scholarly journals The link between cognitive state and general self-esteem among institutionalized elderly persons: can health condition serve as a mediating factor?

2018 ◽  
Vol 21 (4) ◽  
pp. 456-463
Author(s):  
Cristina Imaginário ◽  
Magda Rocha ◽  
Paulo Puga Machado ◽  
Cristina Antunes ◽  
Teresa Martins
Keyword(s):  
Elderly Person ◽  
The Elderly ◽  
Self Esteem ◽  
Health Condition ◽  
Cognitive State ◽  
Elderly Persons ◽  
Cognitive Changes ◽  
Cross Sectional ◽  
Institutionalized Elderly ◽  
Mediating Factor

Abstract Objective: to assess whether the health condition of an elderly person can serve as a mediating factor between the cognitive state and general self-esteem of the institutionalized elderly. Method: a quantitative, cross-sectional correlational study was performed, based on the path analysis technique.The following instruments were used for data collection: the Mini-Mental State Examination, the Tinetti Performance Oriented Mobility Assessment, the Mini Nutritional Evaluation and the Rosenberg Self-Esteem Scale. Results: the sample was composed of 312 elderly patients of both genders (112 men and 200 women), with an average age of 83.39 (+7.09) years. Most of the elderly persons were widowed, with a low educational level, and had been institutionalized in Residential Care Facilities for the Elderly for on average 54.6 (+51.69) months. The mediating factor of health condition renders the link between the cognitive state and self-esteem of the elderly null. However, the analysis of the decomposition of the effects showed a significant indirect effect between the cognitive state and health condition. The total effect of cognitive state on the health condition of the elderly is significant, positive and direct. Conclusion: based on the results of this study we maintain that cognitive changes can affect the nutritional state and physical balance of the institutionalized elderly.

scholarly journals Prevalence of and factors associated with polypharmacy among elderly persons resident in the community

2017 ◽  
Vol 20 (1) ◽  
pp. 138-148 ◽  
Author(s):  
Natália Araujo de Almeida ◽  
Annelita Almeida Oliveira Reiners ◽  
Rosemeiry Capriata de Souza Azevedo ◽  
Ageo Mário Cândido da Silva ◽  
Joana Darc Chaves Cardoso ◽  
...  
Keyword(s):  
The Elderly ◽  
Cross Sectional Study ◽  
Health Condition ◽  
Bivariate Analysis ◽  
Elderly Persons ◽  
Chi Square ◽  
Cross Sectional ◽  
Mato Grosso ◽  
Significance Level ◽  
Factors Associated

Abstract Objective: to verify the prevalence of and factors associated with polypharmacy among elderly residents of the city of Cuiabá, in the state of Mato Grosso. Method: a cross-sectional study of 573 people aged 60 and over was performed. Polypharmacy was defined as the use of five or more medications. To investigate the association between polypharmacy and sociodemographic variables, health and access to medication, the Mantel Haenszel chi square test was used in bivariate analysis and Poisson regression was used in multivariate analysis. The significance level adopted was 5%. Result: the prevalence of polypharmacy was 10.30%. Statistically significant associations were found between polypharmacy and living with others, describing suffering from circulatory, endocrine, nutritional and digestive tract diseases, and referring to financial difficulties for the purchase of medicines. Conclusion: some social and health condition factors play an important role in the use of multiple medications among the elderly.

scholarly journals Geriatric health related problems in an urban area of southern Rajasthan

2019 ◽  
Vol 6 (10) ◽  
pp. 4545
Author(s):  
Nitesh Mangal ◽  
Dilip Kumar L. ◽  
K. A. Varghese ◽  
Meet Chauhan ◽  
Matariswa Samanta
Keyword(s):  
Urban Area ◽  
Elderly People ◽  
Elderly Person ◽  
The Elderly ◽  
Elderly Persons ◽  
Elderly Male ◽  
Chi Square ◽  
Cross Sectional ◽  
Significant Difference ◽  
Chi Square Test

Background: There is a paradigm shift in the social values towards the elderly people due to urbanization and higher educational linked migration. Consequently, problems like loneliness, lack of emotional support, economic insecurities are faced by the elderly population. The objectives of the study were to assess the socio-economic dimensions and to examine the morbidity and mortality patterns of elderly persons in the study area.Methods: A cross- sectional study was conducted among 536 elderly persons from May to August 2019 in an urban area of Udaipur. A pre-structured and pre-tested questionnaire was used to collect information on socio-demographic details, morbidity profile and socio-economic problems of elderly persons. The data was analyzed using class frequencies, ‘t’ test for equality of gender difference in mortality ages and Chi-square test for association of age class with morbidity.Results: A majority of study subjects were females (52.05%). There was significant difference in proportions of elderly male and female persons across their educational levels. The chi-square test for association of age classes with number of health problems revealed significant association. About 56.34% of 536 elderly people were leading an unsatisfactory life.Conclusions: The major morbidities included arthritis, hypertension, diabetes, cataract, dental problems, cardiovascular problems etc. Financial problems were more severe among elderly. The availability of trained paramedical professionals for home care and day care units and legal bindings on family members for safety and security of elderly person can be effective measures to overcome the problems being faced by them. 

scholarly journals Analysis of medication use by elderly persons with supplemental health insurance plans

2017 ◽  
Vol 20 (3) ◽  
pp. 374-386 ◽  
Author(s):  
Elaine Cristina Salzedas Muniz ◽  
Flávia Cristina Goulart ◽  
Carlos Alberto Lazarini ◽  
Maria José Sanches Marin
Keyword(s):  
Health Plan ◽  
Elderly Person ◽  
The Elderly ◽  
Medium Size ◽  
Elderly Persons ◽  
Adherence To Treatment ◽  
Cross Sectional ◽  
Adherence To Medication ◽  
Care For The Elderly ◽  
Elderly Users

Abstract Objective: To analyze the socio-demographic and pharmacotherapeutic profiles of elderly users of a private health plan. Method: A cross-sectional and descriptive study was conducted with 239 elderly users of a private health plan in a medium-size city in the state of São Paulo, Brazil. A structured questionnaire was used for data collection and absolute and relative frequencies were obtained. The pharmacotherapeutic survey estimated the prevalence and average number of medicines used in the 15 days prior to the interview, as well as adherence to treatment. Results: Of the respondents, 79% were female, with a mean age of 73 years. The main health problems reported were: arterial hypertension, rheumatism/arthritis, dyslipidemia and diabetes. A total of 97.1% of the elderly persons used medicine, and the most frequently used classes were for the cardiovascular and digestive systems. An average of 5.9 drugs/elderly person were used and 62.8% of the sample were undergoing polymedication. A total of 11.7% of the sample used medications that were unsuitable for the elderly, 51% had average adherence to medication and 12.1% had poor adherence. Conclusions: The majority of elderly people in the sample were female, lived with relatives and had a higher-level education. Despite the use of polymedication and the presence of multiple comorbidities, the percentage of elderly persons with low adherence to treatment was lower than that found in other studies. A high level of education and purchasing power, which facilitated the access to medication of the elderly patients under study, may be important predictors of adherence to treatment. The results support maintaining a model of care for the elderly centered on the treatment of diseases and pharmacotherapy.

scholarly journals Factors determining the negative perception of the health of Brazilian elderly people

2018 ◽  
Vol 21 (3) ◽  
pp. 283-292 ◽  
Author(s):  
Camila Zanesco ◽  
Danielle Bordin ◽  
Celso Bilynkievycz dos Santos ◽  
Erildo Vicente Müller ◽  
Cristina Berger Fadel
Keyword(s):  
Oral Health ◽  
Health Services ◽  
Functional Limitations ◽  
The Elderly ◽  
National Health Survey ◽  
Health Condition ◽  
Health Perception ◽  
Elderly Persons ◽  
Cross Sectional ◽  
Negative Perception

Abstract Objective: To identify factors that determine the negative perception of the health of the Brazilian elderly, considering sociodemographic conditions, functional limitations and illness, patterns of utilization of health services and oral health condition. Method: A cross-sectional study with data from the National Health Survey (2013), involving 23,815 elderly persons was carried out. Once the database was treated, dimensionality reduction was performed using the Waikato Environment for Knowledge Analysis. The variables related to health perception were evaluated through logistic regression to measure the magnitude of the associations. Health perception and 36 independent variables were considered as outcome variables. Results: The variables most strongly related to the negative perception of the health of the elderly were illiteracy (OR=1.48), low educational level, total difficulty in performing instrumental activities of daily living (OR=2.04), impossibility of performing any activity (OR=3.20), presence of a diagnosis of physical or mental illness (OR=2.44), negative self-perception of oral health (OR=1.92), an increased need for health services in recent weeks (OR=1.16), medical visits and hospitalization in the last 12 months (OR=1.40). Conclusion: The use of multidimensional methodologies can identify the influence of determinants of a negative perception of health among Brazilian elderly persons, and can support the formulation of public health policies aimed at the elderly population.

scholarly journals Prevalence of falls and evaluation of mobility among institutionalized elderly persons

2016 ◽  
Vol 19 (6) ◽  
pp. 995-1003 ◽  
Author(s):  
Lidiane Maria de Brito Macedo Ferreira ◽  
◽  
Javier Jerez-Roig ◽  
Fabienne Louise Juvêncio Paes de Andrade ◽  
Nayara Priscila Dantas de Oliveira ◽  
...  
Keyword(s):  
The Elderly ◽  
Berg Balance Scale ◽  
Cross Sectional Study ◽  
Elderly Persons ◽  
Timed Up And Go ◽  
Cross Sectional ◽  
Institutionalized Elderly ◽  
Significance Level ◽  
Chi Squared ◽  
Low Prevalence

Abstract Objective: The present study aimed to estimate the prevalence of falls among institutionalized elderly persons and identify associated factors. Method: A cross-sectional study of elderly residents of Care Facilities For the Elderly in Natal, Rio Grande do Norte, was carried out. The elderly persons could walk independently and did not have severe cognitive impairment. Data was obtained about the institution and socio-demographic and health information was collected. A physical examination was performed to evaluate frailty, mobility and balance (Timed up and go, Berg Balance Scale, Gait speed and Sitting-rising Test - SRT). Statistical analysis was performed using the Chi-squared Test for a 5% significance level. Results: Sixty-three elderly persons were within the search criteria. Of these 22.2% had fallen in the past year. Only the SRT was associated with these falls. Conclusion: It was concluded that the studied population has a low prevalence of falls, and the ability to perform less than 5 repetitions in the SRT was associated with episodes of falling.

scholarly journals The exercise of sexuality among the elderly and associated factors

2016 ◽  
Vol 19 (5) ◽  
pp. 861-869 ◽  
Author(s):  
Danielle Lopes de Alencar ◽  
Ana Paula de Oliveira Marques ◽  
Márcia Carrera Campos Leal ◽  
Júlia de Cássia Miguel Vieira
Keyword(s):  
Body Image ◽  
Sexual Activity ◽  
Elderly Person ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Bivariate Analysis ◽  
Elderly Persons ◽  
Educational Strategies ◽  
Cross Sectional ◽  
Bivariate Correlation

Abstract Objective: To analyze factors that interfere with the exercise of sexuality among the elderly. Methods: A cross-sectional study of 235 elderly persons enrolled at the Open University of the Third Age of the Federal University of Pernambuco was carried out. The dependent variable was the exercise of sexuality, which was investigated in terms of perception of sexuality, thinking about sex, what the elderly person does when he or she has the desire for sex, sexual activity and auto-eroticism. The independent variables were sociodemographic data, health status and self-perception of body image. Statistical analysis involved bivariate correlation by the Kendall and Spearman coefficients. All variables with p≤0.20 in bivariate analysis were included in the generalized linear regression, with p=0.05 considered for the rejection of the null hypothesis. Result: The conception of sexuality was most closely related to genitality (67.2%), 51.5% of the sample reported thinking about sex, while 71.1% of the elderly persons said they were indifferent to sexual desire; 32.3% claimed to be sexually active; and 23% auto-eroticized. The variables age, years of education, religion, physical exercise and dissatisfaction with body image were significant in bivariate correlation analysis. The desire for sex and sexual activity were less likely to be present among elderly persons who performed exercise. Conclusion: The sexuality of the elderly is based on several factors that may interfere with their experience and should be considered in educational strategies employed by health professionals who promote actions for the sexual health of the elderly.

scholarly journals Harga diri (self esteem) lansia yang mengalami demensia

2020 ◽  
Vol 14 (1) ◽  
pp. 59-66
Author(s):  
Ganda Sigalingging ◽  
Zulkarnain Nasution ◽  
Rustina Pasaribu
Keyword(s):  
Sampling Technique ◽  
Psychosocial Problems ◽  
The Elderly ◽  
Self Esteem ◽  
P Value ◽  
Elderly Persons ◽  
Chi Square ◽  
Cross Sectional ◽  
Moderate Dementia ◽  
Chi Square Test

Self esteem in elderly persons with dementiaBackground : The triple threat is a challenge that must be faced in Indonesia. More and more the number of elderly that continues to increase. As you age, changes occur due to the aging process that causes physical and psychosocial problems. one of the psychosocial problems in the elderly is low self-esteem. If that doesn't work, the elderly will repair, attract, challenge, and even escape.Purpose :To analyze the relationship between dementia and self-esteem (self-esteem) in the elderly at the Guna Budi Bakti Foundation in Medan.Method: This  analytical survey research  cross sectional approach. Seventy two elderlywere involved as the population in this  research.This research  used total sampling technique where in the number of sample equals to the number of population. In  analyzing the data, chi-square  test was  used.Results: Shows that older people reduce moderate dementia 44.4% with a low self-esteem 69.4%. With the statistical test results there was a relationship  dementia and self-esteem in the elderly, with p-value of  0.003 Conclusion: There was a relationship  dementia with of self-esteem for elderly in Panti Jompo Guna Budi Bakti Foundation in MedanKeywords: Dementia; Self-esteem; ElderlyPendahuluan: Ancaman triple burden merupakan tantangan yang harus dihadapi di Indonesia. Ancaman tersebut  diantaranya jumlah lansia yang terus meningkat. Seiring pertambahan usia, terjadi perubahan sebagai akibat proses menua yang berpotensi menimbulkan masalah fisik dan psikososial. Salah satu masalah psikososial pada lansia yaitu harga diri rendah. jika tidak ditangani maka lansia mengalami depresi, menarik diri, perilaku kekerasan bahkan bunuh diri.Tujuan : Untuk menganalisa hubungan demensia dengan harga diri (self esteem) lansia di Yayasan Guna Budi Bakti Medan.Metode: Jenis penelitian survei analitik dengan pendekatan cross sectional. Populasi seluruh lansia sebanyak 72 orang  dengan teknik  sampel total sampling. Pengumpulan data dilakukan dengan  wawancara menggunakan kuesioner. Analsisi data  menggunakan uji chi- Sguare pada taraf kepercayaan 95%.Hasil: Menunjukkan lansia lebih banyak mengalami demensia sedang, sebanyak 32 orang (44,4%). dengan menunjukkan  harga diri rendah sebanyak 50 orang (69,4%). Hasil uji statistik menunjukkan  ada hubungan demensia dengan harga diri (self estem) lansia, dengan nilai p value = 0,003 (a < 0,05)Simpulan: Ada hubungan demensia dengan harga diri (self esteem) lansia di Panti Jompo Yayasan Guna Budi Bakti Medan.

scholarly journals Comparative Study of the Oral Health Profile of Institutionalized Elderly Persons in Brazil and Barcelona, Spain

2016 ◽  
Vol 19 (5) ◽  
pp. 723-732 ◽  
Author(s):  
Daniela Mendes da Veiga Pessoa ◽  
Glòria Pérez ◽  
Marc Marí-Dell'Olmo ◽  
Marco Cornejo-Ovalle ◽  
Carme Borrell ◽  
...  
Keyword(s):  
Oral Health ◽  
Tooth Loss ◽  
The Elderly ◽  
Oral Health Status ◽  
Elderly Persons ◽  
Health Profile ◽  
Lower Prevalence ◽  
Cross Sectional ◽  
Men And Women ◽  
Institutionalized Elderly

Abstract Objective: To compare the oral health profile of institutionalized elderly persons in Brazil and in Barcelona, Spain, by gender and country of residence. Methods: A cross-sectional study was performed of individuals aged 65 years and above (n=1,440), resident in the health region of Barcelona and in Brazil. Two surveys and exams relating to the oral health status of institutionalized elderly persons in Brazil (in 2008) and in Barcelona, Spain (in 2009) were carried out. Periodontal disease, tooth loss and dental caries were analyzed, considering age and cognitive ability. The sample was stratified by gender and country. Bivariate and multivariate Robust Poisson Regression models were used to obtain adjusted Prevalence Ratios (aPR), and a 95% confidence interval (95%CI) was employed. Results: In Barcelona, men and women had a higher prevalence of periodontal illness: Men - calculus (aPR:1.5; CI:1.08-2.19) and pocket (aPR:2.05; CI:1.43-2.93) results. Women - calculus (aPR:2.4; CI:1.77-3.24) and pocket (aPR:3.2; CI:2.29-4.53) results. In Barcelona there was a lower prevalence of edentulism (aPR:0.49; CI:0.37-0.65) and functional edentulism (aPR:0.49; CI:0.40-0.60) among men. The same results were found among women with a lower prevalence of edentulism (aPR:0.49; CI: 0.41-0.58) and functional edentulism (aPR:0.42; CI: 0.30-0.49). Conclusions: A poor state of oral health of men and women was observed in both countries, with the elderly from Barcelona having worse periodontal health and the elderly from Brazil having greater tooth loss.

scholarly journals Correlations between low back pain and functional capacity among the elderly

2016 ◽  
Vol 19 (6) ◽  
pp. 987-994 ◽  
Author(s):  
Elias Nasrala Neto ◽  
◽  
Walkiria Shimoya Bittencourt ◽  
Mara Lilian Soares Nasrala ◽  
Andre Luiz Lopes de Oliveira ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Functional Capacity ◽  
Statistical Significance ◽  
The Elderly ◽  
Elderly Persons ◽  
Low Back ◽  
Timed Up And Go ◽  
Cross Sectional ◽  
Institutionalized Elderly

Abstract Objective: To investigate the association between low back pain and functional capacity among non-institutionalized elderly persons. Method: A cross-sectional observational study of non-institutionalized elderly persons was performed. The Timed Up and Go (TUG) and Sitting-Rising Test (SRT) functional tests were used, together with the Roland Morris Disability Questionnaire (RMDQ). Result: A total of 99 elderly persons of both genders were included. Kendall’s Correlation analysis showed a significant correlation between the RMDQ and the SRT scores for the act of sitting (p=0.001) and the act of lifting (p=0.028). Despite the statistical significance, these two variables were weakly correlated (r=-239;r=-163). The results also identified a statistically significant correlation between the TUG and SRT tests for the act of sitting (r=-222; p=0.003) and the act of lifting (r=-206; p=0.006). Conclusion: It was observed that most of the non-institutionalized elderly persons had good functional capacity. It is also possible to affirm that there is an association between low back pain and functional capacity.

scholarly journals Multidimensional Assessment Of Institutionalized Elderly: The Reality Of A Brazilian Institution

10.3823/2413 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Alcides Viana De Lima Neto ◽  
Lívia Maria De Azevedo ◽  
Gabriella Xavier Barbalho Mesquita ◽  
Kamilla Sthefany Andrade de Oliveira ◽  
Vilani Medeiros de Araújo Nunes ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Nutritional Status ◽  
Daily Life ◽  
Population Aging ◽  
Elderly Person ◽  
The Elderly ◽  
Cross Sectional ◽  
Institutionalized Elderly ◽  
Functional Activities

Background: The population aging in Brazil is characterized by the accumulation of progressive disabilities in their functional activities and daily life. To consider the elderlies in his/her multiple dimensions turns out to be a critical issue to improve their assistance to an institutionalized level, improving their health and quality of life. To perform a mini-overall evaluation of institutionalized elderly person to trace their profile in relation to the socio-demographic, functional capacity, nutritional status and cognition. Methods: descriptive, cross-sectional study of quantitative approach conducted in facilities for the aged people in Natal, RN. Results: 63.3% of the elderly were female, with ages varying from 61 to 103 years. 60.0% were single; 56.7% were literate. 66.7% had no children and 55% lived with their families before the institutionalization. As for the institutionalization time, 63.3% resided in the institution for four years. As what concerns the aspects of health, 73.3 of the elderly presented hearing difficulties, 90% make use of medicines predominantly to diabetes and hypertension. There is clear evidence that the institutionalization has been harmful to the elderly as with regards basic activities of daily living, nutritional status and cognitive aspects. Conclusion: the progressive disability in functional activities of daily life interferes directly in the quality of life, increasing dependency and minimizing the autonomy of these individuals. It is necessary to effective implementation of public policies directed to the institutionalized elderly from the perspective of effective actions for improved attention and assistance. Descriptors: Aged, Institutionalization, Aging, Facilities for the Aged. 

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