Pub Date : 2025-11-01DOI: 10.1016/j.gerinurse.2025.103692
Chenguang Du PhD , Mengting Li PhD , Changmin Peng PhD , Bei Wu PhD , Merril Silverstein PhD
Objectives
This study aimed to examine the mediating effects of activity engagement in the relationship between perceived control and cognitive function among older adults.
Method
Data were obtained from the Health and Retirement Study conducted over three waves (T1, T2, and T3), with a sample size of 1302. Path analysis was used to examine the mediating effects of activity engagement in the relationship between perceived control and cognitive function.
Results
T1 perceived control was significantly associated with T3 cognition (β = 0.055, bootstrapped 95 %CI = [0.012, 0.099]). T1 perceived control had significant indirect effects on T3 cognition through T2 social activity (β = 0.006, bootstrapped 95 %CI = [0.001,0.011]) and T2 cognitive activity (β = 0.007, bootstrapped 95 %CI = [0.001,0.013]).
Conclusion
Older adults with higher perceived control were more likely to engage in social and cognitive activities to stimulate cognitive function. Our study suggested a multifaceted intervention to prevent cognitive impairment through enhancing perceived control in conjunction with training in health-promoting behaviors.
目的：本研究旨在探讨活动参与在老年人感知控制与认知功能之间的中介作用。方法：数据来自健康与退休研究，分三波（T1、T2和T3）进行，样本量为1302。通过通径分析，研究了活动参与在知觉控制与认知功能关系中的中介作用。结果：T1感知控制与T3认知显著相关（β = 0.055, bootstrap 95% CI =[0.012, 0.099]）。T1感知控制通过T2社会活动（β = 0.006, bootstrap 95% CI =[0.001,0.011]）和T2认知活动（β = 0.007, bootstrap 95% CI =[0.001,0.013]）间接影响T3认知。结论：控制感较高的老年人更有可能参与社会和认知活动来刺激认知功能。我们的研究提出了一个多方面的干预措施，通过加强感知控制和健康促进行为的训练来预防认知障碍。
{"title":"Perceived control and cognitive function among older adults: The mediating role of social and cognitive activities","authors":"Chenguang Du PhD , Mengting Li PhD , Changmin Peng PhD , Bei Wu PhD , Merril Silverstein PhD","doi":"10.1016/j.gerinurse.2025.103692","DOIUrl":"10.1016/j.gerinurse.2025.103692","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to examine the mediating effects of activity engagement in the relationship between perceived control and cognitive function among older adults.</div></div><div><h3>Method</h3><div>Data were obtained from the <em>Health and Retirement Study</em> conducted over three waves (T1, T2, and T3), with a sample size of 1302. Path analysis was used to examine the mediating effects of activity engagement in the relationship between perceived control and cognitive function.</div></div><div><h3>Results</h3><div>T1 perceived control was significantly associated with T3 cognition (β = 0.055, bootstrapped 95 %CI = [0.012, 0.099]). T1 perceived control had significant indirect effects on T3 cognition through T2 social activity (β = 0.006, bootstrapped 95 %CI = [0.001,0.011]) and T2 cognitive activity (β = 0.007, bootstrapped 95 %CI = [0.001,0.013]).</div></div><div><h3>Conclusion</h3><div>Older adults with higher perceived control were more likely to engage in social and cognitive activities to stimulate cognitive function. Our study suggested a multifaceted intervention to prevent cognitive impairment through enhancing perceived control in conjunction with training in health-promoting behaviors.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103692"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145403046","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 : 2025-11-01DOI: 10.1016/j.gerinurse.2025.103672
Wenxin Wu B.N. , Xinyuan Xie B.N. , Zeyu Zhang PhD, RN , Yunfei Li PhD , Xian Zhang B.S, RN , Lin Wang PhD, RN , Ya Su PhD, RN
This systematic review and meta-analysis searched the Embase, PubMed, Cochrane Central Register of Controlled Trials, and Web of Science databases on May 18, 2023, for randomized controlled trials that examined the effectiveness of oral health interventions in improving oral frailty in community-dwelling older adults. We included 11 randomized controlled trials from four countries (734 participants). Interventions included oral exercise, oral exercise plus oral health education, and exercise plus oral health education and nutritional instruction. Oral exercise intervention significantly improved tongue–lip motor function “pa” pronunciation, tongue pressure, chewing function, and the maximum occlusal force (all P < 0.05). Participants in the exercise plus education and diet intervention group showed improved tongue pressure and maximum occlusal force (all P < 0.05). Our analysis suggests that oral exercise interventions improve oral motor function and muscle strength, which are key to delaying the progression of oral frailty, preventing subsequent adverse outcomes such as falls and frailty, and enhancing quality of life in community-dwelling older adults.
该系统综述和荟萃分析于2023年5月18日检索了Embase、PubMed、Cochrane中央对照试验注册库和Web of Science数据库，以进行随机对照试验，以检验口腔健康干预在改善社区老年人口腔虚弱方面的有效性。我们纳入了来自四个国家的11项随机对照试验（734名受试者）。干预措施包括口腔运动、口腔运动加口腔健康教育、运动加口腔健康教育和营养指导。口腔运动干预显著改善舌唇运动功能“pa”发音、舌压、咀嚼功能和最大咬合力（均P < 0.05）。运动+教育+饮食干预组舌压和最大咬合力均有改善（P < 0.05）。我们的分析表明，口腔运动干预可以改善口腔运动功能和肌肉力量，这是延缓口腔虚弱进展、预防随后的不良后果（如跌倒和虚弱）以及提高社区老年人生活质量的关键。
{"title":"The impact of interventions on improving oral frailty in community-dwelling older adults: A systematic review and meta-analysis","authors":"Wenxin Wu B.N. , Xinyuan Xie B.N. , Zeyu Zhang PhD, RN , Yunfei Li PhD , Xian Zhang B.S, RN , Lin Wang PhD, RN , Ya Su PhD, RN","doi":"10.1016/j.gerinurse.2025.103672","DOIUrl":"10.1016/j.gerinurse.2025.103672","url":null,"abstract":"<div><div>This systematic review and meta-analysis searched the Embase, PubMed, Cochrane Central Register of Controlled Trials, and Web of Science databases on May 18, 2023, for randomized controlled trials that examined the effectiveness of oral health interventions in improving oral frailty in community-dwelling older adults. We included 11 randomized controlled trials from four countries (734 participants). Interventions included oral exercise, oral exercise plus oral health education, and exercise plus oral health education and nutritional instruction. Oral exercise intervention significantly improved tongue–lip motor function “pa” pronunciation, tongue pressure, chewing function, and the maximum occlusal force (all <em>P</em> < 0.05). Participants in the exercise plus education and diet intervention group showed improved tongue pressure and maximum occlusal force (all <em>P</em> < 0.05). Our analysis suggests that oral exercise interventions improve oral motor function and muscle strength, which are key to delaying the progression of oral frailty, preventing subsequent adverse outcomes such as falls and frailty, and enhancing quality of life in community-dwelling older adults.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103672"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145403067","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 : 2025-11-01DOI: 10.1016/j.gerinurse.2025.103697
Ali Kapan , Milos Ristic , Richard Felsinger , Thomas Waldhoer
This cross-sectional study investigated the association between fatigue, muscle fatigue, physical performance, sleep disturbances, and fall risk in older adults. In 217 residents (mean age 80.2 ± 4.3 years, 65.9 % female), objective muscle fatigue was assessed using handgrip strength measurements, alongside subjective fatigue (MFI), insomnia (AIS), sleep apnea risk (STOP-BANG), and physical performance (SPPB). Falls were documented retrospectively (12 months) and prospectively (4 months). 39.6 % of participants were classified as fallers. Objective muscle fatigue and SPPB were found to be independently associated with increased fall risk (AOR=3.45 and AOR=2.75, respectively). These risks were further elevated when combined with sleep disorders (AOR=3.34–5.05 for muscle fatigue; AOR=3.57–4.41 for physical performance). Poor muscle recovery with sleep disorders showed the strongest associations (AOR=5.12–5.21), while subjective fatigue showed no significant associations. Objective measurements of muscle fatigue and recovery are strongly associated with increased fall risk, particularly when combined with sleep disturbances. These findings emphasise the importance of including objective assessments of muscle fatigue and recovery in fall risk evaluations and propose that future studies should explore intervention strategies targeting both muscle fatigue and sleep quality in older adults.
{"title":"Association between self-perceived fatigue, muscular fatigue and sleep disturbances with falls in older adults: A Cross-Sectional Study","authors":"Ali Kapan , Milos Ristic , Richard Felsinger , Thomas Waldhoer","doi":"10.1016/j.gerinurse.2025.103697","DOIUrl":"10.1016/j.gerinurse.2025.103697","url":null,"abstract":"<div><div>This cross-sectional study investigated the association between fatigue, muscle fatigue, physical performance, sleep disturbances, and fall risk in older adults. In 217 residents (mean age 80.2 ± 4.3 years, 65.9 % female), objective muscle fatigue was assessed using handgrip strength measurements, alongside subjective fatigue (MFI), insomnia (AIS), sleep apnea risk (STOP-BANG), and physical performance (SPPB). Falls were documented retrospectively (12 months) and prospectively (4 months). 39.6 % of participants were classified as fallers. Objective muscle fatigue and SPPB were found to be independently associated with increased fall risk (AOR=3.45 and AOR=2.75, respectively). These risks were further elevated when combined with sleep disorders (AOR=3.34–5.05 for muscle fatigue; AOR=3.57–4.41 for physical performance). Poor muscle recovery with sleep disorders showed the strongest associations (AOR=5.12–5.21), while subjective fatigue showed no significant associations. Objective measurements of muscle fatigue and recovery are strongly associated with increased fall risk, particularly when combined with sleep disturbances. These findings emphasise the importance of including objective assessments of muscle fatigue and recovery in fall risk evaluations and propose that future studies should explore intervention strategies targeting both muscle fatigue and sleep quality in older adults.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103697"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145472467","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 : 2025-11-01DOI: 10.1016/j.gerinurse.2025.103702
Yunxia Qiu MS, Zhihao Han MS, Linxia Tang MS, Yihui Lin MS, Xiaoqin Ma MS
Objectives
To identify intervention strategies of ego-integrity experienced by older adults.
Methods
From inception to 11 September 2024, a systematic scoping review was conducted of any original studies reporting on ego-integrity intervention strategies for older adults.
Results
10 articles were included, the ego-integrity intervention strategies included life review intervention, music combined review intervention, horticultural therapy combined review intervention, cognitive therapy combined review intervention, and community education curriculum intervention; the relevant theoretical frameworks mainly included personality development theory, life review theory, Confucius’s life trajectory model, and gerotranscendence theory; The outcome indicators included psychological well-being, ego-integrity, life satisfaction, depression, death anxiety, adaptability of nursing home, self-esteem, cognitive ability, life meaning, personal control, despair, quality of life, etc.
Conclusions
The intervention strategies for ego-integrity have a diversified trend, but the scientific and effective aspects of some studies need to be further improved. In the future, researchers can conduct more in-depth studies based on appropriate theoretical frameworks.
{"title":"Intervention strategies for ego-integrity among older adults: A scoping review","authors":"Yunxia Qiu MS, Zhihao Han MS, Linxia Tang MS, Yihui Lin MS, Xiaoqin Ma MS","doi":"10.1016/j.gerinurse.2025.103702","DOIUrl":"10.1016/j.gerinurse.2025.103702","url":null,"abstract":"<div><h3>Objectives</h3><div>To identify intervention strategies of ego-integrity experienced by older adults.</div></div><div><h3>Methods</h3><div>From inception to 11 September 2024, a systematic scoping review was conducted of any original studies reporting on ego-integrity intervention strategies for older adults.</div></div><div><h3>Results</h3><div>10 articles were included, the ego-integrity intervention strategies included life review intervention, music combined review intervention, horticultural therapy combined review intervention, cognitive therapy combined review intervention, and community education curriculum intervention; the relevant theoretical frameworks mainly included personality development theory, life review theory, Confucius’s life trajectory model, and gerotranscendence theory; The outcome indicators included psychological well-being, ego-integrity, life satisfaction, depression, death anxiety, adaptability of nursing home, self-esteem, cognitive ability, life meaning, personal control, despair, quality of life, etc.</div></div><div><h3>Conclusions</h3><div>The intervention strategies for ego-integrity have a diversified trend, but the scientific and effective aspects of some studies need to be further improved. In the future, researchers can conduct more in-depth studies based on appropriate theoretical frameworks.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103702"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145472496","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 : 2025-11-01DOI: 10.1016/j.gerinurse.2025.103698
Zhihan Liu , Juan Chen , Qiuping Feng, Ziyan Zhang, Lu Ping
Objective
To develop a comprehensive, patient-centered patient-reported outcome measure (PROM) for integrated care in older adults, assessing physical, psychological, and social outcomes.
Design
Guided by PROMs theory, this study developed and validated the ICOPE-PROM.
Setting and Participants
Data were collected from 436 older adults across 13 integrated care institutions in China.
Methods
A two-step approach was used: developing a pre-test version based on existing literature, followed by revising it to form the final version. Reliability and validity were assessed via expert consultation, exploratory factor analysis (EFA), and confirmatory factor analysis (CFA).
Results
The final scale includes three dimensions (physical, psychological, social), eight subdimensions, and 24 items. Cronbach’s α exceeded 0.80, composite reliability was >0.90, and average variance extracted values >0.50. The scale met standards for structural, criterion-related, and convergent validity, with satisfactory model fit.
{"title":"ICOPE-PROM: Development and validation of a patient-reported outcome measure for integrated care in older Chinese adults","authors":"Zhihan Liu , Juan Chen , Qiuping Feng, Ziyan Zhang, Lu Ping","doi":"10.1016/j.gerinurse.2025.103698","DOIUrl":"10.1016/j.gerinurse.2025.103698","url":null,"abstract":"<div><h3>Objective</h3><div>To develop a comprehensive, patient-centered patient-reported outcome measure (PROM) for integrated care in older adults, assessing physical, psychological, and social outcomes.</div></div><div><h3>Design</h3><div>Guided by PROMs theory, this study developed and validated the ICOPE-PROM.</div></div><div><h3>Setting and Participants</h3><div>Data were collected from 436 older adults across 13 integrated care institutions in China.</div></div><div><h3>Methods</h3><div>A two-step approach was used: developing a pre-test version based on existing literature, followed by revising it to form the final version. Reliability and validity were assessed via expert consultation, exploratory factor analysis (EFA), and confirmatory factor analysis (CFA).</div></div><div><h3>Results</h3><div>The final scale includes three dimensions (physical, psychological, social), eight subdimensions, and 24 items. Cronbach’s α exceeded 0.80, composite reliability was >0.90, and average variance extracted values >0.50. The scale met standards for structural, criterion-related, and convergent validity, with satisfactory model fit.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103698"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145508135","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 : 2025-11-01DOI: 10.1016/j.gerinurse.2025.103704
Qiqi Ni, Li Wang, Weijing Sui, Yiyu Zhuang
This study aimed to identify the influencing factors of preparation for future care among community-dwelling older adults with chronic diseases. A convergent mixed-method design was employed, collecting data from May to July 2024 in Hangzhou, Zhejiang Province, southeast China. Quantitative participants were recruited through convenience sampling and assessed using the Preparation for Future Care Needs Scale (PFCN), Health Literacy Management Scale (HeLMS), Family Adaptation, Partnership, Growth, Affection, and Resolve (APGAR), Chronic Illness Resource Survey Scale (CIRS), 10-item Connor-Davidson Resilience Scale (CD-RISC-10), and Brief Illness Perception Questionnaire (BIPQ), while qualitative participants were selected via maximum variation sampling for semi-structured interviews. Quantitative data were analyzed using multiple linear regression and network analysis, and qualitative data were examined through deductive thematic analysis. Findings from both strands were integrated through triangulation based on Andersen’s behavioral model of health service utilization. In total, 362 and 16 older adults participated in the quantitative study and qualitative study, respectively. After integration, three themes and nine subthemes were identified as multidimensional factors influencing preparation for future care, including predisposing factors (beliefs in filial piety, family structure, age, health literacy), enabling factors (care resources, economic status, social support), and need factors (physical health and mental health). The findings emphasize the need for strategies addressing traditional beliefs, strengthen family and social support systems, and improve accessibility and quality of care resources, thereby fostering proactive preparation for future care among older adults with chronic conditions.
{"title":"Determinants of preparation for future care among community-dwelling older adults with chronic diseases: A mixed-method study","authors":"Qiqi Ni, Li Wang, Weijing Sui, Yiyu Zhuang","doi":"10.1016/j.gerinurse.2025.103704","DOIUrl":"10.1016/j.gerinurse.2025.103704","url":null,"abstract":"<div><div>This study aimed to identify the influencing factors of preparation for future care among community-dwelling older adults with chronic diseases. A convergent mixed-method design was employed, collecting data from May to July 2024 in Hangzhou, Zhejiang Province, southeast China. Quantitative participants were recruited through convenience sampling and assessed using the Preparation for Future Care Needs Scale (PFCN), Health Literacy Management Scale (HeLMS), Family Adaptation, Partnership, Growth, Affection, and Resolve (APGAR), Chronic Illness Resource Survey Scale (CIRS), 10-item Connor-Davidson Resilience Scale (CD-RISC-10), and Brief Illness Perception Questionnaire (BIPQ), while qualitative participants were selected via maximum variation sampling for semi-structured interviews. Quantitative data were analyzed using multiple linear regression and network analysis, and qualitative data were examined through deductive thematic analysis. Findings from both strands were integrated through triangulation based on Andersen’s behavioral model of health service utilization. In total, 362 and 16 older adults participated in the quantitative study and qualitative study, respectively. After integration, three themes and nine subthemes were identified as multidimensional factors influencing preparation for future care, including predisposing factors (beliefs in filial piety, family structure, age, health literacy), enabling factors (care resources, economic status, social support), and need factors (physical health and mental health). The findings emphasize the need for strategies addressing traditional beliefs, strengthen family and social support systems, and improve accessibility and quality of care resources, thereby fostering proactive preparation for future care among older adults with chronic conditions.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103704"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145465737","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 : 2025-11-01DOI: 10.1016/j.gerinurse.2025.103659
Mary Prybylo PhD, RN, Susan Miller PhD, RN , Teresa J. Kelechi PhD, RN, FAAN
Objectives
To critically analyze literature that examines the relationship between self-reported health SRH and hospitalizations and emergency department (ED) visits and identify factors influencing or presenting with SRH among adult patients. To inform geriatric nursing practice by analyzing how SRH is associated with a deteriorating condition and hospitalization.
Method
This integrative review was guided by Whittemore and Knafi's five-step model.
Results
Seventeen quantitative studies were included in this review. SRH consistently predicted hospitalizations and ED visits. Factors such as poor general health and recent hospitalizations were associated with increased hospitalizations but did not influence SRH ratings. Biological factors related to poor health were associated with a poor rating of SRH.
Conclusions
Self-reported health was found to be a significant and consistent predictor of hospitalizations and ED visits. However, the findings did not demonstrate that specific factors influenced an individual’s SRH. SRH was related to changes in biological factors that were associated with poor health ratings, suggesting a biological foundation for SRH. These findings suggest that SRH may bridge the gap between patient self-assessment and clinical evaluation, offering a more holistic, individualized approach to patient care
{"title":"Evaluation of self-reported health as a tool for identifying risk of hospitalization and emergency department visits in older adults: An integrated review","authors":"Mary Prybylo PhD, RN, Susan Miller PhD, RN , Teresa J. Kelechi PhD, RN, FAAN","doi":"10.1016/j.gerinurse.2025.103659","DOIUrl":"10.1016/j.gerinurse.2025.103659","url":null,"abstract":"<div><h3>Objectives</h3><div>To critically analyze literature that examines the relationship between self-reported health SRH and hospitalizations and emergency department (ED) visits and identify factors influencing or presenting with SRH among adult patients. To inform geriatric nursing practice by analyzing how SRH is associated with a deteriorating condition and hospitalization.</div></div><div><h3>Method</h3><div>This integrative review was guided by Whittemore and Knafi's five-step model.</div></div><div><h3>Results</h3><div>Seventeen quantitative studies were included in this review. SRH consistently predicted hospitalizations and ED visits. Factors such as poor general health and recent hospitalizations were associated with increased hospitalizations but did not influence SRH ratings. Biological factors related to poor health were associated with a poor rating of SRH.</div></div><div><h3>Conclusions</h3><div>Self-reported health was found to be a significant and consistent predictor of hospitalizations and ED visits. However, the findings did not demonstrate that specific factors influenced an individual’s SRH. SRH was related to changes in biological factors that were associated with poor health ratings, suggesting a biological foundation for SRH. These findings suggest that SRH may bridge the gap between patient self-assessment and clinical evaluation, offering a more holistic, individualized approach to patient care</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103659"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145423518","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}
The COVID-19 pandemic significantly impacted emergency department (ED) visits by nursing home (NH) residents, leading to notable shifts in visit rates, characteristics, and outcomes over time. This retrospective study analyzed all-cause ED visits among NH residents aged over 65 at a large Italian hospital from 2019 to 2022. Non-COVID-19 visits declined sharply by 63.8% in 2020 and continued to remain below pre-pandemic levels in the following years. Compared to 2019, the risk of respiratory disease-related visits decreased significantly in 2021 and 2022. Conversely, the risk of mental health-related visits, particularly for neurotic disorders, increased significantly, with a threefold rise in 2021 and a fourfold rise in 2022. Similarly, fracture-related visits nearly doubled in 2021 and remained high in 2022. These findings underscore the pandemic's enduring effects on the health of NH residents and highlight the critical need to strengthen healthcare systems to effectively manage future health crises.
{"title":"Changes in emergency department visits by nursing home residents before, during and after the COVID-19 pandemic: Retrospective study","authors":"Ines Basso PhD , Carla Vigliano MSN , Erika Bassi PhD , Isabella Santomauro PhDst , Giovanni Chilin MSN , Cristian Zanelli RN , Patrizia Boido RN , Lorenza Scotti PhD , Valentina Mandirola RN , Sara Campagna PhD , Alberto Dal Molin PhD","doi":"10.1016/j.gerinurse.2025.103707","DOIUrl":"10.1016/j.gerinurse.2025.103707","url":null,"abstract":"<div><div>The COVID-19 pandemic significantly impacted emergency department (ED) visits by nursing home (NH) residents, leading to notable shifts in visit rates, characteristics, and outcomes over time. This retrospective study analyzed all-cause ED visits among NH residents aged over 65 at a large Italian hospital from 2019 to 2022. Non-COVID-19 visits declined sharply by 63.8% in 2020 and continued to remain below pre-pandemic levels in the following years. Compared to 2019, the risk of respiratory disease-related visits decreased significantly in 2021 and 2022. Conversely, the risk of mental health-related visits, particularly for neurotic disorders, increased significantly, with a threefold rise in 2021 and a fourfold rise in 2022. Similarly, fracture-related visits nearly doubled in 2021 and remained high in 2022. These findings underscore the pandemic's enduring effects on the health of NH residents and highlight the critical need to strengthen healthcare systems to effectively manage future health crises.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103707"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145508091","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 : 2025-11-01DOI: 10.1016/j.gerinurse.2025.103705
Xue Wang PhD, Wendie Zhou PhD, Qinqin Liu PhD, Jiaqi Yu PhD, Yanyan Li PhD, Hejing Chen MSN, Cuili Wang PhD
Objective
The objective of this study was to identify central symptoms, bridge symptoms, activating symptoms, and specific bridge symptoms, as well as to examine gender and age differences within mental health-chronic somatic disease networks.
Methods
We included 6426 older adults from the 2017/2018 wave of the Chinese Longitudinal Healthy Longevity Survey. Depressive and anxiety symptoms were assessed using the Center for Epidemiologic Studies Depression Scale-10 and the Generalized Anxiety Disorder Scale-7, respectively. Network analysis was employed to delineate central and bridge symptoms within the symptom networks, while the Bayesian network (BN) was utilized to identify activating symptoms and specific bridge symptoms as well as to explore gender and age differences.
Results
Network analysis identified ‘uncontrollable worry’, ‘trouble relaxing’, ‘nervousness or anxiety’, and ‘felt sadness’ as primary central symptoms within the network, while ‘nervousness or anxiety’, ‘bothered by things’, ‘sleep quality’, and ‘generalized worry’ functioned as primary bridge symptoms. The BN identified that ‘uncontrollable worry’ and ‘genitourinary system diseases’ were activating symptoms, while ‘everything was an effort’ served as a specific bridge symptom. Although network analysis did not find significant differences by gender and age, the BN identified specific activating and bridge symptoms that varied across these subgroups.
Conclusion
These findings emphasize the necessity of tailored interventions targeting activating and specific bridge symptoms to enhance precise symptom management. Furthermore, it is imperative to adapt personalized intervention strategies according to the diverse needs of different gender and age groups.
{"title":"Unveiling activating and specific bridge symptoms in older adults’ psychosomatic networks by age and gender: A bayesian network approach","authors":"Xue Wang PhD, Wendie Zhou PhD, Qinqin Liu PhD, Jiaqi Yu PhD, Yanyan Li PhD, Hejing Chen MSN, Cuili Wang PhD","doi":"10.1016/j.gerinurse.2025.103705","DOIUrl":"10.1016/j.gerinurse.2025.103705","url":null,"abstract":"<div><h3>Objective</h3><div>The objective of this study was to identify central symptoms, bridge symptoms, activating symptoms, and specific bridge symptoms, as well as to examine gender and age differences within mental health-chronic somatic disease networks.</div></div><div><h3>Methods</h3><div>We included 6426 older adults from the 2017/2018 wave of the Chinese Longitudinal Healthy Longevity Survey. Depressive and anxiety symptoms were assessed using the Center for Epidemiologic Studies Depression Scale-10 and the Generalized Anxiety Disorder Scale-7, respectively. Network analysis was employed to delineate central and bridge symptoms within the symptom networks, while the Bayesian network (BN) was utilized to identify activating symptoms and specific bridge symptoms as well as to explore gender and age differences.</div></div><div><h3>Results</h3><div>Network analysis identified ‘uncontrollable worry’, ‘trouble relaxing’, ‘nervousness or anxiety’, and ‘felt sadness’ as primary central symptoms within the network, while ‘nervousness or anxiety’, ‘bothered by things’, ‘sleep quality’, and ‘generalized worry’ functioned as primary bridge symptoms. The BN identified that ‘uncontrollable worry’ and ‘genitourinary system diseases’ were activating symptoms, while ‘everything was an effort’ served as a specific bridge symptom. Although network analysis did not find significant differences by gender and age, the BN identified specific activating and bridge symptoms that varied across these subgroups.</div></div><div><h3>Conclusion</h3><div>These findings emphasize the necessity of tailored interventions targeting activating and specific bridge symptoms to enhance precise symptom management. Furthermore, it is imperative to adapt personalized intervention strategies according to the diverse needs of different gender and age groups.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103705"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145472457","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 : 2025-11-01DOI: 10.1016/j.gerinurse.2025.103687
Fatemeh Rajati , Amir Jalali , Mohsen Kazeminia
Purpose
A healthy lifestyle is crucial for the well-being of older adults. This study aimed to evaluate the effect of an empowerment intervention based on Pender’s Health Promotion Model (HPM) on the adoption of healthy lifestyles in this population
Methods
Participants were randomly allocated to either an intervention group (n=45) or a control group (n=45). The intervention group received eight weekly educational sessions consisting of six sessions for participants and two for their families, based on Pender's model, including perceived barriers, perceived benefits, self-efficacy, activity-related affect, interpersonal influences and situational influences while the control group received standard care.. Data were collected using a validated healthy lifestyle questionnaire and a demographic checklist at baseline and four weeks post-intervention.
Results
before the intervention, there was no significant difference between the overall healthy lifestyle score in the intervention group (139.56±32.86) and the control group (142.40±24.39) (P˃0.05). Following the intervention, the intervention group’s score increased significantly to 188.46 ± 21.87, which was markedly higher than the control group’s score (142.62±18.73) (P˂0.05). Also, the score of healthy lifestyle dimensions including prevention, nutrition, physical activity and recreation, stress management and interpersonal and social relations in the intervention group was significantly higher than the control group (P˂0.05). No harms or unintended effects were reported in either group.
Conclusion
Interventions to empower older people using the Pender HPM is effective in promoting a healthy lifestyle among older adults. Integrating this model into community health programs can be a valuable strategy for improving the overall health and well-being of the aging population.Trial Registration: Iranian Registry of Clinical Trials, No: IRCT20230715058786N1. Date of Registration: 2023.11.17.
{"title":"Investigating the effect of empowerment interventions based on Pender's health promotion model on adopting a healthy lifestyle in older people: A randomized clinical trial","authors":"Fatemeh Rajati , Amir Jalali , Mohsen Kazeminia","doi":"10.1016/j.gerinurse.2025.103687","DOIUrl":"10.1016/j.gerinurse.2025.103687","url":null,"abstract":"<div><h3>Purpose</h3><div>A healthy lifestyle is crucial for the well-being of older adults. This study aimed to evaluate the effect of an empowerment intervention based on Pender’s Health Promotion Model (HPM) on the adoption of healthy lifestyles in this population</div></div><div><h3>Methods</h3><div>Participants were randomly allocated to either an intervention group (n=45) or a control group (n=45). The intervention group received eight weekly educational sessions consisting of six sessions for participants and two for their families, based on Pender's model, including perceived barriers, perceived benefits, self-efficacy, activity-related affect, interpersonal influences and situational influences while the control group received standard care.. Data were collected using a validated healthy lifestyle questionnaire and a demographic checklist at baseline and four weeks post-intervention.</div></div><div><h3>Results</h3><div>before the intervention, there was no significant difference between the overall healthy lifestyle score in the intervention group (139.56±32.86) and the control group (142.40±24.39) (P˃0.05). Following the intervention, the intervention group’s score increased significantly to 188.46 ± 21.87, which was markedly higher than the control group’s score (142.62±18.73) (P˂0.05). Also, the score of healthy lifestyle dimensions including prevention, nutrition, physical activity and recreation, stress management and interpersonal and social relations in the intervention group was significantly higher than the control group (P˂0.05). No harms or unintended effects were reported in either group.</div></div><div><h3>Conclusion</h3><div>Interventions to empower older people using the Pender HPM is effective in promoting a healthy lifestyle among older adults. Integrating this model into community health programs can be a valuable strategy for improving the overall health and well-being of the aging population.Trial Registration: Iranian Registry of Clinical Trials, No: IRCT20230715058786N1. Date of Registration: 2023.11.17.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103687"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145395509","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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