scholarly journals RESEARCH AND ANALYSIS OF THE HEALTH STATUS OF ELDERLY PEOPLE

2019 ◽  
Vol 7 (1) ◽  
pp. 73-78
Author(s):  
Tanya Paskaleva ◽  
Biyanka Torniyova ◽  
Maya Vizeva ◽  
Dimitar Shopov

Ageing is a clearly identifiable time and life period that is associated with a number of medico-social problems, which are to a great extent connected to the changes that occur in the organism at that age. Together with the problems, due to involutive processes and the functional peculiarities, one should not underestimate such, connected to morbidity. Aim: To research and analyze the health status of the elderly people. Materials and methods - There has been conducted a direct individual anonymous questionnaire amongst elderly people aged 60 or more, through accidental principle, in the period between April 2016 and February 2018. Results: The analysis of the health status of the elderly people shows multiple pathologies - highest is the rate of the cardiac diseases. A characteristic feature of the pathology with the elderly people is its multitude - 49% have stated two and three diseases. Women have more often three and more diseases, and with men there prevail the percentage without any diseases. The city dwellers are with higher average rate of the number of diseases and it is more often that they suffer from chronic diseases. 65,2% of the respondents with lower incomes (up to 150 lv.) have been in dispensaries owing to a chronic disease. Highest is the rate of the respondents who assess their health status as satisfactory – 49,1%.

2018 ◽  
Vol 12 (11) ◽  
pp. 2923 ◽  
Author(s):  
Geisiane Oliveira Silva ◽  
Luma Costa Pereira Peixoto ◽  
Dieslley Amorim de Souza ◽  
Alana Libânia de Souza Santos ◽  
Aline Cristianede Souza Azevedo Aguiar

RESUMOObjetivo: compreender as concepções de pessoas idosas acerca das repercussões do adoecimento crônico na sua saúde mental. Método: trata-se de estudo qualitativo, descritivo, realizado com 13 pessoas idosas com diagnóstico de doenças crônicas cadastradas em uma Unidade de Saúde da Família. Coletaram-se as informações a partir da aplicação de um formulário de um roteiro de entrevista semiestruturada. Analisaram-se as entrevistas conforme a técnica de análise de conteúdo. Resultados: a partir da análise do conteúdo das descrições originárias das entrevistas, emergiram quatro categorias temáticas: << Sentimentos relacionados à doença crônica >>; << Mudanças nos hábitos de vida após a descoberta da doença crônica >>; << Dificuldade para aceitação da doença crônica >>; e << A busca pela espiritualidade para aceitação da doença crônica >>. Conclusão: percebeu-se, com o alcance do objetivo do estudo, a necessidade de qualificação dos profissionais atuantes da Atenção Básica para assistir o ser idoso, não apenas para a resolutividade de suas demandas no momento, mas também para saber ouvir e identificar as possíveis repercussões que esse adoecimento traz para a vida desses indivíduos e sua saúde mental. Descritores: Saúde Mental; Doença Crônica; Idoso; Envelhecimento; Sentimentos; Impacto Psicossocial.ABSTRACT Objective: to understand the conceptions of elderly people about the repercussions of chronic diseases on their mental health. Method: qualitative, descriptive study with 13 elderly people diagnosed with chronic diseases registered in a Family Health Unit. The information was collected through the application of a form of a semi-structured interview script. The interviews were analyzed according to the content analysis technique. Results: the analysis of the content of the descriptions collected in the interviews resulted in four thematic categories: << Feelings related to the chronic disease >>; << Changes in life habits after the discovery of the chronic disease >>; << Difficulty to accept the chronic disease >> and << Search for spirituality for acceptance of the chronic disease >>. Conclusion: in order to reach the objective of the study, it was noticed the need to qualify professionals working in Primary Care to assist the elderly people, not only for the resolution of their demands at the moment, but also to know how to listen and identify possible repercussions that this disease brings to the lives of these individuals and to their mental health. Descriptors: Mental Health; Chronic disease; Elderly; Aging; Feelings; Psychosocial Impact.RESUMEN Objetivo: comprender las concepciones de personas ancianas acerca de las repercusiones de enfermedades crónicas en su salud mental. Método: estudio cualitativo, descriptivo, realizado con 13 personas ancianas con diagnóstico de enfermedades crónicas registradas en una Unidad de Salud de la Familia. Las informaciones fueron recogidas a partir de la aplicación de un formulario de una guía de entrevista semi-estructurada. Se analizaron entrevistas conforme a la técnica de análisis de contenido. Resultados: a partir del análisis de contenido de las descripciones originarias de las entrevistas, surrgieron cuatro categorías temáticas: << Sentimientos relacionados a la enfermedad crónica >>; << Cambios en los hábitos de vida después de descubrir la enfermedad crónica >>; << Dificultad para aceptación de la enfermedad crónica >> y << La búsqueda por la espiritualidad para aceptación de la enfermedad crónica >>. Conclusión: con el alcance del objetivo del estudio, se percibió la necesidad de calificación de los profesionales actuantes de la Atención Básica para asistir el ser anciano, no apenas para la resolutividad de sus demandas en el momento, pero también para saber oir e identificar las posibles repercusiones que esa enfermedad trae para la vida de estos individuos y su salud mental. Descriptores: Salud mental; Enfermedad crónica; Ancianos; Envejecimiento; Sentimientos; Impacto Psicosocial.


2019 ◽  
Vol 12 (2) ◽  
pp. 84-90
Author(s):  
Ghazal Shagerdi ◽  
Haleh Ayatollahi ◽  
Fatemeh Oskouie

Introduction: Population aging and related issues are among the most important challenges in different countries. It seems that the use of remote technology can provide the elderly with better healthcare services and can help them to manage chronic diseases. This research aimed to investigate the experts' views about the feasibility of using mobile-based technology to manage chronic diseases in the elderly. Methods: This was a survey study which was completed in 2018. The participants were the faculty members of the department of geriatrics across the country (n=33). In order to collect data, two questionnaires were used. The first questionnaire contained questions related to the five dimensions of a feasibility study and the second questionnaire consisted of five open questions about the opportunities, threats, strengths and weaknesses of using mobile-based technology in chronic disease management. The qualitative data were analyzed by using content analysis method and the quantitative data were analyzed by using descriptive statistics. Results: From the participants’ perspectives, it was feasible to use mobile-based technology in chronic disease management for elderly people. The mean values for five feasibility dimensions were as follows: ethico-legal dimension (4.09±1.01), scheduling dimension (3.70±1.03), economic dimension (3.47±1.04), operational dimension (3.42±1.12) and technical dimension (3.07±1.27). While such a technology can help increasing the accessibility of healthcare services, raising health literacy, and saving time and costs, the main threats, namely; the misinterpretation of information and the possibility of breeching confidentiality should not be underestimated. Conclusion: The results showed that mHealth and remote medical technologies can be used for chronic disease management among elderly people. However, these technologies have some strengths and weaknesses. In order to succeed in the development and implementation of these projects, it is essential to consider probable threats and weaknesses before implementing the applications.


1999 ◽  
Vol 55 (3) ◽  
pp. 9-14
Author(s):  
C. J. Eales

Health care systems for elderly people should aim to delay the onset of illness, reducing the final period of infirmity and illness to the shortest possible time. The most effective way to achieve this is by health education and preventative medicine to maintain mobility and function. Changes in life style even in late life may result in improved health, effectively decreasing the incidence of chronic diseases associated with advancing age. This paper presents the problems experienced by elderly persons with chronic diseases and disabilities with indications for meaningful therapeutic interventions.


2021 ◽  
Vol 9 ◽  
Author(s):  
Xiao-Mei Li ◽  
Jing Kou ◽  
Zhen Yu ◽  
Yuan-Yuan Xiao ◽  
Qiong Meng ◽  
...  

The Chinese government stresses healthcare reform to improve the health of all residents in urban and rural areas. However, much research showed that inequities still existed in health status and health services utilization in China, especially in economically disadvantaged areas. Southwest China's Yunnan Province is an ethnic frontier region with lagging economic development. This study analyzed health equity among rural residents with various socio-economic and demographic statuses in Yunnan Province. Research on this area concerns rural residents. Our study was based on a household study sample consisting of 27,395 participants from six counties in Yunnan. For all participants, data on demographic and socio-economic characteristics, and health status were collected. The chi-square test and logistic regression were used to analyze factors influencing health. The concentration index was used to evaluate health equity. For all respondents, the 2-week prevalence, the prevalence of chronic diseases, and the required hospitalization rate were 7.3, 12.8, and 9.2%, respectively. After adjusting the age proportion of the sixth population census of Yunnan Province, the 2-week prevalence was 7.1%, the prevalence of chronic disease was 10.7%, and the hospitalization rate was 8.4%. The concentration indexes (CIs) reflecting health equity among the respondents with different incomes and educational levels were negative. There was health inequity among respondents with different incomes and educational levels. The respondents with lower incomes and educational levels had worse health. The common influencing factors included gender, age, ethnicity, occupation, marriage status, and the number of family members. Females, the aged, ethnic minorities, farmers, and the divorced or widowed had worse health status than the control groups. Larger numbers of family members correlated with better health. The respondents with lower incomes or educational levels had higher chronic disease prevalences. The associations between the 2-week prevalence, required hospitalization rate, and age were U-shaped; the lowest age group and the highest age group had higher rates. In conclusion, more attention should be paid to females, the aged, ethnic minorities, farmers, the divorced or widowed, residents with low income and low educational level, and those with chronic diseases.


2018 ◽  
Vol 1 (1) ◽  
pp. 24-34
Author(s):  
Bahtiar Bahtiar ◽  
Sahar Sahar ◽  
Junaiti Junaiti ◽  
Wiarsih Wiarsih ◽  
Wiwin Wiwin

Background: Psychological problems have an impact on the elderly with chronic diseases thus affecting health status. Objective: The purpose of this study was to identify the response of the elderly in dealing with chronic diseases. Methods: This study uses a descriptive phenomenology method. The population in this study were elderly who lived in Makassar City and had a chronic disease. This study illustrates the experience of 13 older adults aged 60-78 years who experience chronic disease. Results: A response felt by the elderly with chronic diseases for years, a series of grieving processes. The grieving process felt by the elderly is a psychological reaction from the suffering experienced due to symptoms and complaints of chronic illness. The series of grieving process reactions that are displayed are denial, anger, bargaining, despair, and resignation. Conclusion: The old experience with denial, anger, bargaining during chronic illness is normal. Also, the elderly could experience a desperate reaction during chronic illness due to the prolonged treatment process, and resignation reaction was a sign that the elderly were aware of the disease condition which they experienced. Recommendation: nursing intervention is needed related to grieving issues that include aspects of self, physical, social and spiritual for elderly with chronic illness. Keyword: grieving, chronic illness, elderly, family


2019 ◽  
Vol 25 (3) ◽  
pp. 216-219
Author(s):  
Alisson Padilha de Lima ◽  
Ezequiel Vitório Lini ◽  
Marilene Rodrigues Portella ◽  
Marlene Doring ◽  
Fabrício Bruno Cardoso

ABSTRACT Introduction The increase in chronic diseases and physical inactivity are major public health problems among elderly populations worldwide. Objective This article aimed to determine the prevalence and factors associated with the practice of physical activity (PA) among elderly people living in urban environment. Methods A cross-population-based study was conducted in 2014, with 196 elderly people aged ≥ 60 years of age living in urban environment in the city of Passo Fundo, in the State of Rio Grande do Sul. Gross and multivariable analyses were conducted using Poisson regression, estimating the ratios of gross and adjusted prevalence and calculating their respective 95% confidence intervals. Results The mean age was 71.3 (± 8.4). The gross prevalence for the practice of PA was 56.1%. After adjusted analysis, only the variable independent in activities of daily living (ADLs) remained significant (95% CI 1.05 to 4.83) (p = 0.037). Conclusions This research showed an association between the practice of PA and independence in ADLs. Level of Evidence II, Economic and decision analysis - Development of economic model or decision.


2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 39-39
Author(s):  
Malay Kanti Mridha ◽  
Md Mokbul Hossain ◽  
Md Showkat Ali Khan ◽  
Abu abdullah Mohammad Hanif ◽  
Mehedi Hasan ◽  
...  

Abstract Objectives Though Bangladesh is passing through demographic, epidemiologic and nutritional transitions, national estimates on nutrition and health status of the elderly population are largely unknown. We aimed to determine the status of selected health and nutrition indicators among the elderly population in Bangladesh. Methods For the first time in Bangladesh, we included elderly population (≥60 years old females and males) as a separate population group in the national food security and nutrition surveillance round 2018–2019. We collected data on dietary diversity, nutritional status, behavioral risk factors of non-communicable diseases, blood pressure, and self-reported chronic diseases from 4,818 elderly people (48% female) living in 82 clusters (57 rural, 15 non-slums urban, and 10 slums) randomly selected from eight administrative division of Bangladesh. Results Majority (59% in rural, 53% in non-slum urban, and 69% in slums) of elderly people were consuming an inadequately diverse (4 or less food groups out of 10) diet. Overall, 89% of elderly people were malnourished (20%) or at risk of malnutrition (69%). The highest prevalence of malnutrition was in Mymensingh division (37%) followed by Sylhet division (27%). The prevalence of obesity was 5%, 16%, and 11%, in rural, non-slum urban, and slums, respectively. The national prevalence of smoking, smokeless tobacco consumption, physical inactivity was 18%, 52%, and 38%, respectively. There was a high burden of hypertension (49% in rural, 53% in non-slum urban, and 39% in slums). Overall, 16% of elderly people had heart diseases, 14% had chronic respiratory diseases, 3% had kidney diseases, 9% had diabetes, 8% had stroke, 0.5% had cancer and 1.4% had mental health problems. Conclusions The government of Bangladesh should design and implement health and nutrition programs among the elderly population. The regional differences in the prevalence of health and nutrition indicators should be considered while designing such programs. Funding Sources Ministry of Health and Family Welfare, Government of Bangladesh


2020 ◽  
Vol 73 (suppl 3) ◽  
Author(s):  
Halanna Carneiro Gumarães Bastos Moura ◽  
Tânia Maria de Oliva Menezes ◽  
Raniele Araújo de Freitas ◽  
Fabiana Araújo Moreira ◽  
Isabella Batista Pires ◽  
...  

ABSTRACT Objective: to understand faith and spirituality in the meaning of life of the elderly with Chronic Kidney Disease. Methods: a qualitative research based on Viktor Emil Frankl’s Logotherapy and Existential Analysis. Twenty elderly people were interviewed between August 2018 and January 2019, between 60 and 79 years old, who underwent dialysis in a private unit, a reference in nephrology in the city of Salvador, Bahia, Brazil. Results: two categories of analysis emerged: Meaning of faith in the lived of the elderly with Chronic Kidney Disease; Faith as a forerunner of the meaning of life. Final considerations: faith and spirituality were understood as a fundamental foundation in the search for the meaning of the study participants’ lives, besides unveiling itself as an important strategy of resilience to the experienced of the elderly person with Chronic Kidney Disease.


2019 ◽  
Vol 5 (3) ◽  
pp. 197-206
Author(s):  
Mohammad Nayeem Hasan

Aging is one of the embryonic problems in Bangladesh and this has been gradually increasing with its far-reaching consequences. Elderly can develop new and complicating health problems. In most cases the diseases are chronic and complex. The structures were designed to investigate the health status, depression, and function of the daily living of the older men and women in the Sylhet region of Bangladesh. The data were collected using stratified sampling. We have used cross-sectional methods to analyze the data and performed a chi-square test to test the association and a then bivariate and multivariable logistic regression model was used to evaluate the major risk factors of CVD. In this study, 229 elderly people were considered aged from 60 to 60+ years-old face to face personal interviews. Among them 16.6% elderly are suffering in depression. According to residence, the condition of health is good in the ethnic group (21.9%) and this situation is worse in the rural group (97.5%). In addition, people who have depression were 0.087 times or 91.3% (OR = 1.115, 95% CI 0.273-4.552) less likely to have healthy compared to the people who did not have depression. In this study, we have seen that there were many factors that were associated with health status among different communities’ elderly people in Sylhet. This research will help clinicians and policymakers to develop appropriate strategies of CVD patients and organize health education programs for changing lifestyles among elderly in Sylhet. Asian J. Med. Biol. Res. June 2019, 5(3): 197-206


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