Iranian Journal of Ageing

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Showing 4 results for Fallahi Khoshknab

The Process of Involving the Family in the Care of Hospitalized Older Adult Patients: A Ground Theory Study

Maryam Ahmadi, Farahnaz Mohammadi-Shahboulaghi, Mohammadali Hosseini, Masoud Fallahi Khoshknab,
Volume 0, Issue 0 (Articles In Press 2024)

Abstract

Background: Family participation in care is essential for hospitalized elderly patients. Therefore, to plan, implement, and evaluate plans that involve the family in the care, a deep understanding of its process is needed.
Objectives: The present study was conducted to discover the process of involving the family in the care of hospitalized older adult patients.
Methods: Based on the grounded theory qualitative study, the experiences of 22 people involved in participation (13 nurses, 5 family members, 4 hospitalized older adult patients) from three public hospitals in Kermanshah and Tehran between 2023 and 2024 were collected through in-depth semi-structured interviews. Sampling was initially purposive and continued theoretically until data saturation. The data were analyzed using the approach of Strauss and Corbin 2015.
Results: The analysis of the obtained data led to the emergence of 11 categories and 44 sub-categories. contextual factors in this process are "unfavorable hospital conditions for family participation", "insufficient professional competence of nurses for participation", "complexity of elderly patient care" and family capacity for participation. The participants in this process use the strategies of "insufficient attraction of the family to participate in care", "relative empowerment of the family to participate in care", "unplanned handover of caregiving tasks to the family ", "family's efforts to participate in caregiving” "facing the family's effort to participate" which follows the consequences of "nurses' concern about the safety and quality of family care" and "the family's suspension between helplessness and ability". From the integration of the obtained concepts, the central concept of "unstructured participation of the family in care" was obtained, with which other categories can be explained.
Conclusion: The findings of the present study, by increasing the nurses' understanding of the effective contextual factors, the types of actions and interaction of nurses in the field of involving the family in care, and the subsequent consequences, provide the basis for conducting further research, designing intervention programs and formulating hospital policies in this matter to promote cooperation with families.

Comparison of Elderlys "Quality of Life" Living at Homes and in Private or Public Nursing Homes

Ali Hesamzadeh, Sadat Bagher Maddah, Frahnaz Mohammadi, Masoud Fallahi Khoshknab, Mehdi Rahgozar,
Volume 4, Issue 4 (Salmand, Iranian Journal of Ageing 2010)

Abstract

Objectives: The aim of this study was to compare the quality of life and its dimensions among the elderly people who were living at homes, private or public nursing homes of the city of Tehran.

Methods & Materials: This research was a descriptive cross-sectional study. The study population consisted of 96 aged people in three groups of living at homes, in private and public nursing homes in the city of Tehran, whom were selected according to the research criteria. Data were collected using Demographic and LEIPAD quality of life questionnaires. Kolmogorove-smirnov, One way ANOVA, Independent T-test, Kruskal-wallis, and x2 were used for analyzing data.

Results: The score of quality of life of the elderly living at theirhomes (65.57) was significantly higher than the score of subjects living in private (50.64) and public nursing homes (51.30). There was a significant difference in the score of dimensions of physical and social functioning and life satisfaction as well as self-care of elderly people living at homes and the elderly living in private and public nursing homes (P<0.05). There was no significant difference between the "quality of life" score of male and female elderly in all three groups of the research.

Conclusion: The elderly people living at homes have a better quality of life in comparison with their peers living in private and public nursing homes in the city of Tehran.

The Effect of Sleep Restriction Treatment on Quality of Sleep in the Elders

Shokofeh Ahmadi, Hamidreza Khankeh, Farahnaz Mohammadi, Maso'd Fallahi Khoshknab, Poryia Reza Soltani,
Volume 5, Issue 2 (7-2010)

Abstract

Objectives: The purpose of this study was to investigate the effect of restriction sleep treatment on the quality of sleep in the elders.

Methods & Materials: The study was a quasi-experimental research. The study population consisted of 5000 elders who were members of jahandidegan center of Shiraz. Sample included 50 elder’s who were selected according to inclusion and exclusion criteria. Following 25% attrition 38 elders (24 female, 14 male) with average of 65 years old with primary insomnia and poor quality of sleep were assessed with Pittsburgh sleep quality index (PSQI). The participants were allocated by permuted randomized block into two groups of experimental (n=19) and control (n=19). Four weeks of sleep restriction treatment was implemented to experimental group with sleep treatment package. Data were analysed using spss-16 software through chi-square, kolmogorov Smirnoff, mannwitney, independent statistical ttest and pair t test.

Results: The mean of quality of sleep before intervention in experimental group was 14.21 and in control group was 13. after intervention the mean of quality of sleep in experimental group was 11.26 and in control group was 12.78. The difference between 2 groups was significant in 95% level.

Conclusion: This study indicated that Restriction sleep treatment can improve quality of sleep among elders. So It is recommended that this intervention could be educated as a continue education program for all health care providers especially for nurses who work in elderly centers.

Factors Affecting the Intergenerational Relationships in Nursing Homes in Iran Using Grounded Theory Appraoch

Mahboubeh Dakhteh Harouni, Kian Norouzi, Masoud Fallahi Khoshknab, Reza Faday Vatan, Sadat Seyedbager Madah,
Volume 17, Issue 4 (Winter 2023)

Abstract

Objectives: In nursing homes, intergenerational relationships has of particular importance because people of different ages and from different generations interact with each other. Health care workers, including nurses, can cover a wide range of intergenerational relationships in the form of care provided to the elderly. Despite the importance of intergenerational relationship among the elderly, the related challenges in nursing homes in Iran have not been studied yet. Therefore, this study aims to identify the factors affecting intergenerational relationships in nursing homes in Iran.
Methods & Materials: This is a qualitative study that was conducted in three nursing homes in Tehran, Iran using the grounded theory method. Participants were 13 older residents and 8 employees working in nursing homes (Five nurses, one supervisor, one psychologist and one nursing home manager) who were recruited purposively. Semi-structured interviews were used to collect data and sorted by constant comparison method. Data analysis was performed using Strauss and Corbin’s grounded theory method.
Results: Data analysis yielded five main categories. “Intergenerational tensions” was the main variable. The causal condition for this variable was titled “Tensions based on psychological factors”. The contextual factors in nursing homes were in a group titled “defective platform of intergenerational relationships”. The intervening factors included facilitators of and barriers to intergenerational relationships. Strategies was titled “Efforts to preserve existence” and consequences were titled “living with insecurity”.
Conclusion: Generational differences between nursing home residents and staffs make it difficult to establish effective relationships between them which can cause poor quality care. The findings can help nursing home managers to apply strategies to remove barriers to intergenerational relationships and know how to improve these relationships and create greater cohesion between generations so that it can lead to better care and subsequently improved quality of life in the elderly.

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