scholarly journals Profiling biopsychosocial health of cancer-diagnosed elderly in Italy by Passi d’Argento, 2016-2017

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
B Contoli ◽  
V Minardi ◽  
V Possenti ◽  
G Carrozzi ◽  
M Cristofori ◽  
...  

Abstract Background PASSI d'Argento (PdA) is an Italian population-based surveillance system, coordinated by the Istituto Superiore di Sanità (ISS) and carried out by the Local Health Units (LHUs). PdA monitors wide-ranged health related-behaviours in the elderly (65+) living in Italy as per the three pillars of the “Active Healthy Ageing” framework: Health, Participation, Security. Methods The PdA sample is randomly selected from the LHU lists, stratified by sex and age. 22,811 records have been collected in 2016-2017 on a representative sample of residents aged over65, not being hospitalised, in long-term care, in a nursing home or prison. Results 3,019 respondents resulted cancer-diagnosed elderly (CDE) reporting cancer diagnosis or confirmation, leukaemia and lymphomas included (annual average prevalence of 12.8%, Confidence Intervals 95%: 12.1-13.4%; one million and 729 thousand people). CDE refer: poorer health conditions (22%) than Chronic Elderly Patients (CEP; 18%) and Healthy Elderly (HE; 5%), sight impairment (12%), hearing loss (15%) and chewing problems (14%). CDE (10%) and CEP (11%) are more prone to fall than HE do (6%). Disability accounts for 21% in CDE and CEP vs. 12% in HE. A multivariate analysis confirms a compromised psychophysical health profile in CDE vs. HE, and vs. CEP. CDE behave still unhealthily, are insufficiently advised by health professionals, do not comply with the seasonal flu vaccination [Health]. CDE face increased risk for isolation or cognitive decline: they experience lower social connectedness (17%) than CEP (20%) and HE (28%) [Participation], and perceive higher neighbourhood insecurity (19%) than how CEP (17%) and HE (13%) do [Security]. Conclusions PdA data on the poor biopsychosocial health profile of CDE highlight to what extent healthy behaviours and prevention can ameliorate their quality of life PdA calls for global action strategies in Italy, which aim at taking complete charge of CDE and also CEP. Key messages In Italy, elderly cancer survivors show poor biopsychosocial health profile and overall quality of life. By modifying behaviours, elderly suffering from any cancer or chronic disease can age healthily.

2020 ◽  
Vol 62 (2) ◽  
pp. 86-91
Author(s):  
Justyna Pawlak ◽  
Małgorzata Dudkiewicz ◽  
Łukasz Kikowski

Introduction: The progressing aging process and comorbidities worsen the efficiency of the balance system in the elderly, which leads to a weakening of stability and, as a consequence, to falls and injuries. The first ones lead to: worsening of functioning, reduced mobility, an increased risk of disease and mortality, therefore systematic physical activity and shaping the balance using physiotherapy, which can prevent dangerous falls is very important. Aim: Assessment of the therapeutic effect of physiotherapy on minimizing imbalances in geriatric patients. M aterial and Methods: The study group consisted of 46 people, including 32 women (69.6%) and 14 men (30.4%); average age of respondents – 72.5 years. They were patients of the Department of Rehabilitation of Poddębice Health Center, Ltd. The researchers used a self-made questionnaire, body mass to height index (BMI) and the Tinetti Test. Results: Patients with an elevated BMI (89.1%), as well as those taking more than 4 medication (78.3%), have had more falls over the past year (respectively 91.4% and 81.4%). After the use of comprehensive therapy, none of the patients achieved a worse result than before the physiotherapy while 91.3% of the respondents had an increase in the number of points scored in the Tinetti Test. The percentage of patients at high risk of falling reduced from 67.4% to 37%. There was also a decrease in the fear of walking (in 58.7%), falling (in 57.7%) and climbing stairs (in 47.9%). According to 78.3% of respondents, physiotherapy positively affected their independence and quality of life. Conclusions: The use of comprehensive physiotherapy reduces the fear of walking, climbing stairs and falling, which can be a good predictor of prevention. Both polypragmasia and an elevated body mass index (BMI) increase the risk of falling. Comprehensive physiotherapy of geriatric patients helps to improve balance and gait stereotype. Physiotherapy for the elderly helps improve the quality of life, independence, minimize imbalances, and thus reduce the risk of falls. Balance exercises play an important role in preventing falls.


2014 ◽  
Vol 5 (3/4) ◽  
pp. 61-64
Author(s):  
Álvaro Da Silva Santos ◽  
Joilson Meneguci ◽  
Rodrigo Eurípedes Da Silveira ◽  
Fernanda Avelar Marquez ◽  
Verônica Aparecida Ferreira ◽  
...  

Resumo: Estudo quantitativo que analisou o perfil de saúde e qualidade de vida da população idosa do município de Santa Juliana-MG. Entre os207 idosos, 53,6% eram mulheres, com idade média de 70±7,5 anos. 56% vivem com companheiro e 78,7% são aposentados. A Hipertensão Arterial,a cardiopatia e doenças reumáticas foram as mais relatadas e com relação à qualidade de vida, o domínio meio ambiente era o mais prejudicado. Apesquisa aponta a necessidade de ações de promoção e educação em saúde tendo como foco o autocuidado, a prevenção de agravos e incorporandoestratégias de atenção social ao idoso.Descritores: Perfil de saúde, Idoso, Qualidade de vida.Health profile and quality of life of the elderly in Santa Juliana (MG)Abstract: Quantitative study that examined the health profile and quality of life of the elderly population of the municipality of Santa Juliana-MG.Among the 207 individuals, 53.6% were women, aged about 70 ± 7.5 years. 56% live with companion and 78.7% are retired. High blood pressure, heartdisease and rheumatic diseases were the most reported and with regard to the quality of life, the environment was the most affected. This research pointsthe need for promotional and health education focusing the self-care, prevention of diseases and social attention strategies incorporating the elderly.Descriptors: Health profile; Aged; Quality of life.Perfil de salud y calidad de vida de los ancianos de Santa Juliana (MG)Resumen: Estudio cuantitativo que examina el perfil de salud y la calidad de vida de la población anciana del municipio de Santa Juliana-MG. Entre los207 individuos, 53,6% eran mujeres, con edad media de 70 ± 7,5 años. 56% vive con acompañante y 78.7% son aposentados. La presión arterial alta,enfermedades del corazón y enfermedades reumáticas fueron las más reportadas y con respecto a la calidad de vida, el medio ambiente fue el dominiomás afectado. Esa investigación apunta la necesidad de promoción y educación para la salud centrándose en autocuidado, prevención de enfermedadesy estrategias de atención social incorporando los ancianos.Descriptores: Perfil de salud; Anciano; Calidad de vida.


2018 ◽  
Vol 51 (4) ◽  
pp. 1702114 ◽  
Author(s):  
Sébastien Chanoine ◽  
Margaux Sanchez ◽  
Isabelle Pin ◽  
Sofia Temam ◽  
Nicole Le Moual ◽  
...  

Multimedication related to multimorbidity is common in the elderly with asthma. We aimed at comprehensively characterising medications used by elderly women and assessing how multimedication impacts on asthma prognosis.We performed network-based analyses on drug administrative databases to visualise the prevalence of drug classes and their interconnections among 17 458 elderly women from the Asthma-E3N study, including 4328 women with asthma. Asthma groups sharing similar medication profiles were identified by a clustering method relying on all medications and were studied in association with adverse asthma events (uncontrolled asthma, attacks/exacerbations and poor asthma-related quality of life).The network-based analysis showed more multimedication in women with asthma than in those without asthma. The clustering method identified three multimedication profiles in asthma: “Few multimorbidity-related medications” (43.5%), “Predominantly allergic multimorbidity-related medications” (32.8%) and “Predominantly metabolic multimorbidity-related medications” (23.7%). Compared with women belonging to the “Few multimorbidity-related medications” profile, women belonging to the two other profiles had an increased risk of uncontrolled asthma and asthma attacks/exacerbations, and had lower asthma-related quality of life.The integrative data-driven approach on drug administrative databases identified specific multimorbidity-related medication profiles that were associated with poor asthma prognosis. These findings support the importance of multimorbidity in the unmet needs in asthma management.


2021 ◽  
pp. 29-37
Author(s):  
Endang Sri Wahyuni ◽  
Retna Febri Arifiati

ABSTRACT Background: The increase in the number of elderly people needs to be balanced with increased expectations and quality of life. One of the causes of the low quality of life of the elderly is influenced by a lack of physical activity. Efforts that can be made to improve the quality of life of the elderly are by doing physical activity or exercising regularly. This study aims to determine the effect of physical activity on the quality of life of the elderly. Methods: This type of research is quantitative, pre-experimental with one group pretest-posttest design, using purposive sampling technique. The research instrument was the WHOQOL-BREF questionnaire. The research subjects were 30 people. Data analysis used the Wilcoxon test. Results: As many as 80% of the subjects were in the age range 66-74 years, 26 subjects were women (53.3%), the latest education was dominated by Bachelor 43.4%. As many as 76.7% are retired civil servants, 70% still have a partner, 26.7% live with a partner and children, and 66.7% are healthy elderly without a history of disease. The results show a positive value and an increase in the mean in each domain. The asymptotic significance values of the pre-post Wilcoxon ranking test on the domain of physical and environmental conditions were 0.000 and 0.003 on psychological conditions and social relationships. Conclusion: The provision of physical activity interventions in the form of flexible exercise for the elderly has a significant impact on improving the quality of life of the elderly.


2021 ◽  
Vol 1 (06) ◽  
Author(s):  
Marcus Vinicius Lessa de Souza

Geriatrics help prevent and promote actions that help to minimize the impacts on the quality of life of the elderly. Being the nurse together with a multidisciplinary team, of vital importance in the development of these actions, The Nurse seeks to adapt the reality and the environment to which the elderly person is, thus enabling a better quality of life in this environment. The audiologist audiologist aims at a concern in hearing health, seeking to assist in the prevention and promotion of actions that help patients to have a more effective social interaction and avoid isolation in the face of difficulties that they may present. In short, the natural aging process causes damage to various functions of the human body, and one of them is auditory. The presence of hearing loss has several negative consequences for the quality of life of individuals, especially social isolation and in these cases hearing aids end up being strong allies to minimize the impacts that hearing loss causes on people's lives. Thus, this work aims to relate the issue of social isolation caused by hearing loss, increased risk of depression in the selection process and adaptation of hearing aids for the elderly and the role of the geriatric nurse aiming at improving the quality of life and preventing problems that may arise. In this study, a bibliographic search was made in the databases and an interface between two areas of health: Nursing and Speech Therapy, and its search to improve the quality of life of the elderly population as a social being.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 853-853
Author(s):  
Mallory Richert

Abstract Nursing assistants often experience high rates of turnover and burnout, which may lead to poor resident care outcomes and quality of life, as well as continued staff shortages and increased workload for nursing assistants. This study examined personality correlates of burnout and compassion satisfaction among 100 nursing assistants employed as nursing assistants in long-term care (LTC) and hospitals throughout the United States. Participants completed the Professional Quality of Life Scale 5 (ProQOL 5) and the Big Five Inventory – 2 Short (BFI-2-S). There was a significant positive correlation between compassion satisfaction and agreeableness, and extraversion, and between burnout and neuroticism. Additionally, there were significant negative correlations between compassion satisfaction and neuroticism, and between burnout and agreeableness, and extraversion. These results indicate which nursing assistants may be more likely to experience burnout and may be at an increased risk of turnover. Specific interventions may be developed for such individuals to increase compassion satisfaction, reduce burnout, and reduce staff turnover. Furthermore, information regarding personality types of individuals at greater or lesser risk for burnout may be helpful for LTC administrators in the recruitment and hiring of nursing assistants, and thus may reduce rates of turnover. Resident care outcomes may also improve as nursing assistant hiring efforts are focused more on individuals who are less likely to experience burnout. Future researchers might investigate potential risk and protective factors for burnout and compassion satisfaction in nursing assistants.


2020 ◽  
Vol 5 (2) ◽  
pp. 105-114
Author(s):  
Rosmin Ilham ◽  
Zainuddin

 Happy and healthy elderly people can only be achieved if they feel physical, mentally / spiritually and socially healthy, feel needed, feel loved, have self-respect, and can participate in life. Fulfillment of the highest need, namely spirituality, then a person has a quality life, thus it is appropriate for an elderly person to have their spiritual needs fulfilled. The purpose of this study was to determine the relationship between spiritual support and the quality of life of the elderly in Ko'mara Village, Polut District, Takalar Regency. This research method is descriptive-analytic with cross-sectional study design. The population in this study were all elderly who live in Ko'mara Village, Polongbangkeng Utara District, Takala Regency with a population of 333 elderly and a sample of 65 respondents, selected by random sampling. Data processing / Chi-Square Test is presented in narrative and table form. The results of this study indicate that the spiritual support of the elderly with a positive category of 36 respondents (55.4%) and a negative category of 29 respondents (44.6%), the quality of life of the elderly with a high category of 33 respondents (50.8%) and a low category of 32 respondents. (49.2%) and there is a relationship between Spiritual Support and Quality of Life of the Elderly in Ko'mara Village, Polongbangkeng Utara District, Takalar Regency. Chi-Square Test obtained value (p = 0.001). The conclusion in this study is that there is a relationship between spiritual support and the quality of life of the elderly in Ko.mara Village, Polongbangkeng Utara District, Takalar Regency. Researchers suggest the need for information by the elderly to participate in religious activities so that spiritual support can improve the quality of life of the elderly in Ko'mara Village, Polongbangkeng Utara District, Takalar Regency.


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