scholarly journals Milieu therapy as a method for improving the quality of life of the old people

2021 ◽  
Vol 6 (1) ◽  
pp. e0601293
Author(s):  
Yevgen Oprya ◽  
Mykhailo Pustovoyt

Relevance Nowadays, both in developing countries and in industrialized countries, there is a process of increasing life expectancy, which together with the problem of low birth rates leads to the phenomenon of “aging population”. Providing care to the elderly is not only a purely medical problem, but the social aspect is equally important. An important component of the lifestyle of an elderly person is recreation - the processes of restoring vitality, relieving mental stress and recovery, carried out in various forms of recreation, nutrition, active or passive leisure. Modern society and the health care system face three most important tasks: continuing an active life with minimal losses from the disorders inherent in old age, combating high morbidity in old age and ensuring a dignified end to the lives of aging people. Although the provision of medical and social assistance to the elderly is organized and provided as needed, ensuring the accessibility and sufficient presence in their lives of the social aspect and its communicative component is not supported in our country at the state level and is not regulated by law Purpose The purpose of the work is to improve the quality of life of the elderly through the organization of the social component of life by arranging their leisure. Results To achieve this goal, it was proposed to use the principles and methods of milieu therapy, which means “treatment by the environment”. Most often, milieu therapy refers to a form of psychotherapy that involves the use of therapeutic communities. Considering the goal, milieu herapy fully covers and meets the goals of rehabilitation of the elderly, and as a social technology allows to create an active living environment that encourages older people to “independent actions”, self-sufficiency, withdrawal from dependent moods and hyperprotection. Milieu therapy allows to activate the living environment of such people in accordance with their needs, interests, psychophysical condition, rehabilitation potential; and to optimize the work of staff in the direction of improving the efficiency of activities that will have a direct impact on quality of life. On the example of other countries, examples of the use of the principles of milieu therapy in the organization of daytime activities in the elderly are provided. Conclusions Providing leisure for the elderly will be able to improve their quality of life, reduce the prevalence of somatic diseases and the risk of developing psychosomatic conditions in them, and thus reduce the burden on health care facilities. And the use of the principles of milieu therapy to solve problems will allow to organize it as effectively as possible.

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Alaa K El-gharib ◽  
Ayat F Manzour ◽  
Reem El-Mallah ◽  
Salma M.S El Said

Abstract Background Urinary incontinence (UI) is a common disorder that particularly affects the elderly population worldwide. UI can be associated with poor quality of life (QOL) of this vulnerable population, as it leads to the limitation of their physical and social activities of daily life. Additionally, it has a psychological and economic burden on individuals, health care services and society. Objectives This study was performed to measure the frequency of UI and to determine its impact on the overall QOL of elderly, physical performance and activities of daily living. Participants and Methods A cross-sectional study was performed on attending the four Primary Health Care centres (PHCs) of El-Obour City. Data collection was done in randomly chosen days every week. All elders aged 60 or above, who attended the PHCs those days, were included until a sample size of 150 elderly was obtained. The International Consultation of Incontinence (ICIQ) was used to detect urinary incontinence, assess its type and severity while, SF-12 was used to assess quality of life (QOL) with its mental and physical components. All study participants underwent short physical performance battery balance, gait and chair tests Results The overall frequency of UI was 38% among the studied elderly. UI ranged from mild (12.3%) to moderate (57.9%) and severe (29.8%). Among incontinent participants, the frequency in men was 47.4% and in women was 52.6%. The frequency of stress, urge, mixed and other UI were 7%, 33.3%, 40.4% and 19.3% respectively. Incontinent elderly had significantly lower QOL as regards mental and physical indices than their continent counterparts. UI severity was inversely related to physical performance. Conclusion and recommendation UI has a high-frequency rate among the elderly population, and it has a significant impact on all QOL domains as well as on their physical performance. It is recommended to set up management plans and strategies in geriatric health care facilities to prevent UI and its impact on the physical and mental health of this vulnerable population.


Author(s):  
Alicja Szerląg ◽  
Arkadiusz Urbanek ◽  
Kamila Gandecka

Background: The analysis has involved social interactions in a multicultural environment. The social context has been defined by the Vilnius region (Lithuania), where national, religious, and cultural differences exist across generations (multicultural community). The space of “social relationships”, as one of the modules of the WHO quality of life assessment, has been studied. An innovation of the research has been related to the analysis of the phenomenon of community of nationalities and cultures as a predictor of quality of life (QoL). The social motive of the research has been the historical continuity (for centuries) of the construction of the Vilnius cultural borderland. Here, the local community evolves from a group of many cultures to an intercultural community. Interpreting the data, therefore, requires a long perspective (a few generations) to understand the quality of relationships. We see social interactions and strategies for building them as a potential for social QoL in multicultural environments. Methods: The research has been conducted on a sample of 374 respondents, including Poles (172), Lithuanians (133), and Russians (69). A diagnostic poll has been used. The respondents were adolescents (15–16 years). The research answers the question: What variables form the interaction strategies of adolescents in a multicultural environment? The findings relate to interpreting the social interactions of adolescents within the boundaries of their living environment. The description of the social relations of adolescents provides an opportunity to implement the findings for further research on QoL. Results: An innovative outcome of the research is the analysis of 3 interaction strategies (attachment to national identification, intercultural dialogue, and multicultural community building) as a background for interpreting QoL in a multicultural environment. Their understanding is a useful knowledge for QoL researchers. The data analysis has taken into account cultural and generational (historical) sensitivities. Therefore, the team studying the data has consisted of researchers and residents of the Vilnius region. We used the interaction strategies of adolescents to describe the category of “social relationships” in nationally and culturally diverse settings.


2011 ◽  
Vol 1 ◽  
pp. 168-173
Author(s):  
Taha Nazir ◽  

The current clinical and pharmaceutical systems in developing countries potentially need special attention of international health care organizations. The undermined health care facilities are hurting the overall quality of life and international health standards.


Author(s):  
Camilla Aparecida Silva de Oliveira ◽  
Andréa Maria Duarte Vargas ◽  
Fernanda de Morais Ferreira ◽  
Efigênia Ferreira e Ferreira

(1) Objective: To understand the perception of Brazilian children about the Quality of Life (QoL) considering their living environment. (2) Methods: This is a qualitative study conducted with children aged 6–10 years, from a medium-sized Brazilian municipality, recruited from public and private schools. An adaptation of the “draw, write, and say” method was used to collect data. At first, all children (n = 252) drew a “neighborhood with QoL”. On the same day, the researcher analyzed the graphic elements of the representations and intentionally selected the two best-detailed drawings from each class (n = 49) and the children were invited to narrate them. The narratives were analyzed through content analysis. (3) Results: Two major themes emerged from the content analysis, namely, the physical environment and social environment. The first included the needs to live in a community, such as housing, places of leisure, essential services, and natural elements. The second was relationships with family and friends. (4) Conclusion: The children presented the meaning of an environment with QoL, pointing out essential items to have this ideal environment. The social environment and the physical environment were perceived interdependently; that is, any change in one of these aspects may affect children’s QoL.


2016 ◽  
Vol 7 (1) ◽  
pp. 8-12 ◽  
Author(s):  
R. Aydin ◽  
E. Unal ◽  
M.E. Gokler ◽  
S. Metintas ◽  
G.O. Emiral ◽  
...  

2017 ◽  
Vol 29 (4) ◽  
pp. 371-393 ◽  
Author(s):  
Eltony Mugomeri ◽  
Peter Chatanga ◽  
Ts’ele Khetheng ◽  
Jotham Dhemba
Keyword(s):  
Old Age ◽  

2015 ◽  
Vol 67 (1) ◽  
pp. 29-39
Author(s):  
Agnieszka Kozerska

From the perspective of adult education, the engagement of older people in developing relationships with other people is related to their learning and creating their identities. The research conducted in the areas of various countries shows a relationship between a social participation of seniors and their well-being. Moreover, participation in rich social networks, composed of many people, coincides with a high quality of life. The article focuses on senior citizens functioning in restricted networks (less numerous social networks, consisting of several people).The study is to serve three purposes: firstly, to identify determinants of a subjective assessment of own life of senior citizens living in restricted networks; secondly, to analyse a relationship between seniors’ subjective, general assessment of life and their opinion on what determines a successful and happy life; thirdly, to analyse the relationship between seniors’ subjective, general assessment of life and the ways they handle problematic situations. The analysis has been conducted on the basis of the data collected in 2013, available to the general public on www.diagnoza.com. The data was collected within the Social Diagnosis (Diagnoza społeczna) project. The objective of the Social Diagnosis is an investigation of the conditions and quality of life in Poland. It is based on panel research. A questionnaire has been used as a research tool. The article presents information regarding 5623 individuals, aged 60+functioning in restricted social networks in Poland. The Mann-Whitney U test and the two proportions test helped to analyse the differences between variable distributions. The results show that a poor social life of the elderly does not have to be linked with a feeling of loneliness. The group of individuals with a high level of general satisfaction is more satisfied with a relationship with the family (especially children) than the group with a low level of life satisfaction. The analysis confirms that good relationships with family and friends are an important predictor of life satisfaction of the elderly. Health is considered to be a condition of a successful life by seniors with a high level of life satisfaction, as well as relationships with close family members: with children and a spouse. This group of respondents shows more confidence in other people, by whom they feel loved and confided in. In difficult situations people with a high level of life satisfaction turn to others for help, but they also act themselves. Seniors with a low level of satisfaction differ from the previous group in these terms. These are people who do not feel confided in by others and they also hardly ever turn to others for help. In difficult situations they are more often passive. In conclusion, the author highlights the significance of informal learning occurring in families to enhance older people’s quality of life. It is important, especially in case of poorly educated persons with low incomes who often function in small social networks. Key words: informal learning in the family, life satisfaction of older adults, social participation of seniors.


2020 ◽  
Vol 20 (1) ◽  
pp. 30-49
Author(s):  
E. A. Kechyna ◽  
L. V. Filinskaya

The demographic aging of population typical for many countries requires much more financial and material resources to meet the needs of the post-working-age population. For the Republic of Belarus, the problem of population aging is highly relevant for the share of the elderly grows annually. The article focuses on the social-demographic characteristics and quality of life of the older generation in Belarus. The article is based on the data of the National Statistical Committee of the Republic of Belarus and the results of the sociological research “Belarus: Family, Stability of Family Relations, and Birth Rate in the Changing Social-Economic Conditions” conducted within the international research program “Generation and Gender”. The authors present a sociological-statistical approach to the analysis of the key characteristics of the elderly’s life in contemporary Belarus, which combines the information resources of sociology and statistics. The authors consider the general statistical data on the population aging and the elderly’s features and the sociological indicators revealing the perception of life at the older age. The assessment of the older generation’s life is presented as a set of indicators of the quality of life, which includes both objective statistical data and estimates of the older people’s satisfaction with various aspects of their life. For the first time in Belarus the quality of life of the 60-69- and 70-79-year-old cohorts is studied not only through statistical data but also taking into account their own assessments of various aspects of their lives, which allows to identify the most relevant issues for the social programs aimed at meeting the needs of the older generation.


Author(s):  
Maria Cecilia Luise ◽  
Mario Cardona

Language learning experiences seem to lead to advantages for the elderly in the social, psychological and cognitive spheres. Learning languages is not only useful for the quality of life of the elderly and for their active participation in society, but it also has an important role in stimulating and maintaining cognitive resources, increasing cognitive reserves and countering their decline favouring the development of compensation processes. From this point of view, learning languages for the elderly is not only possible but it is also desirable. This justifies a FL geragogic model, called cognitive-emotional scaffolding, which can become the basis of a project to teach foreign languages to elderly learners.


2018 ◽  
Vol 21 (5) ◽  
pp. 616-627 ◽  
Author(s):  
Luana Karoline Ferreira ◽  
Juliana Fernandes Filgueiras Meireles ◽  
Maria Elisa Caputo Ferreira

Abstract Objective: to analyze Brazilian and non-Brazilian scientific production that considers the relationship between the lifestyle and quality of life of the elderly. Method: an integrative review of literature was performed in the Scopus, PubMed, Virtual Health Library and PsycINFO databases. Four cross-searches were adopted: the English synonyms of the word "elderly" ("Aged", "Aging", "Old age" and "Elderly") with the terms "Quality of life" and "Lifestyle". Results: after the adoption of the inclusion and exclusion criteria, 21 articles were analyzed. Physical activity, diet, body composition, alcohol intake, smoking and social relations were the main components of lifestyle investigated. The studies show that these factors influence the perception of the quality of life of the elderly. In addition to these factors, sociodemographic characteristics, functional capacity, sleep quality and comorbidities are also factors that influence the quality of life of the elderly. Conclusion: interest in the relationship between the lifestyle and quality of life of the elderly has increased in recent years. It was observed that the lifestyle of the elderly has been investigated in several ways, however no qualitative studies were found using the search criteria adopted in this review. As future perspectives, it is hoped that tools for evaluating the lifestyle of the elderly will be developed and qualitative investigations will be carried out in order to obtain a deeper understanding of the specificities that exist in the relationship between the lifestyle and levels of quality of life in old age.


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