scholarly journals Morbidity Pattern among Elderly Population of Changu Narayan Municipality, Bhaktapur

2019 ◽  
Vol 17 (3) ◽  
pp. 408-412
Author(s):  
Naresh Manandhar ◽  
Sunil Kumar Joshi

Background: The Senior Citizens Acts 2063, Nepal defines the senior citizens (elderly population) as “people who are 60 years and above”. Health is the most important determinant of the quality of life of people. Ill-health becomes a major obstacle for the well-being of the elderly population. This study was conducted to assess the morbidity pattern in elderly population.Methods: A community based cross-sectional study was carried out in field practice area of the Department of Community Medicine. 124 elderly population were selected by convenient sampling technique. A structured questionnaire was used to collect the data. Data was analyzed using SPSS version 20. Chi-square was used to test the association and p<0.05 was considered as significant.Results: The mean age of elderly population was 69.85 years. Majority (47.6%) of them were in the age group of 60-69 years. Males (50.8%) were more than females (49.2%). Twelve respondents (9.7%) were not suffering from any form of morbidity. Most common morbidity was muscular skeleton problem (40.8%), followed by hypertension (36.3%), diabetes (29.8.8%), psychological (23.4%) and respiratory (18.6%). Other morbidities gastrointestinal, dental, ENT, eye and genitourinary system were found in around ten percentage of elderly population Conclusions: Majority of the elderly population were suffering from non-communicable diseases. There is a need for health care services at all level with special focus on disease prevention, early detection and treatment for elderly population. This study found high prevalence of musculoskeletal, hypertension, diabetes and psychological problem and low prevalence of respiratory, gastrointestinal, dental, ENT, genitourinary and eye problem. Keywords: Changu Narayan; diabetes; hypertension; masculo skeleton; morbidity pattern; senior citizens.

Author(s):  
Visweswara Rao Guthi ◽  
Tirupati Venkata Devi Prathyusha ◽  
Nagaraj Kondagunta ◽  
Nakkala Kavyasree ◽  
Chimmata Kavitha ◽  
...  

Background: Healthy aging is a process of developing and maintaining the functional ability that enables well- being in older age. Objective of the present study is to assess the quality of life among elderly population using WHOQOL-BREF scale and to determine the association between socio demographic factors and quality of life.Methods: Community based cross- sectional study was conducted in the urban field practice areas of SVIMS-Sri Padmavathi Medical College for women, Tirupati for a period of one month (February 2019 to March 2019). Study population were Elderly of age 60 years and above. Total 60 elderly were included in the study. Quality of life was assessed using WHOQOL-BREF questionnaire.Results: Most of the study population was in the age group of 60-64 years, Most of them were females (71.7%). More than one third were illiterates (36.7%), 30% were studied up to primary school. 93.3% of study population were suffered from some form of illness. Mean total transformed score was high among ≥70 years compared to <70 years, Males were showing high mean total transformed score compared to females, literates were showing high score and persons with illness were showing high scores and persons without illness.Conclusions: It is concluded from this study that most of the elderly population are suffered from some form of illness. Overall quality of life is good among elderly within 70 years of age, males, literates and who are in living as married compared to their counter parts.


Author(s):  
L.B. Gurung ◽  
G. Paudel ◽  
U.N. Yadav

Background The elderly population is in increasing trend all over the world. Elderly people experience many physiological, biological and psychological changes. The general objective of the study is to assess the utilization of health care services among the elderly population of Butwal sub-metropolitan city.Methods A quantitative descriptive-cross sectional study, with a total number of 212 elderly people residing in Butwal sub-metropolitan city, was selected for the study purpose. The study period was from March to October 2015. The samples were randomly selected from the sampling frame of 3 different wards of Butwal sub-metropolitan city. Information was collected using an interviewer administered semi-structured questionnaire. Chi-square test was used to identify the factors associated with the utilization of health care services among elderly population.Results Our findings reveal that 84.4% of elderly people visited to the health facility during past 1 year. There were more females (50.9%) than males (49.1%). Majority of elderly people were diagnosed with one of the chronic ailment; were under regular medication. More than 4/5th (84.9%) of older adults rated “satisfactory” to their health condition. Monthly family income, chronic disease, elderly on medication and self-rated health status are statistically significant with utilization of health care services at 95% level of confidence.Conclusions The finding suggests that monthly family income, chronic disease, elderly on medication and self rated health are strongly associated with utilization of health care services by elderly people. Thus the study suggests further interventions to improve the health care service utilization by elderly people.Journal of Manmohan Memorial Institute of Health Sciences Vol. 2 2016 p.27-36


2021 ◽  
Vol 6 (2) ◽  
pp. 235-240
Author(s):  
Kavita Verma ◽  
Priyanka Setia ◽  
Priyanka Bhardwaj

Background: Old age or elderly is the final stage of the normal life span. The elderly population is facing many health problems such as physical, mental, psychological & social etc. Factors like loneliness, low self-esteem, social isolation, quality of life and several others negatively affect elderly population and increase the risk of various health problems in elderly people. Aim: This study aims to assess loneliness among elderly population and to examine possible correlations with associated demographic, social and health factors. Methods: A cross sectional study was conducted, in which 200 elderly from Sirmour participated and the subjects were selected using total enumeration sampling technique. For the data collection the UCLA loneliness 20-item scale was used as well as a questionnaire with questions about demographic, social and health factors and the data was analyzed using descriptive and inferential statistics in SPSS. Results: Present study results reveals 127(63.5%) of elderly has mild level of loneliness, 44(22.0%) of them has moderate level of loneliness whereas 29(14.5%) has severe level of loneliness and no significant association was found between the level of loneliness & demographic variable. Conclusion: Results show that no significant association is present between the loneliness with demographic variable. Keywords: Loneliness, UCLA Scale.


F1000Research ◽  
2020 ◽  
Vol 8 ◽  
pp. 655
Author(s):  
Katekaew Seangpraw ◽  
Nisarat Auttama ◽  
Ramesh Kumar ◽  
Ratana Somrongthong ◽  
Prakasit Tonchoy ◽  
...  

Background. Stress is a common mental health problem of the elderly population that affects their quality of life. The objective of this study was to determine the level of stress and associated factors among the elderly living in rural areas of Thailand.  Methods. This was a cross-sectional study conducted in two sub-districts of rural Thailand and interviewed 403 elderly persons.  We used simple random sampling technique from a list of registered elderly individuals and conducted face-to-face interviews using a questionnaire. The questionnaire were piloted, validated and pretested beforehand. Multiple linear regression was applied for data analysis. This study was approved by the Ethical Review Committee of the University of Phayao, Thailand. Results. The mean age of the participants was 68 and two thirds (67%) were female. Less than 43% of the participants had moderate, and one third (34%) had high levels of stress. More than half of participants had low level stress management. Stress was significantly associated with alcohol and illness with a predictive power of 3.0% [(R = 0.173, R Square = 0.030) (p<0.05)]. Conclusion. We conclude that risk factors such as alcohol and illness affect elderly population living in rural areas of Thailand to a major extent in terms of stress.


BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e041755
Author(s):  
Srinivas Marmamula ◽  
Satya Brahmanandam Modepalli ◽  
Thirupathi Reddy Kumbham ◽  
Rajesh Challa ◽  
Jill E Keeffe

ObjectivesTo assess the prevalence of disabilities (vision, hearing, mobility, cognitive, self-care and communication) and non-communicable diseases (NCDs) among the elderly population in two districts in Telangana, India.DesignPopulation-based cross-sectional study using a cluster random sampling method to select the study clusters.SettingElderly population in Khammam and Warangal districts were recruited. Detailed interviews were conducted by trained community health workers. Personal and demographic information such as age, gender, level of education and a self-report of NCDs was collected. The Washington Disability Questionnaire was administered to assess the presence of disabilities.Participants1821 participants aged ≥60 years, 54.5% were women, and 73.3% had no education.Primary outcome measurePrevalence of disabilities and NCDs.ResultsOverall, the prevalence of at least disability was 20.3% (95% CI 16.3 to 24.9). The prevalence of self- reported disabilities were: seeing (5.9%; 95% CI 4.4 to 7.8), mobility (12.8%; 95% CI 9.7 to 16.8), hearing (3.6%; 95% CI 2.7 to 4.8), cognition (4.8%; 95% CI 3.5 to 6.7), self-care (3.3%; 95% CI 2.3 to 4.7) and communication (1.8%; 95% CI 1.2 to 2.6). Overall, the prevalence of at least one NCD was 34.2% (95% CI 30.9 to 37.7). Hypertension was the most common systemic condition (25.4%; 95% CI 22.4 to 28.7), followed by diabetes (9.0%; 95% CI 7.3 to 11.0), and body pains (muscle-skeletal) (9.9%; 95% CI 8.1 to 12.2).ConclusionEvery fifth elderly person in the districts of Khammam and Warangal in Telangana had at least one self-reported disability. Besides, a third of the elderly had at least one NCD. There is a definite need to develop comprehensive public health strategies to address disabilities and NCDs in Telangana.


2018 ◽  
Vol 71 (suppl 2) ◽  
pp. 844-850 ◽  
Author(s):  
Daniella Pires Nunes ◽  
Tábatta Renata Pereira de Brito ◽  
Ligiana Pires Corona ◽  
Tiago da Silva Alexandre ◽  
Yeda Aparecida de Oliveira Duarte

ABSTRACT Objective: To propose a care need classification for elderly people by identifying their functional demands. Method: Cross-sectional study carried out in São Paulo, in 2006, with 1,413 elderly (≥ 60 years old), participants in the Health, Well-being and Aging study (SABE – Saúde, Bem Estar e Envelhecimento). For the care need classification, we used the Guttman Scaling method e the frequency of assistance required by the elderly. Results: The hierarchy of activities of daily living had good internal consistency (α = 0.92) and satisfactory coefficients of reproducibility (98%), scalability (84%) and minimum marginal reproducibility (87%). Care need was categorized into: no need (requires no caregiver), minimum need (requires caregiver sporadically), moderate need (requires caregiver intermittently) and maximum need (requires full-time caregiver). Conclusion: This classification will allow identifying elderly that need assistance in everyday activities and will orientante health professionals in the development of a line of care.


2014 ◽  
Vol 48 (3) ◽  
pp. 469-476 ◽  
Author(s):  
Rosely Almeida Souza ◽  
Gislaine Desani da Costa ◽  
Cintia Hitomi Yamashita ◽  
Fernanda Amendola ◽  
Jaqueline Correa Gaspar ◽  
...  

Objective: To classify families of elderly with depressive symptoms regarding their functioning and to ascertain the presence of an association between these symptoms, family functioning and the characteristics of the elderly. Method: This was an observational, analytical, cross-sectional study performed with 33 teams of the Family Health Strategy in Dourados, MS. The sample consisted of 374 elderly divided into two groups (with and without depressive symptoms). The instruments for data collection were a sociodemographic instrument, the GeriatricDepression Scale (15 items) and the Family Apgar. Results: An association was observed between depressive symptoms and family dysfunction, female gender, four or more people living together, and physical inactivity. Conclusion: The functional family may represent effective support for the elderly with depressive symptoms, because it offers a comfortable environment that ensures the well-being of its members. The dysfunctional family can barely provide necessary care for the elderly, which can exacerbate depressive symptoms.



2018 ◽  
Vol 31 (7-8) ◽  
pp. 409 ◽  
Author(s):  
Maria da Piedade Moreira Brandão ◽  
Laura Martins ◽  
Marlena Szewczyczak ◽  
Dorota Talarska ◽  
Ian Philp ◽  
...  

Introduction: According to the OECD, Portugal and Poland rank below average in several well-being measures such as income and wealth, and health status. Investigating how people perceive the threats to health in these two countries, is an important issue to address priority needs. To meet this need, the objective of this paper was to compare the perceptions of the threats to the health and well-being among the Polish and Portuguese older persons and explore differences between the countries in respect of patterns of self-rated health.Material and Methods: A Cross-sectional study with two convenience samples from primary health care services of Poland and Portugal was conducted; 480 adults aged 65 and over (247 Portuguese) were included. The EASYCare standard assessment of 2010 was applied under a joint project of both countries. The association between ‘self-rated unhealthy’ and socio-demographic and threats to health variables was examined using logistic regression.Results: In both countries about two thirds of the older persons self-rated their health as unhealthy. Having more than enough finances was associated with a significant lower odds of being unhealthy compared with those without enough finances at the end of the month (Portugal: OR = 0.25, 95% CI 0.10 to 0.63; Poland: OR = 0.33, 95% CI 0.12 to 0.88). Visual problems, bodily pain, memory loss, feeling bored or lonely and reporting shortness of breath during normal activities was consistently associated with fair or poor self-rated health.Discussion: These findings provide important information regarding the health profile of older people which can help in the development of people-centred health systems where their lives and well-being can be improved. Conclusion: The unhealthy perception of older people was consistently associated with indicators of major health threats.


Author(s):  
Vidya V. Patil ◽  
Rekha Udgiri

Background: Aging is a universal process. In India, the elderly account for 7.7% of the total population and the United Nations defines a country as “ageing” where the proportion of people over 60 years reaches 7.7%. Morbidity among elderly has an important influence on their physical functioning and psychological well-being. The objectives of the study were to assess the psychosocial problems associated with the elderly and to describe the chronic illness and utilization of welfare services among elderly.Methods: A cross sectional study was conducted in the urban field practice area of Shri B M Patil Medical College, Vijayapur. House to house survey was conducted for a period of 3 months from September to November 2014.Results: Total of 372 elders were interviewed, 54.5% were males, 45.4% were females. Majority were Hindus 78.8%. 46% were illiterate. Majority 79% were financially dependent. 53% were working. Around 32% were feeling lonely Most common chronic illness is joint pain (66.66%), visual problem (50%), dental and chewing problem (48%).Conclusions: Financial dependence was high among the participants and majorities were suffering from one or the other chronic illness which needs attention and knowledge about geriatric welfare services should be given. 


BIBECHANA ◽  
2018 ◽  
Vol 16 ◽  
pp. 213-220 ◽  
Author(s):  
Mamata Kadel ◽  
Menuka Bhandari

Introduction: The migration of health worker is a complex and multifaceted phenomena. Emigration of highly skilled and competent nurses to other countries seems to have negative impact on the delivery of excellent health care services. Objective: The objective of this study was to assess factors intend to brain drain among nurses working at private hospitals of Biratnagar. Methodology: A cross sectional study was conducted on staff nurses of selected hospitals of Biratnagar, Nepal from 2017 February to 2018 February; non-probability purposive sampling technique was used. Required information was collected using self-administered semi structured questionnaire related to demographic and factors intending to brain drain from 99 nurses. Results: Majority (78.8%) of nurses were below 25 years of age. Most (81.8%) of them had completed PCL nursing, more than half (55.6%) wanted to migrate abroad to pursue further work and study. Australia (56.4%) and USA (25.5%) emerged as the top destination of choice, while only (5.5%) of them wanted to migrate United Kingdom. Lack of career opportunities, low salary and poor working condition were main pull factors and push factors intending to brain drain among nurses. This study also found that majority (96%) of nurses were not satisfied with their salary. Conclusion: More than half of nurses working in private hospitals would like to migrate abroad. The major push factors for migration was lack of career development and low salary. BIBECHANA 16 (2019) xx -xx 


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