Comprehensive Assessment of the Health Dimensions of the Elderly Residing at Homes and Nursing Homes in Sabzevar, Iran

Document Type : Original article

Authors

1 Student of Nursing, Faculty of Nursing and Midwifery, Student Research Committee, Sabzevar University of Medical Science, Sabzevar, Iran

2 Assistant Professor, Department of Operating Room and Anesthetics, Iranian Research Center on Healthy Aging, School of Paramedical, Sabzevar University of Medical Sciences, Sabzevar, Iran.

3 a. Instructor, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran b. Instructor, Department of Operating Room and Anesthetics ,School of Nursing and Midwifery, Mashhad University of Medical

4 a. Iranian Research Center on Healthy Aging, Sabzevar University of Medical Sciences, Sabzevar, Iran. b. Department of Health Education and Promotion, Faculty of Health Sciences, Tabriz University of Medical Sciences, Tabriz, Iran.

Abstract

Introduction: Comprehensive Geriatric Assessment (CGA) is the best set of tools introduced by the World Health Organization to identify and make decisions on planning in the field of health and even the treatment of the elderly. This study aimed to comprehensively determine the health status of the elderly residing at homes and nursing homes in Sabzevar, Iran.
Materials and Methods: This descriptive cross-sectional study was conducted on 254 elderly people residing at homes and nursing homes in Sabzevar, Iran, during 2018. The sampling was performed using the multi-stage census and clustering method for the elderly residing at nursing homes and those residing at homes, respectively. The data were collected through standard tools related to the comprehensive assessment of the elderly, including Activities of Daily Living, Mini-mental State Examination, Tinetti, Geriatric Depression Scale, Mini Nutrition Assessment, Instrumental Activities of Daily Living, and  Abbreviated Mental Test. The obtained data were then analyzed in SPSS software (version 22) through independent t-test, ANOVA, and chi-square tests. A p-value less than 0.05 was considered statistically significant.
Results: The mean ages of the elderly at homes and nursing homes were obtained at 71±10.4 and 65±9.05 years, respectively. Moreover, about 85% and 80% of the elderly at homes and nursing homes had adequate nutrition intake, respectively. Furthermore, the prevalence rates of depression in the elderly living at homes and nursing homes were estimated at 61% and 53%, respectively; however, those residing in nursing homes were more depressed, compared to the elderly living at homes. About 65% of the elderly living in homes and 78% of the elderly living in nursing homes (P 25) had cognitive impairment. The elderly living at home and 71% of the elderly living in care centers were in relatively good physical condition. This is while Most of the elderly living at home were in good condition in terms of balance and walking (74%). This situation is in most elderly living in the centers. Maintenance was poor and they were at relatively high risk of falling (69%).
Conclusion: Elderly people living at nursing homes are more incapable of performing most aspects of health, such as daily activities and cognitive function, compared to other elderly people in the community. The high prevalence of depression and the risk of malnutrition in them indicate the urgent need for special attention in the field of health to the elderly. He is a resident of maintenance centers.

Keywords

References

  1. Cheraghi P, Eskandari Z, Bozorgmehr S, Zanjari N, Cheraghi Z. Quality of life and its related factors among elderly people. J Educ Community Health. 2019; 6(3):145-51.
  2. Ardane F, Ganjloo J, Mohammadi M. Health related quality of life (HRQOL) and socio-demographic determinant among elderly community of Sabzevar, 2017. Spec J Med Res Health Sci. 2018, 3(1):1-8.
  3. Mohammadi M, Karbalaee Z, Saremi M, .Ayatnia  M , Ghanbari Moghaddam A . Comprehensive geriatric health assessment in nursing homes of Sabzevar in 2016 on the pattern of CGA. Nursing Journal of the vulnerable. 2017;4(11):1-15.
  4. Rahimi M, Fadayevatan R, Abedi HA. Explanation caring works in nursing home: a qualitative study. Iran J Ageing. 2015; 10(1):36-47.
  5. Farhadi A, Foroughan M, Mohammadi F, Rassouli M, Sadegh Moghadam L, Nazari S, et al. Caregiving appraisal in family caregivers of older adults. Iranian Journal of Ageing. 2016;11(1):8-19
  6. Amanian D, Foroughan M, Hosseini MA. The effect of the training program about management of elders’common problems on the level of job stress
    in caregivers of nursing homes. J Res Dev Nurs Midwifery. 2013; 11(2):54-62. 
  7. Yazdani AA. The relationship between social participation and general health among aged people of 5th distric of Tehran [MSW Thesis].Tehran: USWR, Department of Social Work: 2010.
  8. Ghasemi S, Sharifi F, Maghsoodnia S, Teymoori F. The effect of health-nutrition education on health promotion in resident elderly in Kahrizak in Tehran. Iran J Ageing. 2006; 1(1):34-45.
  9. Farajzadeh M, Gheshlagh RG, Sayehmiri K. Health Related Quality of Life in Iranian Elderly Citizens: A Systematic Review and Meta-Analysis. International journal of community based nursing and midwifery. 2017;5(2):100.
  10. Sohrabi M and et al. A Comparative Study of depression and cognitive residents living in nursing homes and private homes. Knowlegh and Health. 2007;2(3).
  11. Payvar B, Abbaszade A, Esteki T, Talebighane E, Safavibayat Z. Nutritional status and associated factors in elderly hospitalized in cardiac care unit. Quart Nurs Elderly. 2016; 2:49-60.
  12. Foroughan M, Jafari Z, Shirin Bayan P, Ghaem Magham Farahani Z, Rahgozar M. Validation of mini- mental state examination (MMSE) in the elderly population of Tehran. Adv Cogn Sci. 2008; 10(2):29-37.
  13. Taheri Tanjani P, Azadbakht M. Psychometric properties of the Persian version of the activities of daily living scale and instrumental activities of daily living scale in elderly. J Mazandaran Univ Med Sci. 2016; 25(132):103-12.
  14. Ghassemi S, Najafi B, Memari A, Nazari N, Bakhtiari F, Alizadeh Khoei M, et al. Elderly falls risk factors: a prospective longitudinal study in Kahrizak charity foundation. Iran J Diabetes Metab. 2014; 13(6):447-54.
  15. Sohrabi MB, Zolfaghari P, Mahdizade F, Aghayan SM, Ghasemian-Aghmashhadi M, Shariati Z, et al. Evaluation and comparison of cognitive state and depression in elderly admitted in sanitarium with elderly sited in personal home. Knowl Health. 2008; 3(2):27-31.
  16. Mobasheri M, Moezy M. The prevalence of depression among the elderly population of Shaystegan and Jahandidegan nursing homes in Shahrekord. J Shahrekord Univ Med Sci. 2010; 12(2):89.
  17. Papadopoulos FC, Petridou E, Argyropoulou S, Kontaxakis V, Dessypris N, Anastasiou A, et al. Prevalence and correlates of depression in late life: a population based study from a rural Greek town. Int J Geriatr Psychiatry. 2005; 20(4):350-7.
  18. Yoshany N, Rezaei M, Baghin N. Relationship between quality of life and using smart phones in the elderly. J Educ Community Health. 2019; 6(4):247-55.
  19. Ramezankhani A, Ghaffari M, Mirzaei A, Khodakarim S, Taheri Tanjani P, Haidaryan Zadeh Z. Dietary behaviors of elderly people referred to health centers of Ilam, Iran. J Educ Community Health. 2016; 3(3):45-50.
  20. Menadi N, Khaled MB, Merrakchi B, Belbraouet S. Nutritional status of elderly people living at home in Sidi-Bel-Abbes (West Algeria). Food Nutr Sci. 2013; 4(8):35453.
  21. Lashkarboloki F, Aryaei M, Djazayery A, Eftekhar-Ardebily H, Minaei M. Association of demographic, socio-economic features and some health problems with nutritional status in elderly. Iran J Nutr Sci Food Technol. 2015; 9(4):27-34.
  22. Vejdani M. Evaluation of elderly's health status living in nursing home in Sabzevar-1393. Quart J Sabzevar Univ Med Sci. 2015; 22(2):300-7.
  23. Shahbazi MR, Foroughan M, Salman Roghani MR, Rahgozar M. The relationship between disability and depression, cognitive status and morale among older persons. Iran J Ageing. 2016; 11(4):132-41.
  24. Niazi M, Miri S, Aghighi M. Evaluation of mental and physical health indicators among elderly residents and non-residents of elderly homes based on TOPSIS technique (In 2017-2018). J Gerontol. 2019; 4(1):
    74-84.
  25. Sadeghi M, Bazghaleh M. The relationship between depression and quality of life among elderly of nursing home residents and non-residents in shahroud city. Knowl Health. 2017; 12(1):8-15.
Navid No
Volume 23, Issue 76
March 2021
Pages 72-83

Files

Share

How to cite

Statistics