جستجوی مقالات مرتبط با کلیدواژه « خانه سالمندان » در نشریات گروه « پزشکی »

Developing a negative attitude towards the elderly in the family and society can cause misbehavior towards them; therefore, improving the attitude towards the elderly will have positive effects on their health and quality of life. In the current research, an attempt has been made to investigate effect of a nursing home visit program on students' attitudes about the nursing home.

The present experimental study was conducted on 66 female students, seventh grade, in two groups of control and intervention by random block sampling in Tehran in 2016. The intervention group had a plan to visit nursing homes. Before visiting and meeting with the elderly, the intervention group students were given training on aging, elderly people and nursing homes, and how to communicate with the elderly was also explained. Then the program of visiting the old people's home was implemented. 4 weeks after the implementation of the intervention, the attitude survey questionnaire was completed again by both groups (103-105). Data collection was done with a researcher-made questionnaire in two sections: demographic information and students' attitudes. Students' attitudes were measured before and after the intervention in both groups. Data were measured using SPSS 23 software and independent t, paired t, Man-Whitney and Wilcoxon tests.

In the intervention group, there was a significant difference in the level of "attitude towards the elderly" before (16.13) and after the intervention (17.58) (P>0.001); But in the control group, the steps before (14.70) and after the intervention (14.96) did not show statistically significant difference (P>0.05). "Attitude towards the nursing home" in the intervention group, the scores before the intervention (21.61) compared to after the intervention (22.88), there was a statistically significant difference, and in the control group, no statistically significant difference was observed before and after the intervention. "Attitude towards leaving parents to nursing homes" in intervention and control groups; before and after the intervention, no significant statistical difference was observed (P < 0.05).

Visiting the nursing home had a positive effect on the students' attitudes towards the elderly and the nursing home, but it did not affect towards leaving parents to the nursing home.

 Feeling of loneliness and aggression are common problems in the elderly living in nursing homes that can have serious psychological and physical consequences for them. Due to the growing number of the elderly population, it is essential to use practical strategies for reducing their isolation and aggression. This study aims to assess the effect of combining adapted physical and artistic activities on feeling of loneliness and aggression in the elderly living in nursing homes.

Methods & Materials:

 In this quasi-experimental study, 68 older residents of a nursing home in Shiraz, Iran with feeling of loneliness and aggression and without acute psychological and physical problems participated, who were selected using a convenience sampling method and then assigned into two groups of control and intervention by block randomization method. The control group received routine care, while the intervention group participated in 16 sessions of adapted physical and artistic activities. Data were collected using the UCLA Loneliness Scale and Buss-Perry Aggression Questionnaire before and immediately after the intervention. Data were analyzed using descriptive (Mean±SD, and frequency) and inferential statistics (Chi-square test, Mann-Whitney U test, and Wilcoxon test) in SPSS software, version 22.

 The participants’ mean age was 70.93±7.99 years in total, and 69.1% were women. The scores of loneliness and aggression significantly reduced after the intervention in the intervention group (P<0.001). The scores of loneliness (P<0.001) and aggression (P=0.001) in the intervention group were significantly lower than in the control group.

 Feeling of loneliness and the level of aggression in the elderly living in nursing homes can be reduced significantly by combining adapted physical and artistic activities. This practical and cost-effective intervention can be used to reduce feeling of loneliness and aggression in the elderly living in nursing homes.

Objectives :

Several studies have assessed elder abuse, while caregiver abuse by the elderly has been less addressed. The present study aims to assess the prevalence and associated factors of caregiver abuse by the elderly in nursing homes of Tehran, Iran.

Methods & Materials:

 This cross-sectional study was conducted in 2018 on 124 caregivers of the elderly who were selected using a convenience sampling method from 14 nursing homes in Tehran, Iran. The caregiver abuse was measured by the Survey of Violence Experienced by Staff (SOVES). The data were analyzed using descriptive and inferential statistics in SPSS v. 24.

Results:

 The mean age of participants was 36.74±8.38 years, and 68.5% were female. The prevalence of caregiver abuse in the previous 12 months was 42.7%. Of these, 37.1% had experienced verbal abuse, 12.9% threats, and 24.2% physical abuse. The chi-square test results revealed a significant association between employment status and caregiver abuse, where full-time caregivers were four times more likely to experience abuse (χ2(1) =7.43, P=0.006, OR=4.03). The age, gender, work experience, direct contact, and receiving educational program had no significant association with caregiver abuse by the elderly.

Conclusion:

 There is a high prevalence of caregiver abuse by the elderly in nursing homes of Tehran. Policymakers should plan and take measures to protect the caregivers in nursing homes.

In recent years, with the increase in the elderly population, the trend of transferring the elderly to nursing homes has been increased. Therefore, the existence of standard centers according to international standards for maintenance and care of this vulnerable group has become very important. The purpose of this study was to investigate the status of structural standards of nursing homes in Ardabil.

This study was a cross-sectional descriptive study. Four nursing homes in Ardabil were selected by census method and included in the study. To check the status of structural standards, a checklist consisting of three dimensions of manpower standards, physical space and tools and equipment was used. The collected data were analyzed using descriptive statistics in SPSS software version 22.

According to the results, the studied nursing homes met the standards by 71.61% and obtained the average score of 580 out of a total score of 810. The highest score obtained in the manpower dimension was related to the division of labor and manpower with a score of 96.36%, in the physical space dimension was related to the four subdivisions of doors, parking lots and corridors, kitchen and dining room, nursing station, and treatment room and storage of special tools with a score of 100% and in terms of supplies and equipment was related to medical tools and equipment with a score of 97.5%.

According to the results of the present study, the structural condition of nursing homes in Ardabil Province is lower than international standards. Therefore, it is suggested that health and welfare officials and nursing homes take the necessary measures to upgrade the necessary standards to the level of international standards.

Increasing the population of elderly people in the country, along with a variety of physical and psychological problems on the one hand and on the other hand, social developments, such as changing personal and family lifestyles, increase the number of elderly care institutions. Therefore, the purpose of this study was to consider the importance of the impact of the living environment on various aspects of mental health, comparison of spiritual Well-Being, tolerance of ambiguity and happiness in the elderly living in the home and the nursing home.

The method of this research was a descriptive-causalcomparative study. The statistical population consisted of all elderly people in Shiraz in 2018. In this study, 60 elderly nursing homes and 60 elderly living at home were selected as the sample size. The elderly living in the nursing home were selected through convenience sampling and elderly living in the home were selected by the cluster sampling method. The measurement tools were the McLean tolerance of ambiguity type 2 Questionnaire, the Dehashiri et al. spiritual Well-Being Scale and the Oxford happiness Questionnaire. Data were collected using questionnaires using descriptive index and multivariate analysis of variance analysis in SPSS software 22.

The results of Pillai's Trace of multivariate analysis of variance showed that the effect of group on spiritual Well-Being, tolerance of ambiguity and happiness was significant (Partial Eta Square=0.875, P<0.001, F(3,116)=270.31). Also, the results of multivariate analysis of variance showed that the mean scores of spiritual Well-Being (F=304.29), tolerance of ambiguity (F=65.64) and happiness (F=405.31) were significantly lower in the elderly living in the nursing home than the elderly living in the home (P<0.001). Ethical Considerations: Before the study, the goal of the study was explained to participants to participate full satisfaction. Also written informed consent was obtained from participants.

The results of this study showed that spiritual Well-Being, tolerance of ambiguity and happiness in the elderly living in the nursing home is lower than the elderly living in the home. Therefore, family participation can be effective in providing welfare and mental Well-Being of the elderly, supporting officials with appropriate insurance coverage for the elderly, create a health care system at home and support for family caregivers to achieve a higher level of mental health in this group can be effective.

Older people are a vulnerable group that their undesirable nutritional status makes them susceptible to catch diseases and increase their health costs. This study was conducted to determine the nutritional status of older people in nursing homes of Shahroud and Damghan cities (Semnan Province) and some influential factors in 2017.

This cross-sectional study (analytical descriptive type) was carried out in nursing homes of Shahroud and Damghan cities using census sampling method. By using a demographic questionnaire, minimal nutrition assessment, and anthropometric evaluation by the researcher, the data of 129 older people were collected. Then the obtained data were analyzed by the Chi-square, 1-way ANOVA, and Independent t-test in SPSS. The significance level was set at 0.05.

The Mean±SD age of the participants was 75.44±10.56 years. In terms of nutritional status, (22.5%) of the subjects had malnutrition, (57.4%) malnutrition risk, and (20.2%) a good nutritional status. There was a statistically significant relationship between the nutritional status and variables of sex and age, income, smoking, body mass index, arthritis, urinary problems, and using mass media (P<0.05). 

The nutritional status of a few participants was desirable. So, today's older people nutritional status is far from acceptable standards and requires planning and serious consideration of relevant organizations, especially the health system.

The growing number of elderly people in the world has made them a special care provider. Caregivers of these people are more likely to experience problems like musculoskeletal disorders than other occupations. The aim of this study was to determine the risk of musculoskeletal complications and its related factors among carers of nursing homes in Sabzevar in 1395. In this cross-sectional descriptive-analytical study, the work status of 40 mothers and 15 parents of the nursing home in Sabzevar, which was responsible for moving and caring for the elderly, was conducted through a census And was evaluated using the REBA posture assessment tool and Nordic questionnaire in 1395. Data were analyzed by SPSS software version 19 and descriptive tests, t-test at a significant level of 0.05. The mean of working experience in the subjects was 5 ± 1 year and the prevalence of total musculoskeletal disorders was 64%. The incidence and pain in different areas of the body were related to knees with 80% and then back 70% and wrist 52.5% and neck 42.5%, and knees 41.7%, waist 33.3% and wrists 3.8% respectively. Also, there was a significant correlation between sex and age with neck pain, age with back pain, type of work and resting activity with erythema score (P≤0.05). The results of this study indicated the condition of the nursing home staff of Sabzevar is poor. Therefore, by improving the level of awareness of patriarchs and mothers, their working status can be corrected.

Objectives: In the recent years, the elderly pollution has increased; therefore, the availability of centers that meet their physical and emotional needs has become extremely important. Standardization is one of the approaches to improve the quality of these centers. The purpose of this study was to compare the status of structural standards in nursing homes with international standards. Methods & Materials: In this descriptive, cross-sectional study, three nursing homes in Markazi Province were studied in 2017. To investigate the status of structural standards, a researcher-made checklist was used, which consisted of the staff standards, physical environment standards, and equipment standards. The validity of this checklist was confirmed using expert panel and its reliability was confirmed by parallel forms reliability. The collected data were analyzed by SPSS 23. Results: Overall, the centers were in moderate situation in terms of structural standards with average score of 83.29% (mean: 674 [out of 810]). The scores of Imam Javad Nursing home, Ebrahimabad Nursing home, and Meisam Nursing home were 88.40%, 88.64%, and 72.84% (mean: 716, 718, and 590), respectively. Conclusion: Considering that the structural condition of nursing homes in Markazi Province is lower than international standards, nursing home officials are recommended to improve the quality of their centers to achieve the levels of international standards, especially structural standards

The elderly are a potentially vulnerable group in terms of malnutrition. Undesirable nutritional status provides grounds for illness and increased health costs. On the other hand, identification of effective factors can help health care providers to implement nutrition intervention programs to prevent malnutrition. Therefore, this study was conducted to determine the status of malnutrition and its related factors in elderly people living in nursing homes.

In this descriptive-analytical study, 200 elderly people aged 60 years and over residing in the elderly homes of Hamadan province were selected by census method and entered into the study. In order to determine the nutritional status, a quantitative nutritional assessment questionnaire (MNA) was used to collect nutritional information and a demographic questionnaire was used to investigate the predisposing factors of malnutrition. Data were analyzed using chi-squared test and logistic regression analysis through SPSS software.

Of the 200 elderly, 55 (27.5%) were at risk of malnutrition and 145 (72.5%) had normal nutrition. There was a significant relationship between nutritional status and various factors such as gender, marital status, type of disorder, dental status, location, education level, occupational status, meeting with relatives and economic status (p <0.001).

According to the results of this study, a high percentage of elderly people at risk for malnutrition, which could endanger their health, is therefore necessary to identify people at risk, to improve nutrition and to prevent the risks associated with it. , Appropriate measures should be taken in nursing homes.

Iranian society is facing the phenomenon of aging and attention to this vulnerable group is necessary. The aim of this study was to assess mental health status and its related factors among elderly people living in nursing homes in Mashhad.
This cross- sectional study was conducted in 2015 on 203 over 60 years old elderly people living in Mashhad nursing homes. Data were collected through a demographic information questionnaire and general health questionnaire (GHQ-28). Data analysis was performed through SPSS19 and using Chi-square, Independent t- test, Mann-Whitney and Logistic Regression.
The mean of the GHQ-28 score was 27.24±9.94. Based on the GHQ-28 cut off-point, 130 (%64) of the participants had mental health problems. Mental health had a significant relationship with having chronic diseases (P=0.005), the number of their visitings (P=0.03) and somehow with the number of returnings to home (P=0.05). But, there was no significant relation between mental health score and age, gender, marital status, education, number of children, having an independent income or salary and length of stay in nursing homes (P The elderly people living in nursing homes of Mashhad do not have a good mental health status. Since having chronic diseases, the number of their visitings and returnings to home are the most important determinants of their mental health, their families and health policy makers should pay more attention to these items.

Increasing mean age of the Iranians has caused the elderly to contribute to significant proportion of the population. In addition to increase in dental and periodontal problems, the occurrence of oral lesions among them may also increase. This study was done to evaluate prevalence of oral lesions among elderly in Yazd Nursing Homes.
In this descriptive-analytic cross sectional study, all the elderly aged over 65 years that inhabit in Yazd province Nursing Homes were evaluated. Their clinical data were collected from their medical files. Their oral and dental status were investigated and recorded through oral examination. Data were analyzed by chi- square and fisher exact tests using SPSS-17 software.
Of the 267 participants, 93 subjects had oral lesions. Of the 177 elderly females participating in the study, 56 and out of 90 elderly males, 37 had oral lesions. Among 267 participants, 7 subjects had natural teeth, 84 persons had dentures and 174 persons have no natural teeth or denture and the difference between groups was significant. 28 persons were smoker, and among these 11 individuals had oral lesions; but no significant correlation was observed.
Due to oral manifestation of some diseases and high incidence of malignant and premalignant oral lesions at old ages, periodic oral checkup in elderly people especially those living in nursing homes is necessary.

Objectives Self-Efficacy is an important variable in the field of elderly, to which little attention has been paid. Quality of Life (QoL) is also one of the most important factors of human development. This study aimed to determine and investigate the relationship between self-efficacy and QoL among elders residing in Tehran nursing homes in 2015.
Methods & Materials In this cross-sectional descriptive-analytic study, the statistical population comprised the residents of nursing homes, especially catering to the elderly, in Tehran. The sample size was 210 individuals, who were selected based on the research criteria. For the elderly people residing in elderly care centers, quota random sampling was performed, and random sampling in each nursing home was made proportionate to the number of elderly residents therein. General self-efficacy scale (GSE-10), elderly quality of life questionnaire (LIPAD), and demographic questionnaire were utilized to collect data. The tools were investigated in terms of reliability. The elderly residents’ average (SD) age was 78.66 (11.78) years. After sampling and gathering the questionnaires, the collected data were entered into SPSS Version18, and analyzed with descriptive indexes and analytic tests, including frequency, mean, standard deviation, Chi-square test, Kolmogorov–Smirnov test, ANOVA, and independent t test.
Results The findings showed that the mean (SD) score of self-efficacy among the elder residents of Tehran nursing homes was 17.68 (4.00), and the mean (SD) score of QoL was 27.88 (9.80). There is no significant correlation between self-efficacy and demographic characteristics such as age, sex, or marital status, but there was a significant correlation between the education level (P=0.042) and self-efficacy. There also happened to be a significant correlation between QoL, and age (P=0.047) and education level (P=0.038). Again, there was no significant correlation between QoL, and sex and marital status. In this particular research, the confidence level was considered as 95%.
Conclusion According to the results of the study, self-efficacy of residential elderlies and their quality of life was low. Increase in self-efficacy among the elderly residents of the nursing homes led to a rise in their QoL.

Limited mobility, high costs of transportation and specialized care, make it very difficult for the elderly, especially those living in nursing homes, to get specialized care services, particularly in the field of skin diseases. Therefore, Teledermatology can be considered as a solution to overcome these barriers and improve access to specialized skin care services.
The study aimed to evaluate the diagnostic accuracy and treatment planning in teledermatology compared to in person examination.
The population of this quasi-experimental study, consisted of 280 elderly people living in Kahrizak Charity Foundation in Tehran. The exclusion criteria included: emergency skin conditions and genital skin lesions. All participants should have signed a consent form. No sampling was done since there were few qualified individuals (n = 46), finally, 37 patients participated in the study. In order to calculate the accuracy of diagnosis and treatment planning, simple statistical methods were used and data were analyzed by SPSS version 20.
The participants with skin diseases, consisted of 37 elderly patients (aged 62 to 89), 22 of whom were men. The accuracy of diagnosis and treatment planning for patients provided by teledermatology compared to those of in-person examination were, 86% and 84%, respectively
The elderly can benefit from teledermatology in nursing homes; therefore, they can have better access to specialized services and avoid unnecessary trips to dermatology clinics.

Background and Many conditions and oral lesions are associated with aging that could have considerable impact on quality of life. This study investigated the prevalence of oral lesions in elderly in nursing homes.
A cross-sectional study was performed in 90 residents (over 60 years of age) in nursing homes in Sari and Babol, Iran, 2015. Data was recorded in a checklist and analyzed in SPSS ver.16 applying T-test, Chi-square and Fisher exact tests.
We studied 90 individuals including 26 males (28.9%) and 64 females (71.1%), mean age: 78.8 years. All elderly were found to have at least one lesion of the oral mucosa. The most common lesions were fissured tongue (55.6%), varicosity (46.7%), pigmentation (26.7%), candidiasis (25.6%) and sublingual varices (21.1%). Varicosity was more prevalent in men. 63.1% of the lesions were observed in tongue. The lesions in 60% of the people were due to wearing dentures (P High prevalence of oral mucosal lesions in studied population signifies the need for more serious oral examinations and follow-up of this group of people.

Elderly people encounter with multiple disabilities, stress, anxiety and challenges, which effect on their quality of life. Self-efficacy may encourage them to improve self-care activities, challenges, life satisfaction and quality of their life.
The aim of this study was to investigate general self-efficacy and the related factors among elderly in residential home
It was a descriptive cross-sectional study. A total of 87 elderly who lives in Charmahal o Bakhtiyari rest-home nursing were recruited by census. The data were collected with General Self-Efficacy Scale (GSE-10) and then analyzed using independent t-test, ANOVA and regression test.
The mean score of the general self-efficacy was 22.95±8.02 (from 10 - 40 score) indicating that most of the participants (69%) had low level of self-efficacy (under 25 score). General self-efficacy was associated with age, gender, educational level and satisfaction of rest-home nursing (P0.05). Moreover, general self- efficacy was mostly related with sex (β=-0.541, P=0.0001)
The present study provided useful information about self-efficacy and its related factors among elderly living residential home. This information can be used for designing and performing appropriate nursing interventions to promote elderly general self-efficacy

Background and The aim of this study was to compare the effect of routine and fun physical activities on degree of mobility and muscle strength in elderly residents in nursing homes in Mashhad.
A randomized clinical trial was conducted (in 2013-2014) in which two groups of elderly living in nursing homes in Mashhad were recruited. Data was collected using Elderly Mobility Scale and Dynamometer (T.K.K.5401). The intervention group participated in fun physical activities while the control group had routine physical activity. Both types of exercises were conducted 20 minutes every other day for 8 weeks.
Significant differences were seen between the two groups in mean score of mobility and muscle strength after the intervention.
Motivating elderly to begin fun exercise could increase their level of activity, thereby preventing movement disorders among this population.

Introduction and Understanding factors affect quality of life at old age is considered as an important social issue particularly when population is ageing. Acquiring such information play a vital role in enhancing quality of life among elderly. Therefore, this study aimed to assess factors affecting quality of life in nursing homes-residing elderly people. This cross-sectional study included 73 female elderly living in the nursing homes of Khoramshahr and Ahvaz city. Data were collected using two questionnaires including demographic characteristics and the SF-36 questionnaire. Data analysis was done by SPSS 13. Results from the present study showed that mean age of participants was 52.75 (S.D= 11.39) years old which ranged from 60 to 102 years. There was a significant association between quality of life and education (P<0.05), age (P=0.03), chronic disease (P<0.01) and place of residence (P=0.4). However, no significant association was observed between quality of life and marital status (P=0.62), length of stay in nursing home (P=0.4) and income (P=0.3). In general, elderly living in nursing homes reported lower quality of life compared to community-dwelling elderly. Therefore, nursing homes are recommended to create more caring and compassionate environment that is similar to elderly’s own home. In addition, family members and friends are suggested to visit elderly residing in nursing homes on a regular basis in order to improve their quality of life.

Elderly population is dramatically increasing across the world and Iran is not an exception¡ as well. As the most leading causes of death in the age group of over 50 years can be prevented through lifestyle change¡ healthy lifestyle seems to be beneficial for this time. Therefore¡ this study aimed to investigate the lifestyle of the elderly who reside in nursing homes.
Methods & Materials: This cross-sectional study was descriptive and analytical. Study population comprised 350 elderly people residing in a nursing home¡ in Isfahan¡ Iran. Data were collected through standard questionnaire¡ including demographic characteristics and lifestyle aspects. After completing questionnaires¡ the obtained data were analyzed using SPSS (ver. 20) through descriptive statistics¡ Pearson correlation¡ Spearman test¡ and Independent t test.
The results showed that the total mean score of lifestyle was 49.81±8.71. The Pearson correlation coefficient indicated a significant statistical relationship between total mean score of lifestyle with education (r=0.171¡ P Regarding the study results¡ it is suggested that health policymakers make appropriate plans to promote elderly lifestyle in nursing homes. With regard to seclusion and loneliness of old people¡ using strategies to alleviate stress and depression and also prevention of its physical and mental effects¡ seems to be absolutely needed. It can be a step toward promotion of health status of this vulnerable group.

Vitamin D (Vit D) deficiency is an important health problem that is prevalent the among elderly and probably is more prevalent in nursing home residents. So we conducted a study to evaluate the prevalence of Vit D deficiency in elderly nursing home residents and compared it with the other elderly population. In a cross-sectional study 140 aged nursing home residents (G1) & 140 elderly in the community (G2) were enrolled. Serum 25(OH) D, parathyroid hormone (PTH), Alkaline phosphatase (alp), Calcium, Phosphor, Albumin were measured in all subjects. We used t test, chi square test, ANOVA and correlation for statistical analysis of hypothesis. mean serum 25(OH) Vit D was 16.1±16.64 ng/ml in G1 and 39.62 ± 24.78 in G2 (p= 0.000) Vit D level less than 20 IU/ml was found in 75% of G1 and 24% of G2. There was a significant correlation between serum 25(OH)D and PTH in both groups, and between 25(OH)D and Alp in cases.(P=.001) In this study we showed that Vit D deficiency among the elderly in nursing home residents was higher than the adjusted population out of nursing homes. So we recommend to use replenishment methods or Vit D for the elderly who were more at risk.