Mental Health and its Correlates in the Elderly with Fall Related Orthopedic Surgery

Aging is associated with several health threats, including fall and fear of fall, as well as psychological, physical and social issues. Therefore, the aim of this study was to determine the depression, anxiety and stress and related factors in the elderly after orthopedic surgery. Therefore, the aim of this study was to determine mental health status of the elderly with fall related orthopedic surgery.

The present study was a cross-sectional (correlation-descriptive) study that included 280 elderly people with fall related orthopedic surgery who were attended to selected educational centers of Iran University of Medical Sciences in 2018. The subjects were selected by Available sampling method. The data gathering tool was a short form of cognitive test (AMT), demographic profile form, and depression, anxiety and stress scale (DASS). The internal consistency coefficients of the three scales of depression, anxiety and stress were: 93.9, 90.9, and 92.9 respectively. The test-retest coefficients (with a three-week interval) of depression, anxiety and stress scales were: 0.88, 89.9, respectively. And 90. In addition, the intra-class correlation between two runs is equal to 87.78, 87.8. And 80. The conditions for entering the elderly were: age 60-75 years, cognitive capacity and ability to answer questions (AMT), lack of neurological disorders, communication ability and absence of mental illness. Data were analyzed using descriptive statistics and inferential statistics such as Independent T and Anova Unilateral in SPSS software version 20 at significance level P ≤ 0.05.

The mean age of the elderly participated in this study was 69.51 ± 4.29 (SD = 4.29), 65% female and 35% male. Nearly half of the elderly had a mild to moderate depression (41.6%), about 47.9% had moderate anxiety and 23% had mild to moderate stress. In addition, each variable "stress, depression and anxiety" had a significant relationship with gender, education level, marital status and history of chronic diseases (P <0.05).

Considering the unfavorable outcomes of depression, anxiety and stress in the elderly, counseling programs during discharging and also the promotion of family and social support can provide a platform for health promotion and achieving healthy, successful and active aging Brought up.