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Impact of multimodal training on nursing staff’s competencies in dementia mealtime support: A mixed-methods pilot study 多模式培训对护理人员痴呆症用餐时间支持能力的影响：一项混合方法的试点研究
IF 2.4 3区 医学 Q3 GERIATRICS & GERONTOLOGY
Geriatric Nursing
Pub Date : 2026-01-22 DOI: 10.1016/j.gerinurse.2026.103905
Hui-Chen (Rita) Chang PhD, RN , Hansen (Cindy) Tang RN , Yu (Carrie) Cheng MN , Lei (Tina) Sun BN , Ivy Wong BN , Wenpeng You PhD, RN

Aims

This study assessed the effectiveness of a structured training program in improving nursing staff’s knowledge, skills, and attitudes toward assisting older people with dementia during mealtimes.

Design

A mixed-methods design integrating quantitative and qualitative approaches was used.

Methods

Conducted in a Sydney residential aged care facility, 24 nursing staff participated in face-to-face training involving education booklets, role-playing, and case studies. Pre/post-training assessments included questionnaires, Objective Structured Clinical Examination (OSCE), and semi-structured interviews.

Results

Knowledge scores significantly improved post-training (pre-M = 13.83, post-M = 16.54, p < .01). Although attitude changes were not statistically significant (p > .05), participants reported a marked reduction in perceived difficulty when assisting residents (pre-M = 5.85, post-M = 3.75, p < .01). Frequency of using assistance skills slightly decreased (pre-M = 2.75, post-M = 2.25, p < .05), indicating that assisting with eating became smoother or less challenging. Thematic analysis identified four areas of improvement: environmental adjustments, emotional support, early health issue detection, and personalized strategies.

Conclusion

Structured training effectively enhances staff knowledge and skills in dementia mealtime care. Ongoing support may be needed to sustain skill application. Emphasis on environment, emotion, and collaboration is key to improving care quality.
目的：本研究评估了一个结构化培训项目在提高护理人员的知识、技能和态度方面的有效性，以帮助患有痴呆症的老年人在用餐时间。设计采用定量与定性相结合的混合方法设计。方法在悉尼一家养老院，24名护理人员参加了面对面的培训，包括教育小册子、角色扮演和案例研究。培训前/培训后评估包括问卷调查、客观结构化临床检查（OSCE）和半结构化访谈。结果培训后知识得分显著提高（前m = 13.83，后m = 16.54, p < 0.01）。虽然态度的改变在统计上并不显著（p > 0.05），但参与者报告在帮助住院医生时感知到的困难显著减少（m前= 5.85，m后= 3.75,p < 0.01）。使用辅助技能的频率略有下降（前m = 2.75，后m = 2.25, p < 0.05），表明辅助进食变得更顺畅或更不具挑战性。专题分析确定了四个改进领域：环境调整、情感支持、早期健康问题发现和个性化战略。结论有组织的培训能有效提高员工在痴呆餐时护理方面的知识和技能。可能需要持续的支持来维持技能应用。强调环境、情感和协作是提高护理质量的关键。
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引用次数: 0
Intracranial compliance is influenced by sex in older adults 老年人颅内顺应性受性别影响。
IF 2.4 3区 医学 Q3 GERIATRICS & GERONTOLOGY
Geriatric Nursing
Pub Date : 2026-01-21 DOI: 10.1016/j.gerinurse.2026.103805
Gabriel Novaes Miranda MD , Alinne Alves Oliveira PhD , Paulo Sérgio Almeida MD , Júlia Quaresma PT , Filipe Lírio Malta MD , Mateus Argôlo PT , Rafael Pereira PhD
The intracranial arterial pulse wave could be recorded by measuring skull deformation behavior, called noninvasive intracranial compliance (NICC). Its measurement is particularly beneficial for older adults due to the aging-associated vascular stiffening. However, data are scarce regarding NICC in older adults and potential differences between older men and women. This observational and transversal study aimed to investigate NICC data from community-dwelling older adults, comparing NICC values by sex. One hundred and eighty-seven participants (111 women) underwent a 10-minute NICC recording. Measurements included time to peak and the P2/P1 ratio. Anthropometric data, medical history related to diabetes mellitus (DM) and hypertension, and medication usage were recorded. Between-sex comparisons were performed through a linear mixed model. Results indicated a high P2/P1 ratio (1.24 ± 0.25). Older women demonstrated a significantly higher P2/P1 ratio than older men. These findings highlight the relevance of ambulatory monitoring of aging-associated vascular stiffening, especially among older women.
颅内动脉脉搏波可以通过测量颅骨变形行为来记录，称为无创颅内顺应性（NICC）。由于与年龄相关的血管硬化，其测量对老年人特别有益。然而，关于老年人NICC和老年男性和女性之间潜在差异的数据很少。这项观察性和横向研究旨在调查社区居住老年人的NICC数据，比较不同性别的NICC值。187名参与者（111名女性）接受了10分钟的NICC记录。测量包括达到峰值的时间和P2/P1比率。记录患者的人体测量数据、糖尿病和高血压相关病史及用药情况。性别间比较通过线性混合模型进行。结果显示P2/P1比值较高（1.24±0.25）。老年女性的P2/P1比值明显高于老年男性。这些发现强调了动态监测衰老相关血管硬化的相关性，特别是在老年妇女中。
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引用次数: 0
Individuality in delivering older people’s home care and services: An integrative review 提供老年人家庭护理和服务中的个性：一项综合综述。
IF 2.4 3区 医学 Q3 GERIATRICS & GERONTOLOGY
Geriatric Nursing
Pub Date : 2026-01-21 DOI: 10.1016/j.gerinurse.2026.103833
Jonna Puustinen MHSc , Riitta Turjamaa PhD , Mari Kangasniemi PhD
Individuality is an ethical value and a focus in achieving quality outcomes for both older people and professionals through person-centred care. This integrative review aimed to identify and synthesise previous research on individuality in delivering older people’s home care and services. We conducted systematic searches in CINAHL, PubMed, SocIndex, and Web of Science databases on empirical studies published in English (1/2012 – 2/2024). Out of 1596 records, 23 studies were included in the review. Based on this review, individuality is a prerequisite for older people to pursue a meaningful life and receive tailored care at home. It relies on older people expressing individuality, voicing self-determination in their care, and the structures of home care and services prioritising individuality. Further research is needed into how individuality can be supported and delivered in home care and services, and how delivery can be evaluated and developed to respect the individuality of older people.
个性是一种道德价值，是通过以人为本的护理为老年人和专业人士实现高质量结果的重点。本综合综述旨在识别和综合以往关于提供老年人家庭护理和服务中的个性的研究。我们系统检索了CINAHL、PubMed、SocIndex和Web of Science数据库中发表的英文实证研究（2012年1月- 2024年2月）。在1596项记录中，有23项研究纳入了综述。基于这一综述，个性是老年人追求有意义的生活和接受量身定制的家庭护理的先决条件。它依赖于老年人表达个性，在他们的护理中表达自决，以及优先考虑个性的家庭护理和服务结构。需要进一步研究如何在家庭护理和服务中支持和提供个性，以及如何评估和发展服务以尊重老年人的个性。
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引用次数: 0
Mechanisms of insulin resistance in elderly sarcopenia patients and their bidirectional relationship 老年肌肉减少症患者胰岛素抵抗的机制及其双向关系
IF 2.4 3区 医学 Q3 GERIATRICS & GERONTOLOGY
Geriatric Nursing
Pub Date : 2026-01-21 DOI: 10.1016/j.gerinurse.2026.103907
Haiyan Du M.M., Yuqing Qu M.M., Zhouyang Huai M.M., Shumin Wang M.M.
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引用次数: 0
The impact of mind-body and aerobic exercises on subjective and objective sleep quality in middle-aged and older adults: A systematic review and meta-analysis of randomized controlled trials 身心和有氧运动对中老年人主观和客观睡眠质量的影响：随机对照试验的系统回顾和荟萃分析。
IF 2.4 3区 医学 Q3 GERIATRICS & GERONTOLOGY
Geriatric Nursing
Pub Date : 2026-01-21 DOI: 10.1016/j.gerinurse.2026.103867
Zhixin Fan PhD , Zhibo Wang PhD , Yunlong Li PhD, Xueying Chen PhD, Yifan Zhang PhD

Objective

To evaluate the effects of mind-body and aerobic exercises on subjective and objective sleep quality in middle-aged and older adults.

Methods

A systematic search was conducted in PubMed, Web of Science, Embase, Cochrane Library, China National Knowledge Infrastructure, and Wanfang databases.

Results

Twenty-eight studies were included. Compared to the control group, mind-body (P < 0.00001) and aerobic exercises (P = 0.0001) significantly improved subjective sleep quality in middle-aged and older adults. For objective sleep quality, both mind-body and aerobic exercises significantly increased total sleep time (P = 0.004) and reduced wake time after sleep onset (P < 0.00001). However, improvements in sleep efficiency (P = 0.06) and reductions in sleep onset latency (P = 0.19) were not statistically significant.

Conclusions

Mind-body and aerobic exercises have shown to improve sleep quality in middle-aged and older adults, particularly in increase total sleep time, decreasing nighttime wakefulness, and improving subjective sleep quality.
目的：探讨身心运动和有氧运动对中老年人主观和客观睡眠质量的影响。方法：系统检索PubMed、Web of Science、Embase、Cochrane图书馆、中国国家知识基础设施和万方数据库。结果：纳入28项研究。与对照组相比，心身运动（P < 0.00001）和有氧运动（P = 0.0001）显著改善了中老年人主观睡眠质量。在客观睡眠质量方面，身心运动和有氧运动均显著增加了总睡眠时间（P = 0.004），并显著减少了入睡后的醒来时间（P < 0.00001）。然而，睡眠效率的改善（P = 0.06）和睡眠发作潜伏期的减少（P = 0.19）没有统计学意义。结论：身心和有氧运动已被证明可以改善中老年人的睡眠质量，特别是在增加总睡眠时间、减少夜间清醒和改善主观睡眠质量方面。
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引用次数: 0
Effect of serenity therapy on symptoms distress, coping styles, and emotional regulation among geriatric patients undergoing hemodialysis: A randomized controlled trial 宁静疗法对老年血液透析患者的症状、困扰、应对方式和情绪调节的影响：一项随机对照试验
IF 2.4 3区 医学 Q3 GERIATRICS & GERONTOLOGY
Geriatric Nursing
Pub Date : 2026-01-21 DOI: 10.1016/j.gerinurse.2026.103863
Nawara Khirallah Abd El Fatah PhD , Mahmoud Abdelwahab Khedr PhD , Nadia Waheed Elzohairy PhD , Mohamed Saied Harfoush PhD , Safaa Mabrouk Abdelaziz Elgarhy PhD

Background

Serenity therapy shows promise as a complementary intervention addressing psychosocial and physical aspects for geriatric patients with End-Stage Renal Disease (ESRD). However, its efficacy in those undergoing hemodialysis remains underexplored.

Aim

This study aims to investigate the effects of serenity therapy on symptoms of distress, coping styles, and emotional regulation among geriatric hemodialysis patients.

Methods

A randomized controlled trial was conducted with 80 patients from a hemodialysis unit in El-Behaira Governorate, Egypt, over five months. Data were collected using a four-section questionnaire, including socio-demographic information, a Hemodialysis Symptoms Distress scale, a Brief-COPE, and an Emotion Regulation Questionnaire.

Results

Post-intervention evaluations revealed significant reductions in the occurrence, frequency, severity, and distress of hemodialysis symptoms, alongside improvements in coping strategies and emotional regulation (P < 0.05).

Conclusion

Serenity therapy effectively alleviates hemodialysis symptoms and enhances coping and emotional regulation in geriatric patients.

Trial Registration

Registered with ClinicalTrials.gov on 4/02/2024; registration number “NCT06255184”.
宁静疗法有望作为解决终末期肾病（ESRD）老年患者心理社会和生理方面的补充干预措施。然而，其对血液透析患者的疗效仍有待进一步研究。目的探讨宁静疗法对老年血液透析患者痛苦症状、应对方式和情绪调节的影响。方法对埃及El-Behaira省一家血液透析病房的80例患者进行了为期5个月的随机对照试验。采用四部分问卷收集数据，包括社会人口统计信息、血液透析症状困扰量表、Brief-COPE和情绪调节问卷。结果干预后评估显示，血透症状的发生、频率、严重程度和痛苦程度均显著降低，应对策略和情绪调节均有改善（P < 0.05）。结论宁静疗法可有效缓解老年患者血液透析症状，提高患者的应对能力和情绪调节能力。试验注册于2024年2月4日在ClinicalTrials.gov注册；注册号“NCT06255184”。
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引用次数: 0
Healthcare workers’ perspectives on evidence-based infection control in South Korean nursing homes: A qualitative study 韩国养老院医护人员对循证感染控制的看法：一项定性研究
IF 2.4 3区 医学 Q3 GERIATRICS & GERONTOLOGY
Geriatric Nursing
Pub Date : 2026-01-21 DOI: 10.1016/j.gerinurse.2026.103874
Yu Mi Yi PhD , Soo Min Lee PhD , Eun-Young Noh PhD , Yeon-Hwan Park PhD
Infection prevention is critical for improving safety and care quality, reducing mortality, and enhancing the quality of life in nursing homes for older adults. These establishments often lack standardized guidelines, and have inconsistent protocols. This study evaluated the Evidence-Based Guidelines for Nursing Home Infection Control in South Korea (ENIK) by examining healthcare workers’ (HCWs) experiences. Five focus groups, involving 28 HCWs in total, were analyzed using qualitative content analysis and the Systems Engineering Initiative for Patient Safety framework. Participants reported improved infection prevention and control after ENIK implementation. Key motivators included knowledge acquisition, retraining, and positive experiences. Challenges involved staff turnover and external control factors. Clear job roles enhanced efficiency and confidence. Supportive resources (hand hygiene tools, infection control specialists, checklists, and visual aids) and organizational measures (rewards, teamwork, and control systems) were essential in streamlining infection management. ENIK fostered knowledge, clear roles, resource availability, and systematic management, enhancing infection control and care quality.
预防感染对于改善养老院的安全和护理质量、降低死亡率和提高老年人的生活质量至关重要。这些机构往往缺乏标准化的指导方针，并且有不一致的协议。本研究通过检查医护人员（HCWs）的经验，评估了韩国疗养院感染控制循证指南（ENIK）。使用定性内容分析和患者安全系统工程倡议框架对五个焦点小组进行了分析，共涉及28个卫生保健中心。参与者报告了ENIK实施后感染预防和控制的改善。主要的激励因素包括知识获取、再培训和积极的经历。挑战涉及人员流动和外部控制因素。明确的工作角色提高了效率和信心。支持性资源（手卫生工具、感染控制专家、检查清单和视觉辅助工具）和组织措施（奖励、团队合作和控制系统）对于简化感染管理至关重要。ENIK促进了知识、明确角色、资源可用性和系统管理，提高了感染控制和护理质量。
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引用次数: 0
Difficulties measuring a polypharmacy quality indicator in Switzerland’s residential long-term care institutions - a mixed-methods study 衡量瑞士长期护理机构多药质量指标的困难——一项混合方法研究。
IF 2.4 3区 医学 Q3 GERIATRICS & GERONTOLOGY
Geriatric Nursing
Pub Date : 2026-01-21 DOI: 10.1016/j.gerinurse.2026.103861
Magdalena Osińska MScN , Carla Meyer-Massetti PhD, MSc Pharmacy , Naomi Welte MSc Pharmacy , Franziska Zúñiga PhD
Polypharmacy is widespread in residential long-term care (RLTC), increasing the risk of medication-related problems. Switzerland’s RLTC institutions must report polypharmacy (defined as ≥ 9 active substances) as part of a national health-care quality indicator (QI) initiative.
This sequential explanatory mixed-methods study assessed the quality of data collected to calculate a polypharmacy QI across 14 RLTC institutions in German-speaking Switzerland, aiming to recommend improvements. A validation study assessed inter-rater reliability, subsequently, medication lists of individual patients with different medication counts were discussed with RLTC staff to explore the issues affecting those calculations.
Institutions and study researchers calculated different numbers of active substances in 65.3 % of the 580 residents assessed, and recorded an overall prevalence of polypharmacy of 45.5 % and 47.4 %, respectively.
Solid master data, unambiguous counting rules, and electronic algorithms are necessary to calculate reliable polypharmacy QIs. Additional measures, like medication reviews, might facilitate distinctions between appropriate and inappropriate polypharmacy.
多种用药在住院长期护理（RLTC）中很普遍，增加了药物相关问题的风险。作为国家卫生保健质量指标（QI）倡议的一部分，瑞士的RLTC机构必须报告多种药物（定义为≥9种活性物质）。这项顺序解释性混合方法研究评估了收集的数据的质量，以计算瑞士德语区14家RLTC机构的多药QI，旨在提出改进建议。验证研究评估了评分者之间的信度，随后，与RLTC工作人员讨论了不同药物计数的个体患者的药物清单，以探讨影响这些计算的问题。机构和研究人员计算了580名被评估居民中65.3%的活性物质的不同数量，并记录了综合用药的总体患病率分别为45.5%和47.4%。可靠的主数据、明确的计数规则和电子算法是计算可靠的多药QIs所必需的。其他措施，如药物审查，可能有助于区分适当和不适当的多种用药。
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引用次数: 0
Kinesiophobia, Exercise Self-Efficacy, and Physical Activity in Patients with Permanent Pacemaker Implantation: A Latent Profile and Mediation Analysis 永久性起搏器植入患者的运动恐惧症、运动自我效能和身体活动：潜在特征和中介分析。
IF 2.4 3区 医学 Q3 GERIATRICS & GERONTOLOGY
Geriatric Nursing
Pub Date : 2026-01-21 DOI: 10.1016/j.gerinurse.2026.103828
Jiali Yu MM, RN , Fan Chen MSN, RN , Yaxin Ren MSN, RN , Jialin Zeng SN, RN
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引用次数: 0
What have nursing home staff learned from the COVID-19 pandemic about managing pandemic infectious diseases? A qualitative study 养老院工作人员从COVID-19大流行中学到了什么关于管理大流行性传染病的知识？定性研究。
IF 2.4 3区 医学 Q3 GERIATRICS & GERONTOLOGY
Geriatric Nursing
Pub Date : 2026-01-21 DOI: 10.1016/j.gerinurse.2026.103850
Anita Nilsen MSc , Bjørn Lichtwarck MD, PhD , Siren Eriksen PhD , Anne Marie Mork Rokstad PhD

Aim

The aim of this study is to explore the lessons that nursing home staff learned from the COVID-19 pandemic related to the management of pandemic infectious diseases.

Methods

Four focus groups were conducted with nursing home staff who had experienced COVID-19 infections at the nursing home where they were employed. The focus groups, conducted during September and October 2023 at the respective nursing homes, were audio recorded and transcribed verbatim. Data were analyzed using reflexive thematic analysis as described by Braun and Clarke (2022).

Findings

The analysis resulted in three themes: 1) organization of infection control measures, 2) framework for training in infection control routines, and 3) clinical assessments and measures when suspecting infection. The participants experienced challenges regarding access to personal protective equipment, a lack of knowledge about infection control routines, and the difficulty of limiting infection given the building layout. Using clinical tools or assessments to detect signs of infection in nursing home residents improved nursing home staff’s ability to detect symptoms of contagious infections.

Conclusion

For nursing homes to be more prepared and resilient in the event of a new pandemic, overall planning of nursing homes’ needs should take place at both the national and municipal levels, as well as at the management level within each nursing home. This planning must ensure sufficient staffing, access to infection control equipment, and the updating of employees’ professional and clinical knowledge.
目的：本研究旨在探讨养老院工作人员从COVID-19大流行中汲取的与大流行性传染病管理相关的经验教训。方法：采用4个焦点小组对在所在养老院感染COVID-19的养老院工作人员进行调查。焦点小组于2023年9月至10月在各自的养老院进行，录音并逐字转录。数据分析使用Braun和Clarke（2022）所描述的反身主题分析。结果：分析得出三个主题：1)感染控制措施的组织，2)感染控制常规培训框架，3)怀疑感染时的临床评估和措施。参与者在获得个人防护装备、缺乏感染控制常规知识以及在建筑布局下难以限制感染方面遇到了挑战。使用临床工具或评估来检测养老院居民的感染迹象，可以提高养老院工作人员检测传染性感染症状的能力。结论：为了使养老院在新的大流行事件中做好更充分的准备和抵御能力，应在国家和城市两级以及每个养老院的管理层对养老院的需求进行总体规划。这一计划必须确保足够的人员配备，获得感染控制设备，并更新员工的专业和临床知识。
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