Showing 3 results for Geriatrics
Fatemeh Sahragard , Mahboubeh Rezaei , Fatemeh Sadat Izadi-Avanji, Fatemeh Atoof , Maryam Ahmadishad,
Volume 17, Issue 1 (4-2020)
Abstract
Background: Insomnia is one of the common sleep disorders in the elderly. Lack of adequate sleep has many consequences, such as fatigue, frustration and increased rate of mortality among them. The study was carried out to determine the effect of group reminiscence therapy on insomnia in older adults.
Methods: This randomized controlled clinical trial was done on 72 older adults who referred to Sadoughi health care center in Kashan, Iran between August and November 2018.The subjects were recruited through convenience sampling and randomly allocated into two control and intervention groups. The reminiscence therapy was held twice a week, in a 4-week period for intervention group and the duration of each session varied between 1.5-2 hours. There was no intervention in control group. Data were collected using Mini-Mental State Examination (MMSE), and Insomnia Severity Index (ISI). Data was gathered three times; before intervention, immediately and one month after the intervention. Data were analyzed using Chi-Square, and Man-Whitney tests and repeated measures analysis in SPSS (v. 16.0, SPSS Inc., Chicago, IL, USA).
Results: The mean score of insomnia decreased in intervention group after group reminiscence therapy (p<0.001); from 16±1.74 (before the intervention) to 11.27±2.09 (immediately after the intervention) and 11.38±1.93 (one month after the intervention), while the insomnia score had not noticeable change in control group. The intervention group showed significantly less insomnia scores over the time compared to control group (p < 0.05).
Conclusions: Reminiscence therapy decreases the severity of insomnia in older adults. Therefore, it can be used as an easy, applicable and low-cost technique in health care facilities and is expected to be welcomed by older adults, their families and health care providers.
Tayebeh Abdollahi, Nasibeh Zanjari, Yadollah Abolfathi Momtaz , Ahmad Delbari,
Volume 18, Issue 1 (5-2021)
Abstract
Background: According to the World Health Organization, aging anxiety decrease life expectancy and causes disease in old age. Negative attitude towards the older adults is a major factor associated with aging anxiety. Therefore, the present study aimed to determine the relationship between attitudes towards the older adults and fear of aging in the health care providers of Social Security Organization’s hospitals in Mazandaran province in 2018.
Methods: We conducted the present cross-sectional study on 232 health care providers of hospitals of Social Security Organization in Mazandaran province in 2018, selected them by stratified random sampling according to the job categories, and included them in the study. We utilized the Anxiety about Aging Scale (AAS) by Lasher and Faulkender and Kogan's Attitude toward Old People Scale (KAOPS) to collect data. We analyzed the data in SPSS16 using Pearson correlation, independent t-test, and one-way analysis of variance.
Results: The participants' mean age was 37.85±6.40 years and the mean of aging anxiety was 67.90±10.60. Among the four subscales of aging anxiety, the highest fear was related to "fear of loss" (23.7±4.5) and then "fear of physical appearance" (21.25±4.65), and the lowest was related to "fear of the older people " (10.12± 3.25). Despite the slightly higher mean aging anxiety among nursing and midwifery staff than medical staff, it was not statistically significant. Findings indicated that aging anxiety had a negative and significant relationship with attitudes towards the older adults in health care providers (r=0.35, P=0.001).
Conclusion: Given the high aging anxiety in health care providers and its importance in providing services for the older adults as well as the quality of their old age, we suggest promoting the health care providers’ positive attitudes towards the older adults through in-service training courses.
Azize Aydemir, Dilek Yidirim Gürkan, Murat Korkmaz, Muhammed Sarikaya ,
Volume 21, Issue 3 (10-2024)
Abstract
Background: Gonarthrosis (GA) is a chronic degenerative disease. This study aimed to determine the frailty level of patients with GA aged 65 and over and to investigate the effect of pain on frailty.
Methods: The population of this cross-sectional study consisted of patients and their relatives who applied to the orthopedics and traumatology outpatient clinic of a university hospital for examination, follow-up and treatment from October 1, 2021, to January 31, 2022. The study was completed with 160 elderly people aged 65 years and over. Data were collected using Personal Information Form, Tilburg Frailty Indicator (TFI), Get Up and Go Test (GGT), and Geriatric Pain Scale (GPS). Simple descriptive statistics, as well as correlation and multiple linear regression analysis, were used to analyze the data using SSPS 20. The significance level was set at p <0.05.
Results: In this study, 45.6% of the participants were found to have moderate pain (52.42±12.40), 70% were frail (7.58±2.13), and 36.9% had a fall risk (17.15±7.57). The mean TFI (7.48±2.38), GGT (12.01±6.16), and GPS (71.37±14.20) scores of the participants with GA were significantly higher than those without GA. The frailty scores of the participants with severe pain and a high risk of falling were significantly higher (p <0.05). Moreover, the pain severity of the participants accounted for 47.7% of the frailty level. According to our regression model, the variable affecting the severity of major pain was GA stage IV (p=0.000), which increased pain by 3.260 (2.456-3.944) times.
Conclusion: The study provides ample evidence supporting the potential importance of pain severity assessment and pain management to prevent frailty in patients with GA aged 65 and over.
