A Comparative Study on the Quality of Life and Depression of the Elderly Before and After the Community Social Services: Focus on the Community Social Service Investment

2019 ◽  
Vol 23 (1) ◽  
pp. 417-435
Author(s):  
Yun Chan Kim
Author(s):  
Julia García-Sevilla ◽  
Inmaculada Méndez ◽  
Ana Mª Bermúdez ◽  
Juan P. Martínez

Experience and emotion regulation are issues that are increasingly important in order to understand and promote the welfare and quality of life of elderly. The aim of this study was to conduct a comparative study of the alexithymia in users in an institutionalized center and students enrolled in a senior classroom. Study participants were 43 people hospitalized and 48 from the senior older with an average age of 69.30 years and a standard deviation of 66.50. The instrument used was the adapted version of the TAS-20. The results showed that institutionalized people scored higher on the difficulty in identifying feelings, difficulty in describing feelings and in the pattern of externally-oriented thinking. Sex was indifferent to the difficulty in identifying feelings, difficulty in describing feelings as well as externally-oriented pattern. In terms of age, a relationship was found with the difficulty in identifying feelings and externally oriented thought patterns. The study allows us to conclude that alexithymia is influenced by the fact that the elderly person is in an institutionalized center.


The article notes that there has been a steady increase in the proportion of the elderly in all regions of the world in recent years, especially distinguished by this characteristic Europe, similar changes are taking place in Ukraine. The agenda of intergovernmental and non-governmental international organizations raises the question of shaping society's attitude to its oldest members as a source of wisdom and experience, recognizing the importance of their contribution to the development of various spheres of public life. At the global and European level, a system of normative acts is being formed aimed at ensuring the enjoyment of fundamental rights and freedoms of the elderly, preventing discrimination on the basis of age and disability, and formulating public policies to promote maximum active and healthy aging. It is emphasized that an understanding of a “decent life” is not limited to the availability of a certain level of material wealth and the availability of social services. Equally important for the elderly is the opportunity for as long as possible (but in accordance with their own desire) to continue working, communicate in a professional environment, maintain a sense of self-importance and need, as well as to receive education. The need for special attention from the state is due to the particular vulnerability of the elderly, in particular, in the conditions of being a client of social institutions and / or in the presence of negative changes in health. The analysis of the Ukrainian social legislation gives grounds to claim that our country does not stand aside from global trends and pays considerable attention to the development of legal norms for improving the quality of life of elderly people. The activities of the Commissioner for Human Rights, the Ministry of Social Policy of Ukraine, employment agencies and public organizations also contribute to this. Much of the work of social workers has to do with the care of the elderly, so it is important to provide quality social services, to build a consciously respectful attitude towards the honor and dignity of social service clients, and to empower older generations to live the lifestyle they desire. Establishing and applying in Ukraine a system of standards for determining eligibility and provision of social services, establishing adequate care payments for the elderly, as well as bringing European standards to the standard of other types of social welfare payments that will contribute to improving the quality of life of the elderly .


2021 ◽  
pp. 26-33
Author(s):  
Alexey Viktorovich Shapovalov ◽  
Sergey Grigoryevich Tereshchenko ◽  
Anton Pavlovich Bogdanov ◽  
Pavel A. Krieger ◽  
Alexey Sergeevich Shapovalov

Dysphagia affects our most basic functions — the ability to eat and drink. It negatively affects the quality of life of patients, especially in the elderly, which can lead to exhaustion, dehydration, aspiration pneumonia and, ultimately, death. Dysphagia and its severity should be assessed accurately and in a timely manner. Many questionnaires have been proposed to monitor the severity and effectiveness of dysphagia therapy. This paper analyzes ten different self-assessment questionnaires for quality of life. Almost all currently available questionnaires need to be finalized. Based on the DHI (Dysphagia Disability Index) questionnaire, we proposed a special questionnaire that has a number of advantages over the others, it takes into account the age of patients, is universal, and is also suitable for assessing dysphagia, both before and after treatment.


Author(s):  
Irene Jiménez ◽  
Miguel Ángel Pacha ◽  
David Pares ◽  
María Esteve ◽  
José Troya ◽  
...  

2022 ◽  
Vol 8 (1) ◽  
pp. 24-30
Author(s):  
Yüksel Uğur YARADILMIŞ ◽  
Mustafa Caner OKKAOGLU ◽  
Erdi ÖZDEMİR ◽  
Ahmet ATEŞ ◽  
İsmail DEMİRKALE ◽  
...  

2015 ◽  
Vol 87 (4) ◽  
Author(s):  
Michał Ławiński ◽  
Edyta Kot-Mielczarska ◽  
Aleksandra Gradowska

AbstractThe issue of the quality of life considering patients with a temporary or permanent intestinal stoma, as well as the necessity for chronic parenteral nutrition at home remain a poorly understood problem. Daily care of the intestinal stoma and the need to comply with sterile procedures required for parenteral nutrition require such patients to commit their time, which secondarily is associated with the broad aspects of social and personal life.The aim of the study was to analyse the quality of life considering patients with intestinal stomas subjected to chronic parenteral nutrition, before and after gastrointestinal tract continuity restoration.Material and methods. The survey was conducted between May and July, 2014 on a group of 71 patients (33 female and 38 male) who were under the care of the Department of General Surgery and Clinical Nutrition, Warsaw Medical University, operated during the period between 2007 and July, 2014 with a present stoma (32 patients - 45%), as well as after stoma closure (39 patients - 55%). The analysed questionnaire contained 31 questions, and the SF-36 questionnaire was additionally used, determining the quality of life.Results. Analysis of the study material showed differences in the quality of life, considering three most important determinants. Significantly worse assessment of the quality of life was reported by patients with a stoma and subject to intravenous nutrition (83.2±30.5), as compared to those after stoma closure subject to normal nutrition (52.3±33.8). Based on the SF-36 questionnaire differences between patients with a stoma and those without amounted to t(69)=2.84 (p=0.006) demonstrating that those with a stoma reported a lower quality of life. Analysis between younger and older patients, based on the SF-36 questionnaire (t(62.87)=2.49; p=0.016) showed that younger patients achieved lower results, considering dissatisfaction with life (61.55±27.5), as compared to the elderly (80.8±36.9).Conclusions. The group of patients without a stoma seem to be more independent- the vast majority do not use the help of family members (43.6%), or friends (64.1%). Patients with a stoma more often withdraw from social life. The factor that mostly reduces the quality of life is the presence of a stoma, which impairs daily functioning a lot more than the sterile procedures associated with parenteral nutrition. All patients after stoma closure consider that their overall functioning has significantly improved.


BMJ Open ◽  
2017 ◽  
Vol 7 (9) ◽  
pp. e017292 ◽  
Author(s):  
Gijs Hesselink ◽  
Julie Johnson ◽  
Paul Batalden ◽  
Michelle Carlson ◽  
Wytske Geense ◽  
...  

IntroductionThe USA lags behind other high-income countries in many health indicators. Outcome differences are associated with differences in the relative spending between healthcare and social services at the national level. The impact of the ratio and delivery of social and healthcare services on the individual patient’s health is however unknown. ‘Reframing Healthcare Services through the Lens of Co-Production’ (RheLaunCh) will be a cross-Atlantic comparative study of the mechanisms by which healthcare and social service delivery may impact patient health with chronic conditions. Insight into these mechanisms is needed to better and cost-effectively organise healthcare and social services.MethodsWe designed a mixed methods study to compare the socioeconomic background, needs of and service delivery to patients with congestive heart failure and chronic obstructive pulmonary disease in the USA and the Netherlands. We will conduct: (1) a literature scan to compare national and regional healthcare and social service systems; (2) a retrospective database study to compare patient’s socioeconomic and clinical characteristics and the service use and spending at the national, regional and hospital level; (3) a survey to compare patient perceived quality of life, receipt and experience of service delivery and ability of these services to meet patient needs; and (4) multiple case studies to understand what patients need to better govern their quality of life and how needs are met by services.Ethics and disseminationEthics approval was granted by the ethics committee of the Radboud University Medical Center (2016–2423) in the Netherlands and by the Human Subjects Research Committee of the Hennepin Health Care System, Inc. (HSR #16–4230) in the USA. Multiple approaches will be used for dissemination of results, including (inter)national research presentations and peer-reviewed publications. A website will be established to support the development of a community of practice.


Sign in / Sign up

Export Citation Format

Share Document