Study on Effectiveness of Intervention Programme on Knowledge and Practice Regarding Impact of Walking Exercise on Old Age Activities of Daily Living among Old Age Persons in Tripura West District

Background: Stroke is a major cause of functional disability, it increased the need for continuous nursing care. Nurses need to pay attention not only to the physical recovery after stroke, but also to the psychological and social recovery. Therefore, it is important to provide training courses to nurses about care of stroke patients.Aim: This study was conducted to evaluate the effect of implementing designed educational training program for neurological nurses on clinical outcomes of stroke patients.Methods: Design: A quasi experimental research design was utilized. Setting: Data were collected from Neurological Intensive Care Units, Wards and Neurological outpatient clinics of Tanta Main University Hospital. Sample: All nurses (n = 35) who are providing direct care for stroke patients and a purposive sample of 30 stroke patients. Tools: Three tools were used to collect data. Tool (I): Assessment of nurses’ knowledge questionnaire sheet about stroke; Tool (II): Observational checklist to evaluate nurses’ practice regarding care of stroke patients; and Tool (III): Patient’s clinical outcomes assessment sheet.Results: The results revealed that there were significant improvements in nurses’ knowledge and practice regarding care of stroke patients post training program at p < .01. Also, significant improvements in self-care and activities of daily living among stroke patients were observed from immediately to 2 months later post application of training program.Conclusions: The study findings revealed that the implementation of designed educational training program within 2 months were successful for improving nurses’ knowledge and practice regarding care of stroke patients. Furthermore, there was improvement in activities of daily living and self-care among stroke patients.Recommendations: It is recommended to generalize implementation of designed educational training program for neurological nurses as a routine hospital care for stroke patients.

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Back pain trajectories from midlife to retirement as a predictor of old age mobility and disability

European Journal of Public Health ◽

10.1093/eurpub/ckaa165.1109 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

S Kyrönlahti ◽

C H Nygård ◽

S Neupane

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Activities Of Daily Living ◽

Old Age ◽

Daily Living ◽

Low Back ◽

Mobility Limitations ◽

Trajectory Group ◽

Adl Disability

Abstract Background Low back pain (LBP) is a leading cause for mobility limitations and disability at older age. However, little is known about the developmental pathways of LBP and its associations with old age mobility and disability. We studied trajectories of LBP from midlife to retirement (16-years follow-up) and assessed the association after 12 years with mobility limitations and disability in activities of daily living (ADL) at old age. Methods Finnish municipal employees were studied at baseline in 1981 and followed for 28 years. A total of 6257 persons aged 44-58 years, answered a questionnaire on health, work ability, and working conditions. Follow-up data on frequency of LBP (never, occasionally, consistently) was collected similarly at four waves. The study population consisted of persons who answered questions about LBP at baseline and at least in one of the follow-up waves and had information about ADL disability (n = 2787) and mobility limitations (n = 2723) at the 28-year follow-up. Latent class growth curve analysis was used to study LBP trajectories. Odds ratios (OR) with their 95% confidence intervals (CIs) for associations of LBP trajectory with ADL disability and mobility limitations were estimated using multivariable logistic regression. Results We identified two trajectories of LBP: high (77%) and low (23%). People in the high trajectory group had 2.35 times higher odds (95% CI 1.88- 2.97) of ADL disability and 1.86 times higher odds (95% CI 1.56-2.22) of mobility limitations as compared to the low trajectory group. Effects were attenuated by adjustment for lifestyle factors and chronic conditions but remained statistically significant for both outcomes [OR 1.74 (95% CI 1.37-2.24) and 1.44 (1.18-1.77), respectively]. Conclusions High LBP experienced during midlife may have far reached consequences on well-being at old age. Prevention of LBP during mid-life could reduce mobility limitations and disability at old age and promote a healthy ageing. Key messages Our results show that low back pain experienced during midlife is associated with mobility limitations and disability in activities of daily living at old age. Our results suggest that emphasis should be put on promotion of musculoskeletal health in midlife as this may help to reduce disability and mobility limitations at old age.

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Evaluation of an intervention programme addressing ability to perform activities of daily living among persons with chronic conditions: study protocol for a feasibility trial (ABLE)

BMJ Open ◽

10.1136/bmjopen-2017-020812 ◽

2018 ◽

Vol 8 (5) ◽

pp. e020812

Author(s):

Susanne Guidetti ◽

Kristina Tomra Nielsen ◽

Cecilie von Bülow ◽

Marc Sampedro Pilegaard ◽

Louise Klokker ◽

...

Keyword(s):

Activities Of Daily Living ◽

Study Protocol ◽

Chronic Conditions ◽

Daily Living ◽

Feasibility Trial ◽

Intervention Programme

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Correlation between the Cognitive Impairment and the Performance of Activities of Daily Living among Elderly People Residing in Selected Old-Age Homes of West Bengal

International Journal of Health Sciences and Research ◽

10.52403/ijhsr.20211011 ◽

2021 ◽

Vol 11 (10) ◽

pp. 72-87

Author(s):

Madhurima Kumar ◽

Shipra Modak

Keyword(s):

Cognitive Impairment ◽

Activities Of Daily Living ◽

Elderly People ◽

Old Age ◽

Daily Living ◽

West Bengal ◽

Family Type ◽

Research Approach ◽

Strong Positive Correlation ◽

Old Age Homes

Age associated cognitive decline is an important human experience which differs in extent between individuals. Activities of daily living are linked to cognitive function. A descriptive study was conducted to identify correlation between the cognitive impairment (CI) and the performance of activities of daily living (ADL) among elderly people residing in selected old-age homes of West Bengal. The study aimed to determine the relationship between the CI and the performance of ADL among elderly people. Non experimental survey research approach was adopted to collect data from 150 subjects by simple random sampling technique with the help of Demographic Proforma, GPCOG Screening Test and Barthel Index. The study findings revealed that 43.33% of the respondents had cognitive impairment whereas 56.66% were cognitively intact. ADL assessment depicted that 43.33% were moderately dependent, 33.33% were independent, 14.66% were slightly dependent, followed by 8.66% of the respondents who were severely dependent. A strong positive correlation was found between CI and ADL (r = 0.87) and also between CI and age (r = 0.97) of the participants. Statistically significant association was found between cognitive impairment and gender (χ2 = 5.99, <0.05), education (χ2 = 8.81, <0.05), previous occupation (χ2 = 12.80, <0.01), self financial support (χ2 = 10.12, <0.01), family type (χ2 = 15.77, <0.001), presence of chronic disease (χ2 = 4.10, <0.05). Considering the findings some recommendations were offered for future research such as to conduct the study on large sample and different settings. Key words: Cognitive impairment, Activities of daily living, Elderly people, Correlation, Performance.

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