To Analyze the Mental Health Status of the Elderly Mental Patients and the Nursing Intervention Measures

2021 ◽  
2021 ◽  
Author(s):  
Azadeh Lak ◽  
Parichehr Rashidghalam

Abstract Background: Today, the beneficial impact of public open spaces(POS) on the mental and physical health of the elderly is considered worldwide. However, the knowledge about these effects on the mental health of older adults in disadvantaged urban neighborhoods, especially in developing countries, is still insufficient.Methods: This study investigates the relationship between POS use and the mental health status of elderly residents in the disadvantaged neighborhoods of Tehran, the capital of Iran. The data on the frequency of use of public open spaces and the health status include ten items collected from 420 older adults of disadvantaged neighborhoods in District 10 of Tehran. We used exploratory factor analysis to explore the main factors of the elderly mental health in the disadvantaged neighborhood. Finally, the multivariate multiple regression model was used to determine the relationship between the frequency of POS use and mental health status among older seniors.Results: These ten items identified two fundamental characteristics of mental health status, including “feeling worthless” and “social interaction,” using exploratory factor analysis. “Feeling of worthlessness” was negatively significantly associated with the level of gender, marital, occupation, and education, as well as frequently attending in POS. “Social interaction” was influenced by gender, occupation, and marital status, as well as frequent use of POS. The results showed that the frequency of public open space use has a negative correlation with the feeling of worthlessness and a positive correlation with the older residents’ social interactions and contacts.Conclusion: According to the findings, increasing the more senior residents’ access to public open spaces through planning can improve their mental health as well as their social interactions, especially in disadvantaged neighborhoods.


2020 ◽  
Vol 25 (1) ◽  
Author(s):  
Yin Yang ◽  
Hui Deng ◽  
Qingqing Yang ◽  
Xianbin Ding ◽  
Deqiang Mao ◽  
...  

Abstract Background China has the largest elderly population in the world; little attention has been paid to the mental health of elderly in areas of extreme poverty. This is the first study to investigate the mental health of the rural elderly in poverty state counties in Chongqing and was part of the Chongqing 2018 health literacy promotion project. Methods In 2019, a cross-sectional study was conducted to investigate the mental health status of the rural elderly in fourteen poverty state counties of Chongqing, in which a total of 1400 elderly aged ≥ 65 years were interviewed, where mental health status was measured by the ten-item Kessler10 (K10) scale. Ordered multivariate logistic regression was performed to evaluate the influencing factors related to mental health of the elderly in these areas. Results The average score of K10 in 14 poverty state counties was 17.40 ± 6.31, 47.6% was labeled as good, 30.2% was moderate, 17.0% was poor, and lastly 5.1% was bad, and the mental health status of the elderly in the northeastern wing of Chongqing was better than the one in the southeastern wing of Chongqing. A worse self-rated health was the risk factor for mental health both in the northeastern and southeastern wings of Chongqing (all P < 0.001). Lower education level (OR (95% CI) = 1.45 (1.12–1.87), P = 0.004) was a risk factor in the northeastern wing, whereas older age (OR (95% CI) = 1.33 (1.13–1.56), P = 0.001) was a risk factors in the southeastern wing. Conclusions The results showed that mental health of the elderly in poverty state counties was poor, especially in the southeastern wing of Chongqing. Particular attention needs to be paid to the males who were less educated, older, and single; female with lower annual per capital income; and especially the elderly with poor self-rated health.


2021 ◽  
Vol 12 ◽  
Author(s):  
Rui Zhou ◽  
Hao Chen ◽  
Lin Zhu ◽  
Ying Chen ◽  
Boyan Chen ◽  
...  

Background: COVID-19 not only threatened the public's physical health but also brought unbearable psychological pressure, especially for those vulnerable groups like the elderly. However, studies on the psychological status of older adults during this public health emergency remained scant. This study aims to investigate the mental health status among the elderly Chinese population during COVID-19 pandemic and determine the influencing factors of psychological symptoms.Methods: From February 19 to March 19, 2020, an online survey was administered to Chinese older adults using a convenience sampling method. Information on demographic data, health status and other epidemic related factors were collected. Specifically, the study defined the psychological status as five primary disorder–depression, neurasthenia, fear, anxiety, and hypochondria–which were assessed by the Psychological Questionnaire for Emergent Event of Public Health (PQEEPH). Standard descriptive statistics and multiple logistic regression analyses were conducted to analyze the data.Results: Of 1,501 participants recruited from 31 provinces in China, 1,278 were valid for further analysis. Participants' scores on each sub-scale were described in median and interquartile [M(Q)]: depression [0.00 (0.33)], neurasthenia [0.00 (0.40)], fear [1.00 (0.83)], anxiety [0.00 (0.17)], hypochondria [0.00 (0.50)]. Chronic diseases (depression p = 0.001; neurasthenia p &lt; 0.001; fear p = 0.023; anxiety p &lt; 0.001; hypochondria p = 0.001) and the BMI index (depression p = 0.015; neurasthenia p = 0.046; fear p = 0.016; anxiety p = 0.015; hypochondria p = 0.013) had significant impacts on all of the five sub-scales. Specifically, the rural dwellers had a higher level of neurasthenia, fear, and hypochondria. Besides, education level (p = 0.035) and outbreak risk level (p = 0.004) had significant impacts on the depression. Higher household monthly income per capita (p = 0.031), and the community-level entry/exit control (p = 0.011) are factors against anxiety.Conclusions: Most elderly residents reported mild negative emotions during COVID-19 and more attention should be paid to the recognition and alleviation of fear. Our findings also identified factors associated with the mental health status of the elderly, which is of practical significance in the design and implementation of psychological interventions for this vulnerable population during COVID-19 and future emerging diseases.


2021 ◽  
pp. 105413732110340
Author(s):  
Ru Gao ◽  
Liuxiu Xu ◽  
Rong Yu ◽  
Jing-Zhen Bai ◽  
Zaijing Zheng ◽  
...  

Objective: To understand the mental health status and its influencing factors of the elderly in the disaster area 5 years after the Lushan earthquake. Methods: A total of 2,579 cases of Ya’an residents aged 60 years or above were selected by using cluster sampling method. From January to May 2019, self-compiled questionnaire for basic information of affected residents and 12 General Health Questionnaire were used to assess the mental health status of the elderly. Results: 2,561 (99.3%) valid samples were collected. The positive rate of mental health was 220 (8.6%) cases. The binary logistic regression analysis showed that in the city, no chronic diseases, no body pain, and self-rated health status good in last one month was the protective factor for mental health of the elderly. Age group 60 years and above was the risk factor. Conclusions: Five years after the Lushan earthquake, there is a certain degree of mental health problems in the elderly in the disaster area, and corresponding intervention measures should be formulated. In particular, the researchers should pay more attention to the mental health of the rural elderly who were with low income, young age, and chronic diseases (or pain).


2020 ◽  
pp. 36-43
Author(s):  
Mahoory, Parisa ◽  
Aghdasi, Ali Naghi ◽  
Seyyedvalilou, Mirmahmood

During the contemporary period, man has undergone transformations in terms of lifestyle, social relations, and economic affairs throughout all human history. These changes, in some cases, have had a reversible effect on human health, due to the lack of coordination with the evolutionary processes that man has acquired over the course of tens of thousands of years of social evolution. One of these dimensions is the mental health of the community; among other things, the mental health of the elderly is of particular importance due to human capital and future generations. In this research, the main goal is to achieve the current state of mental health of the elderly living in the home (in the neighbourhood) and living in the nursing home and compare these two. The concept of mental health in this research is based on various approaches, from the point of view of global health ontologists and role theorists (Conrad Lorenz), self-actualisation and realization (Yong and Allport), humanists (Maslow), the network of sustainable social networks Adler), theories of psychoanalysis (Freud, Ericsson, Kurt Levine, Carl Rogers) and theories with other approaches have been suggested. The concepts and variables used in this research are mental health and ageing and 28-GHQ measurement tools, which are components of depression, anxiety, social functioning and physical condition of the elderly living in the home and the nursing home. The research method is Ali-Comparative and 100 non-Alzheimer's sample of 50 men and women from Tabriz and 50 men and women from Urmia, including 100 people, 50 people living at home and 50 people living in nursing homes. In analysing data, descriptive and inferential statistics and t-test were used. The results of this study revealed that the mental health of men living in nursing homes has a better mental health status than the women living in nursing homes; and, conversely, women living in the home have a higher mental health status than men living at home.


2019 ◽  
Vol 9 (5) ◽  
pp. 371-372
Author(s):  
Ameneh Jafari Nodolaghi ◽  
◽  
Fatemeh souri ◽  
Zohreh Jamloo ◽  
◽  
...  

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