scholarly journals Quality of life and time since diagnosis of Diabetes Mellitus among the elderly

2018 ◽  
Vol 21 (2) ◽  
pp. 176-185
Author(s):  
Luciano Ramos de Lima ◽  
Silvana Schwerz Funghetto ◽  
Cris Renata Grou Volpe ◽  
Walterlânia Silva Santos ◽  
Mani Indiana Funez ◽  
...  

Abstract Objectives: To evaluate the quality of life of the elderly with Diabetes Mellitus and to relate the time since diagnosis of diabetes with the quality of life of elderly persons receiving care at a basic health unit. Method: A cross-sectional quantitative study carried out in a Basic Health Unit with 196 elderly persons. For data collection, three instruments were used: one structured (sociodemographic and clinical variables) and the Whoqol-bref and Whoqol-old, with scores ranging from 0 to 100. Descriptive statistical analysis, Student’s T-test and Pearson’s correlation were performed. Results: Of the 196 diabetic patients, the majority were male (54.6%) with a mean age of 67.5 (±6.5) years. The mean time since diagnosis of Diabetes Mellitus was 9.1 years. The domains of the Whoqol-bref with the highest scores, indicating better quality of life, were Social Relations and Psychological, while a worse quality of life was observed in Environment. The facets of the Whoqol-old with the best scores were: Intimacy and Past, Present and Future Activities, and the worst was Death and Dying. The domains associated with one another were Physical and Psychological, Physical and Social Relations, and Psychological and Environmental. The associated aspects were Past, Present and Future Activities and Social Participation. Elderly persons with more than ten years of Diabetes Mellitus had worse quality of life scores in Physical (p=0.001), Social relations (p=0.002), and in the Autonomy (p=0.0012), Social Participation (p=0.041) and Death and Dying (p=0.001) facets. Conclusion: The time of diagnosis of Diabetes Mellitus was negatively associated with the quality of life of the elderly, with worse scores in most domains and facets of the Whoqol.

2021 ◽  
Vol 50 (1) ◽  
pp. 79-88
Author(s):  
Nataša Egeljić-Mihailović ◽  
Jelena Pavlović ◽  
Nina Brkić-Jovanović ◽  
Dragana Milutinović

Modern society in recent decades is facing a large increase in the share of people over 65 in the total population. The research shows that the trend of increasing the number of the elderly is such that it is estimated that the share of people aged 65 and over in the world population will increase significantly (by 56%), from 901 million (12.3%) in 2015 to 1.4 billion (16.5%) in 2030. Nursing homes for the accommodation and care of the elderly are safe places that provide the elderly with reduced physical and other abilities and a life worthy of a human being. A wide field of interest for the research is the perception and experience of home care users about what a quality life in this environment could represent. As part of the quality of life assessment, different domains are assessed, and a certain degree of subjective assessment is included in the choice of quality of life domains. Given the demographic changes that have led to an aging population, as well as longer life expectancy, new measures of social and health policy towards the elderly are increasingly aimed at raising the quality of life of the elderly, while scientific research is increasingly focused on identifying factors that affect the quality of life of the elderly.


2017 ◽  
Vol 20 (5) ◽  
pp. 713-721 ◽  
Author(s):  
Roberta de Miranda Henriques Freire ◽  
Nivaldo Carneiro Junior

Abstract Objective: To analyze Brazilian scientific production on housing for autonomous elderly persons. Method: A descriptive, analytical integrative review type study was carried out. The following guiding question was defined: what is the Brazilian scientific production relating to housing for autonomous elderly persons in indexed on-line periodicals from 2000 to 2015? Results: Thirty-three articles were identified in total, of which only 13 met the inclusion criterion. Using the Content Analysis technique, the following categories were formed: Modalities of housing for the elderly; Public housing policies for the elderly and Housing and quality of life. Conclusion: Most of the studies discussed types of housing for the elderly, falling into the category "Modalities of housing for the elderly", and identifying a tendency towards one-person dwellings. In relation to the category "Public housing policies for the elderly", the articles reflected on the rights and the guarantees of the elderly in relation to a suitable home. The "Housing and quality of life" category aimed to compare the quality of life of elderly people living alone or with a partner, as well as their perception of exclusive condominium developments for this population. There is a need for research on the issue in question, since there is an increase in the number of elderly people without housing, making it necessary for the state to meet this demand.


Author(s):  
Letícia Decimo Flesch ◽  
Samila Sathler Tavares Batistoni ◽  
Anita Liberalesso Neri ◽  
Meire Cachioni

Abstract Objective : To evaluate the association between the double vulnerability of being elderly and a caregiver and quality of life assessed by Control, Autonomy, Self-realization and Pleasure factors (CASP-19). Method : 148 elderly caregivers participated in the present study. They were selected for convenience from Brazilian public and private health services - a sample from the study “The Psychological Well-Being of Elderly Persons Caring for Other Elderly Persons in a Family Context”. The variables: caregiver’s state of health, care demands, perception of burden, self-rated health, and quality of life were selected. Descriptive analyses, chi-squared tests, Fisher’s exact test, the Kruskal-Wallis test and analysis of multivariate hierarchical logistics were carried out, with theStepwisecriteria applied for selection of variables. Results : The hierarchical multivariate analyses found that number of symptoms and total burden were significantly associated with a poorer quality of life. Elderly persons with three or more symptoms and those with a high burden level were at a higher risk of poor quality of life. The variables number of diseases, burden, and self-rated health compared with the past, were significantly associated with a poorer quality of life. Conclusion : It can be concluded that for the elderly caregiver, physical aspects (signs and symptoms, chronic diseases and a perception of health deterioration) combined with burden are the aspects that most influence quality of life.


2017 ◽  
Vol 20 (2) ◽  
pp. 161-174 ◽  
Author(s):  
Michelle Didone dos Santos ◽  
Marcela Fernandes Silva ◽  
Leonardo Antunes Velloza ◽  
José Eduardo Pompeu

Abstract Objective: To analyze the association between the decline in the mobility of community dwelling elderly persons in São Paulo, Brazil and their capacity to use public transportation, and its impact on their quality of life and social participation. Method: A cross-sectional study was conducted of 32 community dwelling elderly persons, of both genders (59% female), with an average age of 75.5 years (±9.2). The participants were evaluated by functional mobility, risk of falls, fear of falls and independence in activities of daily living. In addition, the perception of the elderly persons of their mobility on public transport and its impact on their social participation was evaluated. The elderly persons were divided into two groups: with mobility impairment and without mobility impairment. The groups were compared using the Fisher's Exact, Chi-Squared and Mann-Whitney tests, and the unpaired Student's t-test. An alpha level of 0.05 was adopted as a level of statistical significance. Result: Elderly persons with greater mobility impairment exhibited greater difficulty accessing public transport and a greater number of falls during their use of the same. Elderly persons who reported difficulty accessing public transport suffered greater impact on their social participation and quality of life. Conclusion: Elderly persons with greater mobility impairment had a greater number of complaints related to public transport. Additionally, they suffered a greater impact on their social participation, characterized by limitations in their capacity for independent movement around the city, limiting their social activities.


2016 ◽  
Vol 19 (4) ◽  
pp. 322-330
Author(s):  
Tat'jana Vladimirovna Saprina ◽  
Nailja Maratovna Fajzulina

The number of elderly persons with diabetes mellitus type 2 is expected to progressively increase. Management of this category of patients should be individualised and include the adequate correction of hyperglycaemia, prevention of long-term complications, prevention of hypoglycaemia, reduction of cardiovascular mortality and preservation of quality of life. This article summarises basic information on the pathophysiology of carbohydrate metabolism, peculiarities of the course of diabetes and use of antidiabetic drugs in the elderly. Special attention is paid to reviewing the goals of glycaemic control and proposed clinical guidelines.


2020 ◽  
Vol 7 (2) ◽  
pp. 97
Author(s):  
Lailatuz Zalia Ifianti ◽  
Rita Hadi Widyastuti

Diabetes melitus adalah gangguan metabolik yang ditandai dengan kenaikan kadar glukosa dalam darah dan dapat menyebabkan  berbagai macam komplikasi sehingga mempengaruhi kualitas hidup lansia. Harapan akan membawa kepada keoptimisan dan meningkatkan kualitas hidup lansia dengan penyakit kronis. Sementara penelitian mengenai dampak harapan masih sangat kurang. Penelitian ini bertujuan untuk mendeskripsikan derajat harapan pada lansia dengan diabetes melitus tipe 2.Penelitian ini menggunakan desain penelitian kuantitatif survei, responden terdiri dari 127 lansia yang menderita DM tipe 2 yang diambil dengan teknik total sampling setelah memenuhi kriteria inklusi. Kuesioner HHI (Herth Hope Index) digunakan untuk mengetahui gambaran harapan. Uji validitas dan reliabilitas telah dilakukan dan hasilnya valid serta reliabel.  Hasil penelitian ini menunjukkan bahwa karakteristik responden adalah didominasi usia 60-74 tahun, sebagian besar berjenis kelamin wanita, tingkat pendidikan didominasi oleh pendidikan SD-SMP, sebagian besar menikah, Suku Jawa, menderita DM < 5 tahun dan tidak mengalami komplikasi. Derajat harapan menunjukkan bahwa responden mempunyai harapan yang tinggi dengan nilai mean sebesar 37.41. Sebagian besar responden merasa hidupnya memiliki nilai dan berharga.Masyarakat dan petugas kesehatan harus membantu lansia mempertahankan derajat harapan yang sudah tinggi dengan menyediakan dukungan sosial dan membantu lansia mencari jalan keluar ketika menghadapi masalah tentang kesehatan dan yang lainnya. Kata Kunci: diabetes mellitus; harapan; lansiaHOPE IN ELDERLY WITH DIABETES MELITUS TYPE 2Diabetes mellitus is a metabolic disorder that signed with the increase of glucose level in blood and can make various complication which influences the elderly’s quality of life. Hope will bring the optimism and increased the  quality of life on elderly with chronic diseases. However, research supporting this effect is lacking. This study was aimed to find out the description of the hope level among elderly with diabetes mellitus type 2. This study was quantitative descriptive with 127 elderly diabetic patients taken by using total sampling technique by fulfilling the inclusion criteria. Herth Hope Index (HHI) questionnaire was used. The validity and reliability was confirmed. The results of this research show that the age of respondent was dominated with 60-74 years old, mostly consist of female. The education level was mostly elementary school, mostly have been married and from Javanese family, suffered from DM for about 5 years and mostly didn’t have complications. For the hope level, the respondent mostly  is in high level with mean score is 37.41. The respondent feel that their life is worth and precious. Based on the results of this research, the society and health center member should help the elderly to maintenance their level of hope by give the support system to the elderly and facilitate the elderly to solve their problem about health or another. Keywords: diabetes mellitus; elderly; hope  


Author(s):  
Marcelo Caetano de Azevedo Tavares ◽  
Márcia Carréra Campos Leal ◽  
Ana Paula de Oliveira Marques ◽  
Rogério Dubosselard Zimmermann

Abstract Objective: The present integrative literature review aimed to verify the scientific knowledge produced about social support for elderly persons with HIV/Aids. Method: A search was carried out in the Lilacs, Medline, Scopus and Web of Science databases for studies published in the last ten years. The final analysis consisted of seven articles. Results: It was found that social support is extremely important in the life of the elderly with HIV/Aids, and a real need for this support was identified. Such support can both contribute to quality of life in many ways, as well as impair the care of those who live with the disease, as the diagnosis, treatment and the entire stigma surrounding this chronic condition directly influence the type and quality of support provided. Conclusion: It is hoped that the results of this review will contribute to are flection on health practices for the elderly with HIV/Aids.


Author(s):  
Meiyanti Meiyanti ◽  
Joice Viladelvia Kalumpiu ◽  
Julius I Mulia

Anemia is a very common disorder both in clinical practice and in the community. The recent rise in the population of the elderly has become the focus of attention in developing countries, because of the increasing longevity of the elderly, whilst the prevalence of anemia increases with age. The objective of this study was to determine the prevalence of anemia and its association with the quality of life in the elderly. A cross-sectional study was conducted from April to June 2008, located in the Mampang Prapatan district, South Jakarta. A total of 298 elderly persons participated in this study, comprising 109 (36.6%) males and 189 (63.4%) females. Anemia was measured by the parameters of hemoglobin and quality of life was assessed by the WHOQOL-BREF instrument, a short version of the WHOQOL-100 instrument. The results of the study showed the prevalence of anemia to be 26.2%, with a higher prevalence rate in females compared with males. The quality of life in the physical, psychological, social and environmental domains differed significantly with decreasing hemoglobin levels, whereas the physical and mental quality of life declined significantly with age. Anemia is thus indicative of a reduction in the quality of life of the elderly.


2021 ◽  
Vol 6 (1) ◽  
pp. 18
Author(s):  
Made Mahaguna Putra ◽  
Kadek Siki Mariani ◽  
Ni Nyoman Ari Ratnadi

Introduction: Diabetes mellitus is a major public health issue particularly in the elderly. Religion may affect the Quality of Life in such patients, mediated by factors such as religious coping and medication adherence. This study aimed to investigate the impact of religious coping and medication adherence on quality of life.Method: Diabetes mellitus is a major public health issue particularly in the elderly. Religion may affect the Quality of Life in such patients, mediated by factors such as religious coping and medication adherence. This study aimed to investigate the impact of religious coping and medication adherence on quality of life.Result: there is a significant relationship between Religious Coping and adherence to treatment in Diabetes Mellitus patients with a value of r = 0.266 (p = 0.00) and quality of life (r = 0.216; p = 0.00).Conclusion: Religious coping has an important influence and relationship on treatment adherence to diabetes mellitus sufferers and can provide motivation for sufferers in carrying out medication.


2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Laura Montes Reula ◽  
Miguel Cañete Lairla ◽  
Jorge Navarro López ◽  
Carmelo Pelegrín Valero ◽  
José Galindo Ortiz de Landázuri ◽  
...  

Purpose The purpose of this paper was to detect the most significant factors associated with each living alternative to improve socialization and mental health of the elderly. The measurements included affective evaluation, cognitive assessment, anxiety level, physical functionality, quality of life and social relationships. Individuals in home nursing residences were older and had worse affective status, functionality, cognitive state and quality of life. Social relationships in community people were better than in the institutionalized condition, particularly for less aged people. Design/methodology/approach Comparative descriptive study realized in 200 people older than 70 years in home nursing placement versus community dwelling conditions. Findings Multivariate analysis and logistic regression indicated that greater disability and poorer quality of social relationships were the main factors influencing the institutionalization process. Specifically, the Sociotype Questionnaire appeared as an efficient tool concerning the detection of social isolation effects as well as an acceptable integrator of prosocial information about home nursing placement. Originality/value The Geriatric Sociotype survey has shown usefulness in the evaluation of the social network of elderly people, both from the point of view of assessment and prognosis. In this sense it is considered that one of the main contributions of this study is to have included the qualitative evaluation of social relations, and to observe the differences according to the place of residence.


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