scholarly journals Evaluation of Frailty Elderly Syndrome, General Health and Cognitive Disorders in the Elderly and Their Relationship with Demographic Factors and Underlying Diseases

2021 ◽  
Vol 15 (6) ◽  
pp. 1999-2004
Author(s):  
Hamid Taghinejad ◽  
Sattar Kikhavani ◽  
Sara Mohammad Nejad ◽  
Nafiseh Sohrabi

Introduction: Due to the vulnerability of the elderly in the community and the increase in their population and the problems occurring due to aging in the elderly, the present study aimed to investigate the frailty elderly syndrome, general health and cognitive disorders in the elderly in Ilam in 2020. Materials and Methods: This cross-sectional study was performed on 267 elderly referring to teaching hospitals in Ilam. Data collection tools were GHQ-28, MMSE and Edmonton questionnaires. Data were analyzed using SPSS v.24 statistical software using independent t-test, chi-square, Fisher’s exact test, one-way and two-way analysis of variance, Mann-Whitney, Kruskal-Wallis and linear regression. Results: The mean ± standard deviation of the overall score of general health, frailty elderly syndrome and cognitive disorders in the studied elderly were 44.38±13.43, 9.29±2.98 and 23.40±6.49, respectively. There was a statistically significant relationship between cognitive disorders with age, marital status, education and underlying diseases and also between frailty elderly syndrome with age, marital status, place of residence, gender, education, type of insurance and some underlying diseases (P <0.001). There was a significant relationship between general health of the elderly and pulmonary disease (P = 0.03). Conclusion: The general health of the elderly was low so that most of the elderly suffered from mild symptoms, the greatest effect was related to depression and then anxiety (psychological dimension). Regarding cognitive disorders, a large number of patients did not have any pathological disorders. The rate of frailty elderly syndrome was high in the study population. Keywords: frailty elderly syndrome, Cognitive disorders, General health

2018 ◽  
Vol 8 (2) ◽  
pp. 107-111 ◽  
Author(s):  
Waris Qidwai ◽  
Imdad Ali Khushk ◽  
Fizzah Farooq ◽  
Muhammad Yusuf Hafiz ◽  
Kashmira Nanji

Background: Worldwide, some one million people pass the sixty year old threshold every month (Ageing, WHO). Between 2010 and 2050, the number of older people in less developed countries is projected to increase. Methods: Cross-sectional study conducted in Outpatient clinics (OPD) of two hospitals in Karachi from April to May 2013. Elderly (> 60 years of age) visiting the clinics were consecutively recruited. 477 elderly were approached and a pretested, structured questionnaire was used to obtain information. Data was analyzed using SPSS version 19 and Pearson chi-square test was used to identify the factors related to choosing of "Old Age Homes". Results: A total of 400 participants were selected. Fifty-five percent of the elderly were in between 60 to 65 years of age and majority was males 54.8 percent. Elderly were aware of the presence of "Old Age Homes" in Pakistan, however only 7 percent choose to live in there. The main reason was found to be that the elderly did not want to go away from their families and loved ones. Conclusion: In conclusion, majority of the participants felt insecure to live in a home with strangers. However, "Old Age Homes" were preferred choice for those with chronic diseases or those living alone. Media should initiate public education programs to reduce social stigmas in seeking alternate long-term care services outside of the family.


Salmand ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. 112-127
Author(s):  
Narjes Heshmatifar ◽  
◽  
Arezoo Davarinia Motlagh Quchan ◽  
Zohreh Mohammadzadeh Tabrizi ◽  
Leila Moayed ◽  
...  

Objectives: The Coronavirus Disease 2019 (COVID-19) crisis and health outcomes are among the major human social events of the 21st century. The unknown nature of the disease and the fear of contagion have caused emotional reactions, including the self-consumption of drugs in the elderly. Therefore, this study investigated factors affecting the self-consumption of drugs for COVID-19 prevention in the elderly. Methods & Materials: This descriptive and cross-sectional study was performed on 342 elderly in Sabzevar City, Iran, in 2020. The research units were selected as clusters from 16 health centers. The necessary data were collected by an online self-medication questionnaire. Data analysis was performed in SPSS. Results: The Mean±SD age of the study participants was 66.2±5.67 years. The frequency of self-medication to prevent COVID-19 was 190(55.5%); analgesics, vitamins, anti-cold, and antibiotics were the most common drugs used. The major factors associated with self-medication in the COVID-19 pandemic were disease prevention, home quarantine, financial problems, experiencing previous self-medication, and others’ advice. There was a significant relationship between self-medication and education and insurance coverage. No significant relationship was observed between gender, occupation, and marital status, and self-medication. Conclusion: Self-Medication in the COVID-19 epidemic is notable as a crisis threatening the elderly’s health. Controlling and monitoring how the drug is used is among the requirements for protection and health promotion in the elderly.


Author(s):  
Ehsan Janati ◽  
Mohammad Ali Morowati Sharifabad ◽  
Reza Jafari Noudushan ◽  
Mohamad Javad Zare Sakhvidi ◽  
Sara Jambarsang

Introduction: The body's response to noise pollution is very similar to the way the body responds to stress, which can lead to poor health over time. In this regard, this study was conducted to determine the general health of the elderly and its relationship with traffic noise pollution in Ardakan. Methods: This descriptive cross-sectional study was conducted in 1399. Participants were 200 elderly people in Ardakan and were included in the study by random sampling. Data were collected through sound measurement with SVANTEK device, General Health Questionnaire 28 (GHQ-28). After completing the questionnaires and measurements, the collected data were entered into SPSS-19 software and descriptive statistics as well as analytical statistics including: Chi-square, regression and analysis of variance were used to analyze it. Results: The overall average sound level equivalent in decibels at all measuring stations was within the standard range. There was a significant relationship between noise annoyance and the dimensions of "anxiety symptoms and sleep disorders" and "depressive symptoms" of general health (p <0.001). Conclusion: People with more voice annoyance have more anxiety, sleep disorders and depression. Existence of noise pollution levels in the allowable or standard level can lead to the observation of no significant relationship between traffic noise pollution levels and general health. Reducing anxiety, depression and sleep disorders in the elderly is possible with interventions to reduce voice irritation in them.  


Author(s):  
Ali Reza Yusefi ◽  
Parnian Nikmanesh ◽  
Zahra Kavosi ◽  
Ahmad Sadeghi

Background: Medication errors are one of the major causes of injury to patients while receiving medical care. This study aimed  to investigate the effective causes of medication errors in nurses in educational hospitals affiliated with Shiraz University of Medical Sciences. Methods: This descriptive-analytical and cross-sectional study was conducted in 2020 on 340 nurses from 10 educational  hospitals affiliated to Shiraz University of Medical Sciences. The data collection tool was a questionnaire. Data were analyzed using t-test, ANOVA and Pearson correlation coefficient were analyzed using SPSS23 software . Results: According to the results, human factors have been the most important factor in the occurrence of medication errors. The most important causes of medication errors with respect to human, managerial and environmental factors include fatigue due to overwork (3.13 ± 1.16), method of supervision (3.06 ± 0.98) ,and heavy workload (3.00 ± 1.19), respectively. There was a statistically significant relationship between human factors and  age (p = 0.024), gender (p = 0.013), employment relationship (p = 0.016), and marital status (p = 0.027), and between management factors and employment relationship (p = 0.034) and the number of patients under observation (p = 0.011). Conclusion: Considering the most important causes of medication errors, including fatigue due to overload, supervision methods, and heavy workload, using strategies to reduce fatigue due to workload, such as balancing nurses' work shifts and also holding workshops on supervision methods is recommended in order to improve the level of managerial competencies of nurses.


Author(s):  
Helena Patricia ◽  
Khatijah Lim Abdullah ◽  
Ira Erwina

Background: The process of caring for a schizophrenic client creates a stressful situation; caregiver's unpreparedness in dealing with this problem has an impact on the deterioration of the quality of life. The decline in quality of life of caregiver is influenced by several factors such as caregiver’s burden and characteristic of caregiver include age, gender, sex, marital status, education, income, and relationship with client. This study aimed to determine the relationship of burden and characteristic with the quality of life on the caregiver.Methods: The design of this study was descriptive analytic with cross sectional study approach on 186 caregiver with convenient technique sampling. Data were collected by the Zarit Burden Interview questionnaire and the World Health Organization Quality of Life (WHOQOL-BREF).Results: The results showed 99 (53.2%) caregivers had a low quality of life, 92 (49.5%) caregivers felt heavy burden. Chi-square statistical test proved a significant relationship between burden (0.001) and all characteristics caregiver include age (0.033), gender (0.033), sex (0.000) marital status (0.001), education (0.001), income (0.002), and relationship with client (0.000) with quality of life.Conclusions: The result showed that test proved a significant relationship between burden and characteristics caregiver with quality of life of multivariate analysis showed that marital status was the most correlated with quality of life of caregiver. Suggestions for Tampan Psychiatric Hospital Pekanbaru are to improve mental nursing service comprehensively to client and family like health education program about how to improve quality of life.


2020 ◽  
Vol 8 (E) ◽  
pp. 595-600
Author(s):  
Assel Tukinova ◽  
Gulnar M. Shalgumbayeva ◽  
Zhanna A. Mussabekova ◽  
Roza A. Abzalova

   BACKGROUND: Early detection of cognitive impairments (CIs) has been identified as one of the most important factors for the treatment of the disease. The World Alzheimer report 2011 states that the earlier a diagnosis is known, the better patients can be treated medically, patients and their family members can adapt to the development and learn to deal with the disease. Early diagnosis also leads to higher cost-effectivity, which will further improve, when treatments and social care interventions become more effective in future. It is the first-contact doctor who becomes the main figure in identifying the patient’s cognitive disorders. AIM: This study aimed to research the awareness of medical workers with early diagnosis of cognitive disorders at the PHC level in Kazakhstan. METHODS: It was a cross-sectional study. A survey of primary healthcare workers was conducted to study the early diagnosis of CI in the elderly in the period from December 2019 to March 2020. The questionnaire was developed independently according to international finding and experiences and passed the validation process. The questionnaire included questions such as age, gender, nationality, education, specialty, work experience, conduct early diagnosis of CI or not, what methods respondents know, time available for admission for early diagnosis, desire to learn early diagnosis methods, and the region of residence. RESULTS: The total number of respondents was 823. To the question, “Do you check older patients for early cognitive impairment?” 335 (40.7%) answered “no.” To the question “Do you have time to use methods for the early diagnosis of cognitive impairment in the elderly during admission?” “no” – 354 (43%). To the question “Would you like to learn methods for the early diagnosis of cognitive impairment in the elderly?” The answer was “yes” 759 (92.2%) of respondents. This study reveals that the presence of time during admission, the region of residence, and the desire to study affect whether elder people check for early CI or not, in turn, specialty, education, gender, nationality, age, and work experience do not affect. We have identified a relationship of age, region of residence with the availability of time during admission to use methods for early diagnosis of CI, while it was absent with work experience. The region of residence, the availability of time during admission, and education influenced the respondents’ desire to learn early diagnosis methods, while age and work experience did not. CONCLUSION: The problem of early diagnosis of CI in the elderly at the PHC level is relevant and not fully understood. Early detection of CI at the PHC level is a key element in the fight against such a serious condition as dementia.


2020 ◽  
Vol 19 (1) ◽  
pp. 7-12
Author(s):  
Radhika Upadhyay ◽  
Suraj Shakya ◽  
Durga Prasad Pahari

Nurses play an essential role in the provision of health services and health promotion for the elderly people. This study aims to find out the attitude of nurses towards care of elderly people in Tribhuvan University affiliated teaching hospitals of Kathmandu valley, Nepal. A descriptive cross-sectional study was conducted among 236 nurses working in TU affiliated teaching hospitals in Kathmandu. Data was collected proportionately from four hospitals using semi structured questionnaire and “Multifactor Attitudes Questionnaires (MAQ)” for assessing attitude of nurses towards care of elderly.  Data was entered in EpiData 3.1 and analyzed using SPSS version 16. Descriptive as well as inferential statistics namely Kruskal-Wallis and Man-Whitney test were used for analyzing data. The overall response rate was 98% (236 out of 240 nurses). The mean age of respondents was 28.74 ±7.43 years.  The overall prevalence of attitude below than median value of the scale was 2.5% and more than half (51.3%) of respondents had knowledge below median value regarding care of elderly. Attitude towards elderly was found to be associated with age, working hour and qualification of the respondent. So these factors should be considered in nursing education and to improve attitude towards care of elderly people. Keywords: Attitude, Nurse, Care, Elderly, Kathmandu


Author(s):  
Reza Emrani ◽  
Katayoun Sargeran ◽  
Ahmad Reza Shamshiri ◽  
Hossein Hessari

Objectives: The purpose of the present study was to assess the level of job satisfaction among dentists in Tehran, according to background determinants, working environment elements, and type of workplace in 2018. Materials and Methods: In this cross-sectional study, 350 dentists, selected by convenience sampling, completed a validated Persian job satisfaction questionnaire in a dental congress (with about 1100 participants) in Tehran, and in 59 dental clinics. The questionnaire included 39 structured questions (in 12 domains) on job satisfaction, reporting the satisfaction level according to a 5-point Likert scale. The level of satisfaction was measured by summing the weighted scores of each domain. The mean job satisfaction score (out of 100) was reported according to demographic factors (age, gender, level of income, years of experience, marital status, and number of children), working environment elements (number of assistants, number of colleagues, type of workplace), and stress score (8 questions). Linear regression was applied for statistical analysis. Results: The mean score of job satisfaction was 70±10. The analysis showed that women, dentists with a low income, those working in the public sector, and those with higher stress scores had lower job satisfaction scores (P<0.05). The number of dental assistants, number of colleagues, age, work experience, marital status, number of children, and monthly number of patients had no significant correlation with job satisfaction (P>0.05). Conclusion: The level of job satisfaction was mainly related to individual determinants. Improving job satisfaction can foster the whole dental care system and working environment elements.


2019 ◽  
Vol 13 ◽  
Author(s):  
Mônica Neris de Lima ◽  
Marielle Maria Oliveira Barros ◽  
Ana Maria Ribeiro dos Santos ◽  
Adélia Dalva Da Silva Oliveira ◽  
Francisca Cecilia Viana Rocha

Objetivo: avaliar o desempenho cognitivo de idosos atendidos por acidente de trânsito. Método: trata-se de um estudo quantitativo, descritivo, observacional, transversal, em um hospital público. Compôs-se a amostra por 250 idosos. Utilizou-se a variável dependente do estudo a função cognitiva definida por meio do Mini Exame do Estado Mental e um formulário sociodemográfico elaborado pelos pesquisadores do estudo e processado estatisticamente. Resultados: caracterizou-se que a maioria dos idosos era do sexo masculino; com idades de 60 a 79 anos; estado civil casado; renda abaixo de um salário mínimo e natural de Teresina. Evidenciou-se, que a maioria dos idosos era apta cognitivamente, observando-se relação estatisticamente significativa entre a função cognitiva, faixa etária, escolaridade, estado civil e renda mensal. Revela-se que o tipo de acidente de trânsito que mais acometeu os idosos foi o atropelamento. Conclusão: manteve-se o desempenho cognitivo dos idosos acidentados preservado, no entanto, observaram-se fatores que mostraram relação como a idade mais avançada, a ausência de alfabetização, a viuvez e o nível econômico mais baixo. Descritores: Idoso; Acidentes de Trânsito; Enfermagem Geriátrica; Prevenção de Acidentes; Saúde do Idoso; Causas Externas.AbstractObjective: to evaluate the cognitive performance of elderly people treated by traffic accident. Method: this is a quantitative, descriptive, observational, cross-sectional study in a public hospital. The sample was composed by 250 elderly. The dependent variable of the study was the cognitive function defined through the Mini Mental State Examination and a sociodemographic form elaborated by the study researchers and processed statistically. Results: it was characterized that most of the elderly were male; aged 60 to 79 years; married marital status; income below a minimum wage and Teresina natural. Most of the elderly were cognitively fit, with a statistically significant relationship between cognitive function, age, education, marital status and monthly income. It is revealed that the type of traffic accident that most affected the elderly was being run over. Conclusion: the cognitive performance of the injured elderly was preserved, however, there were factors that showed a relationship such as older age, lack of literacy, widowhood and lower economic level. Descriptors: Aged Accidents; Traffic; Geriatric Nursing; Accident Prevention; Health of the Elderly; External Causes.ResumenObjetivo: evaluar el desempeño cognitivo de ancianos atendidos por accidente de tránsito. Método: se trata de un estudio cuantitativo, descriptivo, observacional, transversal en un hospital público. La muestra estuvo compuesta por 250 ancianos. La variable dependiente del estudio fue la función cognitiva definida a través del Mini Examen del Estado Mental y una forma sociodemográfica elaborada por los investigadores del estudio y procesada estadísticamente. Resultados: se caracterizó que la mayoría de los ancianos eran varones; de 60 a 79 años de edad; estado civil: Casado; ingresos inferiores a un salario mínimo y natural de la ciudad de Teresina. La mayoría de los ancianos tenían un estado cognitivo adecuado, con una relación estadísticamente significativa entre la función cognitiva, la edad, la educación, el estado civil y el ingreso mensual. Se revela que el tipo de accidente de tránsito que más afectó a los ancianos fue atropellamiento. Conclusión: se conservó el rendimiento cognitivo de los ancianos lesionados, sin embargo, hubo factores que mostraron una relación como la edad avanzada, la falta de alfabetización, la viudez y el bajo nivel económico. Descriptores: Anciano; Accidentes de Tránsito; Enfermería Geriátrica; Prevención de Accidentes; Salud del Anciano; Causas Externas.


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