دانشگاه علوم بهزیستی و توانبخشی
Iranian Journal of Ageing
1735-806X
8
1
2013
4
1
Cognitive and General Health Status in Elderly With and Without History of Falling
7
15
FA
Vahid
Nejati
Shahid Beheshti University, Tehran, Iran.
Sara
Izadi-najafabadi
Isfahan University of Medical Science, Faculty of Rehabilitation, Occupational Therapy Departmentuniversity
Otella
Shoja
Master of Motor behavior , Shahid Beheshti University
Mehrooz
Javadi
Bagiatallah University of Medical Science, School of Nursing
Fatemeh
Rezaei
Master of Motor behavior, University of Tehran
Objectives: Falling is a main problem in all health systems and approximately 30% of elderly experience one or more falling every year. Cognitive function is known to be a main risk factor for elderly falling. In this study we aim to compare general health and general cognitive status in elderly with and without history of falling.
Methods & Materials: In this study 22 elderly without history of falling (15 M, 7 FM) were evaluated and compared with 31 elderly with history of falling (21 M, 10 FM) using general health questionnaire (GHQ) and MMSE. Independent t-test is used for data analysis.
Results: Findings showed that differences of general health (P=0.009), and subtest of anxiety and sleep disorder (P=0.004) between two groups are significant. Means comparison showed worst status in elderly with history of falling than those without in general health, sleep disorder, and anxiety. Significant difference between cognitive health score of faller and non-faller elders was seen (P=0.022). Comparing means showed more cognitive impairment in elderly with history of falling than those without history of falling.
Conclusion: This study confirms relationship between anxiety, sleep disorder and falling. Sleep disorder may cause falling due to dizziness. Anxiety and fear of falling may cause limited physical activity, balance, and increased risk of falling. Therapeutic methods in reducing anxiety would avoid falling. In addition, cognitive therapy for elderly can reduce the risk of falling.
دانشگاه علوم بهزیستی و توانبخشی
Iranian Journal of Ageing
1735-806X
8
1
2013
4
1
Spiritual Health Among Isfehanian Elderly People
16
23
FA
Fatemeh
Khalili
Isfehan University of Medical Sciences
Shima
Sum
Babol University of Medical Sciences, Babol, Iran.
Hamid
Asayesh
Golestan University of Medical Sciences
Objectives: In the recent years world experienced an increased number of elderly population particularly in developing countries such as Iran. Considering protection and promotion of health of this vulnerable group should be more focused. This is obvious that assessing their health status is the first priority of health promotion strategy. Spiritual health is one of the health dimensions which is less concerned in this age group. This study aimed to assess distribution of spiritual health among Isfehanian elderly people.
Methods & Materials: This cross-sectional study was conducted among 230 Isfahanian over 60 elderly people. By convenience sampling subjects were chosen from urban area. Data was gathered by a questionnaire consisting of demographic characteristics and Palutzian & Ellison Spiritual Health Questionnaire. Dat analyzed by t test, ANOVA, correlation and multiple regression.
Results: Findings showed that 70.09% of participants were male and mean of age was 67.5 Mean score of spiritual health was 95.02±13.98 which was in a high level. Elderly people accommodated in nursing homes had a significantly lower spiritual health status. Significant relationship was found between spiritual health, educational level and type of accommodation (P<0.05).
Conclusion: As results showed supports originated from spiritual health is beneficial and could promote quality of life and health. Considering this issue in older people as a vulnerable group is recommended.
دانشگاه علوم بهزیستی و توانبخشی
Iranian Journal of Ageing
1735-806X
8
1
2013
4
1
The Construction and Norm-Finding of Rating Scale in Elderly Stressors
24
32
FA
Jalal
Sadrossadat
University of Social Welfare and Rehabilitation Science
Zahra
Hooshyari
University of Allameh Tabataba'i, Tehran, Iran.
Leila
Sadrossadat
Alliant International University
Objectives: The aim of the present study is to construct and norm-find a rating scale in elderly stressors
Methods & Materials: We prepared a checklist including 100 items based on stressors scales and questionnaires, elderly problem checklists, sciences index and reference, interview with professional experts and elderly. The checklist was reduce to 45 items after review by experts and then to 40 items after initial analyses (pilot execution). Our Research population was total Elderly aged above 60 years old that had used insurance services in the year 1390. Sample sizes of 300 were selected by purposeful sampling and were interviewed by the use of target scale. 30 elderly of the sampling were retested by the target scale and test by holms and rahe scale and GHQ after 2 weeks.
Results: Data analyses shows 6 factors that explain 68.47% of the total variance. The scale validity approved by content validity and correlation between scale scores and GHQ subscales confirmed construct validity of the scale. Scales reliability estimated by variety of methods, by Cronbach’s alpha is 0.95, by spearman brown is 0.84, test-retest is 0.79 and by pair form shows 0.81. Scale’s cut off point classify elderly in 5 category in term of intensity of stress include very low, low, moderate, sever and very sever.
Conclusion: We recommend using this scale with confidence in research and screen purpose or other situation.
دانشگاه علوم بهزیستی و توانبخشی
Iranian Journal of Ageing
1735-806X
8
1
2013
4
1
Nutritional Assessment in Elderly Hospitalized Patients in Qazvin Teaching Hospitals in 2011
33
40
FA
Azam
Ghorbani
Metabolic Diseases Research Center, Qazvin University of Medical Sciences, Qazvin, Iran.
Taktom
Karimzadeh
Metabolic Diseases Research Center, Qazvin University of Medical Sciences, Qazvin, Iran.
Yasin
Azadmanesh
Qazvin University of Medical Sciences, Qazvin, Iran.
Objectives: Nutritional status in the elderly is an important issue in developing countries has been little attention to it. It results from complex interaction between personal and environmental factors that have a considerable effect on mortality, morbidity and quality of life of elderly people especially the hospitalized ones. The aim of this study was to investigate nutritional status in elderly hospitalized patients in Qazvin Teaching Hospitals and know Influential factors to plan appropriate programs for improving their health.
Methods & Materials: In this cross-sectional study 233 elderly (151 women and 171 men) aging more than 60 years, hospitalized in two hospitals in Qazvin city were studied. Nutritional status were evaluated using Mini Nutritional Assessment, The nutritional status was classified into: malnourished, risk of malnutrition and without malnutrition (adequate).
Results: Among the assessed elderly 29.8% were well nourish, 13.4% malnourished and 42.95 at risk of malnutrition. There was more malnutrition in females compared to males (25.8% vs 7.2 P<0.001)BMI<19 than BMI>=23(62.5% vs. 12.6% P<0.001), Statistical analysis of the studied variables showed that nutritional status were significantly associated with Age, BMI, WC and WHR
Conclusion: This study confirms a high prevalence of malnutrition risk in hospitalized elderly patients. The assessment of nutritional status with MNA that can facilitate evaluation of the nutritional status of elderly individuals in hospitals
دانشگاه علوم بهزیستی و توانبخشی
Iranian Journal of Ageing
1735-806X
8
1
2013
4
1
Comparison of Static Balance in Active and Inactive Adult and Elderly Men
41
48
FA
Morteza
Hajinia
Ahmad
Delbari
Research Center On Ageing, Sabzevar University of Medical Sciences, Sabzevar, Iran.
Mehdi
Zareii
Mohammad
Ali abadi
Ali
Habibi
Objectives: The purpose of this study was to compare the static balance in active and inactive adult and elderly men.
Methods & Materials: 55 active adult and elderly men and 49 inactive adult and elderly men participated in this cross sectional- comparative study. Static balance was measured by stork stand test with opened and closed eye. Gait velocity (time) in active subjects was measured used Rockport walk test. Independent T-test was used to compare balance with opened and closed eye between two groups. To examine correlation between static balance with age and gait velocity, Pearson correlation coefficient was used. Statistical analysis was performed using SPSS-16 software package.
Results: The results showed that balance with opened and closed eye were significantly higher in active subjects and inactive active subjects. In active subjects, there was no significant correlation between gait velocity and balance with opened and closed eye. There was significant negative correlation between static balance and age, as with increase age static balance decrease significantly.
Conclusion: The results indicated that active (walking and Morning sports-based) adult and elderly men have better static balance than inactive adult and elderly men, as a result of using walking training program. It is possible that walking with the overload on information transfer through Improve somatosensory systems, May improve the balance.
دانشگاه علوم بهزیستی و توانبخشی
Iranian Journal of Ageing
1735-806X
8
1
2013
4
1
The Study of the Elderly Accidents in Kerman Province on 2006-9
49
55
FA
Hossein
Safizadeh
Research Center for Social Determinant of Health, Kerman University of Medical Sciences, Kerman, Iran.
Hamideh
Habibi
2- Medical Student Research Committee, Kerman University of Medical Science
Ruhollah
Zahmatkesh
4- Vice Chancellor for Health, Kerman University of Medical Science
Mohamad
Samery
4- Vice Chancellor for Health, Kerman University of Medical Science
Objectives: The elders just like the other age groups can be injured or dead in the cause of accident although because of their physical conditions and their age they got a little attention and care. The aim of this study was description of elderly trauma in Kerman province.
Methods & Materials: The study was designed as a cross sectional and it examines 11120 persons that are 60 years old and above from 282618 traumatic cases registered in 2006-2009 in Kerman province (except Rafsanjan city). Data were analyzed using t-Test and Chi-Square.
Results: From all the examined persons 63% belongs to male and 37% belongs to female. The mean age of examined persons is 69.05(±7.97) years old.The most common trauma belonged to traffic accidents (25.3%) then it comes to Trauma (18.6%) and fall (11.1%). Most of the accidents happened in home (41.7%), alleys and streets (30.2%) in the second place .From all of the injured cases, 91 of them (0.82%) are dead. Data assessment indicates that the injured females were elder than males (P<0.05), the dead injured also elder from alive persons (P<0.01). The most common cause of the injuries in males were traffic accidents and violence, and for females were fall, poisoning, scorpion and snake bites (P<0.001). There was significant difference in the place that accident happened for male and female (P<0.001).
Conclusion: Accidents among elderly are of special importance for a number of reasons include: age related changes, preexisting conditions and drug consumption. Prevention education and implementation of safety measures at home and at community places would help reduce injuries related accidents and should be taken into consideration.
دانشگاه علوم بهزیستی و توانبخشی
Iranian Journal of Ageing
1735-806X
8
1
2013
4
1
Effect of an Aquatic Endurance Exercise on Mental General Health in Male Elders
56
63
FA
Seyyed Sadreddin
Shojaeddin
Kharazmi University
Amir
Dadashpoor
Kharazmi University, Tehran, Iran.
Objectives: Aquatic exercise is one of the major activities that recommend to elderly people. The purpose of this study was to examine the effects of aquatic endurance exercise on the mental health, physical symptoms, social performance, anxiety and depression of the male elders.
Methods & Materials: In this study, 30 male elders were selected and randomly divided into control and experimental groups. First, all subjects completed General Health Questionnaire (GHQ). Then the experimental group received 6 weeks aquatic endurance exercise (three sessions per week) for six weeks and the control group performed their daily routine activities. After the training intervention, both groups again completed the GHQ - 28. Data analysis with paired and independent samples t-test was performed.
Results: The results showed that aquatic endurance exercise has significant effect on mental health (P=0.000), physical symptoms (P=0.000), social performance (P=0.000), anxiety (P=0.034) and depression (P=0.000) of the experimental groups, while in the control group who had not participated in aquatic endurance exercises, no significant changes were observed. The results also showed that there is a significant difference (P=0.001) between the average score of mental general health of experimental and control group after the exercise.
Conclusion: Based on this study it can be concluded that aquatic endurance exercise has a positive impact to geriatric psychiatric assessment on the mental general health, physical symptoms, social performance, anxiety and depression.
دانشگاه علوم بهزیستی و توانبخشی
Iranian Journal of Ageing
1735-806X
8
1
2013
4
1
The Prevalence and Correlates of Falling Down in the Older Adults Over 55 Years in Shiraz
64
70
FA
Ali
Ghanbary
Shiraz University of Medical Sciences
Nasrin
Salehi Dehno
Faculty of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
Farzaneh
Moslemi Haghighi
Shiraz University of Medical Sciences
Maede
Torabi
Shiraz University of Medical Sciences
Objectives: Falling down is one of the most common problems that involve old people. It may affect the physical, emotional and social aspects of individual’s health and may cause economical and social problems for individuals and society.
Methods & Materials: In a cross sectional study, 750 old people with ages of 55 or more, living in the city of Shiraz (409 female, 341 male, mean ages 67.32 year) with a convenience sampling method took part in this study. A questionnaire was designed to gather the information about the history of falling down on past year, its complications and the possible associated factors. Chi square and Mann_ Witeny test and logistic regression method was used to analyze the study data.
Results: the prevalence of falling down was 33.6%. 20.4% of people had single falling down and 13.2% of them had recurrent falling down. There were significant correlations between falling down and age (P=0.016), sex (P<0.001), diabetes (P=0.008), vertigo (P<0.0001). However no significant correlation was found between falling down with arthritis, heart disease, nervous system disease, rheumatologic disease, hypertension and use of cane and glass. There were significant correlation between recurrent falling down and sex (P=0.021), vertigo (P<0.0001) and osteoporosis (P=0.024). Also, use of cane (P=0.023) and arthritis (P=0.048) were associated with falling down with injury.
Conclusion: According to results of this study, one third of old people over 55 year living in the community experienced falling down within one year. Diabetes and vertigo increased the risk of falling down in elderly population. Planning for controlling these risk factors can reduce the rate of falling down and its associated problems and complications.