Self-care ability among home-dwelling older people in rural areas in southern Norway

Ситуация пандемии COVID-19 в очередной раз напомнила о необходимости использования онлайн-сообществ здоровья, особенно в тех районах, где не хватает мест в местных больницах или существуют проблемы с получением качественной медицинской помощи. Это, например, сельские районы, где медицина ориентирована на лечение экстренно возникающих заболеваний и у врачей существуют сложности с возможностью лечения новой коронавирусной инфекции. Онлайн-сообщества здоровья в таком случае предоставляют возможность узнать необходимую информацию, а также общаться со специалистами, которые знают особенности нового коронавируса и могут дать необходимые советы. В настоящей статье на примере глубинных интервью с пожилыми людьми из сёл Ленинградской обл. и Республики Карелия рассмотрена роль телемедицины для пожилых людей и общения в онлайн-сообществах здоровья в контексте преодоления одиночества и изолированности, которая существует в сельской местности. В статье проанализированы особенности и основные препятствия для использования пожилыми людьми телемедицины и общения в онлайнсообществах здоровья - это проблемы с инфраструктурой и отключением электричества, отсутствие у пожилых людей компьютерной грамотности для общения и взаимодействия в онлайн-сообществах здоровья. Роль последних рассмотрена с точки зрения развития самозаботы пожилых людей в сельской местности в периферийных поселениях из-за отсутствия необходимой медицинской помощи. The situation of the COVID-19 pandemic has once again reminded of the need to use telemedicine and online health communities, especially in areas where there are not enough places in local hospitals or there are problems with obtaining quality medical care, such as rural areas where rural medicine is focused on treatment of emergency diseases and doctors have difficulties with the possibility of treatment, as well as explaining about the new coronavirus infection to patients and how this disease can be treated. In this case, online health communities provide an opportunity to find out the necessary information, as well as communicate with specialists who know the features of the new coronavirus and can give the necessary advice. Using the example of in-depth interviews with older people from villages in the Leningrad Region and the Republic of Karelia, the article examines the role of telemedicine for older people and communication in online health communities in the context of overcoming loneliness and isolation that exist in rural areas. The article analyzes the features of the use of telemedicine and the key barriers to the use of telemedicine and communication of older people in online disease communities. In rural areas the main barriers to telemedicine use are infrastructure problems and power outages, as well as the lack of computer literacy for communication and elder people’s interaction in online health communities. In the article the role of online health communities is considered in the context of the self-care of older people and from the point of view of the development of self-care of older people in rural peripheral settlements due to the lack of necessary medical care.

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Ability for self-care in urban living older people in southern Norway

Journal of Multidisciplinary Healthcare ◽

10.2147/jmdh.s29388 ◽

2012 ◽

pp. 85 ◽

Cited By ~ 12

Author(s):

Kari Sundsli ◽

Ulrika Söderhamn ◽

Espnes ◽

Olle Söderhamn

Keyword(s):

Older People ◽

Self Care ◽

Urban Living ◽

Southern Norway

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The impact of living arrangements and intergenerational support on the health status of older people in China: are rural residents disadvantaged compared to urban residents?

Ageing and Society ◽

10.1017/s0144686x21000702 ◽

2021 ◽

pp. 1-26

Author(s):

Yazhen Yang ◽

Maria Evandrou ◽

Athina Vlachantoni

Keyword(s):

Life Satisfaction ◽

Older People ◽

Adult Children ◽

Rural Areas ◽

Living Arrangements ◽

Psychological Wellbeing ◽

Urban Residents ◽

Intergenerational Support ◽

Rural Residents ◽

The Impact

Abstract Research to-date has examined the impact of intergenerational support in terms of isolated types of support, or at one point in time, failing to provide strong evidence of the complex effect of support on older persons’ wellbeing. Using the Harmonised China Health and Retirement Longitudinal Study (2011, 2013 and 2015), this paper investigates the impact of older people's living arrangements and intergenerational support provision/receipt on their physical and psychological wellbeing, focusing on rural–urban differences. The results show that receiving economic support from one's adult children was a stronger predictor for higher life satisfaction among rural residents compared to urban residents, while grandchild care provision was an important determinant for poor life satisfaction only for urban residents. Having weekly in-person and distant contact with one's adult children reduced the risk of depression in both rural and urban residents. Older women were more likely than men to receive support and to have contact with adult children, but also to report poor functional status and depression. The paper shows that it is important to improve the level of public economic transfers and public social care towards vulnerable older people in rural areas, and more emphasis should be placed on improving the psychological wellbeing of urban older residents, such as with the early diagnosis of depression.

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Association between self-care agency and depression and anxiety in patients with diabetic retinopathy

BMC Ophthalmology ◽

10.1186/s12886-021-01883-w ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Bo Zhang ◽

Qin Wang ◽

Xuancan Zhang ◽

Li Jiang ◽

Lezhi Li ◽

...

Keyword(s):

Diabetic Retinopathy ◽

Rural Areas ◽

Self Care ◽

Depression Scale ◽

Anxiety Symptoms ◽

Depression And Anxiety ◽

Clinical Factors ◽

Cross Sectional ◽

History Of ◽

Care Agency

Abstract Background This study aimed at investigating: 1) the relationship between self-care agency and depression and anxiety; 2) the sociodemographic and clinical factors associated with depression and anxiety in patients with diabetic retinopathy (DR) in China. Methods A cross-sectional study was conducted. One-hundred and five patients with DR were recruited. Self-care agency was assessed by the exercise of self-care agency (ESCA) scale. Depression and anxiety were assessed by the hospital anxiety and depression scale (HADS-D and HADS-A). Pearson or Spearman correlations were performed to assess the association between self-care agency and depression and anxiety. Stepwise multivariate linear regression analyses were conducted to assess the contribution of the sociodemographic and clinical factors to depression and anxiety. Results Thirty-six (34.3%) and 43 (41.1%) patients exhibited depressive and anxiety symptoms, respectively. Only 24 (22.9%) patients showed a high self-care agency. The ESCA total and subscale scores were negatively correlated depressive symptoms (P < 0.05). Self-care skills were negatively correlated with anxiety symptoms (P < 0.05). ESCA total score, rural residence, history of hypertension and visual acuity were associated with depression; self-care skills and diastolic blood pressure were associated with anxiety. Conclusions Self-care agency negatively correlates with depression and anxiety in patients with DR. Special attention should be paid to patients living in rural areas and/or those having a history of hypertension when assessing depression and anxiety in patients with DR. Future studies are needed to clarify the causal relationship between self-care agency and depression and anxiety.

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Educational programmes for frail older people, their families, carers and healthcare professionals

Wiener klinische Wochenschrift ◽

10.1007/s00508-021-01900-4 ◽

2021 ◽

Author(s):

Rachel J. Viggars ◽

Andrew Finney ◽

Barnabas Panayiotou

Keyword(s):

Health Promotion ◽

Older People ◽

Health Professionals ◽

Data Extraction ◽

Self Care ◽

Cross Sectional Study ◽

Older Individuals ◽

Cross Sectional ◽

Educational Programmes ◽

Quasi Experimental

Summary Background More people are living with frailty and requiring additional health and support services. To improve their management, the “Frailty: Core Capability Framework” in the United Kingdom recommends frailty education for older individuals, their families, carers and health professionals. We performed a systematic review of specific educational programmes for these groups. Methods Electronic databases were searched using dedicated search terms and inclusion criteria. To improve accuracy, two reviewers carried out the screening and selection of research papers. Information from included studies was collected using a tailored data extraction template, and quality appraisal tools were used to assess the rigour of the studies. The findings were analysed to identify key themes. Results A total of 11 studies met the criteria and were included in the review. The study populations ranged from 12 to 603 and the research designs were heterogeneous (6 qualitative; 2 randomised controlled trials; 1 quasi-experimental; 1 mixed methods; 1 cross-sectional study). Whilst some methodological shortcomings were identified, all studies contributed valuable information. The results underwent narrative synthesis, which elucidated four thematic domains: (1) accessibility of educational programmes, (2) empowerment, (3) self-care, and (4) health promotion (especially exercise and nutrition). Conclusion Educational programmes for older people, their carers and health professionals are important for effective frailty prevention and management. To be maximally beneficial, they should be easily accessible to all target populations and include empowerment, self-care and health promotion. Further research should explore the formulation of widely applicable, user-friendly programmes and delivery formats that can be tailored to different client groups.

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Helping Carers Care: An Education Programme for Rural Carers of People with a Mental Illness

Australasian Psychiatry ◽

10.1080/j.1440-1665.2005.02178.x ◽

2005 ◽

Vol 13 (2) ◽

pp. 148-153 ◽

Cited By ~ 1

Author(s):

Faye Hayman

Keyword(s):

Mental Illness ◽

Rural Areas ◽

Self Care ◽

Well Being ◽

Education Programme ◽

Educational Programme ◽

Short Term ◽

Descriptive Information ◽

Exchange Programme ◽

Positive Outlook

Objective: To provide descriptive information about a short-term educational programme for rural carers of people with a mental illness, living in the Loddon Campaspe Southern Mallee region. Method: The Carers Education Exchange Programme is a flexible, needsbased model that can be modified to cater for individual groups. It consists of a number of sessions on topics relevant to caring for someone with a mental illness, held over a period of several weeks. The programme is offered at locations throughout the region, making it accessible to carers in isolated, rural areas. Results: Feedback indicates that the benefits of participating in the programme include the reduction of isolation and stigma, increased understanding of mental illness, development of skills relevant to the caring role and the formation of supportive networks, both professional and personal. Conclusions: Educational group programmes for carers are an effective way of providing both education and support. This programme can assist in reducing some of the distress and difficulties inherent in caring for someone with a mental illness. Carer well-being is enhanced by the promotion of self-care and a positive outlook.

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Village senior centres and the living arrangements of older people in rural China: considerations of health, land, migration and intergenerational support

Ageing and Society ◽

10.1017/s0144686x16000714 ◽

2016 ◽

Vol 37 (10) ◽

pp. 2044-2073 ◽

Cited By ~ 1

Author(s):

HUIJUN LIU ◽

KAREN N. EGGLESTON ◽

YAN MIN

Keyword(s):

Older People ◽

Rural Areas ◽

Living Arrangements ◽

Urban Areas ◽

Independent Living ◽

Rural China ◽

Living Arrangement ◽

Population Ageing ◽

Intergenerational Support ◽

North East

ABSTRACTChina is experiencing rapid urbanisation and population ageing, alongside sometimes contentious rural land consolidation. These on-going social, economic, political and demographic changes are especially problematic for older people in rural areas. In these regions, social and institutional support arrangements are less developed than in urban areas; older people have few options for re-settlement but are resistant to or incapable of adjusting to high-rise apartment living. In 2012–13, we gathered rich qualitative and quantitative data on over 600 older residents in 12 villages under the jurisdiction of City L in north-east coastal China to analyse residents’ living arrangement choices during the village renovation process. We compared villages with and without senior centres to shed light on the correlates of co-residence and independent living. Senior centres play a role in balancing the burden on rural Chinese families resulting from population ageing, smaller families, widespread migration for work, and the rapid urbanisation that is restructuring land rights and social support arrangements.

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The welsh Welsh - Y Cymry cymreig: A study of cultural exclusion among ruraldwelling older people using a critical human ecological framework

International Journal of Ageing and Later Life ◽

10.3384/ijal.1652-8670.18399 ◽

2018 ◽

Vol 12 (2) ◽

pp. 119-151 ◽

Cited By ~ 1

Author(s):

Bethan Winter ◽

Vanessa Burholt

Keyword(s):

Life History ◽

Older People ◽

Rural Areas ◽

Population Change ◽

Ecological Framework ◽

Comparison Theory ◽

Family Structures ◽

Documentary Sources ◽

Period Effects ◽

South Wales

Research on cultural exclusion has not kept apace with transformations to rural populations, economy, family structures and community relationships. Cultural exclusion refers to the extent to which people are able or willing to conform to cultural norms and values. We theorise cultural exclusion using the critical human ecological framework and social comparison theory, taking into account period effects, area effects and cohort and/or lifecourse effects. Qualitative case studies in three rural areas of South Wales (United Kingdom) synthesise data from life-history interviews, life-history calendars, documentary sources and focus groups (n = 56). Our findings suggest that cultural exclusion is an issue for rural-dwelling older people, which they describe by temporal self-comparison and group comparisons. The critical human ecological framework provides new insight into the drivers (industrial decline, policy and population change, a shift from collectivism to individualism), and outcomes (sense of belonging, community cohesion) of cultural exclusion experienced by rural-dwelling older people.

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Exploring the Preparedness of Ghanaians for Retirement and Ageing: A Case Study of the Cape Coast Metropolitan Area

Asian Journal of Humanities and Social Studies ◽

10.24203/ajhss.v6i5.5475 ◽

2018 ◽

Vol 6 (5) ◽

Author(s):

Irene Korkoi Aboh ◽

Busisiwe P. Ncama

Keyword(s):

Focus Group ◽

Older People ◽

Old Age ◽

Rural Areas ◽

Elderly Persons ◽

Focus Group Discussions ◽

Cape Coast ◽

Group Discussions ◽

Traditional System ◽

The Family

Introduction:Â There is evidence of the inability of older people in Nigeria, Ghana and other developing countries to sustain themselves through savings, assets or pensions. This situation highlights the minimal benefit of pensions, savings or assets as income sources for older people; old age very often brings poverty and disability.Â Methodology: A qualitative interpretive design informed the study. The study area was categorized into three distinct ecological areas namely urban, periurban and rural areas. Twenty interviews and three focus group discussions with 68 elderly persons were conducted in ten sub-districts in the Cape Coast Metropolis, Ghana. The forty-eight elderly individuals were put into groups of 8, 20 and 20 for the focus group discussions. Data was thematically analysed.Results: Four major themes and subthemes were identified to reflect the pertinent issue of exploring and defining the preparedness of people for their retirement and ageing. There was evidence that preparing for old age is not an active precedent for the people of Cape Coast and they still believe in the traditional system of caring where it is the sole responsibility of the family to care for its own aged members.Conclusion: It is evident that formal care is not practiced in Ghana and that the aged therefore find the idea bewildering. They want to experience this care, but existing norms expect the family members to single-handedly provide care for their aged.

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