgrades to evidence-based exercise; (5) Digital quantification for closed-loop health management.
背景：保留射血分数的心力衰竭（HFpEF）影响了超过一半的心力衰竭病例，导致高死亡率和运动不耐受，严重影响了老年患者的日常生活。因此，HFpEF患者的运动耐量是一个重要的研究热点。目的和方法使用CiteSpace 6.3。本研究对Web of Science Core Collection文献进行分析，从出版物数量、期刊、国家、机构、作者、关键词、共被引时间线等方面进行分析，总结HFpEF和运动研究的热点、趋势和前沿。结果与结论共收录论文2438篇，15年来发文量不断增加。2. 在HFpEF和运动研究方面，美国通过“高产平台-学术领导者”模式处于领先地位，梅奥诊所（Mayo Clinic）等机构和Borlaug Barry a等学者推动了欧洲机制研究。德国的双核机构（德国心血管研究中心和柏林卫生研究所）推动了欧洲机制研究。伦敦帝国理工学院与法国APHP开展区域合作。在新加坡的林凯洛琳（Lam Carolyn SP）等重要研究人员的带领下，亚洲看到了中国、日本和韩国日益增长的影响力，形成了“北美主导、欧洲合作、亚洲崛起”的格局。3. 自2010年以来，HFpEF研究已超越单一病变，形成了“病理-评估-合并症”和“成像-介入-代谢”主题。4. 未来研究方向：(1)基于多组学的HFpEF亚型和个性化运动算法；(2)以运动和营养为重点的药物和非药物策略；(3)炎症代谢通路交叉调控与跨学科诊断；(4)跨大陆的种族代谢差异数据库、长期随访和人工智能驱动的循证运动升级；(5)面向闭环健康管理的数字化量化。
{"title":"Heart failure with preserved ejection fraction and exercise: a review based on bibliometric analysis from 2010 to 2025","authors":"Qianyu Chen, Sikun Yin, Zujie Xu, Zheying Ma, Zhenxian An, Xiaoqin Zhao","doi":"10.1016/j.gerinurse.2025.103716","DOIUrl":"10.1016/j.gerinurse.2025.103716","url":null,"abstract":"<div><h3>Background</h3><div>Heart failure with preserved ejection fraction (HFpEF) affects over half of heart failure cases, leading to high mortality and exercise intolerance, significantly impacting elderly patients' daily life. Consequently, exercise tolerance in HFpEF patients is a key research focus.</div></div><div><h3>Objectives and Methods</h3><div>Using CiteSpace 6.3.R1, this study analyzed Web of Science Core Collection literature, examining publication volume, journals, countries, institutions, authors, keywords, and co-citation timelines to summarize hotspots, trends, and frontiers in HFpEF and exercise research.</div></div><div><h3>Results and Conclusions</h3><div>1. A total of 2438 papers were included, with publication volume rising over the past 15 years. 2. In HFpEF and exercise research, the USA leads via a “<em>high-yield platform-academic leader</em>” model, with institutions like <em>Mayo Clinic</em> and scholars such as Borlaug Barry A. Germany’s dual-core institutions <em>(German Centre for Cardiovascular Research</em> and <em>the Berlin Institute of Health</em>) drive European mechanistic studies. <em>Imperial College London</em> engages in regional collaboration with France’s <em>APHP</em>. Asia, with key researchers such as Lam Carolyn SP from Singapore, sees growing influence from China, Japan, and South Korea, forming a “North American dominance, European collaboration, Asian rise” landscape. 3. Since 2010, HFpEF research has expanded beyond single lesions, forming “<em>pathology-assessment-comorbidity</em>” and “<em>imaging-intervention-metabolism</em>” themes. 4. Future focus: (1) Multi-omics-based HFpEF subtypes and personalized exercise algorithms; (2) Drug and non-drug strategies focused on exercise and nutrition; (3) Cross-regulation of inflammatory-metabolic pathways and interdisciplinary diagnosis; (4) A transcontinental database for racial metabolic differences, long-term follow-up, and AI-driven upgrades to evidence-based exercise; (5) Digital quantification for closed-loop health management.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"67 ","pages":"Article 103716"},"PeriodicalIF":2.4,"publicationDate":"2025-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145500344","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 : 2025-11-13DOI: 10.1016/j.gerinurse.2025.103723
Orges Lena, Jasemin Todri
Introduction
: Over the years, several standardized pain assessment tools have been developed, each with its own strengths, to help quantify pain intensity and its impact on patients' lives.
Methods
: To assess the validity of the four pain scales, the ability of participants was evaluated to accurately measure the construct of pain intensity. To evaluate the reliability of the pain intensity scales, were conducted tests for both internal consistency and test-retest reliability.
Results
: Two hundred patients (53.0% male mean age 68.59; SD 6.39) completed all four pain intensity scales. All instruments showed good to excellent test–retest reliability, with intraclass correlation coefficients (ICC) ranging from 0.825 for Faces Pain Scale (FPS) to 0.922 for Visual Analog Scale (VAS). Internal consistency was high across all scales (Cronbach’s α = 0.90–0.96). Construct validity was supported by strong component loadings (>0.90) and significant correlations between the scales. The VAS demonstrated the highest reliability (ICC = 0.922) and sensitivity (MDC = 0.061), while the Numeric Rating Scale (NRS), FPS, and Brief Pain Inventory Interference Scale (BPI-IS) also showed good reliability and validity, making all four appropriate for clinical use in Albanian older adults with low back pain.
Conclusion
: The VAS, NRS, FPS and BPI-IS are valid and reliable scales for the pain intensity measurement in Albanian population with low back pain.
Trial registration: The study was registered at clinical trial.gov before the data collection with ID. NCT04131998.
{"title":"A cross-cultural adaptation study on the validity and test-retest reliability of pain assessment tools in Albanian older adults with low back pain","authors":"Orges Lena, Jasemin Todri","doi":"10.1016/j.gerinurse.2025.103723","DOIUrl":"10.1016/j.gerinurse.2025.103723","url":null,"abstract":"<div><h3>Introduction</h3><div><strong>:</strong> Over the years, several standardized pain assessment tools have been developed, each with its own strengths, to help quantify pain intensity and its impact on patients' lives.</div></div><div><h3>Methods</h3><div><strong>:</strong> To assess the validity of the four pain scales, the ability of participants was evaluated to accurately measure the construct of pain intensity. To evaluate the reliability of the pain intensity scales, were conducted tests for both internal consistency and test-retest reliability.</div></div><div><h3>Results</h3><div><strong>:</strong> Two hundred patients (53.0% male mean age 68.59; SD 6.39) completed all four pain intensity scales. All instruments showed good to excellent test–retest reliability, with intraclass correlation coefficients (ICC) ranging from 0.825 for Faces Pain Scale (FPS) to 0.922 for Visual Analog Scale (VAS). Internal consistency was high across all scales (Cronbach’s α = 0.90–0.96). Construct validity was supported by strong component loadings (>0.90) and significant correlations between the scales. The VAS demonstrated the highest reliability (ICC = 0.922) and sensitivity (MDC = 0.061), while the Numeric Rating Scale (NRS), FPS, and Brief Pain Inventory Interference Scale (BPI-IS) also showed good reliability and validity, making all four appropriate for clinical use in Albanian older adults with low back pain.</div></div><div><h3>Conclusion</h3><div><strong>:</strong> The VAS, NRS, FPS and BPI-IS are valid and reliable scales for the pain intensity measurement in Albanian population with low back pain.</div><div><strong>Trial registration:</strong> The study was registered at clinical trial.gov before the data collection with ID. NCT04131998.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"67 ","pages":"Article 103723"},"PeriodicalIF":2.4,"publicationDate":"2025-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145500342","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 : 2025-11-13DOI: 10.1016/j.gerinurse.2025.103720
Pınar Doğan , Merve Tarhan , Ahu Kürklü
Background
Older adults are particularly vulnerable to the adverse health impacts following natural disasters due to their physiological and social vulnerabilities. This study was conducted to identify the early healthcare needs of older adults following the Kahramanmaraş earthquakes in Türkiye.
Method
This study used a phenomenological descriptive qualitative design and was conducted with 133 older adults in six cities between the 10th and 21st days following the earthquakes. Data were collected using the face-to-face interviews, observations, and physical examinations were conducted.
Results
Thirty different nursing diagnoses for older adults were identified using the Functional Health Patterns Model. The themes identified by the study's qualitative data analysis were "security risk," "comfort," "socio-cultural structure," and "access to service."
Conclusion
Older adults have multiple characteristics and multidimensional care needs that increase their vulnerability after a disaster. It is advised that these needs be taken into account in the holistic planning of post-disaster services.
{"title":"Identifying early healthcare needs of older adults following the Kahramanmaras earthquakes in Türkiye: A qualitative study","authors":"Pınar Doğan , Merve Tarhan , Ahu Kürklü","doi":"10.1016/j.gerinurse.2025.103720","DOIUrl":"10.1016/j.gerinurse.2025.103720","url":null,"abstract":"<div><h3>Background</h3><div>Older adults are particularly vulnerable to the adverse health impacts following natural disasters due to their physiological and social vulnerabilities. This study was conducted to identify the early healthcare needs of older adults following the Kahramanmaraş earthquakes in Türkiye.</div></div><div><h3>Method</h3><div>This study used a phenomenological descriptive qualitative design and was conducted with 133 older adults in six cities between the 10th and 21st days following the earthquakes. Data were collected using the face-to-face interviews, observations, and physical examinations were conducted.</div></div><div><h3>Results</h3><div>Thirty different nursing diagnoses for older adults were identified using the Functional Health Patterns Model. The themes identified by the study's qualitative data analysis were \"<em>security risk,\"</em> \"<em>comfort,\"</em> \"<em>socio-cultural structure,\"</em> and \"<em>access to service.\"</em></div></div><div><h3>Conclusion</h3><div>Older adults have multiple characteristics and multidimensional care needs that increase their vulnerability after a disaster. It is advised that these needs be taken into account in the holistic planning of post-disaster services.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"67 ","pages":"Article 103720"},"PeriodicalIF":2.4,"publicationDate":"2025-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145500299","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}
sarcopenia and sarcopenic obesity (SO) may be predominant risk factors for the development and progression of osteoarthritis (OA). This meta-analysis aims to estimate the global prevalence of sarcopenia and SO in patients with OA.
Methods
PubMed, Embase, CINAHL, and Web of Science were searched for observational studies. The meta-analysis applied random-effects models with R software to calculate the pooled prevalence of sarcopenia and SO in patients with OA. Subgroup analysis, sensitivity analysis, and meta-regression analysis were conducted. Publication bias was assessed by funnel plots and the Egger test. Trim and Fill analysis was used to see the effect of publication bias.
Results
27 studies were included. The pooled prevalence of sarcopenia and SO in patients with OA was 16.7 % and 14.0 %, respectively; subgroup analysis showed that the prevalence of sarcopenia was higher in hospitalized patients (19.2 %), in studies using diagnostic criteria of muscle‑mass‑alone (17.0 %), and among participants aged over 75 years (29.5 %). Subgroup analysis showed that the prevalence of SO was 14.2 % in community‐based studies and 16.4 % in studies using dual-energy X-ray absorptiometry to assess muscle mass. Sensitivity analysis showed that none of the studies affected the overall pooled results. Meta-regression analysis found that Europe and age ≤75 were sources of heterogeneity of the pooled prevalence of sarcopenia. Whereas publication year, sample size, study setting, assessment method for muscle mass, diagnostic criteria of obesity and sarcopenia were sources of heterogeneity of the SO.
Conclusions and implication
This meta-analysis indicated sarcopenia and SO affects more than one in ten OA globally. Attention is needed to screen sarcopenia/SO among patients with OA and optimize its early detection and management in clinical practice.
背景：肌少症和肌少性肥胖（SO）可能是骨关节炎（OA）发生和发展的主要危险因素。本荟萃分析旨在估计骨性关节炎患者中肌肉减少症和SO的全球患病率。方法检索spubmed、Embase、CINAHL和Web of Science中观察性研究。meta分析应用随机效应模型和R软件计算OA患者骨骼肌减少症和SO的合并患病率。进行亚组分析、敏感性分析和meta回归分析。采用漏斗图和Egger检验评估发表偏倚。采用Trim and Fill分析观察发表偏倚的影响。结果共纳入27项研究。骨性关节炎患者中肌肉减少症和SO的总患病率分别为16.7%和14.0%；亚组分析显示，住院患者（19.2%）、单独使用肌肉质量诊断标准的研究（17.0%）和年龄超过75岁的参与者（29.5%）中肌肉减少症的患病率较高。亚组分析显示，在基于社区的研究中，SO的患病率为14.2%，而在使用双能x线吸收仪评估肌肉质量的研究中，SO的患病率为16.4%。敏感性分析显示，没有一项研究影响总体汇总结果。荟萃回归分析发现，欧洲和年龄≤75岁是肌肉减少症合并患病率异质性的来源。而发表年份、样本量、研究设置、肌肉质量评估方法、肥胖和肌肉减少症的诊断标准是SO异质性的来源。结论和意义该荟萃分析表明，全球超过十分之一的OA患者患有肌肉减少症和SO。在OA患者中筛查骨骼肌减少症/SO，优化其早期发现和治疗，是临床实践中需要注意的问题。
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Pub Date : 2025-11-01DOI: 10.1016/j.gerinurse.2025.103696
João Marcos Bernardes PhD , Laura Araújo MSc , Rodrigo Chavari de Arruda MSc , Adriano Paulo Aparecido Pereira de Oliveira MSc , Melissa Spröesser Alonso MSc , Carlos Ruiz-Frutos PhD , Juan Carlos Camacho-Vega PhD , Luis El Khoury-Moreno PhD , Julio Torrejón-Martínez PhD , Juan Gómez-Salgado PhD , Adriano Dias PhD
Caregivers are essential for providing daily care to individuals with functional disabilities, but caregiving can negatively impact physical and mental health. This study assessed the health-related quality of life and work ability of 97 paid caregivers and 91 family caregivers, identifying factors associated with these outcomes. Mann-Whitney U and chi-square tests were used to analyze differences between groups, along with logistic regression models to explore the relationship between caregiver burden, social support, and the outcomes. Results showed family caregivers experienced higher burden, lower social support, worse quality of life, and reduced work ability compared to paid caregivers. Longer caregiving hours were linked to poorer outcomes, while good physical fitness was a protective factor. Moderate to severe caregiver burden strongly correlated with poor outcomes, while social support had a protective effect. The findings highlight the importance of interventions to reduce caregiver burden, enhance social support, and promote physical fitness for caregivers.
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