scholarly journals Morbidity pattern of elderly women of rural North Karnataka: a community based cross-sectional study

Author(s):  
K. Kriti Bhat ◽  
M. C. Yadavannavar

Background: With the increasing life expectancy, the population around the world is growing old at a higher rate. Ensuring their quality of life and addressing their health care needs is a major challenge ahead. Elderly women are more vulnerable and there is a dearth for information regarding their health problems in India. Therefore, this study was undertaken focusing on the health problems of rural elderly women. The objective of the study was to assess the morbidity pattern of rural elderly women.Methods: A community based cross-sectional study was conducted in the rural field practice area of Shri B M Patil Medical College, Vijayapura from November 2015 to February 2016. A house-to-house survey was done and 200 women aged ≥60 years were included in the study. They were interviewed using pretested and predesigned questionnaire after obtaining informed consent. Information regarding demographic profile, present or past illness, economic history and physical activity of daily living were collected. Analysis was done using SPSS v.16 and data was represented using proportions and percentages.Results: Majority of the participants were illiterate (96.4%). Most (83.6%) of them were financially dependent. Most common chronic illness was arthritis (73.3%) and visual problem (58.8%).Conclusions: Our study reveals majority of the elderly women are suffering from one or multiple chronic illnesses. As a matter of fact, there is an urgent need to develop better health care services for the elderly women residing in rural areas.

Author(s):  
Frieda Bokali P. Engheepi ◽  
Nikita Joshi Sonowal ◽  
V. K. Mehta ◽  
Ajoy Daniel Rai

Background: Ageing is a universal, biological reality, which affects every individual on this earth.India, being the second largest country with 8.4% of the total population belonging to the age group of 60 years and above faces challenges of population ageing. The major concern now being the health care of the elderly as functional ability decreases with age leading to avoidance of challenging situations, restricted activity and further decline in health. The objective of this study was to find out the functional impairments of elderly in rural areas of East Sikkim using Lawton’s instrumental activities of daily living scale.Methods: Cross-sectional study was carried out with 324 elderly people aged 60 years and above. The study sample was obtained using multistage random sampling method. Out of total 52 GPU’s in rural areas of east Sikkim, 18 GPU’s were selected using random generation number method and then the list of all the elderly were obtained from each selected GPU. From this list, 18 elderlies in each GPU were randomly selected for the study thus the total sample size was 324. The study was conducted using Lawton’s instrumental activities of daily living (IADL) scale.Results: There was significant difference between the IADL score of both the genders (p=0.0001). There was no significant relationship in IADL score with age (r=-0.072). However, 2.5% of the elderly were totally dependent for IADL activity.Conclusions: Developing multidisciplinary approaches for improving quality of life might be a fruitful approach in elderly and thus enhancing the policy makers for forming a comprehensive geriatric rehabilitation services to provide health care accessibility for every elderly.


Author(s):  
Karthikeyan Kulothungan ◽  
Tamilarasan M. ◽  
D. Rock Britto ◽  
T. SriRanganathan ◽  
V. SriAndaal

Background: Aging is a complex process that occurs by an increase in cellular injury that occurs at the biological level over a period. These injuries lead to decline in the capacity of the individual due to a gradual reduction in physiological reserves. The objectives of the study were to estimate the prevalence of common physical health problems and to assess the effect of aging influencing them among the geriatric population.Methods: A community-based cross-sectional study was conducted in 9 randomly selected wards among 400 elderly subjects of aged 60 years or above by using probability proportionate to size (PPS) sampling method in urban residents of Perambalur municipality, Perambalur district, Tamil Nadu using semi structured questionnaire. Data entry and analysis was done using SPSS version 16.0.Results: The mean age of the study population was 71.28±7.85. Three-fourths of the study subjects were not doing any work and the majority of them (80%) was living with family members and looked after by their family members (88%). In our study, it was found that the most prevalent common physical health problem among the geriatric population was dental diseases (85.75%) followed by diseases of the locomotor system (81.75%). Almost 99% of the elderly have at least a single system involvement.Conclusions: The preventive and rehabilitative services planned by the government have to be elder-friendly. To improve the health status of the elderly various health schemes, policies and programs can be designed based on the study findings. 


2011 ◽  
Vol 4 (5) ◽  
pp. 509-511
Author(s):  
Pranay Gandhi ◽  
◽  
Sunita Sharma ◽  
Prateek Gandhi

Author(s):  
Janakiram Marimuthu ◽  
A. Arul Murugan

Background: Childbirth, though a physiological process, has been associated with multiple risks and stress on the women, even before the time of conception till the post-partum. Every woman around the world has a right to receive respectful maternity care. Birth satisfaction and respectful maternal care has direct impact on percentage of institutional deliveries. There is paucity of studies conducted among the women of rural Tamil Nadu regarding birth satisfaction and intrapartum experiences.Methods: A cross-sectional study was conducted in primary health center area, red hills among the post-partum women attending the immunization OPD at 6, 10 and 14th week after delivery during the months of March to June 2018. By simple random sampling technique 195 subjects were included. A semi-structured questionnaire was administered to collect the data. Ethical clearance was obtained from our Institutional Ethics Committee. Data was entered in MS Excel and analysis was done using SPSS Software version 23.Results: The study shows the importance of maternal satisfaction and intrapartum experiences of women in rural areas. It concluded that the overall satisfaction was 85.5%. The transport facility available at the health care set up which satisfied the mothers was around 91.4%. The interaction of health care providers with mothers during delivery was around 64.5%. Cleanliness and comfort of the delivery area was around 64%. Equality of care provided at the health care set up was around 83%.Conclusions: Reasons for delivery visit, duration of labour, and mode of delivery are independent predictors of maternal satisfaction.


2019 ◽  
Vol 21 (2) ◽  
pp. 138-143 ◽  
Author(s):  
Catarina Rocha-Vieira ◽  
Gustavo Oliveira ◽  
Luciana Couto ◽  
Paulo Santos

2019 ◽  
Author(s):  
Makoto Kaneko ◽  
Kees Van Boven ◽  
Hiroshi Takayanagi ◽  
Tesshu Kusaba ◽  
Takashi Yamada ◽  
...  

Abstract Background GP in Japan are encouraged to conduct home visits for older adults. However, most previous studies on home visits were based on secondary analyses of billing data that did not include reasons for the encounter. Objectives This study aimed to describe home visit care by GP in Japan, including reasons for encounter, health problems, episodes of care, comprehensiveness and multimorbidity. Methods This multicentre descriptive cross-sectional study used the International Classification of Primary Care, second edition, and was conducted in Japan from 1 October 2016 to 31 March 2017. Participants were patients who received home visits from 10 enrolled GPs working in urban and rural areas across Japan. The main outcome measures were reasons for encounter, health problems and multimorbidity. Results Of 253 potential patient participants, 250 were included in this analysis; 92.4% were aged 65 years and older. We registered 1,278 regular home visits and 110 emergency home visits. The top three reasons for encounters home visits were associated with cardiovascular and gastrointestinal disorders: prescriptions for cardiovascular diseases (n = 796), medical examination/health evaluation for cardiovascular diseases (n = 758) and prescriptions for gastrointestinal problems (n = 554). About 50% of patients had multimorbidity. Cardiovascular, endocrine and neuropsychological diseases were the most frequent problems in patients with multimorbidity. Conclusions The main reasons for encounter were prescriptions for chronic conditions. Emergency visits accounted for 8% of all visits. Around half of the patients had multimorbidity. This information may help GPs and policy makers to better assess home visit patients' needs.


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