scholarly journals Demographic Factors and Disease History Associated with Dementia among Elderly in Nursing Homes

2020 ◽  
Vol 8 (2) ◽  
Author(s):  
Lisna Anisa Fitriana ◽  
Nazhifa Ufamy ◽  
Kusnandar Anggadiredja ◽  
Linda Amalia ◽  
Setiawan Setiawan ◽  
...  

Dementia is increasing in the world which is a major cause of disability and dependence in the elderly. This causes the elderly can not do their daily activities so often live in a nursing home. It is important to know the factors associated with dementia to prevent and treat dementia with appropriate interventions. The objective of this study was to identify the demographic factors and disease history associated with dementia among elderly in nursing homes. The research method was cross sectional study. Sample were recruited from three nursing homes located in Bandung and Garut using purposive sampling technique for a-3 month period (n=163). Data were collected using questionnaire consisting of demographic data, disease history, and MMSE (Mini Mental State Examination). The analysis of data was performed using chi-square test, fisher test, and logistic regression analysis. In term of its association with dementia, low education had the higher odd ratio (OR: 5.90, 95% CI: 2.02-17.20, p=0.001) than unmarried status (OR: 4.78, 95% CI: 1.23-18.52, p=0.024) and stroke (OR: 0.23, 95% CI: 0.06-0.88, p=0.032). However, diabetes mellitus was identified as confounding variable (OR: 0.10, 95%CI: 0.01-1.01, p=0.051). In conclusion, low education, unmarried status, stroke, and diabetes mellitus were predictor factors of dementia among elderly in nursing homes. It is recommended to include effective treatment could be in the form of health education about management of stroke and diabetes, physical activity, improvement of nutritional adequate, and social activities to prevent loneliness.

Author(s):  
Onesmus Kamau ◽  
Stephen Muathe ◽  
Lawrence Wainaina

This study aims to investigate the effect of demographic factors on the turnover intentions of teachers in public secondary schools in Murang’a county Kenya. The study was guided by the following specific objectives: To investigate the association between age and education and turnover intentions; to establish the association between gender and turnover intentions; to determine the association between tenure and turnover intentions and to establish the association between educational level and turnover intentions. The study was guided by the Social exchange and Organization equilibrium theories.  This study was a cross-sectional study and adopted descriptive and explanatory research designs. The target population was 3752 Teachers Service Commission (TSC) teachers in 304 public secondary schools in Murang’a county Kenya.  The study thus used multi-stage random to select a sample size of 400 teachers and 40 schools. A self-administered questionnaire was used to collect the demographic data. Data were analyzed using cross-tabulation and Pearson Chi-square statistics.   The study findings indicated that age has a significant association with turnover intentions while employee tenure, gender, and educational level have no significant association with turnover intentions.


2020 ◽  
Vol 2 (2) ◽  
pp. 128-134
Author(s):  
Pramila Bhandari ◽  
Mira Baral

Background: Abuse of the elderly is a hidden problem in Nepalese community. Pokhara city is highly affected by urbanization, modernization and migration that predispose older adults to social isolation and financial difficulties increasing their risk to abuse. This study aims to fill the gap in the knowledge in the area of abuse of elderly in Pokhara city.Objectives: The major objective of this study was to determine the prevalence of caregiver abuse experienced by the older adults and find out the factors associated with the abuse. Method: A cross sectional study was used for the study. Convenience sampling technique was used and data was collected from 192 elderly above the age of 60 years residing a community of Pokhara-28, Kaski at their households using a structured interview schedule. Data was collected in June 2018, for a period of one month. Before data collection, informed written consent was taken from participants. The data was analyzed by using SPSS-16 and chi-square test was used as inferential statistics to determine the association between the elder abuse and selected variables.Result: We found out that 65.6% of the elderly experienced at least one abuse in the last 6 months. The most common forms of abuse were caregiver neglect (55.2%) and psychological abuse (38.5%). The elderly abuse was statistically significant with female sex (p=0.001), unmarried/widow/widower/separated/divorced (p=.021), illiterate (p=0.002), and among those having chronic illness (p=0.003). Conclusion: Almost 7 out of 10 elderly experienced abuse in the past 6 months. The most common form of abuse was caregiver neglect followed by psychological and financial abuse. Older adults who were females, unmarried/widowed/separated/divorced, illiterate and those having chronic disease were at higher risk for abuse.


2021 ◽  
Vol 5 (1) ◽  
pp. 103-109
Author(s):  
I.A. Pascha Paramurthi ◽  
I Made Dhita Prianthara ◽  
Kadek Liza Widya Astari

Background: The elderly population in recent years has experienced a significant increase. The condition and function of the body in the elderly are decreasing so that a person will experience a decrease in physical abilities which can affect body shape. Changes in body composition in the elderly include an increase in fat mass, a decrease in fat-free mass and a decrease in bone mass. These changes can increase and decrease the Body Mass Index (BMI). Sleep disturbance that affects sleep quality is sleep disordered breathing (SDB) and is closely related to a person's BMI level. The higher a person's BMI, the worse the quality of sleep, and vice versa. Purpose: This study aims to determine the relationship between obesity and sleep quality in the elderly. Methods: This study was a cross-sectional study. The sampling technique was simple random sampling. The research sample consisted of 49 elderly people. Results: Based on the chi-square test, the value of p = 0.043 (p


2020 ◽  
Vol 4 (2) ◽  
pp. 113-121
Author(s):  
Fadhilah Rosyid Pradana ◽  
Sri Widiyati ◽  
Arwani Arwani

Background: Tuberculosis (TB) in children needs special attention. Enforcement of the diagnosis of childhood TB which is an important component in controlling pulmonary TB itself. Nurses as health workers have a role as providers of nursing care, educators, communicators and extension agents needed in an effort to overcome diseases including pulmonary TB in children. The nurse is also one of the human resources or health workers trained and responsible for implementing pulmonary TB prevention programs. For this reason nurses are required to have competent knowledge.Purpose: To determine the relationship of characteristics with the level of knowledge of nurses about pulmonary TB in children in the Health Center’s area of Semarang City.Methods:.This study used a descriptive survey design with a cross sectional study design. The sampling technique uses purposive sampling. The number of respondents was 44 respondents. The instruments used were questionnaires about demographic data and the level of knowledge about pulmonary TB in children. The data was analised using chi square.Results:.The results of this study using the Chi-square test obtained p value (Age 0.677), (Gender 0.531), (Education Level 0.230), and (Working Period 0.424) which shows p-value 0.05.Conclusion: There is no correlation between the characteristics and level of knowledge of nurses about pulmonary TB in children in Health Center’s area of Semarang.


2021 ◽  
Vol 10 (2) ◽  
pp. 258
Author(s):  
Ni Kadek Muliawati ◽  
Nurul Faidah

There are 901 million people aged 60 years or over, comprising 12% of the world's population (Department of Economic and Social Affairs, 2015). The Morbidity rate in the elderly in 2015 was 28.62%, which means that for every 100 elderly people, 28 people are sick (Kemenkes RI, 2017). The utilization of health services in the elderly Posyandu is still far from the expected target. (Aprilia, 2019): out of 105 elderly, 65.7% do not regularly go to Posyandu in Pekanbaru. The data on elderly visits to the Banjar WangayaKaja elderly posyandu in the last three months were 41 elderly (29.31%). This study aims to analyze the obedience factor of the elderly in the utilization of posyandu services for the elderly.A cross-sectional study was conducted in Banjar WangayaKaja, Denpasar Utara in October-November 2019. The sample was 99 elderly with non-probability sampling technique, namely purposive sampling. Elderly who changed residence, were sick / hospitalized and totally dependent were not sampled. Demographic data, the distance from the elderly's house to the elderly posyandu and the knowledge of the elderly were obtained by distributing questionnaires, the attendance of the elderly was obtained based on attendance in the past one year. Multivariate analysis with logistic regression was carried out to obtain POR.There was a relationship between POR age = 0.17 (95% CI: 0.03-0.94), education POR = 2.71 (95% CI: 1.23-6.01) and the role of cadres POR = 59 , 64 (95% CI: 9,18-387,41) with elderly compliance in the utilization of posyandu services for the elderly. Factors that were not statistically found to be associated were gender (p-value: 0.552), occupation (p-value: 0.490), location distance to elderly posyandu (p-value: 0.009) and knowledge (p-value: 0.894). Cadres further enhance their roles, such as conducting home visits, as motivators as an effort to improve posyandu services for the elderly.


Author(s):  
Erika Toapaxi ◽  
Yeisy Guarate ◽  
Nadihezka Cusme

Introducción: El estilo de vida es aquella elección consciente o inconsciente de practicar ciertos comportamientos que se van adquiriendo con el paso del tiempo y que en ocasiones son difíciles de modificar, influyendo principalmente en la salud. Objetivo: Analizar el estilo de vida y su influencia en el estado de salud de los adultos mayores del Sector la Unión, Provincia de Cotopaxi, Ecuador. Métodos: Estudio cuantitativo, correlacional, transversal, con una muestra censal de 35 adultos mayores, se aplicó el instrumento fantástico y el cuestionario Salud SF-12, ambos instrumentos válidos y confiables. Los datos obtenidos fueron procesados a través del software estadístico PSPP, por medio del cálculo de la distribución numérica, porcentual y la prueba de Chi Cuadrado, con significancia estadística (p<0.05). Resultados: En los datos demográficos predominan el sexo en 63%, 71% son indígenas, el 44% con edad entre 60-70 años, en los adultos mayores predominó el estilo de vida bueno con una diferencia significativa p<0,05 en relación al estilo de vida fantástico y regular, en la alimentación la mayoría consume dietas hiposódicas y bajas en grasas, mantienen un peso adecuado, automedicación ocasional y 43% presenta dolor corporal que dificulta un poco sus labores. Conclusiones: La población mantiene un estilo de vida adecuado, sin embargo, se evidenció debilidades que se deben fortalecer con actividades educativas de promoción de salud como el poco consumo frutas y verduras, hábitos cafeicos frecuentes. Palabras clave: adulto mayor, estilo de vida, hábitos saludables, alimentación.  ABSTRACT Introduction: The lifestyle is that conscious or unconscious choice to practice certain behaviors that are acquired over time and that are sometimes difficult to modify, mainly influencing health. Objective: To analyze the lifestyle and its influence on the health status of the elderly in the Sector La Unión, Province of Cotopaxi, Ecuador. Methods: Quantitative, correlational, cross-sectional study, with a census sample of 35 older adults, the fantastic instrument and the SF-12 Health questionnaire were applied, both valid and reliable instruments. The data obtained were processed through the PSPP statistical software, through the calculation of the numerical distribution, percentage and the Chi Square test, with statistical significance (p <0.05). Results: In the demographic data, sex predominates in 63%, 71% are indigenous, 44% aged between 60-70 years, in older adults the good lifestyle predominated with a significant difference p <0.05 in relation to a fantastic and regular lifestyle, most of them consume low-sodium and low-fat diets, maintain an adequate weight, occasional self-medication and 43% have body pain that makes their work a little difficult. Conclusions: The population maintains an adequate lifestyle, however, weaknesses were evidenced that should be strengthened with educational activities to promote health such as low consumption of fruits and vegetables, frequent coffee habits. Keywords: elderly, lifestyle, healthy habits, eating


2020 ◽  
Vol 24 (1) ◽  
Author(s):  
Thaciane Alves Mota ◽  
Manuela Bastos Alves ◽  
Valdenir Almeida da Silva ◽  
Francieli Aparecida de Oliveira ◽  
Priscilla Mécia Conceição de Brito ◽  
...  

Abstract Objective: To identify the association of sociodemographic and clinical factors with the functional capacity of elderly individuals with hypertension and/or diabetes mellitus. Method: An outpatient, non-probabilistic cross-sectional study, performed in two Health Units in a city from the inland of Bahia, Brazil, with a population of 100 elderly individuals monitored through the HIPERDIA Program. Data was collected using a questionnaire covering socio-demographic data, the Katz index and the Mini Mental State Examination. Results: The analysis showed that 45% of the respondents had some degree of dependence. In the multivariate analysis it as observed that the elderly individuals aged 70 years old or more presented 1.9 times more chances to develop some degree of dependence in relation to those under 70 years old. Considered the same age group, it was shown that those with concomitant comorbidities (hypertension and diabetes) were 1.7 times more likely to develop some dependence compared to those who only had hypertension. Conclusion and implications for practice: It was possible to conclude that functional capacity as a multifactorial condition in this population was determined by age and by the presence of comorbidities (hypertension and diabetes). Identifying these disability-conditioning factors allows for a better planning of nursing care based on promoting a healthy, independent and autonomous aging process.


1970 ◽  
Vol 4 ◽  
pp. 129-142 ◽  
Author(s):  
Raj Kumar Subedi

Insomnia is one of the major and unsolved problems in older people. Most of the sleep studies report that the different forms of insomnia like Difficulty Initiating Sleep (DIS), Difficulty Maintaining Sleep (DMS) and Non-Restorative Sleep (NRS) are common among the elderly that are associated to many factors. The objective of the study was to measure the prevalence of insomnia and the factors associated to it among the elderly people. A cross-sectional study was conducted among 142 elderly people of and above 60 years of age in Sarangdanda VDC of Panchthar District of Eastern Nepal. The presence or absence of insomnia and the associated factors were assessed on them by the help of interview schedule. The results were analyzed using chi-square test in SPSS (version 11.5). DMS was the most common reported form of insomnia among the elderly followed by DIS and NRS. Association between insomnia and each of factors like use of tobacco before sleeping hours, eating too close to bedtime, use of tea/coffee before sleeping hours and use of alcohol before sleeping hours were statistically significant at 95% level of confidence. Insomnia affects a large proportion of elderly and is triggered by many factors like use of tobacco before sleeping hours, use of tea/coffee before sleeping hours, eating too close to bedtime and use of alcohol before sleeping hours. Keywords: Alcohol; tea/coffee; difficulty initiating sleep (DIS); difficulty maintaining sleep (DMS); non-restorative sleep (NRS); tobacco DOI: 10.3126/dsaj.v4i0.4517 Dhaulagiri Journal of Sociology and Anthropology Vol.4 2010 pp.129-142


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 ◽  
...  

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.


2019 ◽  
Vol 1 (01) ◽  
pp. 38-45
Author(s):  
Helena Wadja ◽  
Hamidah Rahman ◽  
Nani Supriyatni

Diabetes adalah penyakit yang berlangsung lama atau kronis serta ditandai dengan kadar gula (glukosa) darah yang tinggi atau di atas nilai normal. Glukosa yang menumpuk di dalam darah akibat tidak diserap sel tubuh dengan baik dapat menimbulkan berbagai gangguan organ tubuh. Diabetes melitus (DM) menjadi ancaman serius bagi kesehatan manusia pada abad ke-21. Jumlah penderita DM mencapai 422 juta orang di dunia pada tahun 2014. Sebagian besar dari penderita tersebut berada di negara berkembang. Indonesia sebagai salah satu negara berkembang memiliki jumlah penderita yang cukup tinggi. Tujuan penelitian ini adalah untuk mengetahui hubungan tingkat pengetahuan, tingkat stres, dan durasi tidur terhadap kejadian Diabetes Mellitus. Metode penelitian dengan menggunakan desain cross sectional study. Populasi dalam penelitian ini adalah  pasien yang datang memeriksakan kadar gula darah di UPTD Diabetes Center Kota Ternate Tahun 2018. Jumlah sampel 95 orang yang diambil dengan cara accidental sampling. Hasil uji statistik dengan menggunakan uji chi square menunjukkan bahwa faktor-faktor yang berhubungan dengan penyakit Diabetes Mellitus adalah tingkat stres dengan p-value = 0,037 ( <0,1 ) dan durasi tidur dengan p-value = 0,025 ( <0,1 ), sedangkan yang tidak berhubungan adalah tingkat pengetahuan dengan p-value = 0,709 ( >0,1 ). Oleh karena itu, disarankan kepada petugas kesehatan lebih meningkkatkan lagi  informasi kepada masyarakat tentang penyakit Diabetes Mellitus, agar masyarakat lebih tahu tentang penyakit Diabetes Mellitus.


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