Geriatric Nursing (New York, N.Y.)[JOURNAL]
Sun
200 papers
Effectiveness of interventions on anticipatory grief, caregiver burden, and depression in informal caregivers of individuals with dementia: A systematic review.
Shin H, Joung H, Wright KD
Geriatr Nurs · 2026 Jun · PMID 41962528 · Publisher ↗
BACKGROUND: Dementia caregivers witness the gradual decline of care recipients' memory, personality, and emotional connection. This decline often leads to anticipatory grief, which begins before the care recipient's deat...
BACKGROUND: Dementia caregivers witness the gradual decline of care recipients' memory, personality, and emotional connection. This decline often leads to anticipatory grief, which begins before the care recipient's death. Despite its emotional burden, few interventions target anticipatory grief. METHODS: This systematic review synthesized interventions supporting informal dementia caregivers and assessed their effectiveness in reducing anticipatory grief, caregiver burden, and depression. We conducted searches in PubMed, MEDLINE, PsycINFO, and CINAHL, following PRISMA guidelines. Empirical studies of informal caregivers (aged ≥18) of individuals with dementia that focused on anticipatory grief were included. Studies involving non-dementia populations, unrelated outcomes, or reviews were excluded. We used the Joanna Briggs Institute tools to assess the quality. RESULTS: Thirteen studies (9 quantitative, 3 qualitative, and 1 mixed-methods) met the inclusion criteria. Nine of the quantitative studies reported a reduction in anticipatory grief, 1 of 5 in caregiver burden, and 5 of 8 in depression. Qualitative findings highlighted emotional and relational benefits, including greater recognition and validation of grief, improved emotional preparedness, and shifts in caregiver identity and meaning. Intervention engagement and outcomes were influenced by psychological and contextual factors, including caregiver-recipient dynamics and cultural relevance. Interventions incorporating grief-focused education, resilience-building strategies, and identity-related support appeared particularly beneficial. CONCLUSIONS: Studies reporting statistically significant positive effects across outcomes consistently incorporated grief exploration, understanding, identity, and role transformation, aligning with qualitative findings. Future research should build on these components through longitudinal, culturally responsive designs across diverse caregiving populations.
Social exclusion and psychological resilience in older adults in Turkey.
Özbaş Gençarslan D, Özdemir Ç
Geriatr Nurs · 2026 Jun · PMID 41962527 · Publisher ↗
OBJECTIVE: This study aimed to evaluate the relationship between social exclusion and psychological resilience in older adults. METHODS: The sample of the study consisted of 150 older adults over the age of 65 who applie...
OBJECTIVE: This study aimed to evaluate the relationship between social exclusion and psychological resilience in older adults. METHODS: The sample of the study consisted of 150 older adults over the age of 65 who applied to three Family Health Centers located in the Southeast of Turkey. While collecting data, the "Introductory Information Form", "Social Exclusion Scale in the Elderly" (SESE) and "Brief Resilience Scale" (BRS) were used. Data were collected by the researcher through face-to-face interviews with individuals. RESULTS: The BRS total mean score was 12.63±5.78, while the SESE total mean score was 70.29±12.45. A statistically significant negative relationship was found between the BRS total score and SESE total score of the individuals participating in the study (r=-0.334, p < 0.01). CONCLUSIONS: Social exclusion levels of the older adults included were high, their psychological resilience levels were low, and as their social exclusion levels increased, their psychological resilience levels decreased. Psychological resilience and social exclusion levels were especially related to education level, income level and perceived well-being level. It is thought that the results of the study will raise awareness about older adults and the aging process and will guide social policies and nursing interventions.
Experiences from two cross-cultural nurse education institutions: A comparative assessment of nursing students' perceptions and attitudes towards older adults.
Birimoğlu Okuyan C, Scerri A, Cassar M
Geriatr Nurs · 2026 Jun · PMID 41955764 · Publisher ↗
INTRODUCTION: The global aging trend underscores the importance of understanding nursing students' attitudes and interests in geriatric care to inform educational strategies and address workforce demands. This study aime...
INTRODUCTION: The global aging trend underscores the importance of understanding nursing students' attitudes and interests in geriatric care to inform educational strategies and address workforce demands. This study aimed to comparatively assess nursing students' willingness to work with older adults and their attitudes toward older persons in two cross-cultural nursing education institutions, one in Türkiye and one in Malta. METHODS: A descriptive, cross-sectional, and comparative design was employed. Data were collected via an online survey from 258 nursing students in Türkiye and 155 in Malta between October 2024 and January 2025, using a socio-demographic form, the Willingness to Work with Elderly People Scale, and the Kogan Attitude toward Old People Scale. Analyses were performed with non-parametric tests and Spearman's correlation. RESULTS: Maltese students demonstrated substantially greater willingness to work with older adults and more favourable attitudes than their Turkish counterparts, indicating a meaningful difference between the two groups. Perceived behavioral control and positive attitudes were stronger among Maltese students, whereas Turkish students scored higher on negative attitude subscales. Correlational analysis indicated a strong and consistent relationship between WEPS scores and their subscales, as well as with KAOP scores across both student samples. CONCLUSION: Cultural and educational contexts appear to influence nursing students' attitudes and willingness to engage in the care of older persons. Integrating meaningful geriatric content and enabling positive clinical experiences in nursing curricula is recommended, as these may enhance students' readiness and motivation to work with older adults across diverse settings.
Dementia coaching for unpaid caregivers of community-dwelling persons living with dementia: A scoping review.
MacLean R, Caverhill K, Keeping-Burke L … +3 more , McCloskey RM, Goudreau A, Durepos P
Geriatr Nurs · 2026 Jun · PMID 41950613 · Publisher ↗
BACKGROUND: Unpaid caregivers provide the most support for persons living with dementia, yet often face high levels of burden, unmet needs, and limited assistance, contributing to distress, depression, and burnout. Demen...
BACKGROUND: Unpaid caregivers provide the most support for persons living with dementia, yet often face high levels of burden, unmet needs, and limited assistance, contributing to distress, depression, and burnout. Dementia coaching has emerged as an intervention designed to build caregiver knowledge, coping skills, and resilience, but its implementation remains fragmented, and evidence has not yet been systematically mapped. OBJECTIVE: This scoping review aimed to map dementia coaching programs for unpaid caregivers of persons living with dementia, describing their models, delivery formats, providers, curricular content, and outcomes, while identifying gaps to guide future research, policy, and practice. ELIGIBILITY CRITERIA: Eligible sources included dementia coaching for unpaid caregivers of community-dwelling people living with dementia, across qualitative, quantitative, mixed-methods, and relevant grey literature. SOURCES OF EVIDENCE: Sources of evidence included peer-reviewed journal articles, dissertations, reports, and other forms of grey literature that described or evaluated dementia coaching. CHARTING METHODS: Data charting captured study characteristics alongside coaching content, delivery, provider qualifications, sample characteristics, outcomes, and resources. Data were organized into tables and charts, with qualitative content analysis applied to coaching content and resources. RESULTS: 28 sources were included, comprising 15 research studies and 13 web-based programs. Studies, largely conducted in the U.S. and Europe, evaluated diverse coaching models delivered by trained professionals across varied formats, frequencies, and durations. CONCLUSION: Together, these findings position dementia coaching as a promising but still emergent intervention that requires coordinated evidence-building and system-level integration to achieve its full potential in supporting unpaid caregivers of people living with dementia.
Understanding kinesiophobia in older postoperative patients admitted to the ICU: A narrative review of conceptual models, assessment tools, and clinical implications.
Gu L, Huai W, Ye Y … +2 more , Yang Y, Chen C
Geriatr Nurs · 2026 Jun · PMID 41950612 · Publisher ↗
BACKGROUND: Early mobilization is a key component of recovery for older patients in intensive care units (ICUs). However, psychological resistance to movement-particularly fear-based avoidance-remains poorly understood a...
BACKGROUND: Early mobilization is a key component of recovery for older patients in intensive care units (ICUs). However, psychological resistance to movement-particularly fear-based avoidance-remains poorly understood and frequently overlooked in critical care settings. OBJECTIVE: This narrative review aims to explore the conceptual relevance of kinesiophobia (fear of movement) in older postoperative patients admitted to the ICU, examine its potential assessment challenges, and outline nursing-sensitive strategies for identification and intervention. METHODS: A purposive literature search was conducted in PubMed,MEDLINE, CINAHL, Scopus, Web of Science Core Collection, and Embase (supplemented by PsycINFO) to identify literature on kinesiophobia/fear-avoidance, early mobilization, and ICU care among older postoperative patients. Evidence was synthesized thematically to develop a context-adapted conceptual framework. RESULTS: The traditional fear-avoidance model, while well-established in musculoskeletal and rehabilitation contexts, has not been adapted for ICU settings. In older postoperative patients admitted to the ICU, fear of movement may manifest nonverbally through emotional withdrawal or passive resistance, especially in those with sedation, cognitive impairment, or mechanical ventilation. Common assessment tools such as the Tampa Scale for Kinesiophobia lack validity in this population. Nurses are uniquely positioned to detect behavioral signs of fear and support mobilization through emotional attunement, reassurance, and trauma-informed communication. A conceptual model is proposed to illustrate the ICU-specific fear-avoidance pathway and key nursing intervention points. CONCLUSION: Kinesiophobia may represent a hidden but modifiable barrier to mobilization in older postoperative patients admitted to the ICU. Integrating fear-based constructs into ICU care can improve functional outcomes and promote more holistic, emotion-sensitive nursing practices. Future research should focus on tool development, qualitative exploration of patient experiences, and intervention trials tailored to critical care contexts.
New horizons in artificial intelligence-assisted pain management: Evaluation of Gemini performance in the older adults.
Tuna HI
Geriatr Nurs · 2026 Jun · PMID 41950611 · Publisher ↗
AIM: To reveal the potential of artificial intelligence-based educational applications in increasing the knowledge level and application skills of older adults individuals on pain management. MATERIALS AND METHODS: Speci...
AIM: To reveal the potential of artificial intelligence-based educational applications in increasing the knowledge level and application skills of older adults individuals on pain management. MATERIALS AND METHODS: Specific questions were prepared based on guidelines on common pain management in the older adults. These questions were divided into three themes: general information, management techniques (AI-assisted), and clinical scenarios. Questions were entered into the Gemini 3.0 (thinking) feature. The answers were evaluated by two experienced expert nurses in terms of scientific accuracy, scientific quality, and understandability. The practical applicability of the answers was evaluated by a geriatric specialist. FINDINGS: In expert evaluations, the vast majority of AI answers were found to be scientifically correct, but disagreements were observed among experts on some questions. The scientific quality of the answers was found to be close to perfect. The average level of understandability of the answers was measured as close to 'very understandable' and the average level of practical applicability was measured as close to 'very applicable'. CONCLUSION: Gemini 3.0 (thinking) AI model has the potential to produce answers that demonstrate a high level of scientific accuracy, understandability and applicability in the management of common pain in the older adults. In particular, the use of the "thinking" feature contributed to the evidence-based and consistent answers. AI can be a valuable support tool for healthcare professionals in clinical decision-making processes.
The effect of mandala coloring on symptom burden and self-care in female hemodialysis patients: A randomized controlled trial.
Aydin Z, Bakir E
Geriatr Nurs · 2026 Jun · PMID 41950610 · Publisher ↗
OBJECTIVE: This randomized controlled study aimed to evaluate the effect of mandala coloring on symptom burden and self-care among female patients receiving hemodialysis. METHODS: The study was conducted with 82 female h...
OBJECTIVE: This randomized controlled study aimed to evaluate the effect of mandala coloring on symptom burden and self-care among female patients receiving hemodialysis. METHODS: The study was conducted with 82 female hemodialysis patients at a dialysis center in Istanbul, Türkiye, who were randomly assigned to an intervention group (n=41) or a control group (n=41). Participants in the intervention group performed mandala coloring for approximately 20-30 minutes once weekly for 8 weeks during routine hemodialysis sessions. Data was collected between September 2024 and January 2025 using a Personal Information Form, the Dialysis Symptom Index, and the Self-Care Agency Scale for Chronic Dialysis Patients. RESULTS: Although baseline symptom burden was higher in the intervention group, both groups showed significant reductions in DSI scores after the intervention (p<.05), with greater improvement observed in the intervention group (p<.001). Post-intervention self-care scores were significantly higher in the intervention group, particularly in diet, self-monitoring, hygienic care, and mental status domains (p=.012). A weak positive correlation was observed between dialysis duration and DSI scores and dietary self-care (r≈0.23, p<.05), while no significant associations were found for other self-care domains. CONCLUSION: Mandala coloring appears to be an effective non-pharmacological intervention for reducing symptom burden and improving self-care behaviors among female patients receiving hemodialysis. The findings support the potential integration of structured art-based interventions into routine dialysis care to promote patient well-being.
The psychological fallout of war media: A path analysis of media exposure, nuclear war threat anxiety, and mental wellbeing among older adults.
El-Ashry AM, Khedr MA, El-Sayed MM … +2 more , Tawfik AF, Fatah NKAE
Geriatr Nurs · 2026 Jun · PMID 41950609 · Publisher ↗
AIM: To examine the relationship between media exposure, nuclear war threat anxiety, and mental wellbeing among older adults, and to test the mediating role of nuclear war threat anxiety. BACKGROUND: In Egypt, extensive...
AIM: To examine the relationship between media exposure, nuclear war threat anxiety, and mental wellbeing among older adults, and to test the mediating role of nuclear war threat anxiety. BACKGROUND: In Egypt, extensive coverage of escalating regional conflict and the threat of nuclear confrontation has increased older adults' exposure to distressing war-related media. Such exposure may amplify nuclear war threat anxiety and, in turn, compromise mental wellbeing in this vulnerable population. METHODS: A cross-sectional path analysis was conducted with 213 older adults recruited from the community, healthcare, and social settings. Data were collected using validated Arabic tools: The Sociodemographic and Health Profile, War-Related Media Exposure Scale, Anxiety Due to Nuclear War Threat Scale, and WHO-5 Wellbeing Index. RESULTS: Higher media exposure was associated with greater nuclear war threat anxiety, and higher nuclear war threat anxiety was associated with lower mental wellbeing. Path analysis supported a partial mediation model: media exposure had a small but significant direct negative effect on wellbeing, and a larger indirect effect through nuclear war threat anxiety. Education, income sufficiency, and chronic illness were associated with differences in psychological outcomes. CONCLUSION: War-related media exposure is linked to poorer mental wellbeing among Egyptian older adults, largely through increased nuclear war threat anxiety. Nursing assessments should include screening for distressing media consumption and anxiety related to existential threats. Interventions should integrate media literacy, psychoeducation, and resilience-building strategies, alongside strengthened geriatric mental health services during periods of geopolitical crisis.
Social prescribing for older adults: An evolutionary concept analysis.
Kyei EF, Abuga CM, Mumba MN
Geriatr Nurs · 2026 Jun · PMID 41950608 · Publisher ↗
BACKGROUND: Social prescribing has emerged as an innovative model for addressing social determinants of health among older adults by linking healthcare services with community-based resources. Despite growing internation...
BACKGROUND: Social prescribing has emerged as an innovative model for addressing social determinants of health among older adults by linking healthcare services with community-based resources. Despite growing international adoption, conceptual ambiguity has limited consistent implementation and evaluation in nursing practice, particularly as the model has evolved across diverse policy and health system contexts. PURPOSE: This study aimed to clarify the concept of social prescribing in older adults using Rodgers' evolutionary concept analysis, with attention to antecedents, attributes, consequences, and implications for nursing. METHODS: A systematic search was conducted in CINAHL, PubMed, AgeLine, and PsycINFO for publications between 2018 and 2025. Eligible peer-reviewed studies addressed social prescribing or related healthcare-initiated community referral interventions targeting adults aged 60 years and older. Data extraction was guided by Rodgers' framework and focused on surrogate terms, related concepts, antecedents, attributes, and consequences. Fifteen studies met inclusion criteria. FINDINGS: Analysis revealed common surrogate terms such as community prescribing, social referral, and link worker facilitation. Related concepts included care coordination, case management, and social support interventions. Key antecedents encompassed social isolation, multimorbidity, life transitions, healthcare recognition of social needs, and enabling policy frameworks. Core attributes included person-centered care planning, non-medical community focus, link worker facilitation, systematic referral pathways, and healthcare-community integration. Across contexts, the concept demonstrated increasing formalization through structured screening and coordinated referral mechanisms. Reported consequences included reduced isolation, improved wellbeing, enhanced social networks, and stronger healthcare-community collaboration, alongside potential strain on under-resourced community services. CONCLUSIONS: Social prescribing is best understood as a dynamic, person-centered, healthcare-initiated process connecting older adults to non-medical resources through structured referral pathways. While shaped by national policy environments, its essential attributes remain transferable across systems when adapted to local infrastructure. Clarifying its defining characteristics strengthens nursing's role in assessment, coordination, and evaluation, supporting effective interventions that promote aging in place.
Perceptions of primary caregivers of severely dependent elderly with disabilities about internet-based home care: A qualitative study.
Zhao B, Wang Y, Yi M … +3 more , Jia D, Wang L, Zhang M
Geriatr Nurs · 2026 Jun · PMID 41946327 · Publisher ↗
Between 2000 and 2022, the number of individuals aged 65 and older in China rose from 88 million to 210 million, with their proportion of the total population increasing from 7.00 to 14.90%. In response to the intensific...
Between 2000 and 2022, the number of individuals aged 65 and older in China rose from 88 million to 210 million, with their proportion of the total population increasing from 7.00 to 14.90%. In response to the intensification of population ageing and the shortage of nursing human resources, China has launched an internet-based home care model built on a web-based APP platform, which operates on an "online application, offline service" approach. Given that severely dependent disabled older adults are the main users of this model and their caregivers determine its adoption, it is crucial to understand caregivers' perceptions toward internet-based home care. Based on the Technology Acceptance Model, a descriptive qualitative research method using direct content analysis was employed to analyze the data. The findings were categorized into four themes: external variables, perceived usefulness, perceived ease of use, and attitudes toward use. Future research should focus on strategies to mitigate patient safety risks, optimize service pricing, ensure service quality, and diversify the range of services offered.
Analysis of discharge readiness and influencing factors in older adult patients with multimorbidity: A cross-sectional study.
Lv J, Wu X, Feng Y … +4 more , Yang C, Liu J, Yao X, Dou S
Geriatr Nurs · 2026 Jun · PMID 41946326 · Publisher ↗
OBJECTIVE: This study aimed to investigate the current status of discharge readiness and its influencing factors in older adult patients with multimorbidity. Additionally, it intended to compare the differences in discha...
OBJECTIVE: This study aimed to investigate the current status of discharge readiness and its influencing factors in older adult patients with multimorbidity. Additionally, it intended to compare the differences in discharge readiness among patients with different demographic and clinical characteristics METHODS: A study was conducted on 811 older adult patients with complications in Xinjiang region. General information questionnaire, discharge readiness scale and discharge guidance quality scale were used to investigate. RESULTS: The discharge readiness score of 811 older adult patients with multiple complications was (79.93±21.24), and the mean age was (72.84±8.57) years. The factors influencing discharge readiness in older adult patients with multimorbidity include discharge guidance quality, marital status, indwelling tube placement at discharge, swallowing function impairment, assistive device use, BMI, respiratory function classification, and cardiac function classification, adjusted (R²=0.552, p < 0.05). CONCLUSIONS: Older adult patients with co-morbidities have a lower level of discharge preparedness, and clinical cooperation with multidisciplinary specialists should be used to develop personalized discharge instructions, strengthen disease knowledge and skills education, and improve discharge preparedness.
Gender differences in factors influencing post-stroke community integration: Cross sectional, correlational study.
Kim J, Kim H
Geriatr Nurs · 2026 Jun · PMID 41946325 · Publisher ↗
OBJECTIVES: Lack of community integration is an inevitable issue among stroke survivors and can significantly affect quality of life in this population. The role of gender in levels of community integration and in an ass...
OBJECTIVES: Lack of community integration is an inevitable issue among stroke survivors and can significantly affect quality of life in this population. The role of gender in levels of community integration and in an associated factor was observed, suggesting potential gender differences in factors associated with community integration among stroke survivors. However, limited research has been conducted on gender differences and factors associated with community integration after a stroke. This study aimed to identify gender differences in factors associated with the community integration of stroke survivors. METHODS: This cross-sectional, correlational study involved 316 stroke survivors who visited the outpatient clinic of a university hospital. Data on community integration, demographic and clinical characteristics, activities of daily living, instrumental activities of daily living, stroke severity, depression, self-esteem, disability acceptance, rehabilitation motivation, and social support were collected. RESULTS: The sample included 215 men and 101 women stroke survivors. The mean age of the participants was 64.44±10.73 years. For men, instrumental activities of daily living and employment status showed significant associations with community integration, accounting for 30 % of the variance. For women, education, employment status, instrumental activities of daily living, self-esteem, and social support showed significant associations with community integration, explaining 58.6 % of the variance. CONCLUSIONS: For men and women stroke survivors, there is a need to focus on functional rehabilitation, which can strengthen instrumental activities of daily living, and in turn, enhance effective community integration. In addition, for women stroke survivors, healthcare providers also need to provide interventions that can strengthen self-esteem and social support.
Factors associated with depressive symptoms among older Chinese Americans with major depressive disorder.
Chao YY, Seo JY, Zha P … +1 more , Yeh AY
Geriatr Nurs · 2026 Jun · PMID 41946324 · Publisher ↗
PURPOSE: Older Chinese immigrants experience higher rates of depression. This study aimed to examine the associations between key clinical factors and depressive symptoms among older Chinese Americans with major depressi...
PURPOSE: Older Chinese immigrants experience higher rates of depression. This study aimed to examine the associations between key clinical factors and depressive symptoms among older Chinese Americans with major depressive disorder (MDD). METHODS: A cross-sectional study was conducted with ninety-nine participants (mean 60.69 ± SD 7.62 years old). Dependent variable was depressive symptoms. Key study variables included acculturation, social support, physical activity, frailty, cognitive function, and sleep quality. Nine of participants wore an Actiwatch to assess sleep characteristics over a 7-day period. Descriptive statistics, Spearman correlation, Chisquare tests, and blockwise multiple linear regressions were used to analyze the data. RESULTS: Participants with more depressive symptoms had lower levels of social support (r = -0.325, p < .01), reduced engagement in total physical activity (r = -0.222, p < .05), higher levels of frailty (r = 0.425, p < .01), greater cognitive impairment (r = - 0.313, p < .01), and poor subject sleep quality (r = 0.330, p < .001). After controlling confounding factors, social support (p < .01), cognitive function (p < .01), and sleep quality (p < .05) were significant predictors of depressive symptoms. All participants were poor sleepers. However, the discrepancy of sleep onset and sleep efficiency were found between subjective and objective sleep measures. CONCLUSION/IMPLICATIONS: Incorporating clinical assessments of social support, cognitive function, and sleep quality into depression care for this underserved population is warranted. Future studies with larger sample sizes are needed to examine the discrepancy of subjective and objective sleep measures in this population.
The relationship between perceived social support, quality of life, well-being, successful aging and social health in older adults living in the community.
Goktas A, Cevik C
Geriatr Nurs · 2026 Jun · PMID 41946323 · Publisher ↗
Social health in older adults plays a critical role in improving quality of life by jointly supporting physical, mental, and emotional health. The aim of this study was to examine the association between perceived social...
Social health in older adults plays a critical role in improving quality of life by jointly supporting physical, mental, and emotional health. The aim of this study was to examine the association between perceived social support, quality of life, well-being, successful aging, and social health among community-dwelling older adults. This observational study was conducted with 535 community-dwelling older adults living in a province in the Pasaalani neighbourhood of Balikesir, using a multistage cluster sampling method. The dependent variable of the study was social health perception and multivariate linear regression analysis was used in the analyses. Reporting of the study followed the STROBE checklist. The participants' mean SHSE score was 50.00 ± 10.00. According to the linear regression analysis, the Social Health Scale for Elderly score for the older adults was significantly lower among those who were unmarried, employed, had no hobbies, and had poor self-perceived general health (p < 0.05). Additionally, social health decreased with increasing age and poorer self-perceived general health, while it increased with higher levels of successful aging, quality of life, and perceived social support (p < 0.05). The social health of the participants was at a moderate level. These findings highlight the importance of prioritizing disadvantaged groups and promoting hobbies, general health, and social support to enhance social health among older adults.
Use of ICU diaries to prevent delirium in older adults: A nurse-led quality improvement in an academic medical center.
Abdulkhasanova I
Geriatr Nurs · 2026 Jun · PMID 41936466 · Publisher ↗
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The effects and costs of neurocognitively impaired long-term care residents' use of videoconferencing: Expensive or essential?
Hardy MS, Fanaki C, Savoie C … +7 more , Djedou BY, Laberge M, Couture V, Côté A, Dallaire C, Voyer P, Gagnon MP
Geriatr Nurs · 2026 Jun · PMID 41936339 · Publisher ↗
This study assesses the effects of different communication modalities, including videoconferencing, on cognitively impaired long-term care residents and the related costs during the COVID-19 pandemic. Using a convergent...
This study assesses the effects of different communication modalities, including videoconferencing, on cognitively impaired long-term care residents and the related costs during the COVID-19 pandemic. Using a convergent mixed-method design, residents' engagement and pleasure were assessed across three communication modalities: Videoconferencing, telephone calls, and in-person visits. Data were collected from 26 residents and their caregivers in 4 long-term care facilities in Quebec, Canada. Despite the absence of statistically significant quantitative effects on engagement and pleasure, qualitative data indicated short-term positive responses to all modalities of communication, with a clear preference for videoconferencing. The cost analysis showed higher average costs for videoconferencing, mainly because of staff time associated with technical setup and support. Regardless, videoconferencing seems to be complementary to face-to-face visits or telephone calls and facilitates necessary social interactions for residents in long-term care who too often suffer from social isolation.
Health education needs for home rehabilitation of patients after total knee arthroplasty: A qualitative study.
Z C, G Z, X Y … +3 more , X C, Z Y, W Y
Geriatr Nurs · 2026 Jun · PMID 41936338 · Publisher ↗
AIMS: This study aimed to examine the health education needs of patients recovering from total knee replacement surgery at home and to assess the response of healthcare professionals to these needs. DESIGN: A qualitative...
AIMS: This study aimed to examine the health education needs of patients recovering from total knee replacement surgery at home and to assess the response of healthcare professionals to these needs. DESIGN: A qualitative study. METHOD: A phenomenological-hermeneutic approach was employed. Data were collected through a participatory survey in the joint orthopedic department of a hospital, along with semi-structured interviews conducted with 24 patients. Data analysis was performed using Colaizzi's seven-step framework. RESULTS: Three main themes emerged regarding the health needs of patients during home rehabilitation: the first theme,"Micro System: Demand for Health Education Content"; the second theme,"Mesosystem: Demand for Emotional Support"; and the third theme,"Macrosystem: Demand for External Support". CONCLUSION: The identified needs highlight the necessity for tailored health education across various topics, the establishment of a multifaceted health education model, and enhancement of the external support system to address the health education needs of patients in home rehabilitation. PRACTICE IMPLICATIONS: Both patients and healthcare professionals should collaborate in designing specific programs for postoperative rehabilitation exercises.
Development and validation of a risk prediction model for frailty in middle-aged and old adults with cardiovascular metabolic multimorbidity.
Zhao Y, Xia JH, Wang R … +3 more , Ma XQ, Fan GW, Liu ST
Geriatr Nurs · 2026 Jun · PMID 41936337 · Publisher ↗
AIMS: To develop and validate a risk prediction model for frailty in middle-aged and old adults with cardiovascular metabolic multimorbidity. METHODS: The data for this study were derived from a secondary analysis of the...
AIMS: To develop and validate a risk prediction model for frailty in middle-aged and old adults with cardiovascular metabolic multimorbidity. METHODS: The data for this study were derived from a secondary analysis of the China Health and Retirement Longitudinal Study (CHARLS) in 2015. Overall, 1497 middle-aged and older adults with cardiovascular metabolic multimorbidity were included. The study cohort was randomly divided into a training set and a validation set at a ratio of 60% to 40%. LASSO regression analysis was used to screen the variables for the best predictors of the model based on a 10‑fold cross‑validation. The logistic regression model was applied to explore the associated factors of frailty in patients with cardiovascular metabolic multimorbidity. A nomogram was constructed to develop the prediction model. Calibration curves were applied to evaluate the accuracy of the nomogram model. The area under the receiver operating characteristic curve and decision curve analysis were conducted to assess predictive performance. RESULTS: The prevalence of frailty in middle-aged and old adults with cardiovascular metabolic multimorbidity was 57.6%. Multivariate logistic regression analysis showed that kidney disease, handgrip strength, self-assessed health status, pain, cognitive function, and depression as predictors of frailty in people with cardiovascular metabolic multimorbidity. These factors were used to construct the nomogram model, which showed good concordance and accuracy. The AUC value of the predictive model in the training set was 0.750 (95% CI:0.718-0.782), and the AUC value in the validation set was 0.720 (95% CI:0.679-0.761). Calibration curves showed significant agreement between the nomogram model and actual observations. ROC and DCA indicated that the nomogram had a good predictive performance. CONCLUSION: Comprehensive nomogram constructed in this study was a promising and convenient tool to evaluate the risk of frailty in patients with CMM, and contributed clinicians to screening the high‑risk population.
Oral and dental health, malnutrition, and independence in activities of daily living in nursing home residents wearing dentures: A cross-sectional study.
Yılmaz S, Kartal İ, Aşcıoğlu B … +1 more , Kitiş Y
Geriatr Nurs · 2026 Jun · PMID 41936336 · Publisher ↗
AIMS: To examine oral and dental health problems, malnutrition status, and independence in activities of daily living (ADLs) among older adults with dentures living in nursing homes, and to identify their predictors. MET...
AIMS: To examine oral and dental health problems, malnutrition status, and independence in activities of daily living (ADLs) among older adults with dentures living in nursing homes, and to identify their predictors. METHODS: A cross-sectional study was conducted with 200 eligible older adults residing in four state-run nursing homes in Türkiye. Data were collected between November 2023 and February 2024. Standardized instruments assessed oral health, nutritional status, and functional independence. Data analysis included descriptive statistics and both linear and logistic regression models. RESULTS: Of the participants, 62.5% were male, and 56.5% reported oral and dental health issues. The prevalence of malnutrition was 8.5%, with an additional 49% at risk. Damaged dentures and malnutrition were significant predictors of poor oral health. Advanced age, low income, and chronic illness were associated with increased risk of malnutrition. Predictors of decreased independence in ADLs included advanced age, damaged dentures, diarrhea, and malnutrition. CONCLUSION: This study highlights the interconnected nature of oral health, nutritional status, and functional independence in denture-wearing nursing home residents. The findings suggest the need for early, holistic interventions by healthcare professionals to improve oral care, support nutrition, and enhance functional ability among older adults in institutional settings.
Breaking the cycle of frailty: The impact of health promotion training on older family caregivers.
Demirdaş FB, Korkmaz Yaylagül N
Geriatr Nurs · 2026 Jun · PMID 41936335 · Publisher ↗
INTRODUCTION: The frailty of older family caregivers is a rising concern that negatively impacts both their health and the quality of care they provide. Interventions that promote healthy behaviors may reduce frailty and...
INTRODUCTION: The frailty of older family caregivers is a rising concern that negatively impacts both their health and the quality of care they provide. Interventions that promote healthy behaviors may reduce frailty and enhance well-being. This study investigates the effect of a health promotion and development training program on frailty and healthy lifestyle behaviors in family caregivers aged 60+ with frailty. METHODS: Eighty-four caregivers were initially recruited and stratified according to frailty status (pre-frail/frail) before randomization. During the study, nine caregivers were lost to follow-up, resulting in a final sample of 75 participants. The intervention group received a structured health promotion training program delivered in three sessions, while the control group received no intervention. Assessment scales were administered to both groups before and after the intervention. Data were analyzed to assess within- and between-group differences, with significance set at p < 0.05. RESULTS: Posttest comparisons showed higher HPLP-II scores in the intervention group than in the control group (p < 0.001; d = 1.0). Frailty scores decreased significantly and HPLP-II scores increased in the intervention group (p < 0.001; d = 1.3-1.8), whereas no significant change in frailty was observed in the control group (p = 0.205). DISCUSSION: The findings indicate that health promotion and development training can enhance lifestyle behaviors and mitigate frailty in older family caregivers. These findings underscore the value of incorporating structured health promotion programs into caregiver support strategies and highlight the need for further research to expand their implementation and evaluate long-term outcomes.
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