Geriatric Nursing最新文献_第7页

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

IF 2.4 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing

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

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

Objectives

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

Methods

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

Results

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

Conclusion

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

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

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引用次数: 0

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

IF 2.4 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing

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

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

Aim

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

Methods

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

Results

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

Conclusions

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

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

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引用次数: 0

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

IF 2.4 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing

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

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

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

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

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

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

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引用次数: 0

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

IF 2.4 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing

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

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

Background

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

Methods

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

Results

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

Conclusion

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

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

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引用次数: 0

Monitoring of wheelchair use in long-term memory care units 长期记忆护理单位轮椅使用的监测

IF 2.4 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing

Pub Date : 2026-01-23 DOI: 10.1016/j.gerinurse.2026.103808

Tamara Vos-Draper PhD , Kathleen Jordan BS , Melissa Morrow PhD , Emily Udulutch MS , Sharon Eve Sonenblum PhD

Residents in long term care (LTC) with Alzheimer’s disease (AD) or related dementias (ADRD) who require wheelchairs to accommodate impaired mobility experience increased risk of falls and sitting-related pressure injuries (PrIs). Addressing that risk requires a multifactorial approach and strategic prioritization of care needs. Objective data about patterns of wheelchair use, including timing of transfers and overall time in chair could inform decisions about strategies to reduce fall or pressure injury risk. This pilot feasibility study used passive data collection from force sensors placed unobtrusively under the seat cushions on wheelchairs (n = 18) at two LTC memory care units to measure how the wheelchairs were used over 7 days. Four occupancy patterns were identified: All day (n = 6 chairs, 21 days) without transfers, One Transfer (n = 15 chairs, 41 days), Two Transfers (n = 12 chairs, 33 days), and Inconsistent (n = 3 chairs, 10 days). Wheelchair occupancy time (hours/day) in this cohort (Mean = 8.7, SD = 2.7) were lower than those of community wheelchair users and the number of daily transfers (Mean = 2.9, SD = 1.7) was also lower. With the rapidly aging U.S. population and limited care staffing, information from effective unobtrusive data collection technologies, such as the WiSAT system successfully used in this study, can potentially facilitate improved prevention of falls or pressure injuries that occur with prolonged wheelchair use in LTC facilities.

患有阿尔茨海默病（AD）或相关痴呆症（ADRD）的长期护理（LTC）居民需要轮椅来适应活动障碍，会增加跌倒和静坐相关压力损伤（PrIs）的风险。应对这一风险需要采取多因素方法，并在战略上优先考虑护理需求。关于轮椅使用模式的客观数据，包括转移的时间和在轮椅上的总时间，可以为减少跌倒或压力伤害风险的策略决策提供信息。这项试点可行性研究使用被动数据收集，这些数据来自两个LTC记忆护理单位的轮椅坐垫下放置的力传感器（n = 18），以测量轮椅在7天内的使用情况。确定了四种占用模式：全天（n = 6把椅子，21天）不转移，一次转移（n = 15把椅子，41天），两次转移（n = 12把椅子，33天）和不一致（n = 3把椅子，10天）。该队列的轮椅占用时间（小时/天）（Mean = 8.7, SD = 2.7）低于社区轮椅使用者，每日转移次数（Mean = 2.9, SD = 1.7）也低于社区轮椅使用者。随着美国人口的迅速老龄化和护理人员的有限，来自有效的、不引人注目的数据收集技术的信息，如在本研究中成功使用的WiSAT系统，可以潜在地促进预防长期使用轮椅在LTC设施中发生的跌倒或压力伤害。

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引用次数: 0

Detailed insights into the quality of life of nursing home residents by using the German version of the OPQOL-brief questionnaire 通过使用德文版本的opqol -简要问卷，详细了解养老院居民的生活质量

IF 2.4 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing

Pub Date : 2026-01-23 DOI: 10.1016/j.gerinurse.2026.103877

Manuela Hoedl MSc, BSc , Daniela Schoberer MSc, BSc , Fatima Spahic BScN, MSc , Doris Eglseer MSc, BBSc , Wolfgang Strobl DSB , Eva Pichler MSc, BScN

Aim

To investigate the QoL of nursing home residents on overall, domain, and item levels.

Methods

This descriptive study used the brief Older People's Quality of Life questionnaire (OPQOL-brief).

Results

The domain level 'Home and neighbourhood' scored highest out of dimensions with two items. In our study, nearly 90% (strongly) agreed that they felt safe where they live. The lowest score on the item level was obtained for the item 'I have social or leisure activities/ hobbies that I enjoy doing'.

Conclusion

Family, friends, or neighbours seemed to act as resources for the residents. We recommend that researchers investigate the residents’ perspectives as well as those of their families and friends to determine how they could become more deeply involved in the daily nursing practice. Moreover, studies on meaningful activities are warranted, and not only for persons with dementia, but for all nursing home residents.

目的从总体、领域和项目三个层面对养老院居民的生活质量进行调查。方法采用简单的老年人生活质量问卷（OPQOL-brief）进行描述性研究。结果在两个维度中，“家与邻域”得分最高。在我们的研究中，近90%的人（强烈）同意他们在自己居住的地方感到安全。得分最低的是“我有喜欢的社交或休闲活动/爱好”这一项。结论家庭、朋友或邻居似乎是居民的资源来源。我们建议研究人员调查居民的观点以及他们的家人和朋友的观点，以确定他们如何能够更深入地参与日常护理实践。此外，对有意义的活动的研究是必要的，不仅对痴呆症患者，而且对所有养老院的居民。

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引用次数: 0

End-of-life care knowledge among chinese older adults: current status and influencing factors 中国老年人临终关怀知识现状及影响因素

IF 2.4 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing

Pub Date : 2026-01-23 DOI: 10.1016/j.gerinurse.2026.103806

Yunfei Sun MSN , Robert Jiqi Zhang PhD , Chuqian Chen PhD

This study assessed cross-sectional end-of-life care (EoLC) knowledge among 650 adults aged 60 and above across 26 provincial-level regions in China and examined the influence of individual- and provincial-level predictors. Using repeated measures ANOVA, familiarity with 15 EoLC-related concepts was compared. Hierarchical linear regression analyzed predictors of total knowledge scores, incorporating provincial-level health and standard of living indices alongside individual factors. The average knowledge score was relatively high (42.04/60), with participants more familiar with general concepts than specific medical terms. Higher knowledge scores were associated with having an urban Hukou, working in agriculture, forestry, animal husbandry, or fishery sectors as opposed to factories before retirement, having pension insurance, better self-rated health, and caregiving experience. Provincial-level health and living standards did not significantly enhance explanatory power for cross-regional differences. The findings highlight that while participants had relatively high EoLC knowledge, individual resources and experiences were pivotal in shaping their understanding.

本研究评估了中国26个省级地区650名60岁及以上成年人的横截面临终关怀（EoLC）知识，并检验了个体和省级预测因子的影响。采用重复测量方差分析，比较了15个eolc相关概念的熟悉程度。层次线性回归分析了总知识得分的预测因子，将省级健康和生活水平指数与个人因素结合起来。平均知识得分较高（42.04/60），参与者对一般概念的熟悉程度高于对特定医学术语的熟悉程度。较高的知识得分与拥有城市户口、退休前在农业、林业、畜牧业或渔业部门（而不是工厂）工作、拥有养老保险、更好的自我评估健康和护理经验有关。省级卫生和生活水平对跨区域差异的解释力没有显著增强。研究结果强调，虽然参与者具有相对较高的EoLC知识，但个人资源和经验在形成他们的理解方面至关重要。

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引用次数: 0

Associations of physical activity and sedentary behaviors with mortality: An observational analysis and Mendelian randomization study 体育活动和久坐行为与死亡率的关联：一项观察性分析和孟德尔随机化研究

IF 2.4 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing

Pub Date : 2026-01-23 DOI: 10.1016/j.gerinurse.2026.103834

Menglin Han MM , Yudun Qu MM , Muhui Zeng MM , Ziqi Gu MD , Yan Zhang PhD , Tianxiang Fan PhD , Qian Yang PhD , Zhiqiang Wang PhD , Peichun Gao MM , Shibo Chen PhD , Kai Fu PhD , David J Hunter MD, PhD , Shuai He MD , Lixin Zhu MD , Qing Wang MD , Lizi Wang MD , Hongbo Guo PhD , Changhai Ding MD , Kangling Wang MD , Zhaohua Zhu PhD

Background

To investigate the associations of physical activity (PA) and sedentary behavior (SB) with the risk of mortality using observational and Mendelian randomization (MR) designs.

Methods

In a prospective cohort study based on UK Biobank, data on PA and SB were collected and categorized as three mutually exclusive groups. Multivariable-adjusted Cox models and two-sample MR analysis were performed.

Results

Compared with low total PA (TPA), intermediate and high TPA were associated with a decreased risk of all-cause and cardiovascular disease (CVD) mortality. Compared with low levels, high total sitting time and television viewing time were associated with increased risk of all-cause and CVD mortality. The two-sample MR analysis indicated no causal relationship between genetic predispositions to PA/SB and mortality.

Conclusions

Although PA was associated with a lower risk, prolonged sitting time was associated with an increased risk of all-cause and CVD mortality, two-sample MR did not support a causal effect.

背景：采用观察性和孟德尔随机化（MR）设计，研究身体活动（PA）和久坐行为（SB）与死亡风险的关系。方法采用基于UK Biobank的前瞻性队列研究，收集PA和SB的数据，并将其分为三个相互排斥的组。采用多变量校正Cox模型和双样本MR分析。结果与低总PA （TPA）相比，中等和高TPA与全因死亡率和心血管疾病（CVD）死亡率降低相关。与低水平相比，总坐着时间和看电视时间长与全因死亡率和心血管疾病死亡率增加有关。两样本MR分析显示，PA/SB遗传易感性与死亡率之间没有因果关系。结论：虽然PA与较低的风险相关，但长时间坐着与全因死亡率和心血管疾病死亡率增加相关，但双样本MR不支持因果关系。

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引用次数: 0

Older cardiac surgery patients’ experiences with a pre-surgery nursing consultation and the influence on their self-management: A qualitative study 老年心脏手术患者术前护理会诊经历及其对患者自我管理的影响：一项定性研究

IF 2.4 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing

Pub Date : 2026-01-23 DOI: 10.1016/j.gerinurse.2026.103844

Vera J. Ardesch MSc, RN , Caroline E.M. Otter PhD , Saskia W.M. Weldam PhD , Lisette Schoonhoven PhD , Janneke M. de Man-van Ginkel PhD, RN

Self-management support for pre-hospital patients is urgently needed to bridge the gap between hospital and home. An example of a self-management supporting intervention is PREDOCS (PREvention of Decline in Older Cardiac Surgery patients). However, patients’ experiences with this nursing consultation remain unclear. Therefore this study aims to explore experiences of older cardiac surgery patients with a pre-surgery nursing consultation and the influence on their self-management prior to cardiac surgery. A generic qualitative study was conducted using fifteen semi-structured interviews with older cardiac surgery patients selected through purposive sampling. Interviews were thematically analysed. Patients’ experiences and the influence on their self-management were divided into two main themes: (1) Taking a role in preparation for open cardiac surgery. Through the entire process of preparation for surgery, patients showed an active or a more avoiding style of preparation. (2) Emotional management. After the PREDOCS consultation, patients mentioned different effects of the consultation in managing their emotions. On the one hand, too detailed information negatively affected their fear, on the other hand, the nurse increased patients’ trust. Findings suggest that PREDOCS is not aligned with individual patients' style of preparation. Therefore, PREDOCS needs a more tailored approach taking into account patients’ coping styles, anxiety level, need for information and current level and readiness for self-management, to support all patients’ self-management. Moreover, the importance of tailored interventions to support self-management should be considered when developing similar interventions for larger scale deployment, as well as the consideration that nurses should be key-figures in supporting patients’ self-management.

迫切需要为院前患者提供自我管理支持，以弥合医院和家庭之间的差距。自我管理支持干预的一个例子是PREDOCS（预防老年心脏手术患者衰退）。然而，患者的经验与这种护理咨询仍不清楚。因此，本研究旨在探讨老年心脏手术患者术前护理会诊的经验及对其术前自我管理的影响。通过有目的抽样，对15例老年心脏手术患者进行了半结构化访谈，进行了一般性质的研究。对访谈进行了主题分析。患者的经历及其对自我管理的影响分为两个主题：(1)在心脏直视手术的准备中发挥作用。在整个手术准备过程中，患者表现出积极或回避的准备方式。(2)情绪管理。在PREDOCS咨询后，患者提到咨询在管理情绪方面的不同效果。一方面，过于详细的信息对他们的恐惧产生了负面影响，另一方面，护士增加了患者的信任。研究结果表明，PREDOCS与个别患者的准备方式不一致。因此，PREDOCS需要更有针对性的方法，考虑患者的应对方式、焦虑程度、对信息的需求以及当前的自我管理水平和准备程度，以支持所有患者的自我管理。此外，在制定大规模部署的类似干预措施时，应考虑到定制干预措施支持自我管理的重要性，并考虑到护士应成为支持患者自我管理的关键人物。

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引用次数: 0

The neglected reality of older South Asians with dementia and their caregivers living as ethnic minority in diaspora: A scoping review 南亚老年痴呆症患者及其照顾者作为散居海外的少数民族而被忽视的现实：一项范围审查

IF 2.4 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing

Pub Date : 2026-01-23 DOI: 10.1016/j.gerinurse.2026.103868

Ipsita Basu PhD (Researcher), Giovanni Lamura PhD (Director)

Dementia among older South Asians living in diaspora presents unique challenges for individuals and their caregivers. The study explores South Asian people’s understanding of dementia and what are the reasons behind under representation in ttilizing dementia care services in local health care system. A scoping review was undertaken following Arksey and O’Malley’s scoping review framework. The analysis was done using thematic analysis framework. These papers highlights knowledge of dementia, stigma, attitudes, seeking help, duty to care, culture and linguistic barriers. Key findings reveal that caregivers face significant emotional, physical and financial stress, compounded by stigma, lack of awareness about dementia and cultural-language barriers. Health systems are frequently ill-equipped to address the cultural nuances of dementia care for South Asian communities, leading to underutilization of services. Moreover, the findings underscore the need for culturally tailored interventions that address the unique barriers experiences by South Asian communities in diaspora.

散居海外的南亚老年人的痴呆症给个人及其照顾者带来了独特的挑战。该研究探讨了南亚人对痴呆症的理解，以及在当地卫生保健系统中利用痴呆症护理服务的代表性不足的原因。根据Arksey和O 'Malley的范围审查框架进行了范围审查。采用专题分析框架进行分析。这些论文强调了痴呆症的知识、耻辱、态度、寻求帮助、护理责任、文化和语言障碍。主要调查结果显示，护理人员面临着巨大的情感、身体和经济压力，加上耻辱、对痴呆症缺乏认识和文化语言障碍。卫生系统往往装备不足，无法解决南亚社区痴呆症护理的文化差异，导致服务利用不足。此外，研究结果强调需要针对不同文化的干预措施，以解决南亚散居社区的独特障碍。

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