فهرست مطالب

Elderly Health Journal - Volume:3 Issue: 1, Jun 2017
  • Volume:3 Issue: 1, Jun 2017
  • تاریخ انتشار: 1396/04/20
  • تعداد عناوین: 8
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  • Sima Ghasemi, Nastaran Keshavarz Mohammadi *, Farahnaz Mohammadi Shahboulaghi, Ali Ramezankhani Pages 1-9
    Introduction
    Health improvement, control of communicable diseases and increase in life expectancy among the elderly of developed and developing countries has greatly increased. Since the health care and social needs of older adults differ from that of other adults, it is necessary to identify the needs of the elderly in order to make proper plans that will promote their health. The aim of this paper is to critically review these researches.
    Methods
    A comprehensive literature review on the needs assessment of elderly health was applied searching English and Persian databases in Pub Med, Science Direct, ProQuest, Elsevier, Magiran, ISC and using key words including, Health need, Assessment, Elderly, Aging, Older adults, Aged and Health care needs.
    Results
    Initial search yielded 745 references, considering the inclusion criteria, 21 papers were reviewed. Results revealed that in conducting needs assessment, various methods and procedures in various health dimensions including physical health, mental health, emotional, care, social, cultural, economic, nutritional, service, security, legal and educational needs have been utilized. Some of the dimensions had been more explored and some rarely.
    Conclusion
    Most of the conducted studies had mainly focused on the elderly physical health needs and had neglected to take in to account other needs such as social and health care needs. In order to comprehensively recognize the health needs of the elderly, identifying their health care and care services is also important. Furthermore, in addition to quantitative studies, discovering the older adults’ perceptions of their own health needs is also necessary. It seems that the challenge ahead of managers, experts and researchers on elderly health is trying to design comprehensive mechanisms of health need assessment and considering it as a reference for any future planning.
    Keywords: Aged, Needs Assessment, Health, Review Literature as Topic
  • Mahmood Vakili, Mohsen Mirzaei *, Mojgan Modarresi Pages 10-15
    Introduction
    Old people appear to be most prone to loneliness and depression perhaps because of decrease in their ability in daily livings, increase in morbidity, loss of close ties caused by loss of friends and spouses. This study was conducted for investigation of the loneliness and its related factors in elderly people in Yazd.
    Methods
    In this cross sectional study, 200 old people (over 60 years old) from three zone; health centers, nursing home and retirement center by convenient sampling method. Data was collected by UCLA Loneliness Scale that was consisting of 20 items for loneliness measurement. Scores 41 and more defined as loneliness. Collected data was analyzed by proper statistical tests with SPSS software.
    Results
    Results showed that 71 % of subjects had Not Feel Lonely, 24 % moderate and 5 % severe felling of loneliness. Factors such as level of education, marital status, numbers of daughter and sons, previous job, residence site, current job status, living in nursing home, insufficient income, place of praying, sleep quantity and quality of sleep and feeling of healthy were associated with loneliness status (p
    Conclusion
    Our findings showed loneliness is common in elderly that support needs for more investigations and attention to loneliness related factors, educational courses conduction for family to take care of their elders, preparing of recreational measures and social support groups to decrease the loneliness in old people and so they spend this period by good and healthy sensation.
    Keywords: Loneliness, Risk Factors, Elderly, Iran
  • Mohammad Ali Morowatisharifabad, Zahra Fallah *, Reza Bidaki, Zahra Hashemian, Hossein Fallahzadeh, Mohammad Rafatifard, Hamid Aghabagheri Pages 16-22
    Introduction
    Alzheimer’s disease (AD) is a chronic condition characterized by gradual decline of mental abilities and behavioral disorders, which decreases the quality of life in elderly people. The aim of this study was to evaluate behaviors that may prevent elderly people from AD in Yazd.
    Methods
    This cross-sectional study was conducted on 220 people aged from 60 to 70 years in Yazd. Cluster random sampling method was used for selecting the participants. Data collection instrument was a researcher-made questionnaire that included demographic information and questions on AD preventive behaviors (physical activity, mental activity, nutrition, and social interaction). The score range of each part and the overall behavior score was from zero to 100. Data were analyzed by SPSS statistical software and application of descriptive and inferential statistical methods.
    Results
    The mean score of preventive behaviors was 44.6. The highest mean score (56.48) was for nutrition while the lowest mean score (32.03) was for mental activity. Only 15 % of the studied elderly consumed fruit regularly in their diet, which was followed by consumption of vegetable, 11.4 % and fish 9.1 %. There was a significant positive correlation between education level and behavior score (p 0.05) in mean scores of the overall behavior and scores of married older adults compared to those of divorced or single, had a statistically significant difference (p = 0.007).
    Conclusion
    The overall AD preventive behaviors in elderly are undesirable, remarkably as noted in physical and mental domains. The majority of participants did not regularly have fruits, vegetables, and fish in their daily and weekly diets. Numerous socio-demographic factors affect these behaviors. More studies are required to identify barriers of healthy behaviors.
    Keywords: Elderly, Alzheimer's disease, Prevention, Behavior
  • Akbar Azizi Zeinalhajlou, Rouzbeh Rajaei Ghafouri, Hossein Matlabi * Pages 23-27
    Introduction
    The need for emergency medical services (EMS) is growing because of the rapidly aging population. This study aimed to assess the utilization of EMS among older people in Tabriz, Iran.
    Methods
    This retrospective study used data from the missions carried out by EMS in 2014-15. All of EMS records were analyzed over a continuous 12-month period by choosing selected profiles from the middle month of each quarter.
    Results
    Among all 10940 missions accomplished in four months, 4175 (38.16 %) calls were for patients aged 60 years and older. A significant association was found between service characteristics and gender/age groups. Women and older people aged 80 - 84 years were more likely to use emergency services. Moreover, the older people had a higher proportion of histories for cardiovascular disease, respiratory difficulties, cerebrovascular accident, fall-related injuries, poisoning, and suicide.
    Conclusion
    Older people constituted a large proportion of EMS which mostly were transferred to emergency departments. As the older adult population grows, health systems should prepare appropriate services by making changes in training, operations, and equipment.
    Keywords: Aging, Emergency Medical Services, Emergency Department, Iran
  • Majideh Heravi-Karimooi, Nahid Rejeh, Mohammad Abbasi * Pages 28-34
    Introduction
    Coronary artery disease is the most common type of cardiovascular disease. Despite the increasing number of patients with coronary artery disease, the lived experiences of these patients have remained unknown. The purpose of the study was to understand the lived experiences of elderly patients with coronary artery disease.
    Methods
    This qualitative research was conducted using an interpretive phenomenological approach. Participants included thirteen elderly patients (9 males and 4 females) with coronary artery disease selective of purposive sampling method from Coronary Care Unit of Shahid Beheshti Hospital in Qom, 2016. Data were collected through semi-structured interviews between 55 - 80 minutes. The interviews were recorded and transcribed. The Van Manen's proposed six steps was used to analyze the data.
    Results
    The main theme of study was "living with ups and downs". It included sub-themes of 1) losing calmness,2) trying to achieve calmness through spirituality, 3) losing health, 4) trying to promote health through modification of lifestyle, 5) perceiving family support, 6) living in fear, 7) living with a damaged heart".
    Conclusion
    Findings of the research indicated that the coronary artery disease led patients to experience ups and downs for the participations. After the disease, they were trying to achieve calmness through some strategies. Members of the treatment team, especially nurses should provide self-care education for to make them be have successfully in this field.
    Keywords: Experience, Coronary Artery Disease, Qualitative Study
  • Zahra Mardanpour Shahrekordi, Ebrahim Banitalebi *, Mohammad Faramarzi Pages 35-41
    Introduction
    Aging is associated with elevated levels of some proinflammatory factors and exercise is a non-invasive intervention to improve immune function among older adults .The aim of the study was to compare resistance training effects on interlukine-6 (IL-6) and high-sensitivity C-reactive protein (hs-CRP) levels in older-aged women.
    Methods
    The study was quasi-experimental and forty healthy females were selected and randomly assigned to one of four groups: strength after endurance training (endurance strength (E S), n = 9), strength prior to endurance training (strength endurance (S E), n = 10), interval resistance-endurance training (Int, n = 12), and control (n = 9) groups. The training program was performed for eight weeks, three times per week. Human TNF-α and IL-6 sandwich ELISA Kit were used. Within-group differences were analyzed using a paired samples t-test and between-group differences were analyzed using one-way analysis of variance.
    Results
    The intra-session order had not significantly influence on the adaptive response of waist-to-hip ratio (p = 0.55), IL-6 (p = 0.55) and hs-CRP (p = 0.55) throughout the study. However, significant differences were shown following combined training between the S E, E S and Int groups for Vo2 max (p = 0.029), body mass (p = 0.016) and BMI (p = 0.023) when comparing pre and posttests.
    Conclusion
    This study confirmed that adaptations to a combination of endurance and resistance training appear to be independent of whether resistance training occurs prior to or following endurance training.
    Keywords: Exercise, Inflammation, IL-6, hs-CRP, Aging
  • Mohammad Ali Morowatisharifabad, Tahereh Shakeri-Mobarakeh *, Ali Akbar Vaezi Sharifabad, Reza Bidaki, Mohsen Asgari-Shahi, Hassan Rezaeipandari Pages 42-49
    Introduction
    Due to the Increasing elderly population and the high prevalence of psychological, social and physical problems among them, this study was conducted to determine fear of falling and social participation status among elderly people in Mobarakeh city, Isfahan province, Iran in 2016.
    Methods
    This was a cross-sectional study in which 300 elderly residents of Mobarakeh city were randomly recruited by cluster sampling. Data collection tools were demographic questionnaire, Falls Efficacy Scale-International form and social participation scale of Canadian Community Health Survey. Mini Mental State Examination also was used to diagnose cognitive disorders. Data were analyzed with SPSS software using t-test, ANOVA and Pearson correlation coefficient.
    Results
    The mean age of participants was 70.83 ± 8.68 years and the mean score of fear of falling was 33.25 ± 16.37 (16-64). Regarding the fear level, 22.3 % had no fear, 34.3 % low fear, 20 % moderate fear, and 23% a high fear of falling. Mean score of social participation was 16 ± 4.63 (8-40). The most frequently reported social participation activity was attending religious ceremonies (99.7 %) while the least was attending professional and social forums (79.3 %). There was an inverse significant correlation between fear of falling and social participation (r = -0.421, p
    Conclusion
    Level of fear of falling in the elderlies was moderate while social participation was low. By using preventive measures, effective education, psychological and social interventions, disease-control programs and removing the existing obstacles, the fear of falling could be reduced and social participation could be promoted among the elderlies.
    Keywords: Elderly, Fear of Falling, Social Participation
  • Samaneh Ghanei Nasab *, Farzin Hadizadeh, Azam Marjani Pages 50-54
    Introduction
    It has been shown that three new synthetic coumarins-3-carboxamides including 3-fluorobenzilchloride, 4-fluorobenzilchloride and 2-hidroxy-3 metoxybenzaldehyde, have acetylcholinesterase inhibitory activity. This study was performed to estimate ameliorating effect of these new coumarin-3-carboxamides on memory impairments induced by scopolamine (1 mg/kg, induced prolongation) in mice.
    Methods
    30 male mice were divided into five groups, 6 mice in each group. Three experiment groups received coumarins-3- carboxamides (10 mg/kg body weight) 30 min before scopalamin injection and two other groups considered as normal (saline-treated) groups and finally one negative control (scopalamin only) group. The experiment groups were treated with coumarins of 3-fluorobenzilchloride, 4-fluorobenzilchloride and 2-hidroxy-3 metoxybenzaldehyde. The passive avoidance test was performed in an automatic conventional shuttle box set-up. The stepped down latency and number of errors was recorded.
    Results
    With reference to saline-treated group, scopolamine-treated mice demonstrated impairment of learning and memory as a reduction of latency and an increased numbers of errors in step-down test)p
    Conclusion
    The study has demonstrated some therapeutic effects of coumarin-3-carboxamides on learning and memory deficit induced by scopolamine. Further investigation is needed to explore whether coumarin-3-carboxamides could be beneficial for memory impairment in Alzheimer’s disease in which cholinergic deficit is one of the hallmarks.
    Keywords: Coumarins, Scopolamine, Passive Avoidance, 3-fluorobenzilchloride, 4-fluorobenzilchloride, 2-hidroxy-3 metoxybenzaldehyde