Cognitive ability as a predictor of self-care performance and change in the elderly

1986 ◽  
Vol 1 (2) ◽  
pp. 107-119 ◽  
Author(s):  
A. G. Little ◽  
D. R. Hemsley ◽  
P. J. Volans
BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e041755
Author(s):  
Srinivas Marmamula ◽  
Satya Brahmanandam Modepalli ◽  
Thirupathi Reddy Kumbham ◽  
Rajesh Challa ◽  
Jill E Keeffe

ObjectivesTo assess the prevalence of disabilities (vision, hearing, mobility, cognitive, self-care and communication) and non-communicable diseases (NCDs) among the elderly population in two districts in Telangana, India.DesignPopulation-based cross-sectional study using a cluster random sampling method to select the study clusters.SettingElderly population in Khammam and Warangal districts were recruited. Detailed interviews were conducted by trained community health workers. Personal and demographic information such as age, gender, level of education and a self-report of NCDs was collected. The Washington Disability Questionnaire was administered to assess the presence of disabilities.Participants1821 participants aged ≥60 years, 54.5% were women, and 73.3% had no education.Primary outcome measurePrevalence of disabilities and NCDs.ResultsOverall, the prevalence of at least disability was 20.3% (95% CI 16.3 to 24.9). The prevalence of self- reported disabilities were: seeing (5.9%; 95% CI 4.4 to 7.8), mobility (12.8%; 95% CI 9.7 to 16.8), hearing (3.6%; 95% CI 2.7 to 4.8), cognition (4.8%; 95% CI 3.5 to 6.7), self-care (3.3%; 95% CI 2.3 to 4.7) and communication (1.8%; 95% CI 1.2 to 2.6). Overall, the prevalence of at least one NCD was 34.2% (95% CI 30.9 to 37.7). Hypertension was the most common systemic condition (25.4%; 95% CI 22.4 to 28.7), followed by diabetes (9.0%; 95% CI 7.3 to 11.0), and body pains (muscle-skeletal) (9.9%; 95% CI 8.1 to 12.2).ConclusionEvery fifth elderly person in the districts of Khammam and Warangal in Telangana had at least one self-reported disability. Besides, a third of the elderly had at least one NCD. There is a definite need to develop comprehensive public health strategies to address disabilities and NCDs in Telangana.


Author(s):  
Man Ye ◽  
Shi-hao Chen ◽  
Xu-ting Li ◽  
Jin Huang ◽  
Ran-ran Mei ◽  
...  

Abstract OBJECTIVE: To assess the current status of disease-related knowledge and to analyze the relationship among the general condition, illness perception, and psychological status of patients with COVID-19. METHODS: A hospital-based cross-sectional study was conducted on 118 patients using convenience sampling. The general questionnaire, disease-related knowledge questionnaire of COVID-19, Revised Illness Perception Questionnaire (IPQ-R), and Profile of Mood States (POMS) were used to measure the current status of participants. RESULTS: The overall average score of the disease-related knowledge of patients with COVID-19 was (79.19 ± 14.25), the self-care situation was positively correlated with knowledge of prevention and control (r=0.265, P=0.004) and total score of disease-related knowledge (r= 0.206, P= 0.025); the degree of anxiety was negatively correlated with the knowledge of diagnosis and treatment (r= -0.182, P= 0.049). The score of disease-related knowledge was negatively correlated with negative cognition (volatility, consequences, emotional statements) and negative emotions (tension, fatigue, depression) (P<0.05); positively correlated with positive cognition (disease coherence) and positive emotion (self-esteem) (P<0.05). CONCLUSION It was recommended that we should pay more attention to the elderly and low-income groups, and increase the knowledge about diagnosis and treatment of COVID-19 and self-care in the future health education for patients.


1988 ◽  
Vol 4 (4) ◽  
pp. 285-288 ◽  
Author(s):  
Ayeliffe A. Lenihan
Keyword(s):  

2018 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Irena Canjuga ◽  
Danica Železnik ◽  
Marijana Neuberg ◽  
Marija Božicevic ◽  
Tina Cikac

Purpose The purpose of this paper is to explore the impact of self-care on the prevalence of loneliness among elderly people living in retirement homes and older people living in their homes/communities. Design/methodology/approach The research was conducted through standardized SELSA-L assessment loneliness questionnaires and the Self Care Assessment Worksheet for self-care assessment. The results were processed using the Kruskal–Wallis test. Findings The obtained results have shown that impaired self-care ability affects the prevalence of loneliness among the elderly almost the same in both groups of participants. However, regarding the relationship between the state of health and self-care, only a statistically significant difference in the prevalence of loneliness is found in the case of the participants living in their homes, with the worst health condition affecting the poorer psychological care. Research limitations/implications It is necessary to point out the limitations of the research, primarily sample limitations and the selected design of the study. The sample consisted of two different and relatively small groups of participants which could adversely affect the representativeness of the sample and reduce the possibility of generalising the results. The next limiting factor is the age distribution the authors used in the research, where the age of the participants as a very important variable was collected by age range and not precisely which consequently resulted in inequality in subgroup sizes. Thus, the middle age (75–85) covers up to ten years, which is a huge range at an older age and can mean major differences in functional ability, and can impact the self-care assessment. Practical implications Nurses are indispensable in care for the elderly and they need to promote and encourage self-care of the elderly through health care. Elderly people living in retirement homes should be allowed to participate equally in health care in order to preserve their own autonomy and dignity. However, to benefit those who live in their homes, nurses should be connected to the local community and thus stimulate various forms of preventative (testing blood sugar levels, blood pressure and educating on the importance of preventive examinations) or recreational activities in the environment of elderly people with the goal of preserving their functional abilities. Originality/value The impact of self-care on loneliness was not sufficiently researched, and this paper contributed to understanding the complexity of loneliness phenomena among the elderly with the aim of developing a model of prevention.


1990 ◽  
Vol 3 (1) ◽  
pp. 19-28 ◽  
Author(s):  
Claudia J. Coulton ◽  
Sharon Milligan ◽  
Julian Chow ◽  
Marie Haug

2021 ◽  
Vol 14 (02) ◽  
pp. 82-89
Author(s):  
Ratna Yunita Sari ◽  
Umdatus Soleha ◽  
Erika Chandra Dewi

  Introduction: Diabetes self-care is an effort to control type 2 diabetes mellitus. Family support and self-efficacy are needed for elderly people with type 2 diabetes mellitus to increase independence in managing their disease. This study aims to determine the relationship between family support and self-efficacy with self-care behavior in the elderly with type 2 diabetes mellitus at the Elderly Posyandu in Wadungasri Village. Methods: This study is a quantitative study with a correlational analytic research design using a cross-sectional approach. The population in this study was 132 elderly with type 2 diabetes mellitus using a probability sampling method with a technique used simple random sampling and obtained a sample of 100 elderly DM type 2. Results: The results showed that most of the elderly have family support and good self-efficacy. with less self-care behavior. The results of the analysis using the Spearman rank test showed that family support was associated with self-care for people with diabetes mellitus type 2 (p-value = 0.006, ɑ = 0.05). The results of the Spearman rank test analysis showed that self-efficacy was related to self-care for people with diabetes mellitus type 2 (p-value = 0.001, ɑ = 0.05). Conclusion: Family support and self-efficacy gave to elderly people with type 2 diabetes mellitus can influence health behavior patterns that will make self-care behavior well.


2021 ◽  
Author(s):  
Nuoya Chen ◽  
Pengqi Liu ◽  
Ping Lv ◽  
Francesca Spigarelli

BACKGROUND COVID-19 has rendered the elderly as the vulnerable group with higher death rates in the 50+ age group. In the stereotype, the elderly user group do not have the willingness nor the skills in need to adapt to the fast technology progress. Wide use of AI in health monitoring and health management such as the use of smart phone for online consultation, or the use of wearables to monitor key bio-metrics suggests the transformation to a prevention-based healthcare model and homecare. Telehealth solution usage has been accelerated during COVID. Yet the trust of elderly users with telehealth solutions are thin with many prefer face difficulties in reality to access and use such tools. The preference for telehealth solutions among elderly users remain unexplored as companies usually see it as the niche market where users are not active. Past literatures also mostly examine specific sub-population such as students, patients, current and potential users while none specifically explores the preference of the elderly. OBJECTIVE To explore elderly (>=50 years old) user’s preference for smart health solutions in China. The goal is to analyze why users choose telehealth solutions over traditional health solutions based on a model consisting of the benefits (raise health awareness) and risks of using smart health solutions, demographic factors and social influence. METHODS Past literatures on preference on telehealth solutions was checked carefully. The theoretical is built on technology acceptance model, the dual-factor model and health belief model. The questionnaire consists of 31 questions and was distributed offline on pad. The questionnaires were collected from Shenzhen, Hangzhou, Wuhan and Yichang randomly with 390 effective data samples. Subsequently, Stata 16.0 and SPSS 23.0 and was used to analyze data. O-logit rrdered regression and principle component analysis was the main theoretical model used. Data visualization was also used to illustrate factors in a qualitative manner. RESULTS A logit ranking regression model is used to analyze elderly user preference over telehealth solutions. There are three factors related the preference for telehealth solutions, namely the perceived value, the perceived benefits in self-care and health management and perceived risk in trust over data accuracy embedded in telehealth solutions. The model can predict 80% of all preference for telehealth solutions among 390 survey participants. CONCLUSIONS Perceived value of telehealth solutions do not have a statistically important effect on the elderly user's preference for telehealth solutions. Perceived benefits of telehealth solutions in self-care and health management have a positive impact while the perceived risk in trust over data accuracy over data collected from telehealth solutions have a negative impact on the preference for telehealth solutions among elderly user group.


2018 ◽  
Vol 12 (5) ◽  
pp. 209-218
Author(s):  
Kyung-Ju Lee ◽  
Sang-Mi Jung ◽  
Hyun-Ae Chung ◽  
Myung-Hwa Oh

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