فصلنامه پرستاری سالمندان
سال سوم شماره 3 (بهار 1396)

Introduction and purpose:

The efficiency of the processes involved in maintaining balance and gait, especially the nervous system, decreases due to changes in various systems of the body such as the sensory system of visual, vestibular and proprioceptive systems. The current study was conducted to analyze the effect of the combination and Pilates exercise programs on static and dynamic balance in elderly women in Shiraz.

Among the 50 of elderly women, 30 of them, who were suitable for the aforementioned programs, were chosen. After conducting pre-test, based on combination and Pilates exercise, participants were divided into two 15-person groups. Tools that were utilized throughout the test were Romberg test to measure static balance and Y dynamic balance test to measure dynamic balance. Data were analyzed using ANCOVA method.

Results was demonstrated a significant difference (p<0.05) between combination and Pilates exercise in both groups.

According to the current study, one can conclude that combined and Pilate’s exercises are effective on static and dynamic balance in elderly women. Hence, it is highly recommended for the health programs of the elderly.

Introduction and considering of Specific needs, attention to health behaviors and quality of life in the elderly is a very important issue that is mostly ignored. The aim of this study was to investigate the quality of life of elderly women in nursing homes in Shiraz and its association with physical activity.

A total of 186 elderly women above the 65 years voluntary selected and participated in this study. Information were collected via International Physical Activity standard Questionnaire SF36 quality of life questionnaires. To analyze the data we used of SPSS/18, and Spearman correlation test, Kruskal-Wallis and  U Mann-Whitney (α= 0.05).

The results of present study showed that there are significant correlation between physical activity and quality of life in elderly women (p=0.001).also Quality of life in sedentary older women was significantly lower than enough mobility older women (p=0.001).

according of result we can said that participation in physical activity has a significant positive correlation with improved quality of life, therefore recommended to officials that used of physical activity as a means to improve the quality of life of elderly living in nursing homes.

Introduction and Changes in sleep quality is one of the important physiological changes that appears during aging and the aging process .So we can say negative changes in sleep quality is one of the problems that affect the quality of life in old age. The aim of this study was to investigate sleep quality in active and passive elderly men in Shiraz’s parks.

A total of 100 elderly male volunteers and available participated in this study that 56 people have physical activity (active) and 44 were inactive .Information via standard questionnaire Pittsburgh Sleep Quality Index (PSQI) were collected. To analyze the data we used of SPSS/18, independent t-test and multivariate analysis of variance (p= 0.05).

The results showed that active elder compared to inactive are in a better position in measures of effective sleep (p=0.01), sleep disorders (p=0.002), the hypnotic drug consumption (p=0.007), dysfunction in the morning (p=0.002), the overall quality of sleep (p=0.002).

Voluntary participation in sports activities in parks and green spaces has a positive effect on sleep quality in the elderly. Therefore, it is suggested that participating in physical activities used as a complementary way to improve sleep quality in the elderly.

Due to the rapid increase in the number of elderly people, health issue, Provide health and welfare of their community and wider finds new dimensions every day. The main purpose of this research is to explain the relationship between social support and interpersonal dependency and life expectancy were elderly women.

This study is descriptive and correlational. The study population included all nursing home residents and elderly women Living at home Ahvaz formed in 1395.
Of the population of 51 elderly women in nursing homes for sampling Targeted and 11 elderly women living at home with Samples were selected and studied. To collect data from questionnaires  Social protection dependencies between individual (BDI) and  Life expectancy was conducted. After collecting and extracting data,  The participants' scores using Pearson's correlation coefficient And by regression analysis and statistical software (SPSS) were analyzed.

Pearson correlation coefficient and regression analysis showed The dependence between the life expectancy of a person with a significant direct relationship,  And between the individual components is able to predict the life expectancy of elderly women. But social protection with a life expectancy of older women have a meaningful relationship.

Social support enables the elderly to enable them to meet  With everyday life problems and crises have it and spend it well.

Introduction and Physical inactivity in the elderly is an important risk factor for the development of cognitive impairment and Alzheimer’s disease. This study aimed to investigate the effect of Aerobics, ware aerobic exercise, and water-based exercise training on working memory of elderly women diagnosed with Alzheimer's disease.
 This was a quasi-experimental study with three groups' pre-test post-test design. The participants, 30 elderly women diagnosed with Alzheimer's disease, with the mean age of 64 years were randomly assigned into three groups (aerobic, water aerobic exercise, and water-based exercise training). The training protocol consisted of 18 sessions, and each session lasted 45 minutes. The Wechsler Memory Scale (WMS) was used to measure the memory and the N-Back software was used to assess the working memory of the study participants. Data were analyzed using the SPSS software version22. Two-way repeated measurement ANOVA (3 group × 2 times) and paired sample t-test were used to analyze the data.
 After the training, participants in all groups had better working memory status. However, the participants in the water aerobic exercise group showed greater improvement in working memory compares to other groups. There were significant differences between the three groups in the three subscales of visual memory, associated learning, and memory span. 
 The result of this study indicated that water aerobic exercise can effectively improve the cognitive function of elderly women diagnosed with Alzheimer’s disease. The study findings could be useful guidelines for enhancing the cognitive function of elderly patients.

Introduction and General health plays an important role in ensuring the dynamism and efficiency of any community. The present study was conducted to determine the role of metacognitive belief and cognitive avoidance in predicting the general health of elderly.

The conducting method was a descriptive and correlative study. The statistical population of this study included all the male elderly over-60 years old of Ardabil in 2016, which 110 persons of them were selected as the statistical sample using the convenience sampling. For data collection, the metacognitive belief scale (2004), cognitive avoidance scale (2008) and general health scale (1997) were used. Research data were analyzed using Pearson correlation coefficient and multiple regression methods by employing SPSS Software, version 23.

The study results showed a significant relationship between metacognitive belief and cognitive avoidance with general health. Additionally, results of multiple regression analysis indicated that metacognitive belief and cognitive avoidance (0.43) can predict the general health of elderly (p<0.05).

Thus, it can be concluded that metacognitive belief and cognitive avoidance are considered the predicting variables related to general health.

Thus, it can be concluded that metacognitive belief and cognitive avoidance are considered the predicting variables related to general health.

Introuduction and pourpse  : relan failure and hemodialysisi are common treatment in choronic disease. One of the problems that have been reported in patients to this patients is level adherence to treatment . The aim of this study was to determine the status of adherence to treatment and dialysis adequacy in hemodialysis patients referred to dialysis centers Hajar hospital of Shahrekord.
In this cross-sectional study in 2013, 43 hemodialysis patients were selected based approach. Demographic and laboratory data using a questionnaire and adherence with treatment of patients in end-stage renal failure (ESRD-AQ) was collected. Information obtained by using descriptive and inferential statistical tests such as chi-square analysis was used.
Findings  : The results of this study showed that the mean age of the patients participating in the study was 69/47 ± 4/67 years. Average years of dialysis patients was 4/00 ± 6/33. Average overall adherence to therapy in these patients was1465/21 ± 225/34 . 69/8% of patients in terms of overall compliance dialysis treatment at the medium level. 2/65% of these patients regarding medication adherence, 79/1% of patients in terms of adherence to fluid restriction, 81/4% in terms of adherence to dietary restriction and 90/7% of adherence of dialysis in were average.
The results of this study, adherence to treatment of patients was moderate, possibly chronic illness, economic hardship of living and lack of awareness of these patients; therefore, pay more attention to the causes of poor treatment adherence in hemodialysis patients It is necessary.