Geriatric Nursing (New York, N.Y.)[JOURNAL]
Sun
200 papers
Aerobic exercise combined with varied duration cognitive training to improve age-related cognitive impairment: A randomized controlled trial.
Han C, Lv J, Sun R … +5 more , Zhen Q, Song L, Wu J, Chi Y, Gong W
Geriatr Nurs · 2026 Jun · PMID 41806687 · Publisher ↗
The study investigated the effectiveness of combining aerobic exercise (AE) with varying durations of cognitive training (CT) to improve age-related cognitive impairment. In a randomized controlled trial with 84 particip...
The study investigated the effectiveness of combining aerobic exercise (AE) with varying durations of cognitive training (CT) to improve age-related cognitive impairment. In a randomized controlled trial with 84 participants, they were assigned to one of four groups: 30-min AE + 30-min CT, 30-min AE + 15-min CT, AE-only, or a control group. Over 12 weeks, participants performed moderate-intensity aerobic exercise three times per week, with cognitive training durations of 30, 15, or 0 min. Significant improvements in cognitive function (MoCA scores) were observed in all exercise groups, with the 30-min AE + 30-min CT group showing the most pronounced benefits. This group also showed improvements in physical and mental quality of life (SF-36). No significant changes were noted in the MMSE or activities of daily living (Lawton-IADL scale). The findings suggest that combining aerobic exercise with 30-minute cognitive training improves cognitive function and quality of life in older adults.
Applying a quality control circle framework to facilitate out-of-bed and physical activities in a long-term residential care facility: a quality improvement project.
Chien HH, Lai FC, Yu PW … +4 more , Yu ML, Chang PY, Yang YC, Chen BA
Geriatr Nurs · 2026 Jun · PMID 41802389 · Publisher ↗
INTRODUCTION: Residents in long-term residential care facilities (LTRCFs) commonly exhibit low levels of routine out-of-bed activity (OBA), which are closely associated with functional independence, activities of daily l...
INTRODUCTION: Residents in long-term residential care facilities (LTRCFs) commonly exhibit low levels of routine out-of-bed activity (OBA), which are closely associated with functional independence, activities of daily living (ADL), and quality of life (QOL). However, evidence on feasible and rapidly effective implementation strategies to enhance routine OBA in long-term care settings remains limited. OBJECTIVE: This project evaluated the effectiveness of implementing a Quality Control Circle (QCC) framework to improve routine OBA among LTRCF residents and its short-term effects on ADL performance, with an emphasis on feasibility and early clinical benefit to support practice implementation. METHODS: A multidisciplinary QCC team was established in a long-term residential care facility. Guided by the Plan-Do-Check-Act (PDCA) cycle, a structured 12-step QCC framework was developed through statistical analysis, group discussions, and brainstorming to identify barriers to routine OBA facilitation. Standard operating procedures for routine OBA and 13 targeted action plans were integrated into daily care workflows. Short-term process and outcome indicators were evaluated. RESULTS: Following implementation, routine OBA participation increased from 23% at baseline to 65% post-intervention, corresponding to an improvement rate of 182.61% and an achievement rate of 241.52% relative to the predefined project target. Mean ADL scores improved from 70.58 to 80.08, representing a statistically significant 9.5-point increase (t = 18.01, p < 0.0001). Additional benefits included improved multidisciplinary communication, problem-solving, and team collaboration. CONCLUSION: The QCC framework effectively enhanced routine OBA participation and ADL performance in a long-term residential care setting. Although long-term sustainability requires further evaluation, the demonstrated short-term feasibility and early functional benefits support early implementation in clinical practice.
Validation of the Chinese version of the delirium diagnostic tool-provisional (DDT-Pro) among the older adults in the community.
Xu S, Chen J, Dai H … +2 more , Zhang Q, Franco JG
Geriatr Nurs · 2026 Jun · PMID 41795312 · Publisher ↗
OBJECTIVE: To validate the Chinese version of the DDT-Pro and to define its cutoffs for delirium and for subsyndromal delirium in community-dwelling older adults. METHODS: This cross-sectional study included 591 particip...
OBJECTIVE: To validate the Chinese version of the DDT-Pro and to define its cutoffs for delirium and for subsyndromal delirium in community-dwelling older adults. METHODS: This cross-sectional study included 591 participants. We determined the DDT-Pro cutoffs for best sensitivity, best specificity, or high combined sensitivity-specificity in delirium and subsyndromal delirium assessment. RESULTS: The ROC curve analysis of the DDT-Pro using the DSM-5-TR and the Delirium Rating Scale-Revised-98 (DRS-R98) as diagnostic standards displayed AUCs of 0.93 and 0.86. The ≤ 7 cutoff of the DDT-Pro is for detecting even SSD, the ≤ 6 cutoff favors sensitivity for delirium screening and is recommended for routine use, and the ≤ 5 cutoff favors specificity and has high combined sensitivity-specificity. The ≤ 6 cutoff had 95.35% sensitivity and 81.75% specificity for DSM-5-TR delirium, while the sensitivity and specificity for DRS-R98 delirium were 82.14% and 82.24%. The DDT-Pro displayed excellent inter-rater reliability in this sample, as well as high correlation with the DRS-R98 Severity scale in patients with DSM-5-TR delirium. CONCLUSION: The Chinese DDT-Pro is valid and reliable for assessing delirium and its severity, with high screening performance at the ≤ 6 cutoff and other cutoff options for more specific diagnosis or for subsyndromal delirium detection.
Internal experience of an aging self: A grounded theory study on women's aging awareness beyond midlife.
Oh EG, Oh S, Han J
Geriatr Nurs · 2026 Jun · PMID 41795311 · Publisher ↗
PURPOSE: Awareness of one's own aging is a critical psychological process that shapes adaptation and well-being in later life. For women, age awareness is influenced by gendered experiences such as bodily changes, menopa...
PURPOSE: Awareness of one's own aging is a critical psychological process that shapes adaptation and well-being in later life. For women, age awareness is influenced by gendered experiences such as bodily changes, menopause, and shifting social roles. This study aimed to develop a grounded theory explaining how women aged 50-75 construct and adapt their awareness of aging through everyday life contexts. METHODS: This study was guided by constructivist grounded theory, informed by symbolic interactionism and social constructionism. Nineteen in-depth interviews were conducted between 2021 and 2023. Data were analyzed using constant comparative methods, including initial and focused coding, memo writing, and theoretical integration. RESULTS: The core category, internal experience of an aging self, emerged as the central adaptive process. Initially not aware of one's own aging, participants gradually developed an emerging awareness, often followed by confusion as they struggled to interpret the changes. Internalization involved mirroring aging through self and close others, reflecting on the normal life cycle, and managing oneself in accordance with age-related changes, ultimately leading to embracing aging with psychological balance. Some faced emotional turmoil-triggered by chronic conditions, negative body image, and financial or role insecurity-and developed a negative outlook on one's future self, reflecting disruption in the internalization process. CONCLUSION: These findings suggest the importance of gerontological nursing interventions that support emotional resilience, reflective adaptation, and self-directed aging. Tailored strategies that facilitate women's internalization of aging may promote psychological well-being and agency in later life.
The relationships between self-management behavior with psychological distress, health literacy and interoceptive sensibility in stroke survivors: a structural equation model.
Guo Y, Shan Y, Peng S … +1 more , Yan X
Geriatr Nurs · 2026 Jun · PMID 41795310 · Publisher ↗
OBJECTIVE: This study aimed to investigate the direct and indirect relationships between self-management behavior, psychological distress, health literacy, and interoceptive sensibility in stroke survivors using a struct...
OBJECTIVE: This study aimed to investigate the direct and indirect relationships between self-management behavior, psychological distress, health literacy, and interoceptive sensibility in stroke survivors using a structural equation model (SEM). METHODS: A cross-sectional study was conducted with 417 stroke survivors. Validated scales measured self-management behavior (Stroke Self-Management Questionnaire), psychological distress (SCL-90), health literacy (Health Literacy Questionnaire), and interoceptive sensibility (Multidimensional Assessment of Interoceptive Awareness). SEM was used to analyze hypothesized pathways and mediation effects. RESULTS: The final SEM model demonstrated acceptable fit (CFI = 0.88, RMSEA = 0.08). The indirect effects of interoceptive sensibility and health literacy on self-management behavior were -0.075(p < 0.01) and 0.182(p < 0.01), respectively, while the total effect of interoceptive sensibility on self-management behavior was 0.136(p < 0.01). Interoceptive sensibility was significantly related to self-management behavior (β = 0.19, p < 0.01), psychological distress (β = 0.62, p < 0.01), and health literacy (β = 0.67, p < 0.01). Demographic characteristics were inversely related to self-management behavior (β = -0.04, p = 0.007). Psychological distress had a significant negative association on self-management behavior (β= -0.22, p < 0.01), while health literacy had a significant positive association on self-management behavior (β= 0.42, p < 0.01). CONCLUSION: Interoceptive sensibility is a critical association of self-management behavior in stroke survivors, with psychological distress and health literacy acting as mediators. Interventions should prioritize reducing psychological distress, improving health literacy, and integrating interoceptive awareness training.
Palliative care nursing journey in home healthcare: A grounded theory study.
Oğuz Karaalp İ, Kalanlar B
Geriatr Nurs · 2026 Jun · PMID 41795309 · Publisher ↗
OBJECTIVE: This study was conducted to examine the approaches of nurses working in home health care to palliative care, to determine their expectations regarding palliative care nursing, and to describe their journey tow...
OBJECTIVE: This study was conducted to examine the approaches of nurses working in home health care to palliative care, to determine their expectations regarding palliative care nursing, and to describe their journey toward palliative care nursing. METHODS: The study was designed using the grounded theory method following the Strauss and Corbin version. The study was conducted with 12 nurses working in the Home Health Services Unit of a state hospital. The study was conducted between July 2023 and February 2024. Data analysis included open coding, axial coding, and selective coding. RESULTS: The ages of the nurses participating in the study ranged from 23 to 27, and their palliative care experience ranged from 2 to 14 years. The study revealed that the journey of palliative care nursing goes through three stages: (1) Professional inadequacy and emotional turmoil; initial encounter with a palliative care patient, insufficient nursing knowledge, ineffective use of communication, developing emotional insight (2) Educational and skill development; skills developed through apprenticeship, attitude towards palliative care nursing, risk and crisis management (3) Transition to a Holistic Practice; integrating the environment into care planning, individual and cultural beliefs, identifying patient-specific issues, planning appropriate trainings, multidisciplinary approach. Challenges and facilitating factors affecting this process have been identified. CONCLUSION: This study provides valuable insights into enhancing the quality of palliative care delivered by nurses in home care settings. It also highlights the critical importance of supporting nurses' professional development in the delivery of holistic palliative care.
How frailty and nursing complexity interact and prolong hospital stays in heart failure patients: a retrospective multicentric observational study.
Cocchieri A, D'Agostino F, Nurchis MC … +3 more , Erba I, Giannetta N, Cesare M
Geriatr Nurs · 2026 Apr · PMID 41794010 · Publisher ↗
This study aimed to examine frailty and nursing complexity at hospital admission in patients with heart failure (HF) and to explore their individual and joint associations with length of stay (LOS). A retrospective multi...
This study aimed to examine frailty and nursing complexity at hospital admission in patients with heart failure (HF) and to explore their individual and joint associations with length of stay (LOS). A retrospective multicentric observational study was conducted among adult patients with HF admitted to two Italian university hospitals between January 1 and December 31, 2022. Frailty was estimated using the Blaylock Risk Assessment Screening Score (BRASS), while nursing complexity was measured by the number of nursing diagnoses (NDs) at admission. Prolonged LOS was defined as hospital stays exceeding the 75th percentile. Data were extracted from the hospital discharge register and the Professional Assessment Instrument and analyzed using correlation analyses, latent class analysis (LCA), and logistic regression models. Among 1712 patients, 26.6% experienced prolonged LOS. Frailty was positively associated with nursing complexity (r = 0.245, 95% CI: 0.196-0.288), and both frailty (r = 0.236; 95% CI: 0.192-0.281) and nursing complexity (r = 0.232; 95% CI: 0.187-0.278) were associated with LOS. LCA identified two admission profiles: low frailty/low nursing complexity and high frailty/high nursing complexity. Membership in the high frailty/high nursing complexity profile was associated with higher odds of prolonged LOS in unadjusted model (OR = 2.805, 95% CI: 2.223-3.541; p < 0.001), and remained significant after adjustment for age, sex, comorbidities, and DRG weight (OR = 1.939, 95% CI: 1.354-2.776; p < 0.001). Joint assessment of frailty and nursing complexity at hospital admission may support early identification of HF patients at risk for prolonged LOS.
Attitudes toward death and satisfaction with life among professionals in residential care facilities: A correlational study.
do Nascimento C, Santos P, Cerqueira Gomes M
Geriatr Nurs · 2026 Apr · PMID 41780432 · Publisher ↗
INTRODUCTION: Aging brings physical, emotional, and social challenges that require specialized care. Residential Care Facilities (RCFs) play a central role in caring for older adults at the end of life. Death affects not...
INTRODUCTION: Aging brings physical, emotional, and social challenges that require specialized care. Residential Care Facilities (RCFs) play a central role in caring for older adults at the end of life. Death affects not only residents and their families but also professionals, impacting their emotional well-being and performance. PURPOSE: This study aims at analyzing the attitudes toward death and the levels of satisfaction with life in professionals working in Residential Care Facilities (RCFs). METHODOLOGY: This is a quantitative, exploratory, and correlational study that includes 623 participants. Data was collected using a professional sociodemographic questionnaire, the Death Attitude Profile-Revised (DAP-R), and the Satisfaction with Life Scale (SWLS). RESULTS: The study suggests that sociodemographic variables such as marital status, area of studies, and experiencing the death of a close person and religion can significantly impact satisfaction with life. Significant correlations are found between the two scales and in the differences related to sociodemographic factors. In DAP-R, the dimension Escape Acceptance shows a significant and negative correlation with satisfaction with life, while the dimension Neutral Acceptance shows a significant and positive correlation. CONCLUSION: The way RCF professionals perceive death, together with sociodemographic factors, may affect their levels of satisfaction with life, so it is important to consider these variables within the professional context. CLINICAL IMPLICATIONS: Training programs to build the capacity of professionals and the creation of guidelines to promote good practices on end of life and death could contribute to increased levels of SWL and the provision of adjusted care.
Enhancing outcomes for geriatric patients with evaluation of the social determinants of health.
Toland M, Winegar R
Geriatr Nurs · 2026 Apr · PMID 41775140 · Publisher ↗
BACKGROUND: Homebound geriatric patients face multiple healthcare access barriers, with social determinants of health (SDOH) significantly impacting clinical outcomes. Despite evidence supporting the use of SDOH screenin...
BACKGROUND: Homebound geriatric patients face multiple healthcare access barriers, with social determinants of health (SDOH) significantly impacting clinical outcomes. Despite evidence supporting the use of SDOH screening, systematic assessment remains underutilized in geriatric home care settings. PURPOSE: This Quality Improvement project enhanced healthcare outcomes for homebound geriatric patients by implementing systematic SDOH screening using the PRAPARE assessment tool and establishing community resource referral pathways. METHODS: An 8-week pre-post implementation study was conducted at a homebound geriatric practice in the Southeastern United States. Advanced Practice Providers used the PRAPARE screening tool during routine patient visits. The study measured screening rates, identification of social determinants of health (SDOH) diagnoses, and community resource referrals through descriptive statistics and pre-post comparative analysis. Chi-squared tests examined associations between patient demographic characteristics and the likelihood of receiving SDOH diagnoses. RESULTS: The project completed 654 SDOH screenings, marking a 70% increase from baseline levels. Twenty-one distinct SDOH diagnoses were documented, with education and literacy issues being most prevalent (56.5%), followed by housing and economic challenges (44.0%). All identified diagnoses prompted specific community resource referrals, with 45.6% of patients receiving referrals to community services. Post-implementation data revealed a 58% improvement in SDOH identification rates compared to the pre-intervention baseline. CONCLUSIONS: Systematic SDOH screening through the PRAPARE tool substantially enhanced the identification of social health barriers among homebound geriatric patients. This quality improvement initiative validates the value of incorporating structured SDOH assessment into standard geriatric care practices, improving patient-centered care delivery and optimizing resource connections. Future efforts should focus on expanding screening protocols and developing stronger community partnerships.
Care dependency, intolerance of uncertainty, and attitudes toward complementary and alternative medicine among patients receiving home healthcare services.
Akçoban S, Tosun B
Geriatr Nurs · 2026 Apr · PMID 41775139 · Publisher ↗
AIM: This study aimed to evaluate care dependency, intolerance of uncertainty, and attitudes toward complementary and alternative medicine (CAM) among patients receiving home healthcare services. METHODS: This cross-sect...
AIM: This study aimed to evaluate care dependency, intolerance of uncertainty, and attitudes toward complementary and alternative medicine (CAM) among patients receiving home healthcare services. METHODS: This cross-sectional analytical study was conducted between January and April 2025, with patients (n = 150) registered in the home healthcare unit of a hospital. Data were collected using the "Patient Descriptive Information Form, Care Dependency Scale," Intolerance of Uncertainty Scale (IUS-12)," and "Traditional and Complementary Medicine Attitude Scale)". RESULTS: The mean age of the patients was 69.81 ± 10.94 years; 56.0 % were female, and 65.3 % had a moderate level of daily activity. Disabled patients, those who reported feeling uncertain about their health process, and those who used CAM had significantly higher scores for care dependency, intolerance of uncertainty, and CAM (p < .001). A strong negative correlation was found between care dependency scores and intolerance of uncertainty (r =-0.530, p < .001). Additionally, a moderate negative correlation was observed between care dependency scores and attitudes toward complementary and alternative medicine (r =-0.302, p = 0.013). CONCLUSIONS: As the level of dependency increased among patients receiving home healthcare services, their intolerance of uncertainty and positive attitudes toward CAM also increased. It is important to provide information on CAM practices, particularly for patients who are highly dependent and experience high levels of uncertainty about the future. Home care nurses are advised to facilitate patients' access to reliable resources and establish open communication on this subject.
Evaluation of the impact of motivational interviewing by a physiotherapist on the older patient's participation in the rehabilitation program and the care relationship: the MOTIV-Age qualitative study.
Nicolas M, Bulté C, Cocaul J … +5 more , Cohen-Bittan J, Gourdon M, Boddaert J, Zerah L, Genet B
Geriatr Nurs · 2026 Apr · PMID 41771196 · Publisher ↗
OBJECTIVES: Although motivational interviewing (MI) has shown benefits in younger patients with long-term conditions or older patients in hospital settings, we investigated the experienced impact of MI delivered by a phy...
OBJECTIVES: Although motivational interviewing (MI) has shown benefits in younger patients with long-term conditions or older patients in hospital settings, we investigated the experienced impact of MI delivered by a physiotherapist (PT) on community-dwelling older patients' engagement in rehabilitation. DESIGN: Qualitative study following the descriptive-interpretive concept. SETTING AND PARTICIPANTS: The study was conducted in a suburban area of Paris. Participants were community-dwelling older adults aged over 75 years who consulted the same PT for musculoskeletal disorders and/or functional decline. There were no other inclusion or exclusion criteria. METHODS: Data collection included a PT logbook documenting observations before and after MI and semi-structured individual interviews (SSIIs) conducted by two independent investigators. Analyses involved using interpretative phenomenology and Miles & Huberman's recommendations. RESULTS: From June to July 2024, we included 10 patients (mean age 88±4.2 years, 90% female, median Activities of Daily Living score 5.5 [interquartile range 5.0-5.5]); six had SSIIs. The PT reported that MI seemed to enhance engagement in rehabilitation for some participants. MI facilitated open communication and emotional expression and strengthened the therapeutic alliance, improving the PT's ability to personalize care, set goals, plan treatment and communicate with patients. Patients valued the PT's professionalism and empathy, viewing the PT as a key figure in maintaining their autonomy. CONCLUSIONS AND IMPLICATIONS: This study provides preliminary evidence supporting the integration of MI into routine physiotherapy for community-dwelling older adults. MI shows promise for enhancing patients' engagement in physical activity and improving the PT clinical practice.
Developing and validating a comprehensive nutrition literacy scale for older adults: addressing the modern challenges of nutritional health in the digital era.
Li Q, Wang J
Geriatr Nurs · 2026 Apr · PMID 41771195 · Publisher ↗
PURPOSE: Nutrition literacy is essential for healthy aging, yet no validated tool exists for Chinese older adults. This study aimed to develop and validate a multidimensional nutrition literacy scale for this population....
PURPOSE: Nutrition literacy is essential for healthy aging, yet no validated tool exists for Chinese older adults. This study aimed to develop and validate a multidimensional nutrition literacy scale for this population. METHODS: A mixed-methods approach was employed, consisting of three phases. In the qualitative phase, semi-structured interviews identified three dimensions: functional, interactive, and critical nutrition literacy. In the scale development phase, a 32-item pool was refined through expert review (content validity index: 0.78-1.00) and pilot testing (Cronbach's α = 0.902). In the quantitative validation phase, exploratory factor analysis (EFA; n = 507) and confirmatory factor analysis (CFA; n = 547) were conducted to assess reliability, validity, and discriminant validity. RESULTS: The final 21-item scale demonstrated excellent psychometric properties. Reliability was high, with Cronbach's α = 0.932, and test-retest intraclass correlation coefficients (ICCs) ranged from 0.88 to 0.92. Validity was confirmed through EFA, which extracted three factors explaining 67.5% of the variance, and CFA, which showed excellent model fit (χ²/df = 1.370, CFI = 0.990, RMSEA = 0.026). Nutrition literacy increased significantly with education level (p < 0.001) but showed no gender differences (p > 0.05). CONCLUSION: This study provides a validated tool for assessing nutrition literacy among Chinese older adults. The scale's robust psychometric properties make it suitable for both research and clinical applications.
Silent exhaustion: The intersection of quality of life and self-neglect in the elderly.
Akdoner C, Celikkanat S, Gungormus Z
Geriatr Nurs · 2026 Apr · PMID 41771194 · Publisher ↗
The study was conducted to examine the effect of quality of life on self-neglect levels in elderly individuals and to answer whether this differs according to socio-demographic characteristics and whether it affects soci...
The study was conducted to examine the effect of quality of life on self-neglect levels in elderly individuals and to answer whether this differs according to socio-demographic characteristics and whether it affects social, physical, mental and environmental health neglect variables. The study was designed as a descriptive correlational research with a quantitative design. Data were collected from 204 elderly people who answered a 10-question Socio-demographic Information Form, a 13-question "Quality of Life Scale for the Elderly" and a 60-question "Self-Neglect Scale in the Elderly" which were developed based on literature. While the intensity of physical health and mental health neglect differed among those with chronic diseases, social network neglect differed between those with chronic diseases and those living alone (p < 0.05). Negative significant correlations were found between quality of life and social network (r=-0.62), physical health (r=-0.70), environmental health (r=-0.65) and mental health (r=-0.68) neglect (p < 0.05). In the study, quality of life explained 38 % of social network neglect, 49 % of physical health neglect, 42 % of environmental health neglect, and 46 % of mental health neglect, a significant relationship was found between them. In line with these results, the relationship between quality of life and self-neglect reflects the physical, mental, social, and environmental conditions of older adults. Self-neglect often arises as a result of poor quality of life and can lead to individuals being unable to meet their basic care needs, social isolation, and health problems. In this context, holistic and multidisciplinary approaches should be adopted at the individual, societal, and systemic levels.
Preo frailty predicts FOF in elderly ortho regression analyse.
RuiXiao W, Yu X, Shuang W … +5 more , Xiaomei T, Xiaohui Z, Linlin G, Bo X, Dan Z
Geriatr Nurs · 2026 Apr · PMID 41764901 · Publisher ↗
BACKGROUND: Given that preoperative frailty elevates the risk of falls and other complications following orthopedic surgery, this study aimed to determine its association with patients' postoperative fear of falling (FOF...
BACKGROUND: Given that preoperative frailty elevates the risk of falls and other complications following orthopedic surgery, this study aimed to determine its association with patients' postoperative fear of falling (FOF). METHODS: Data were prospectively collected from 140 elderly patients who underwent orthopedic surgery at three tertiary medical centers in southwest China between May and December 2022. Preoperative frailty was assessed using the FRAIL Scale, while postoperative FOF was assessed using the Modified Fall Efficacy Scale. Pearson correlation was used to explore potential associations of pre-operative frailty to postoperative fear of falling in elderly orthopedic patients. Pearson correlation analysis was used to explore the association between preoperative frailty and postoperative FOF. Subsequently, multiple linear regression was used to identify predictors of postoperative FOF. RESULTS: The results revealed a high prevalence of postoperative FOF. Of the 140 patients, 69 (49.29%) were frail preoperatively, and 119 (85%) reported postoperative FOF. The mean fall efficacy score was 3.35 (±3.41), with the outdoor activity subscore being significantly lower than the indoor activity subscore.A positive correlation was found between preoperative frailty and FOF. Multiple linear regression identified frailty, living alone, malnutrition, and postoperative use of a walking aid as independent factors associated with FOF. CONCLUSION: This study highlights the high prevalence of both preoperative frailty and postoperative fear of falling (FOF) among elderly patients undergoing orthopedic surgery, as well as a positive correlation between the two. Therefore, medical staff should assess patients' frailty status as early as possible before surgery and implement targeted fall-prevention strategies to ensure high-quality rehabilitation.
Association of frailty with cognitive functioning in older adults: The Chain-mediated effects of sleep and mood regulation and the moderating role of activities of daily living.
Tingting Y, Yulei S, Huimin JI … +6 more , Haiyan Y, Yuan Z, Meng T, Yuqing C, Guihua XU, Yamei B
Geriatr Nurs · 2026 Apr · PMID 41764900 · Publisher ↗
BACKGROUND AND AIM: Population aging exacerbates the public health challenge of cognitive impairment, and frailty, a prominent health problem in the older population, is closely associated with cognitive decline. The aim...
BACKGROUND AND AIM: Population aging exacerbates the public health challenge of cognitive impairment, and frailty, a prominent health problem in the older population, is closely associated with cognitive decline. The aim of this study was to investigate the mechanisms by which frailty affects cognitive functioning in older adults, and to test the chain-mediated effects of sleep quality and depression, as well as the moderating effects of activities of daily living (ADL). METHODS: 1645 older adults from 10 communities in Jiangsu Province, China, were surveyed from May to December 2024 using a cross-sectional design. Cognitive function, frailty, sleep quality, depression, and ADL were assessed by the Montreal Cognitive Assessment, FRAIL scale, Pittsburgh Sleep Quality Index, Patient Health Questionnaire, and ADL Scale.Mediating and moderating effects were analyzed using stratified regression modeling and Bootstrap method. RESULTS: Frailty significantly negatively predicted cognitive function (β = -0.278, P < 0.001). Sleep quality (β = -0.129, 95%CI [-0.184, -0.085]) and depression (β = -0.0316, 95%CI [-0.060, -0.005]) partially mediated the association between frailty and cognitive function, and there was a chained mediation effect between the two (β = -0.003, 95%CI [-0.006, -0.0003]). ADL significantly moderated the effect of frailty on cognitive function (interaction term β = 0.036, P = 0.0004), but its moderating effect on the mediating pathway was not significant. CONCLUSIONS: Frailty indirectly impairs cognitive functioning through decreased sleep quality and depressive symptoms, and ADL mitigates the negative effects of frailty. Future interventions need to focus on frailty management, sleep improvement and psychological support, and encourage older adults to participate in daily activities to slow cognitive decline.
Efficacy of an oral intake restoration intervention on timely nasogastric tube removal in older adults with aspiration pneumonia: A randomized controlled trial.
Tai LY, Su CW, Chang CF … +3 more , Wu SV, Liang SY, Wang TJ
Geriatr Nurs · 2026 Apr · PMID 41764899 · Publisher ↗
This study evaluated the effects of a nurse-led oral intake restoration intervention on the rate of successful nasogastric (NG) tube removal, duration of NG tube indwelling, NG tube reinsertion, and unplanned hospital re...
This study evaluated the effects of a nurse-led oral intake restoration intervention on the rate of successful nasogastric (NG) tube removal, duration of NG tube indwelling, NG tube reinsertion, and unplanned hospital readmission among older adults with aspiration pneumonia. A total of 100 participants were randomly assigned to an intervention group or a control group. The intervention group received structured swallowing care education delivered by nurses during hospitalization, followed by continued training after discharge, while the control group received usual care. Data on NG tube removal, duration of NG tube indwelling, NG tube reinsertion, and unplanned hospital readmission were obtained from medical records. Compared with the control group, the intervention group showed significantly higher rates of successful NG tube removal both before discharge (30% vs. 12%; odds ratio [OR], 3.14; P = .027) and within 30 days post-discharge (36% vs. 12%; OR, 4.13; P = .005). The mean duration of NG tube indwelling within 30 days post-discharge was shorter in the intervention group than in the control group (39.5 vs. 45.1 days; log-rank = 7.04; P = .008). Additionally, the intervention group had a lower rate of unplanned hospital readmission within 30 days post-discharge (10% vs. 26%; OR, 0.32; P = .037). No significant between-group difference was observed in NG tube reinsertion rates (P = .240). These findings suggest that a nurse-led oral intake restoration intervention is effective in promoting timely NG tube removal, reducing NG tube dependence, and lowering unplanned hospital readmission among older adults with aspiration pneumonia.
Long-term impact of arthritis on sensory function: Evidence from the Chinese elderly population.
Cao X, Wang J, Gao Z … +3 more , Chen C, Wang L, Li Y
Geriatr Nurs · 2026 Apr · PMID 41764898 · Publisher ↗
AIMS: To examine the associations between arthritis and hearing loss (HL), vision loss (VL), dual sensory loss (DSL, the coexistence of HL and VL) in Chinese older adults, along with the long-term negative effects of art...
AIMS: To examine the associations between arthritis and hearing loss (HL), vision loss (VL), dual sensory loss (DSL, the coexistence of HL and VL) in Chinese older adults, along with the long-term negative effects of arthritis on sensory function. METHODS: This is a longitudinal observational cohort study with 5187 participants. Arthritis was self-reported during baseline and follow-up surveys. Outcome variables included hearing and vision scores (ranging from 1 to 5, with higher scores indicating poorer sensory function), and the prevalence of HL, VL, DSL. Univariate logistic regression assessed baseline associations, while mixed logistic and linear mixed-effects models evaluated the incidence and deterioration of HL, VL, DSL over a 7-year follow-up period. Sensitivity analyses excluding potential mediators were then performed to assess the robustness of findings. RESULTS: Participants with arthritis had significantly higher incidence of HL, VL, and DSL, and worse hearing and vision scores (p < 0.001). Baseline arthritis predicted higher incidence of HL, VL, and DSL over a 7-year period. Additionally, arthritis individuals exhibited an accelerated deterioration of HL and VL in the follow-up, with additional increases in hearing score and vision score of 0.098 and 0.062, respectively. These associations remained significant after excluding individuals with baseline HL or VL. Sensitivity analyses yielded consistent results, supporting the robustness of the findings. CONCLUSION: Arthritis was significantly associated with HL, VL, and DSL in older adults, with sustained negative impacts on sensory function. Early prevention strategies and multidisciplinary care are recommended to enhance long-term health outcomes for arthritis populations.
An importance-performance analysis of geriatric nursing learning needs among Chinese nursing undergraduates: A multicenter survey.
Liu N, Xu W, Chen X … +4 more , Yu M, Xu Y, Li Q, Yang Y
Geriatr Nurs · 2026 Apr · PMID 41764897 · Publisher ↗
AIM: To identify priority learning needs in geriatric nursing by assessing undergraduates' perceptions of proposed course modules. DESIGN: A multicenter cross-sectional descriptive study. METHODS: Between October 16, 202...
AIM: To identify priority learning needs in geriatric nursing by assessing undergraduates' perceptions of proposed course modules. DESIGN: A multicenter cross-sectional descriptive study. METHODS: Between October 16, 2022, and February 28, 2023, nursing undergraduates participated in this study. Importance-performance analysis (IPA) and the Borich needs assessment model (BNAW) were used to identify key improvement areas and prioritize content for geriatric nursing education. RESULTS: Based on the IPA analysis, "Geriatric Rehabilitation Nursing" and "Hospice Care" were identified as high-priority courses, rated as important but with low mastery. Key modules needing improvement included "Common Sudden and Unexpected Rescues for the Elderly," "Rehabilitation of Common Chronic Diseases in the Elderly," and "Care for Common Symptoms in Terminally Ill Elderly." In contrast, "Psychogeriatric Nursing" and "Clinical Geriatric Nursing" performed well in both importance and mastery. "Fundamentals of Geriatric Nursing" showed good mastery but lower importance, while "Geriatric Sociology" ranked low in both, suggesting development potential. CONCLUSIONS: This study highlights the importance, effectiveness, and necessity of six geriatric nursing courses from the learner's perspective, within the context of health, illness, rehabilitation, and end-of-life care, providing a life cycle framework for curriculum development in higher education.
Association between sarcopenic obesity and cognitive impairment among taiwanese older adults with type 2 diabetes mellitus: A cross-sectional study.
Lin CL, Wu HC, Yu NC … +2 more , Liu YC, Chien WC
Geriatr Nurs · 2026 Apr · PMID 41764896 · Publisher ↗
This study aimed to (1) estimate the prevalence of sarcopenic obesity (SO) and sarcopenia, (2) examine their associations with cognitive impairment (CI), and (3) identify other factors associated with CI among older adul...
This study aimed to (1) estimate the prevalence of sarcopenic obesity (SO) and sarcopenia, (2) examine their associations with cognitive impairment (CI), and (3) identify other factors associated with CI among older adults with Type 2 Diabetes (T2D). A cross-sectional study was conducted in 2016 at a community diabetes clinic in Taiwan. A total of 235 adults aged ≥75 years with T2D were enrolled. Body composition was measured using multi-frequency bioelectrical impedance analysis, and cognitive function was assessed using the Chinese version of the Mini-Mental State Examination. Multivariable logistic regression was used to identify factors associated with CI. Participants had a mean age of 80.7 ± 4.3 years, and 57.9 % were women. The prevalence of SO and sarcopenia was 35.0 % and 42.6 %, respectively. Participants with SO had significantly higher odds of CI than those without SO (adjusted OR = 2.84, p = 0.005). Older age, female sex, and lower education were also independently associated with CI. These findings suggest that SO is an important risk factor for cognitive impairment in older adults with T2D. Routine screening and interventions targeting sarcopenic obesity may help to reduce the risk of cognitive decline in this population.
Fall risk assessment in older adults with overactive bladder: based on the Stopping Elderly Accidents, Deaths, and Injuries (STEADI) algorithm.
Wang C, Zhang M, Yan F … +3 more , Liu S, Xu H, Huo M
Geriatr Nurs · 2026 Apr · PMID 41764895 · Publisher ↗
OBJECTIVES: To evaluates distinct fall risk profiles in older adults with different overactive bladder (OAB) subtypes, based on the STEADI (Stopping Elderly Accidents, Deaths, and Injuries) algorithm. METHODS: This cross...
OBJECTIVES: To evaluates distinct fall risk profiles in older adults with different overactive bladder (OAB) subtypes, based on the STEADI (Stopping Elderly Accidents, Deaths, and Injuries) algorithm. METHODS: This cross-sectional study assessed OAB subtypes and fall risk characteristics in community-dwelling older adults. The participants were divided into 3 categories: no OAB, dry OAB (without incontinence) and wet OAB (with incontinence). Fall risk was evaluated using fall history, fear of falling, and physical performance. Generalized Linear Models were used to examine associations between OAB subtypes and fall history, fear of falling, and physical performance. RESULTS: Among the 408 participants (mean age: 71.23 years; 71.3 % female) for the final analysis, the overall prevalence of OAB was 27.0 %, with 9.1 % classified dry OAB and 17.9 % wet OAB. Compared to those without OAB, wet OAB older adults had a significantly higher incidence of prior falls, greater fear of falling, and slower 10-Meter Walk Test and Timed Up and Go test results (All P < 0.05). In contrast, dry OAB older adults only reported increased fear of falling and reduced 10-Meter Walk test (Both P < 0.05), but no significant difference in fall history or Timed Up and Go test (Both P > 0.05). Neither of the two types of OAB showed a significant decline in the performance of the One-leg Standing test. CONCLUSION: These findings indicate that incontinence represents a critical escalation in fall risk among older adults with OAB, highlighting the need to distinguish between subtypes for more accurate risk assessment.
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