The Relationship Between the Meaning of Life, Psychological Well-Being, Self-Care, and Social Capital, with Depression and Death Anxiety in the Elderly Living in Nursing Homes: The Mediating Role of Loneliness

The current study aims to investigate the meaning of life, psychological well-being, self-care, and social capital, with depression and death anxiety in the elderly living in nursing homes through the mediating role of loneliness. The statistical population included all the elderly aged at least 60 years living in Tehran, Qazvin and Zanjan, Iran in 2020, among whom 489 (273 men and 216 women) were selected using convenience sampling method. Participants filled out Steger’s Meaning of Life, Ryff and Singer’s Psychological Well-Being Scale, Söderhamn et al.’s Self-Care Ability, Nahapiet and Ghoshal’s Social capital, Beck’s depression, Templer’s Death Anxiety, Russell et al.’s Loneliness questionnaires. The results indicated that there is a significant relationship between the meaning of life, psychological well-being, self-care, and social capital, with depression through the mediating role of loneliness. Besides, there was a significant relationship between the meaning of life, psychological well-being, self-care, and social capital, with death anxiety through the mediating role of loneliness. Moreover, the results of path analysis showed that the hypothesized model of the current study has an excellent fit in the study sample.

Behavioral Parameter Field for Human Abnormal Behavior Recognition in Low-Resolution Thermal Imaging Video

In recent years, thermal imaging cameras are widely used in the field of intelligent surveillance because of their special imaging characteristics and better privacy protection properties. However, due to the low resolution and fixed location for current thermal imaging cameras, it is difficult to effectively identify human behavior using a single detection method based on skeletal keypoints. Therefore, a self-update learning method is proposed for fixed thermal imaging camera scenes, called the behavioral parameter field (BPF). This method can express the regularity of human behavior patterns concisely and directly. Firstly, the detection accuracy of small targets under low-resolution video is improved by optimizing the YOLOv4 network to obtain a human detection model under thermal imaging video. Secondly, the BPF model is designed to learn the human normal behavior features at each position. Finally, based on the learned BPF model, we propose to use metric modules, such as cosine similarity and intersection over union matching, to accomplish the classification of human abnormal behaviors. In the experimental stage, the living scene of the indoor elderly living alone is applied as our experimental case, and a variety of detection models are compared to the proposed method for verifying the effectiveness and practicability of the proposed behavioral parameter field in the self-collected thermal imaging dataset for the indoor elderly living alone.

Correlation Between Health Literacy and Quality of Life Among the Elderly: The Community Versa Nursing Home

Background: Enhancing health literacy may improve health-related quality of life. Given the more educational programs in nursing homes, this study aimed to determine the relationship between health literacy and the quality of life among the elderly living in nursing homes and those living with their families in Ahvaz, Iran. Methods: This descriptive-analytical cross-sectional study was conducted in 2017. The research population was the elderly in Ahvaz city, Iran. This population consisted of two groups, those living in nursing homes and those who do not. There were 62 samples. Random cluster sampling was used to select the participants. The data collection tools included a demographic questionnaire as well as Test of Functional Health Literacy in Adults (TOFHLA) and LEIPAD questionnaires. The data were analyzed by independent t-test, Mann-Whitney test, Spearman correlation, and Chi-square test using SPSS 19. Results: The mean health literacy of the elderly living in nursing homes estimated to be relatively desirable (3.60 ± 0.77) and the mean health literacy of the elderly not living in nursing homes was estimated to be relatively undesirable (2.30 ± 0.83). The quality of life was estimated to be moderate for both groups, the mean score for nursing homes was 2.65 ± 0.37 and for the community was 2.98 ± 0.52. Simple regression indicated that appraisal and decision, among the subscales of health literacy, are predicting factors for quality of life in the elderly. Conclusion: Using self-help groups and the participation of the elderly in decision making as well as designing educational programs for identifying the accuracy of health information of the media and encouraging them to share health knowledge with others can ultimately improve quality of life in the elderly.

Gambaran Kualitas Hidup Lansia Yang Tinggal Di Panti Sosial : Literature Review

The increasing number of the elderly population is a phenomenom that occurs today. The high level of dependence of the elderly causes the elderly to have the potential to be placed in care homes. The elderly are individuals who hane a high risk of isease and stressors. This, of course, requires efforts to ensure the life of the elderly, not only seen from fulfillment of the needs of the elderly but also the life quality of the eldely. The study aims to describe the quality of life of the elderly who live in care homes. The study used a literature review method by searching for articles in the Pubmed database, and google sholar. The search was conducted by combining keywords: “Elderly, “Elderly people”, “Quality of life”, “WHOQOL-BREF”, and “Nursing home” with the year 2011-2021. Participants in this study were 395 respondents of elderly living in care homes. The results of the literature review of 6 articles showed that there are 73 respondents (18,5%) with low category of life quality, 195 respondents (49,9%) with medium category of life quality, and 127 repondents (32,1%) high category of the life quality. From this study, it can be concluded that the quality of life of the elderly living in care homes is mostly (49,9%) in moderate category. The role of nurses is needed to improve the quality of life of the elderly who live in care homes.Keywords: care homes; elderly; quality of life; WHOQOL-BREF AbstrakTerjadinya peningkatan jumlah populasi lanjut usia merupakan fenomena yang terjadi saat ini. Tingkat ketergantungan lansia yang tinggi mengakibatkan lansia berpontesi untuk ditempatkan di panti sosial. Lansia merupakan individu yang memiliki resiko tinggi dan rentan terhadap penyakit serta stresor. Hal ini tentunya dibutuhkan upaya untuk menjamin hidup lansia, tidak hanya dilihat dari pemenuhan kebutuhan lansia namun juga dilihat dari kualitas hidup lansia. Penelitian ini bertujuan untuk mengetahui gambaran kualitas hidup lansia yang tinggal di panti sosial. Penelitian ini menggunakan metode literature review, untuk pencarian artikel dengan mengakses database Pubmed, dan googlescholar. Pencarian dilakukan dengan mengkombinasi kata kunci: “elderly”, “elderly people”, “Quality of life”, “WHOQOL-BREF”, “Nursing home” dengan batasan tahun 2011-2021. Partisipan pada studi ini adalah lansia yang tinggal di panti sosial dengan total 395 lansia. Hasil penelitian literature review dari 6 artikel menunjukan kualitas hidup lansia dengan kategori rendah 73 responden (18,5%), sedang 195 responden (49,9%) dan tinggi 127 responden (32,1%). Dari penelitian ini diketahui bahwa kualitas hidup lansia yang tinggal di panti sosial sebagian besar (49,9%) dalam kategori sedang. Perlu adanya peran perawat untuk meningkatkan kualitas hidup lansia yang tinggal di panti sosial.Kata kunci : kualitas hidup; lansia; panti sosial; WHOQOL-BREF