Volume 15, Issue 4 (Winter - In Press 2021)                   Salmand: Iranian Journal of Ageing 2021, 15(4): 3-3 | Back to browse issues page

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Zendehtalab H, Vanaki Z, Memarian R. Improving the Quality of Healthy Aging Care, Participatory Action Research. Salmand: Iranian Journal of Ageing. 2021; 15 (4) :3-3
URL: http://salmandj.uswr.ac.ir/article-1-1958-en.html
1- PhD Candidate Medical Scieneces University, Mashhad, Nursing School, Iran.
2- Professor Tarbiat Modares University, Nursing Department. , vanaki_z@modares.ac.ir
3- Professor Assistant Tarbiat Modares University, Nursing Department.
Abstract:   (799 Views)
Objectives: In elderly care provided by health centers, healthy elderly are neglected in care and education. This qualitative study aimed to standardize healthy ageing care.
Methods & Materials: This participatory action research was conducted from 1395 to 1397 in Motahari Health Center of Mashhad, with the participation of 11 health care provider, 54 healthy elderly and 54 family members. The mean age of caregivers was 32.4 ±2.7 years and their mean work experience was 8.3 years. The mean age of the elderly was 64.3 ± 3.9 years. Data were collected through SERVQUAL questionnaire, interviews, focus group discussions, and field notes. After identifying problems through interviewing 8 staff and 19 seniors, Group discussion sessions were held to design the program. After implementing the change plans, 30 interviews with the participants were conducted again and the comparisons were done and evaluated before and after the change plans. For qualitative content analysis, the method of describing reality was used, and for analysing quantitative data, descriptive statistics and paired t-test were used.
Results: The result of this study was dynamic care model could be improve healthy aging care in the health center environment by modifying attitudes, skills and staff empowerment. The mean score of quality of care for the elderly and their families in the pre-intervention phase was 63.02 ± 9.46 and 61.83 ± 9.05, respectively. In the post-intervention phase, these values reached 130.19 ± 14.75 and 122.65 ± 13.56, respectively, which were statistically significant (P=0.001).
Conclusions: The dynamic model promoted the quality of elderly services with features such as active, participatory, continuous, comprehensive and supportive care. So this model can be used in other health
Type of Study: Applicable | Subject: gerontology
Received: 2020/01/05 | Accepted: 2018/12/31 | Published: 2021/02/24

1. National document on health promotion, welfare and dignity of Iranian Elderly. Ministry of Health and Medical Education .2011.
2. Booklet Guide to Integrated and Comprehensive Aging Care. Ministry of Health and Medical Education, Office of Family and Population Health, Elderly Health Department.
3. Sibiya MN1, Gwele NS. A model for the integration of primary health-care services in the province of KwaZulu-Natal, South Africa. J Nurs Manag. 2013 Mar;21(2):387-95. [DOI:10.1111/j.1365-2834.2012.01420.x] [PMID]
4. Johnson C S , Duraiswamy M , Desai R , Frank L. Health Service Provider's Perspectives on Healthy Aging in India. Ageing Int (2011) 36:445-462. [DOI:10.1007/s12126-010-9096-6]
5. Alizadeh M, fakhrzadeh H, Sharifi F, Mohamadiazar M, Nazari N. Analytical performance of administrations in charge of ageing program in Iran. ijdld. 2013; 13 (1) :74-81 [Persian].
6. Iasiello M, Bartholomaeus J, Jarden A, van Agteren J. Maximising the Opportunity for Healthy Ageing: Online Mental Health Measurement and Targeted Interventions. Stud Health Technol Inform. 2018; 246:111-123.
7. Moradi S, Fekrazad H, Mousavi M T, Arshi M. The study of relationship between Social Participation and quality of life of old people who are member of senior association of Tehran City in 2011. Salmand. 2013; 7 (4) :41-46 [Persian].
8. Heravi.M. Designing and Validation of the Domestic elder Abuse Assessment Questionnaire. (Thesis P.hD in Nursing).Tarbiat Modares University, Medical Sciences Faculty,2009 [Persian].
9. Fotoukian Z, *Mohammadi Shahboulaghi F, Fallahi Khoshknab M. Analytical on empowerment interventions in older people with chronic disease: A review literature.JHPM, 2013: 2(4):65-76 [Persian].
10. Mohammadi Mehr M, Zamani-Alavijeh F, Hasanzadeh A, Fasihi T. Effect of Healthy Lifestyle Educational Programs on Happiness and Life Satisfaction in the Elderly: A Randomized Controlled Trial Study. Salmand: Iranian Journal of Ageing. 2019; 13 (4) :440-451[Persian]. [DOI:10.32598/SIJA.13.4.440]
11. Kazemi N, Sajjadi H, Bahrami G. Quality of Life in Iranian Elderly. Salmand: Iranian Journal of Ageing. 2019; 13 (5) :518-533 [Persian]. [DOI:10.32598/SIJA.13.Special-Issue.518]
12. Hazavehei MM,Faghih Soltani P,Moeini B, Soltanian AR.Evaluation of the Educational Nutrition Intervention's Effect on Healthy Nutritional Behaviors Promotion in Elderly of Sanandaj:Application BASNEF Model.J Neyshabur Univ Med Sci. 2017;5(1):39-51 [Persian].
13. Darvishpoor Kakhki A, Abed Saeedi J, Delavar A, Saeed-O-Zakerin M. Autonomy in the Elderly: A Phenomenological Study. Hakim Research Journal 2010; 12(4): 1- 10 [Persian].
14. Alaviani M, Khosravan S, Alami A, Moshki M. The Effect of a Multi-Strategy Program on Developing Social Behaviors Based on Pender's Health Promotion Model to Prevent Loneliness of Old Women Referred to Gonabad Urban Health Centers. Int J Community Based Nurs Midwifery. 2015 Apr; 3(2):132-40 [Persian].
15. Sahaf R,et.al. Validity and Reliability of CHAMPS Physical Activity Questionnaire for Older People Living in Tehran.Salmand, 2014;9(3):206-217 [Persian].
16. Mesbahi M, Abaszadeh A. Empowerment of staff of kerman university of medical sciences, Iran. .Journal of quality research in health sciences.2013; 1(4): 321-31.
17. Motaghed Z, Davoudi Monfared E, Mohazab Turabi S, Nemati I, Mousavi A, Eshraghi R, et al . Assessment of Quality of Services in Health Centers from the perspective of Clients by SERVQUAL Method. hrjbaq. 2017; 2 (1):49-55 [Persian]. [DOI:10.18869/acadpub.hrjbaq.2.1.49]
18. Heidarnia M, , Riazi-Isfahani S, Abadi A, Mohseni M. Cross cultural adaptation and assessing validity and reliability of SERVQUAL questionnaire in hospital service quality. Research in Medicine. 2014; 38 (2) :98-105.
19. Venkatapuram S, Ehni HJ, Saxena A. Equity and healthy ageing Perspectives. Bulletin of the World Health Organization. 2017; 95:791-92. [DOI:10.2471/BLT.16.187609] [PMID] [PMCID]
20. Yasobant S.J. Comprehensive public health action for our aging world: the quintessence of public health policy.Int Med Res. 2018 Feb; 46(2):555-56. [DOI:10.1177/0300060517718452] [PMID] [PMCID]
21. Sowa A, Tobiasz-Adamczyk B, Topór-Mądry R, Poscia A, la Milia DI. Predictors of healthy ageing: public health policy targets. BMC Health Serv Res. 2016;16(5):441-479. [DOI:10.1186/s12913-016-1520-5] [PMID] [PMCID]
22. A strategy for active, healthy ageing and old age care in the Eastern Mediterranean Region.2006-2015.World Health Organization. Regional Office for the Eastern Mediterranean. Cairo.2006.
23. Capezuti E, Boltz M, Cline D, Vaughn Dickson V, Rosenberg MC, Wagner L, et al. Nurses Improving Care for Healthsystem Elders - a model for optimising the geriatric nursing practice environment. J Clin Nurs. 2012 Nov; 21(21-22): 3117-3125 [DOI:10.1111/j.1365-2702.2012.04259.x] [PMID] [PMCID]
24. Lopez M, Delmore B, Ake J, Kim Y, Golden P, Bier J, et al. Implementing a Geriatric Resource Nurse Model. JONA. 2002; 32(11): 577-85. [DOI:10.1097/00005110-200211000-00005] [PMID]
25. https://www.hospitalelderlifeprogram.org/about/
26. Song M, Kong EH. Older adults' definitions of health: A metasynthesis. Int J Nurs Stud. 2015 Jun;52(6):1097-106. [DOI:10.1016/j.ijnurstu.2015.02.001] [PMID]
27. Asadi Noghabi A, Alhani F, Peyrovi H. The Concept of Health in Elderly People: A Literature Review. IJN. 2012; 25 (78) :62-71 [Persian].
28. Richardson A, Potter J, Paterson M, Harding T, Tyler-Merrick G, Kirk R. et al. Office design and health: a systematic review. N Z Med J. 2017; 130 (1467):39-49.
29. Safi MH, Fereydounfar AA, Arshi SH. Quality of Primary Health Services in the Clinics of Shomal Health Center of Tehran. Community Health 2014; 1(1):54-61 [Persian].
30. Jafari A, Mohammadpur F, Alam Tabriz A, Khadivi R. Effective strategies for empowerment of experts staff in health deputy of Shahrekord University of Medical Sciences, Iran, 2005. J Shahrekord Univ Med Sci. 2008; 10 (2) :66-71 [Persian].
31. Tarrahi M J, Hamouzadeh P, Bijanvand M, Lashgarara B. The quality of health care services provided in health care centers of Khorramabad using SERVQUAL model in 2010. yafte. 2012; 14 (1) :13-21 [Persian].
32. Nasiripour A, Tabibi S, Habibi M. Relationships between Welfare Facilities and Staff's Sense of Responsibility in Noor District Health Centers. j.health. 2012; 3 (3) :28-37 [Persian].
33. Beikzad J, Hoseinpour A, Hejazi Bavil M. A Survey on the Relationship between Responsibility and Job Satisfaction of Nurses working in Teaching Hospitals Affiliated with Tabriz University of Medical Sciences. jhosp. 2014; 13 (1) :53-60 [Persian].
34. Skår R. The meaning of autonomy in nursing practice. J Clin Nurs. 2010 Aug;19(15-16):2226-34 [DOI:10.1111/j.1365-2702.2010.03350.x] [PMID]
35. Oshodi TO, Bruneau B, Crockett R, Kinchington F, Nayar S, West E. Registered nurses' perceptions and experiences of autonomy: a descriptive phenomenological study.BMC Nurs. 2019; 18:51. [DOI:10.1186/s12912-019-0378-3] [PMID] [PMCID]

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