scholarly journals There exists high ratio of, and significant overlap between, suspected dementia and suspected depression among elderly outpatients

2021 ◽  
Author(s):  
Yao-Tung Lee ◽  
Chia-Fen Tsai ◽  
Yen-Kuang Lin ◽  
Cheng-Che Shen ◽  
Li-Kai Huang ◽  
...  
Keyword(s):  
Mental Health ◽  
Elderly People ◽  
Rating Scale ◽  
Screening Program ◽  
Statistical Significance ◽  
The Elderly ◽  
High Ratio ◽  
University Hospital ◽  
Care Utilization ◽  
Elderly Outpatients

Abstract Background Dementia and depression have emerged as two of the major mental health concerns for elderly people, which are likely to substantially affect public health in the coming decades. Both dementia and geriatric depression are associated with increased morbidity, health care utilization, and mortality. Early detection and treatment initiation are some of the best strategies to minimize the ill effects of dementia and depression on the elderly people. To this end, large-scale screening may be the first step. Methods Screening of individuals ≥65 years old was conducted in the outpatient department of a university hospital. Ascertainment of dementia 8 (AD8) and five-item Brief Symptom Rating Scale (BSRS-5) were used to screen for cognitive decline and depression, respectively. Findings: In total, 3079 elderly people completed both AD8 and BSRS-5. Patients tested positive for cognitive impairment and depression were 28.2% and 15%, respectively. However, 7% were tested positive by both AD8 and BSRS-5 and with statistical significance. Interpretation: The high ratio of suspected dementia and suspected depression suggested the needs and cost-effect of screening among the elderly outpatients. However, the statistically significant overlap implied potential bias when screening only one condition. Future screening program of geriatric mental health needs to consider this.

Psychological and Physical Problems in Elderly People with Problems of Falls

2017 ◽  
Vol 41 (S1) ◽  
pp. S659-S660
Author(s):  
M. Mentis ◽  
M. Gouva ◽  
E. Antoniadou ◽  
K. Mpourdoulis ◽  
I. Kesoudidou ◽  
...  
Keyword(s):  
Mental Health ◽  
Physical Health ◽  
Elderly People ◽  
The Elderly ◽  
Poor Mental Health ◽  
University Hospital ◽  
Psychological State ◽  
Physical Damage ◽  
The Difference ◽  
Competing Interest

IntroductionFalls of the elderly to a degree been associated with poor mental health, poor social support and poor physical health.ObjectivesTo investigate the falls of elderly people in relation to their mental and physical healthy.AimsTo compare the effects of falls in the elderly in the areas of mental and physical health.MethodsThe current study used purposive sampling compromised from 48 people that visited the emergency department at the Patras University Hospital in 2016. The inclusion criterion for participation was age (> 65 years). Data was collected using WHO's questionnaire, the WHOQUOL-BREF. Finally, data was analyzed using the test t test for independent samples.ResultsThe sample constituted by 39.6% of male and 61.4% of female. The average age of the sample was M = 75.89 years. In relation to mental health, the average of the elderly with a history of falls found M = 57.26 (SD = ± 22.87), while the other was found M = 74.45 (SD = ± 15.81). The difference between the two groups was statistically significant (P < 0.05), while physical health although again the first group found to have a smaller average (M = 56.65, SD = ± 22.13) relative to the second group (M = 63.78, SD = ± 12.59) no statistical difference was observed.DiscussionsThese results demonstrates that falls beyond the physical damage that are immediately visible can as well create significant issues in the psychological state of the elderly exacerbating anxiety, fear and social isolation, which has been associated with depression event.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals A novel telerehabilitation with educational program for caregivers using telelecture is a feasible procedure for fall prevention in elderly people – A pilot study

2020 ◽  
Author(s):  
Kentaro Moriichi ◽  
Mikihiro Fujiya ◽  
Takanori Ro ◽  
Tetsuo Ota ◽  
Hitomi Nishimiya ◽  
...  
Keyword(s):  
Elderly People ◽  
Fall Prevention ◽  
Educational Program ◽  
Medical Information ◽  
The Elderly ◽  
Berg Balance Scale ◽  
University Hospital ◽  
Telemedicine System ◽  
Before And After ◽  
Clinical Trials Registry

Abstract Background: The importance of fall prevention rehabilitations has been well recognized. Recently, telerehabilitation was developed, however, there have been no reports on the use of telerehabilitation with direct support from specialists for fall prevention among the elderly. We herein reported telerehabilitation by carers educated by our novel educational program.Methods: Nine elderly people in two nursing homes were enrolled using our original criteria. Carers are educated with our educational program using telelecture system. Telerehabilitation was performed by carers following the instruction from rehabilitation specialists in Asahikawa Medical University using the telemedicine system every 2-4 weeks for three months. Carers were assessed with our original questionnaire before and after the telelecture. Berg Balance Scale (BBS), Timed Up & Go test (TUG test), Hand-held dynamometer (HHD) and Mini-Mental State Examination (MMSE) were assessed before and after telerehabilitation.Results: The average number of times to perform telerehabilitation in all institutes was 4.7. Levels of understanding of carers were significantly increased after the telelecture. No adverse event occurred during the study period. Median BBSs before and three months after telerehabilitation were 43 and 49, respectively. Those of TUG test, right and left HHD and MMSE were 17.89 and 18.53, 7.95 and 11.55, 9.85 and 13.20, and 16 and 19, respectively. All results were improved after telerehabilitation.Conclusions: Our telerehabilitation program exhibited significant effects in elderly people as well as levels of understanding rehabilitation of caregivers in the facilities for the elderly people safely.Trial registration: University Hospital Medical Information Network Clinical Trials Registry（UMIN-CTR）UMIN000041439, August 17th, 2020

Social Dimensions of Mental Illness among Rural Elderly Populations

1988 ◽  
Vol 26 (3) ◽  
pp. 169-190 ◽  
Author(s):  
Jon Hendricks ◽  
Howard B. Turner
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Physical Health ◽  
Elderly People ◽  
The Elderly ◽  
Rural Elderly ◽  
Policy Implications ◽  
Elderly Persons ◽  
Increased Risk ◽  
Elderly Populations

Despite growing concern with rural elderly populations, little attention has focused on their mental health, ways it may correlate with physical health, or how rural mental health patterns compare to urban. Popular wisdom contends that elderly people in general, and rural elderly persons in particular, are at increased risk for mental illness. This article examines these questions. A review of available literature suggests that elderly people may be at only slightly greater risk of mental illness than the population at large, though there are some indications that rates of depression may be somewhat higher among the elderly population. Much of this same literature implies that objective environmental conditions play a significant role in the incidence of depression. Analysis of data gathered in a statewide random poll ( N = 743) indicates that while physical health tends to be poorer among rural populations, when health is held constant there is actually an inverse relationship between age and depression. Therefore, rural elderly persons are no more likely to be depressed than their urban counterparts despite harsher living conditions. Both conceptual and policy implications are discussed.

Stress at work and the common mental disorders prevalence among nursing workers

2010 ◽  
Vol 5 (1) ◽  
pp. 1 ◽  
Author(s):  
Jorge Luiz Lima da Silva ◽  
Adriana Cibelle Rodrigues da Nóbrega ◽  
Fabiane Gonçalves De Faria Brito ◽  
Renata Campos Gonçalves ◽  
Barbara Soares Avanci
Keyword(s):  
Mental Health ◽  
Intensive Care ◽  
Mental Disorders ◽  
Rio De Janeiro ◽  
Common Mental Disorders ◽  
Statistical Significance ◽  
University Hospital ◽  
Survey Study ◽  
Chi Square ◽  
Self Reporting Questionnaire

ABSTRACT Objective: to identify the prevalence of mental disorders common and analyze factors related in nursing workers. Method: this is about a survey study performed with 80 workers in intensive care in a public university hospital in Rio de Janeiro city, Brazil. The CMD were assessed using the Self-Reporting Questionnaire (SRQ-20). It were described socio-demographic variables, work variables, the prevalence of CMD through univariate and bivariate. The Chi-square Test was used to assess the level of statistical significance. The study was approved by the Ethics in Research number 030/08 and the subjects were those who agreed with the purposes of the study and signed a formal term. Results: it was observed that the prevalence of TMC was significantly higher in those workers with monthly income above six minimum wages, job security, with and between those who work in coronary unit. Conclusion: the findings demonstrate the need for preventive actions aimed at better quality of life in promotion workplace and mental health for employees of nursing sectors of intensive care. Descriptors: stress; mental health; mental disorders.  RESUMO Objetivo: identificar a prevalência de transtornos mentais comuns e analisar fatores relacionados entre trabalhadores de enfermagem. Método: trata-se de um levantamento realizado com 80 trabalhadores de cuidados intensivos em um hospital público universitário de grande porte do Rio de Janeiro. Os transtornos mentais comuns foram avaliados por meio do Self-Reporting Questionnaire (SRQ-20). Foram descritas variáveis sócio-demográficas, variáveis laborais, a prevalência de TMC por meio de análises univariadas e bivariadas. O Teste do Qui-quadrado foi empregado para verificar o grau de significância estatística. O estudo foi aprovado pelo Comitê de Ética em Pesquisa sob o nº 030/08 e os sujeitos foram os que consentiram com os propósitos do estudo e assinaram termo formal. Resultados: foi observado que a prevalência de TMC esteve significativamente maior em trabalhadores que com renda mensal acima de seis salários mínimos, com vínculo estável e entre aqueles que trabalham em unidade coronariana. Conclusão: os achados demonstram a necessidade de ações preventivas que visem a melhor qualidade de vida no trabalho e promoção à saúde mental para os trabalhadores de enfermagem de setores de cuidados intensivos. Descritores: estresse; saúde mental; transtorno mental.  RESUMEN Objetivo: identificar la prevalecía de trastornos mentales comunes y analizar los factores relacionados en el personal de enfermería. Método: se trata de un estudio de encuesta con 80 trabajadores en cuidados intensivos en un hospital público universitario en el ciudad de Río de Janeiro, Brasil. Los trastornos mentales comunes se evaluaron utilizando el Self Reporting Questionnaire (SRQ-20). Se describen las variables socio demográficas, la labor de la prevalecía de CMD a través de análisis univariado y bivariado. La prueba de Chi cuadrado para evaluar el nivel de significación estadística. El estudio fue aprobado por el Comité de Ética en la Investigación con nº 030/08 y los participantes fueron los que estuvieron de acuerdo con los propósitos del estudio y firmaron un formulario de consentimiento. Resultados: hemos observado que la prevalecía de CMD fue significativamente mayor en los trabajadores con ingresos de más de seis veces el salario mínimo, con una estable y entre quienes trabajan en la unidad de cuidados coronarios. Conclusión: los resultados demuestran la necesidad de medidas preventivas destinadas a mejorar la calidad de la vida laboral y la promoción de la salud mental para el personal de enfer estrés; saludmería de los sectores de cuidados intensivos. Descriptores: mental; trastornos mentales.

scholarly journals Postoperative Course After Emergency Colorectal Surgery for Secondary Peritonitis in the Elderly Is Often Complicated by Delirium

2012 ◽  
Vol 97 (2) ◽  
pp. 129-134 ◽  
Author(s):  
Stephan Engelberger ◽  
Manuel Zürcher ◽  
Jochen Schuld ◽  
Carsten Thomas Viehl ◽  
Christoph Kettelhack
Keyword(s):  
Postoperative Delirium ◽  
Statistical Significance ◽  
The Elderly ◽  
Morbidity And Mortality ◽  
University Hospital ◽  
Colorectal Origin ◽  
American Society ◽  
Emergency Colorectal Surgery ◽  
American Society Of Anesthesiologists ◽  
The University

Abstract Postoperative delirium, morbidity, and mortality in our elderly patients with secondary perionitis of colorectal origin is described. This is a chart-based retrospective analysis of 63 patients who were operated on at the University Hospital Basel from April 2001 to May 2004. Postoperative delirium occurred in 33%. Overall morbidity was 71.4%. Surgery-related morbidity was 43.4%. Mortality was 14.4%. There was no statistical significance between delirium, morbidity and mortality (P  =  0.279 and P  =  0.364). There was no statistically significant correlation between the analyzed scores (American Society of Anesthesiologists classification, Mannheimer Peritonitis Index, Acute Physiology and Chronic Health Evaluation score II, physiological and operative surgical severity and enumeration of morbidity and mortality score‚ or short ‚cr-POSSUM’) and postoperative delirium, morbidity or mortality. Postoperative delirium occurred in one-third of the patients, who seem to have a trend to higher morbidity. Even if the different scores already had proven to be predictive in terms of morbidity and mortality, they do not help the risk stratification of postoperative delirium, morbidity, or mortality in our collective population.

scholarly journals Repercussões do adoecimento crônico na saúde mental de pessoas idosas

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
Keyword(s):  
Mental Health ◽  
Chronic Disease ◽  
Chronic Diseases ◽  
Elderly People ◽  
Family Health ◽  
The Elderly ◽  
Structured Interview ◽  
Analysis Technique ◽  
Salud Mental ◽  
The Moment

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.

scholarly journals Cognitive assessment of elderly people in outpatient care

Rev Rene ◽  
2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Bruna Zortea ◽  
Daiane Porto Gautério-Abreu ◽  
Silvana Sidney Costa Santos ◽  
Bárbara Tarouco da Silva ◽  
Silomar Ilha ◽  
...  
Keyword(s):  
Marital Status ◽  
Elderly People ◽  
Outpatient Care ◽  
Cognitive Deficit ◽  
The Elderly ◽  
Cognitive Status ◽  
University Hospital ◽  
Noncommunicable Diseases ◽  
Cognitive State ◽  
Cross Sectional

Objective: to evaluate the cognitive state of elderly people under outpatient care; investigate the association betweenthe cognitive state and the socio-demographic variables, health conditions, number of medications and adhesion to thetreatment. Methods: this is a cross-sectional, exploratory, and descriptive study, with a quantitative approach, conductedwith 107 elderly people undergoing outpatient care in a university hospital in the south of Brazil. The following variableswere used: gender, age, marital status, income, schooling, occupation, preexisting noncommunicable diseases, number andtype of prescribed medications, adhesion, mini mental state examination and cognitive status. Data were analyzed throughinferential and descriptive statistics. Results: The prevalence of cognitive deficit was of 42.1% and had a statisticallysignificant connection with schooling, income, marital status, hypertension and cardiopathy. Conclusion: nurses canintervene to avoid the increase of cognitive deficit through an assessment of the elderly people, directed to facilitativestrategies to soften this deficit.

Benefits of Indirect Contact With Nature on the Physiopsychological Well-Being of Elderly People

2021 ◽  
pp. 193758672110066
Author(s):  
Mohamed Elsadek ◽  
Yuhan Shao ◽  
Binyi Liu
Keyword(s):  
Mental Health ◽  
Elderly People ◽  
Visual Stimulation ◽  
Brain Activity ◽  
Nervous Activity ◽  
Well Being ◽  
The Elderly ◽  
Indirect Contact ◽  
Psychological Conditions ◽  
The Brain

Objectives: Exposure to nature or to green space has positive mental health benefits. Closing of parks and green spaces during the COVID-19 pandemic has reduced options for mental health and well-being benefits and could have a greater impact on vulnerable populations, especially the elderly. The present study, therefore, explores the physiopsychological impacts of indirect contact with nature, using forest imagery, on the brain activity and autonomic nervous systems of elderly people. Study Design: A within-subject design experiment was used. Methods: Thirty-four participants aged 82.9 ± 0.78 years were asked to look at bamboo and urban images for 2 min. During the visual stimulation, α relative waves were measured using electroencephalography as an indicator of brain activity. Heart rate variability and skin conductance (SC) responses were utilized as indicators of arousal. Afterward, psychological responses were evaluated using the semantic differential and the Profile of Mood States questionnaires. Results: Visual stimulation with bamboo image induced a significant increase in α relative waves and parasympathetic nervous activity and a significant decrease in SC. In addition, a significant increase in perceptions of “comfortable,” “relaxed,” “cheerful,” and “vigorous” feelings was observed. Conclusions: Indirect contact with nature enhances the physiological and psychological conditions of the elderly. Findings can be used to guide the new design, renewal, and modification of the living environments of the elderly and those who are unable to get outside.

scholarly journals Rate of Nonadherence to Antipsychotic Medications and Factors Leading to Nonadherence among Psychiatric Patients in Gondar University Hospital, Northwest Ethiopia

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Abyot Endale Gurmu ◽  
Esileman Abdela ◽  
Bashir Allele ◽  
Ermias Cheru ◽  
Bemnet Amogne
Keyword(s):  
Rating Scale ◽  
Psychiatric Patients ◽  
Statistical Significance ◽  
Alternative Therapy ◽  
Northwest Ethiopia ◽  
University Hospital ◽  
Medication Nonadherence ◽  
Chi Square ◽  
Cross Sectional ◽  
Patient Interview

Objective. The main aim of this study was to assess the rate of medication nonadherence among psychiatry patients at University of Gondar Hospital. Materials and Methods. Cross-sectional, descriptive method was conducted over a period of one month in May, 2013, at University of Gondar Hospital. Rate of nonadherence was computed using Medication Adherence Rating Scale questionnaire and self-reporting via a structured patient interview. Chi-square was used to determine the statistical significance of the association of variables with adherence. Result. Out of 209 respondents, 105 (50.2%) were found to be nonadherent. Patients who were forced to take their medication against their will (P<0.001), those who did not believe they require medication (P=0.026), and those who discontinued their medication without consulting their prescriber (P<0.001) had significant association with nonadherence. Adherence among schizophrenia was 75.7%; psychotic was 46.7%; bipolar disorder was 37.5%; and psychosis with depression was 52.6%. Reasons for nonadherence included recovery from the illness (26.7%), seeking alternative therapy and unavailability of drugs (18.1% each), adverse drug reaction (12.7%), forgetfulness (10.6%), and being busy (8.6%). Conclusion. The observed rate of antipsychotic medication nonadherence in this study was high. Interventions to increase adherence are therefore crucial.

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