Pub Date : 2024-11-14DOI: 10.1016/j.gerinurse.2024.10.067
Razak M. Gyasi PhD, PD , Emmanuel Konadu BA , Priscilla Appiah BA , Desmond Agyei BA , Emmanuel Nyaaba BA , Michael Kwadwo Ntiamoah MPhil , Hubert Bimpeh Asiedu PhD , Elizabeth Nana Mbrah Koomson-Yalley PhD , Margaret Makafui Tayviah PhD , Jones Opoku-Ware PhD , André Hajek PhD
We investigated the association between sleep problems and global self-rated health (SRH) in individuals aged ≥50 years in Ghana and explored the sex-wise mediating role of pain interference in this association. Data from the Aging, Health, Psychological Well-being, and Health-seeking Behavior Study were analyzed (N=1201). Global SRH and pain interference were assessed with the Medical Outcomes Study (Short Form-36) Scale. Sleep-related problems were assessed on a 5-point scale from none=1 to extreme=5. Adjusted OLS regressions and bootstrapped mediation models evaluated the hypothesized associations. The mean (SD) age was 66.1 (11.9) years and 63.3 % were females. Sleep problems were associated with increases in pain interference (β = 0.320, p < 0.001) and poor SRH (β = 0.039, p < 0.001). Pain interference mediated 61.6% of the sleep problems–SRH association in the overall sample (β =0.063, Bootstrap 95%CI=0.014–0.034) and 36.7% among women (β =0.023, Bootstrap 95%CI=0.023–0.053). Effective sleep and pain management strategies may improve subjective health outcomes, particularly among older women.
{"title":"Sleep problems, pain interference, and global subjective health outcome: Findings from a representative aging study in Ghana","authors":"Razak M. Gyasi PhD, PD , Emmanuel Konadu BA , Priscilla Appiah BA , Desmond Agyei BA , Emmanuel Nyaaba BA , Michael Kwadwo Ntiamoah MPhil , Hubert Bimpeh Asiedu PhD , Elizabeth Nana Mbrah Koomson-Yalley PhD , Margaret Makafui Tayviah PhD , Jones Opoku-Ware PhD , André Hajek PhD","doi":"10.1016/j.gerinurse.2024.10.067","DOIUrl":"10.1016/j.gerinurse.2024.10.067","url":null,"abstract":"<div><div>We investigated the association between sleep problems and global self-rated health (SRH) in individuals aged ≥50 years in Ghana and explored the sex-wise mediating role of pain interference in this association. Data from the Aging, Health, Psychological Well-being, and Health-seeking Behavior Study were analyzed (N=1201). Global SRH and pain interference were assessed with the Medical Outcomes Study (Short Form-36) Scale. Sleep-related problems were assessed on a 5-point scale from none=1 to extreme=5. Adjusted OLS regressions and bootstrapped mediation models evaluated the hypothesized associations. The mean (SD) age was 66.1 (11.9) years and 63.3 % were females. Sleep problems were associated with increases in pain interference (<em>β</em> = 0.320, <em>p</em> < 0.001) and poor SRH (<em>β</em> = 0.039, <em>p</em> < 0.001). Pain interference mediated 61.6% of the sleep problems–SRH association in the overall sample (<em>β =</em>0.063, Bootstrap 95%CI=0.014–0.034) and 36.7% among women (<em>β =</em>0.023, Bootstrap 95%CI=0.023–0.053). Effective sleep and pain management strategies may improve subjective health outcomes, particularly among older women.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 73-79"},"PeriodicalIF":2.5,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142638427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-14DOI: 10.1016/j.gerinurse.2024.10.074
Meina Zhang BSN, Nai-Ching Chi PhD, Sue E. Gardner PhD, RN, FAAN, Chooza Moon PhD
Rest-activity rhythm (RAR) encompasses sleep, activity, and rest across a 24-hour cycle and over time (i.e., peak activity timing, mean activity level, activity amplitude, and rhythmicity). While the link between sleep, exercise, and cognitive function is established, the specific relationship between RAR and cognitive function in older adults remains unclear. This review synthesizes the literature on RAR and cognition, identifying 26 eligible studies from databases including PubMed, CINAHL, PsycINFO, and Web of Science. Although it was difficult to draw definitive conclusions due to the limited number of available studies focusing on each of cognitive domain and methodological heterogeneity among them, the collective findings broadly indicate that later peak activity timing, higher mean activity levels, higher activity amplitude, and more stable rhythmicity were associated with better global cognition. Future research with larger, diverse samples, more accurate RAR and cognition measurements, and incorporating biomarkers will provide deeper insights into these relationships.
休息-活动节律（RAR）包括 24 小时周期内和一段时间内的睡眠、活动和休息（即高峰活动时间、平均活动水平、活动幅度和节律性）。虽然睡眠、运动和认知功能之间的联系已经确立，但 RAR 与老年人认知功能之间的具体关系仍不清楚。本综述综合了有关 RAR 和认知的文献，从 PubMed、CINAHL、PsycINFO 和 Web of Science 等数据库中确定了 26 项符合条件的研究。虽然由于专注于每个认知领域的可用研究数量有限，而且这些研究在方法上存在异质性，因此很难得出明确的结论，但总体研究结果大致表明，较晚的活动峰值时间、较高的平均活动水平、较高的活动振幅和更稳定的节律性与更好的整体认知能力相关。未来的研究将使用更多不同的样本、更精确的 RAR 和认知测量方法，并结合生物标记物，从而更深入地了解这些关系。
{"title":"Rest-activity rhythm and cognitive function in older adults: A scoping review and integrative framework","authors":"Meina Zhang BSN, Nai-Ching Chi PhD, Sue E. Gardner PhD, RN, FAAN, Chooza Moon PhD","doi":"10.1016/j.gerinurse.2024.10.074","DOIUrl":"10.1016/j.gerinurse.2024.10.074","url":null,"abstract":"<div><div>Rest-activity rhythm (RAR) encompasses sleep, activity, and rest across a 24-hour cycle and over time (i.e., peak activity timing, mean activity level, activity amplitude, and rhythmicity). While the link between sleep, exercise, and cognitive function is established, the specific relationship between RAR and cognitive function in older adults remains unclear. This review synthesizes the literature on RAR and cognition, identifying 26 eligible studies from databases including PubMed, CINAHL, PsycINFO, and Web of Science. Although it was difficult to draw definitive conclusions due to the limited number of available studies focusing on each of cognitive domain and methodological heterogeneity among them, the collective findings broadly indicate that later peak activity timing, higher mean activity levels, higher activity amplitude, and more stable rhythmicity were associated with better global cognition. Future research with larger, diverse samples, more accurate RAR and cognition measurements, and incorporating biomarkers will provide deeper insights into these relationships.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 80-90"},"PeriodicalIF":2.5,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-13DOI: 10.1016/j.gerinurse.2024.10.054
Zitong Zhou (RN, MSNc), Yu Jia (RN, MSNc), Hong Yan (RN, MSN), Jun Wen (RN, MSNc), Jialan Xu (RN, MSNc), Siyu Wang (RN, MSNc)
Objective
To systematically review the intervention effects of humor therapy on older adults.
Methods
We searched Chinese and English databases for studies on humor therapy interventions for older adults and performed meta-analysis using stata 15 software.
Results
A total of 9 randomized controlled trials and 4 quasi-experimental studies, with a pooled sample of 984 participants, met our inclusion criteria. Meta-analysis showed that humor therapy significantly improved depression (SMD = -0.66, 95 %CI:-0.95 to -0.36, p < 0.001), loneliness (SMD = -1.52, 95 % CI:2.66 to -0.39, p = 0.008), quality of life (SMD = 0.42, 95 %CI: 0.23 to 0.62, p < 0.001) in older adults. Qualitative analysis revealed significant effects of humor therapy on happiness, stress, and brief resilience, but non-significant effects on cognitive functioning in older adults.
Conclusions
Humor therapy can reduce depression and loneliness and improve quality of life in older adults, but current evidence does not support humor therapy as an effective intervention to improve cognitive functioning in older adults. Need for further studies to confirm these findings and investigate potential mechanisms.
{"title":"Effects of humor therapy on negative emotions, quality of life and cognitive function in older adults: A systematic review and meta-analysis","authors":"Zitong Zhou (RN, MSNc), Yu Jia (RN, MSNc), Hong Yan (RN, MSN), Jun Wen (RN, MSNc), Jialan Xu (RN, MSNc), Siyu Wang (RN, MSNc)","doi":"10.1016/j.gerinurse.2024.10.054","DOIUrl":"10.1016/j.gerinurse.2024.10.054","url":null,"abstract":"<div><h3>Objective</h3><div>To systematically review the intervention effects of humor therapy on older adults.</div></div><div><h3>Methods</h3><div>We searched Chinese and English databases for studies on humor therapy interventions for older adults and performed meta-analysis using stata 15 software.</div></div><div><h3>Results</h3><div>A total of 9 randomized controlled trials and 4 quasi-experimental studies, with a pooled sample of 984 participants, met our inclusion criteria. Meta-analysis showed that humor therapy significantly improved depression (<em>SMD</em> = -0.66, 95 %<em>CI</em>:-0.95 to -0.36, <em>p</em> < 0.001), loneliness (<em>SMD</em> = -1.52, 95 % <em>CI</em>:2.66 to -0.39, <em>p</em> = 0.008), quality of life (<em>SMD</em> = 0.42, 95 %<em>CI</em>: 0.23 to 0.62, <em>p</em> < 0.001) in older adults. Qualitative analysis revealed significant effects of humor therapy on happiness, stress, and brief resilience, but non-significant effects on cognitive functioning in older adults.</div></div><div><h3>Conclusions</h3><div>Humor therapy can reduce depression and loneliness and improve quality of life in older adults, but current evidence does not support humor therapy as an effective intervention to improve cognitive functioning in older adults. Need for further studies to confirm these findings and investigate potential mechanisms.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 20-26"},"PeriodicalIF":2.5,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-13DOI: 10.1016/j.gerinurse.2024.10.069
Guang Shi MSc , Jingyun Chen PhD , Shuhua Lu BSN , Silian Li BSN , Lifen Ruan BSN , Wanmin Huang MSc
Aim
To investigate the discrepancies between clinical practices and aspiration prevention standards among advanced practice nurses (APNs) in geriatrics and provide a basis for risk evaluation and prevention strategies for older adults.
Methods
Using convenience sampling from November 20 to December 30, 2023, we surveyed 227 APNs in geriatrics from Guangdong Province, China. Data were collected using demographic forms and questionnaires focused on aspiration prevention strategies for older adults. Univariate and multivariate linear stepwise regression analyses were conducted to identify factors that influenced the effectiveness of aspiration prevention by APNs.
Results
The mean score of APNs in geriatrics for older adult aspiration prevention was 94.9 ± 17.4. The multivariate regression analysis identified hospital level, evidence-based practice, and job satisfaction as significant factors.
Conclusion
This study highlights the essential contribution of APNs to geriatric care and emphasizes the need for sustained professional development and adherence to evidence-based protocols to optimize aspiration prevention strategies.
{"title":"Clinical practice and standard discrepancies in aspiration prevention among advanced practice nurses in geriatrics: A cross-sectional survey","authors":"Guang Shi MSc , Jingyun Chen PhD , Shuhua Lu BSN , Silian Li BSN , Lifen Ruan BSN , Wanmin Huang MSc","doi":"10.1016/j.gerinurse.2024.10.069","DOIUrl":"10.1016/j.gerinurse.2024.10.069","url":null,"abstract":"<div><h3>Aim</h3><div>To investigate the discrepancies between clinical practices and aspiration prevention standards among advanced practice nurses (APNs) in geriatrics and provide a basis for risk evaluation and prevention strategies for older adults.</div></div><div><h3>Methods</h3><div>Using convenience sampling from November 20 to December 30, 2023, we surveyed 227 APNs in geriatrics from Guangdong Province, China. Data were collected using demographic forms and questionnaires focused on aspiration prevention strategies for older adults. Univariate and multivariate linear stepwise regression analyses were conducted to identify factors that influenced the effectiveness of aspiration prevention by APNs.</div></div><div><h3>Results</h3><div>The mean score of APNs in geriatrics for older adult aspiration prevention was 94.9 ± 17.4. The multivariate regression analysis identified hospital level, evidence-based practice, and job satisfaction as significant factors.</div></div><div><h3>Conclusion</h3><div>This study highlights the essential contribution of APNs to geriatric care and emphasizes the need for sustained professional development and adherence to evidence-based protocols to optimize aspiration prevention strategies.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 1-5"},"PeriodicalIF":2.5,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-13DOI: 10.1016/j.gerinurse.2024.10.079
Safaa Abd Eltwab Abd Eltwab Hassana , Samia Khattab Abd EL Rahman khattab , Naglaa Alsaied Moustafa
Background: Most geriatric patients with prostate cancer experience not only external discomfort but also negative psychological consequences such as reduced feelings of masculinity and diminished self–esteem. Social support is a protective factor for dealing with and adapting to these stressors, which enhances quality of life. Aim: To identify the relationship between social support, self-esteem, and sense of masculinity among geriatric patients with PC. Method: The study is a cross-sectional survey adopting a descriptive correlational design. A convenience sample of one hundred ten (110) geriatric patients diagnosed with PC attending the oncology and urology outpatient clinics of Damanhur Oncology Center in El-Beharia Governorate, Egypt. Four tools were used: subjects' basic information, The Personal Resources Questionnaire (PRQ-2000), the Rosenberg Self-esteem Scale (RSE), and The Masculine Self-esteem scale (MSES). Results: 74.6 % of the studied geriatric patients had high levels of social support, 86.4 % had moderate levels of self-esteem, and 55.4 % had low masculine self-esteem. Also, the relationship was a statistically significant between social support and self-esteem (p = .002), between social support and sense of masculinity (p = .038), and between self-esteem and sense of masculinity (p = .029).Conclusion: social Support and self-esteem were significant predictors of high sense of masculinity with social support positively influencing and self-esteem negatively influencing the sense of masculinity.
{"title":"Relationship between social support, self-esteem and sense of masculinity among geriatric Patients with Prostatic Cancer","authors":"Safaa Abd Eltwab Abd Eltwab Hassana , Samia Khattab Abd EL Rahman khattab , Naglaa Alsaied Moustafa","doi":"10.1016/j.gerinurse.2024.10.079","DOIUrl":"10.1016/j.gerinurse.2024.10.079","url":null,"abstract":"<div><div>Background: Most geriatric patients with prostate cancer experience not only external discomfort but also negative psychological consequences such as reduced feelings of masculinity and diminished self–esteem. Social support is a protective factor for dealing with and adapting to these stressors, which enhances quality of life. Aim: To identify the relationship between social support, self-esteem, and sense of masculinity among geriatric patients with PC. Method: The study is a cross-sectional survey adopting a descriptive correlational design. A convenience sample of one hundred ten (110) geriatric patients diagnosed with PC attending the oncology and urology outpatient clinics of Damanhur Oncology Center in El-Beharia Governorate, Egypt. Four tools were used: subjects' basic information, The Personal Resources Questionnaire (PRQ-2000), the Rosenberg Self-esteem Scale (RSE), and The Masculine Self-esteem scale (MSES). Results: 74.6 % of the studied geriatric patients had high levels of social support, 86.4 % had moderate levels of self-esteem, and 55.4 % had low masculine self-esteem. Also, the relationship was a statistically significant between social support and self-esteem (<em>p</em> = .002), between social support and sense of masculinity (<em>p</em> = .038), and between self-esteem and sense of masculinity (<em>p</em> = .029).Conclusion: social Support and self-esteem were significant predictors of high sense of masculinity with social support positively influencing and self-esteem negatively influencing the sense of masculinity.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 6-12"},"PeriodicalIF":2.5,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-13DOI: 10.1016/j.gerinurse.2024.10.075
Wei Liu , Biqi Ren , Xiaoying Zhu , Shuzhi Lin , Shuang Lei , Bianling Feng
Aims
We aimed to investigate the status quo of self-management knowledge, attitudes, and behaviors (KAB) among patients with type 2 diabetes mellitus (T2DM) in community health service centers.
Methods
We conducted a cross-sectional study of 755 patients from 16 primary community using a questionnaire. Multiple logistic regression was used to explore the independent factors influencing patients’ T2DM self-management KAB.
Results
We evaluated 755 patients with T2DM (mean age 64.65 ± 10.53 years). Most patients in this study had lower education levels, and a non-medical professional background. Only the average score for attitude reached a good level; average scores for patients’ self-management behavior were at a poor level. Normal blood pressure, not smoking, and a longer course of disease were factors positively influencing good self-management behavior in patients with diabetes.
Conclusion
Patients had positive attitudes toward self-management. Therefore, primary medical institutions should consider implementing tailored educational interventions to enhance diabetes awareness and self-management behaviors among diverse patient populations.
{"title":"Self-management knowledge, attitudes, and behaviors among patients with type 2 diabetes mellitus in a community of western China: A cross-sectional study","authors":"Wei Liu , Biqi Ren , Xiaoying Zhu , Shuzhi Lin , Shuang Lei , Bianling Feng","doi":"10.1016/j.gerinurse.2024.10.075","DOIUrl":"10.1016/j.gerinurse.2024.10.075","url":null,"abstract":"<div><h3>Aims</h3><div>We aimed to investigate the status quo of self-management knowledge, attitudes, and behaviors (KAB) among patients with type 2 diabetes mellitus (T2DM) in community health service centers.</div></div><div><h3>Methods</h3><div>We conducted a cross-sectional study of 755 patients from 16 primary community using a questionnaire. Multiple logistic regression was used to explore the independent factors influencing patients’ T2DM self-management KAB.</div></div><div><h3>Results</h3><div>We evaluated 755 patients with T2DM (mean age 64.65 ± 10.53 years). Most patients in this study had lower education levels, and a non-medical professional background. Only the average score for attitude reached a good level; average scores for patients’ self-management behavior were at a poor level. Normal blood pressure, not smoking, and a longer course of disease were factors positively influencing good self-management behavior in patients with diabetes.</div></div><div><h3>Conclusion</h3><div>Patients had positive attitudes toward self-management. Therefore, primary medical institutions should consider implementing tailored educational interventions to enhance diabetes awareness and self-management behaviors among diverse patient populations.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 34-40"},"PeriodicalIF":2.5,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-13DOI: 10.1016/j.gerinurse.2024.10.045
Fei Wang , Yingting Han , Xin Huang, Li Man, Rui Wang, Yufang Huang, Gennan Rong, Yulei Xu
Falls are classified by WHO as the second highest cause of accidental injuries in older adults. It remains unclear what characteristics of falls are in elderly individuals that do not present definite causes. A total of 304 institutionalized older adults presented at least one fall were recruited in this retrospective observational study. The fall incidence was significantly higher at 4am-8am, at locations involving sitting down or standing up and involving flat ground, and when individuals going to toilets, getting off bed or walking. The most frequently injured sites were head and lower limb, while the most frequently occurred injury types were bone fractures and bruises. Females were more likely to fall at 12am-4am, have body trunk injured and suffer bone fractures after falls compared with males. This study characterized fall incidents occurred in elderly institutionalized adults, providing useful information for strategy making in the prevention of falls for older adults.
{"title":"The characteristics of falls in an institutionalized elderly cohort in China – A Retrospective observational study","authors":"Fei Wang , Yingting Han , Xin Huang, Li Man, Rui Wang, Yufang Huang, Gennan Rong, Yulei Xu","doi":"10.1016/j.gerinurse.2024.10.045","DOIUrl":"10.1016/j.gerinurse.2024.10.045","url":null,"abstract":"<div><div>Falls are classified by WHO as the second highest cause of accidental injuries in older adults. It remains unclear what characteristics of falls are in elderly individuals that do not present definite causes. A total of 304 institutionalized older adults presented at least one fall were recruited in this retrospective observational study. The fall incidence was significantly higher at 4am-8am, at locations involving sitting down or standing up and involving flat ground, and when individuals going to toilets, getting off bed or walking. The most frequently injured sites were head and lower limb, while the most frequently occurred injury types were bone fractures and bruises. Females were more likely to fall at 12am-4am, have body trunk injured and suffer bone fractures after falls compared with males. This study characterized fall incidents occurred in elderly institutionalized adults, providing useful information for strategy making in the prevention of falls for older adults.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 27-33"},"PeriodicalIF":2.5,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-13DOI: 10.1016/j.gerinurse.2024.10.077
Jinhyun Kim PhD , Eunhee Lee PhD, APN, RN , Sunmi Lee MSN, RN
Objective
This study aimed to explore the individual and organizational factors influencing falls among older inpatients, with a particular focus on the risk posed by hospital-induced delirium and the effect of nurse staffing levels.
Methods
This retrospective cohort study utilized data from a national healthcare database to examine falls in hospitalized older adults, applying a mixed-effect logistic regression model
Results
Data from 391,902 patients across 580 hospitals revealed that 1.2 % of older inpatients experienced falls. Influential factors for falls included advanced age, the use of multiple medications and treatments, impaired mobility, and hospital-induced delirium. Nurse staffing levels markedly influenced the reduction of fall risks among older patients.
Conclusion
Falls among hospitalized older adults are a frequent consequence of multifaceted risk components, highlighting the need for comprehensive fall prevention strategies and adequate.
{"title":"Multilevel factors influencing falls of older patients in hospital: The risk of hospital-induced delirium and the impact of nurse staffing","authors":"Jinhyun Kim PhD , Eunhee Lee PhD, APN, RN , Sunmi Lee MSN, RN","doi":"10.1016/j.gerinurse.2024.10.077","DOIUrl":"10.1016/j.gerinurse.2024.10.077","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to explore the individual and organizational factors influencing falls among older inpatients, with a particular focus on the risk posed by hospital-induced delirium and the effect of nurse staffing levels.</div></div><div><h3>Methods</h3><div>This retrospective cohort study utilized data from a national healthcare database to examine falls in hospitalized older adults, applying a mixed-effect logistic regression model</div></div><div><h3>Results</h3><div>Data from 391,902 patients across 580 hospitals revealed that 1.2 % of older inpatients experienced falls. Influential factors for falls included advanced age, the use of multiple medications and treatments, impaired mobility, and hospital-induced delirium. Nurse staffing levels markedly influenced the reduction of fall risks among older patients.</div></div><div><h3>Conclusion</h3><div>Falls among hospitalized older adults are a frequent consequence of multifaceted risk components, highlighting the need for comprehensive fall prevention strategies and adequate.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 13-19"},"PeriodicalIF":2.5,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632926","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}
Background: Dietary diversity is influenced by nutritional literacy. This study sought to investigate associations between nutritional literacy and dietary diversity among elderly Chinese individuals with chronic diseases and clarify how nutritional literacy affects dietary diversity.
Methods: Three communities in Hangzhou, Zhejiang Province were chosen at random to assess nutritional literacy and diet status, which included 301 individuals over the age of 60 with chronic diseases.
Results: The elderly had a middle and lower level of nutritional literacy (n = 301,20.16±5.45). Dietary diversity scores (DDSs) and nutrition literacy showed a positive correlation (r = 0.366, P < 0.001). Higher DDSs were seen in those with greater education levels (OR = 2.15,95 %CI = 1.57∼2.94) and those with better awareness of diet and health (OR = 1.29,95 % CI = 1.02∼1.55).
Conclusions: The elderly face significant challenges in maintaining a reasonable nutritional intake over time and their nutritional literacy warrants attention.
{"title":"Associations between nutritional literacy and dietary diversity in elderly Chinese individuals with chronic diseases: a cross-sectional study.","authors":"Chuyun Xu, Jiaying Yu, Peiwen Chen, Lusha Meng, Yining Gao, Guoling Chen, Lili Yang","doi":"10.1016/j.gerinurse.2024.10.044","DOIUrl":"https://doi.org/10.1016/j.gerinurse.2024.10.044","url":null,"abstract":"<p><strong>Background: </strong>Dietary diversity is influenced by nutritional literacy. This study sought to investigate associations between nutritional literacy and dietary diversity among elderly Chinese individuals with chronic diseases and clarify how nutritional literacy affects dietary diversity.</p><p><strong>Methods: </strong>Three communities in Hangzhou, Zhejiang Province were chosen at random to assess nutritional literacy and diet status, which included 301 individuals over the age of 60 with chronic diseases.</p><p><strong>Results: </strong>The elderly had a middle and lower level of nutritional literacy (n = 301,20.16±5.45). Dietary diversity scores (DDSs) and nutrition literacy showed a positive correlation (r = 0.366, P < 0.001). Higher DDSs were seen in those with greater education levels (OR = 2.15,95 %CI = 1.57∼2.94) and those with better awareness of diet and health (OR = 1.29,95 % CI = 1.02∼1.55).</p><p><strong>Conclusions: </strong>The elderly face significant challenges in maintaining a reasonable nutritional intake over time and their nutritional literacy warrants attention.</p>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-12DOI: 10.1016/j.gerinurse.2024.10.027
Mimi M Y Tse, Amanda W Y Chan, Timothy C M Wu, William W N Tsang, Percy P S Tse
Purpose: To measure intervention fidelity of the Photo-with-Movement Program (PMP) and to report the findings of the program.
Methods: This study was a two-arm, pilot randomized controlled trial of the PMP. An intervention fidelity checklist and semi-structured interviews were utilize to evaluate the fidelity of the PMP. Twenty-four older adults and informal caregiver dyads enrolled in the study, with 12 dyads in the experimental group and another 12 in the control group. The PMP integrated visual stimulation, physical exercise, and digital-based activity to deliver a comprehensive, non-pharmacological pain relief syllabus to the participants in the experimental group. The control group received pain management pamphlets. The data collected were analyzed using SPSS to compare the outcomes between the experimental and control groups.
Results: The PMP led to significant findings on reducing pain intensity and high scores on intervention fidelity. Participants showed great acceptance of this delivery format.
Conclusions: This study revealed the fidelity and effectiveness of a multimodal non-pharmacological intervention, suggesting that it could be used for pain management and caregiving.
{"title":"Assessing the fidelity of the \"photo-with-movement program\" (PMP) for community-dwelling older adults with pain: A randomized controlled trial.","authors":"Mimi M Y Tse, Amanda W Y Chan, Timothy C M Wu, William W N Tsang, Percy P S Tse","doi":"10.1016/j.gerinurse.2024.10.027","DOIUrl":"https://doi.org/10.1016/j.gerinurse.2024.10.027","url":null,"abstract":"<p><strong>Purpose: </strong>To measure intervention fidelity of the Photo-with-Movement Program (PMP) and to report the findings of the program.</p><p><strong>Methods: </strong>This study was a two-arm, pilot randomized controlled trial of the PMP. An intervention fidelity checklist and semi-structured interviews were utilize to evaluate the fidelity of the PMP. Twenty-four older adults and informal caregiver dyads enrolled in the study, with 12 dyads in the experimental group and another 12 in the control group. The PMP integrated visual stimulation, physical exercise, and digital-based activity to deliver a comprehensive, non-pharmacological pain relief syllabus to the participants in the experimental group. The control group received pain management pamphlets. The data collected were analyzed using SPSS to compare the outcomes between the experimental and control groups.</p><p><strong>Results: </strong>The PMP led to significant findings on reducing pain intensity and high scores on intervention fidelity. Participants showed great acceptance of this delivery format.</p><p><strong>Conclusions: </strong>This study revealed the fidelity and effectiveness of a multimodal non-pharmacological intervention, suggesting that it could be used for pain management and caregiving.</p>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633633","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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