Self-Care Ability Scale for the Elderly--Chinese Version

ABSTRACTBackground:The Geriatric Anxiety Inventory (GAI) was developed to assess anxiety in older adults. The objectives of this work were as follows: (a) to analyze the psychometric properties of the Chinese version of the GAI (GAI-CV), and (b) to explore the extent of anxiety and related factors in the elderly Chinese residents of Beijing.Methods:Participants in this study included 1,047 people (59.4% female) more than 60 years old who were living in the community. They were randomly selected from 15 communities in Beijing. Basic information was collected. Anxiety was measured using the GAI-CV, the Self-Rating Anxiety Scale (SAS), and the Beck Anxiety Inventory (BAI).Results:The GAI-CV exhibited good internal consistency (Cronbach's α = 0.94) and demonstrated good concurrent validity against the SAS (r = 0.52, p = 0.018) and the BAI (r = 0.560, p = 0.000). Item response theory (IRT) analyses showed that the items of the GAI-CV exhibited high difficulty (0.97–2) and discrimination parameters (1.91–5.33). The items exhibited information parameters greater than 1.25 with the exceptions of items 2, 12, and 18. The GAI-CV scores were significantly associated with gender, age, and chronic disease. However, no significant differences due to marriage or education were found.Conclusions:The GAI is a new scale that was specifically designed to measure anxiety in older people. The results of this study suggest that the GAI-CV had good psychometric properties, but some items need to be modified. IRT analyses indicated that the GAI-CV provided good measures of anxiety across the moderately high to very high levels. The GAI-CV may be a useful instrument for further research studies aimed at analyzing high-level anxiety among older adults in China.

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Measuring Depression in Canada's Elderly Chinese Population: Use of a Community Screening Instrument

The Canadian Journal of Psychiatry ◽

10.1177/070674370004500308 ◽

2000 ◽

Vol 45 (3) ◽

pp. 279-284 ◽

Cited By ~ 18

Author(s):

Daniel WL Lai

Keyword(s):

Mental Health ◽

General Health ◽

Concurrent Validity ◽

Chinese Population ◽

Convergent Validity ◽

Depression Scale ◽

The Elderly ◽

The United States ◽

Chinese Version ◽

Elderly Chinese

Objective: To assess the reliability and validity of a 15-item Chinese Geriatric Depression Scale (GDS) to measure depression in Canada's elderly Chinese population. Method A random sample of 96 elderly Chinese in a Canadian city was surveyed by telephone. The measure of depression used was the 15-item Chinese version of the GDS. In addition, the physical and mental health of the respondents was assessed by a Chinese version of the SF-12, questions on self-perceived general health, and questions on self-reported illnesses and health concerns. Results The prevalence rate of depression in the elderly Chinese who participated in this study is approximately 20%, which is much lower than that of elderly Chinese in the United States (US). Cronbach's alpha and split-half reliability coefficients were 0.88 and 0.89 respectively. GDS scores are significantly correlated with the mental health component (r = −0.74) of the SF-12, indicating a strong convergent validity. GDS scores are also correlated with the physical health component of the SF-12 (r = −0.41), self-perceived general health (r = −0.26), and illnesses (r = 0.52), demonstrating concurrent validity. Conclusions: The 15-item Chinese GDS has good internal consistency and both convergent and concurrent validity. It can help to identify depression among the elderly Chinese, allowing early identification and prevention of this problem. Further research is required to support its use in clinical settings.

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Prevalence of disabilities and non-communicable diseases in an elderly population in the Telangana state, India: a population-based cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2020-041755 ◽

2021 ◽

Vol 11 (2) ◽

pp. e041755

Author(s):

Srinivas Marmamula ◽

Satya Brahmanandam Modepalli ◽

Thirupathi Reddy Kumbham ◽

Rajesh Challa ◽

Jill E Keeffe

Keyword(s):

Elderly Population ◽

Self Care ◽

The Elderly ◽

Population Based ◽

Cross Sectional Study ◽

Communicable Diseases ◽

Self Report ◽

Sectional Study ◽

Cross Sectional ◽

Non Communicable Diseases

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.

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The effects of disease-related knowledge on illness perception and psychological status of patients with COVID-19 in Hunan, China

Disaster Medicine and Public Health Preparedness ◽

10.1017/dmp.2021.33 ◽

2021 ◽

pp. 1-30

Author(s):

Man Ye ◽

Shi-hao Chen ◽

Xu-ting Li ◽

Jin Huang ◽

Ran-ran Mei ◽

...

Keyword(s):

Low Income ◽

Illness Perception ◽

Self Care ◽

The Elderly ◽

Diagnosis And Treatment ◽

Psychological Status ◽

Current Status ◽

Average Score ◽

Future Health ◽

Cross Sectional

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.

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Supply and Demand-Related Decisive Factors in the Utilization of Non-Medical Community Healthcare Services among Elderly Chinese

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18010228 ◽

2020 ◽

Vol 18 (1) ◽

pp. 228

Author(s):

Zhao Yu ◽

Lijian Wang ◽

Tolulope Ariyo

Keyword(s):

Supply And Demand ◽

The Elderly ◽

Healthcare Services ◽

Medical Community ◽

Quality Service ◽

Related Factors ◽

Community Healthcare ◽

Elderly Chinese ◽

Service Need ◽

Community Healthcare Services

There is little research on the utilization of non-medical community healthcare services among the elderly, compared with that of medical community healthcare services. From the perspective of both supply and demand, based on the survey data from Shaanxi province, this study examined supply-related factors (including service supply, service quality, service charge and service accessibility) and demand-related factors (including service need, individual financial status, family care support and knowledge of service) affecting the utilization of non-medical community healthcare services among the elderly in China by using Poisson regression. The findings show that service supply, service quality, service need and knowledge of service are positively associated with the utilization of non-medical community healthcare services among elderly Chinese, but the other factors identified in previous studies are not significant predictors for the utilization of the services among the elderly in the context of China. To our knowledge, this is the first study to examine both supply-related factors and demand-related factors affecting the utilization of non-medical community healthcare services among elderly Chinese.

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Identification of self-care behaviors in the elderly

Journal of Professional Nursing ◽

10.1016/s8755-7223(88)80015-2 ◽

1988 ◽

Vol 4 (4) ◽

pp. 285-288 ◽

Cited By ~ 2

Author(s):

Ayeliffe A. Lenihan

Keyword(s):

Self Care ◽

The Elderly

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Does an impaired capacity for self-care impact the prevalence of social and emotional loneliness among elderly people?

Working with Older People ◽

10.1108/wwop-01-2018-0001 ◽

2018 ◽

Vol ahead-of-print (ahead-of-print) ◽

Author(s):

Irena Canjuga ◽

Danica Železnik ◽

Marijana Neuberg ◽

Marija Božicevic ◽

Tina Cikac

Keyword(s):

Health Care ◽

Elderly People ◽

Age Distribution ◽

Self Care ◽

The Elderly ◽

The Self ◽

Content Type ◽

Care Assessment ◽

Significant Difference ◽

The Impact

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.

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