Volume 16, Issue 3 (Autumn 2021)                   Salmand: Iranian Journal of Ageing 2021, 16(3): 438-451 | Back to browse issues page


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Lotfalinezhad E, Abolfathi Momtaz Y, Nazaripanah N S, Honarvar M R, Arab Ameri F, Azimi M S. Effectiveness of Integrated and Comprehensive Geriatric Care Program of Ministry of Health on Physical and Mental Health of Older Adults in Golestan Province. Salmand: Iranian Journal of Ageing. 2021; 16 (3) :438-451
URL: http://salmandj.uswr.ac.ir/article-1-1955-en.html
1- Department of Health Education and Promotion, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran.
2- Iranian Research Center on Aging, Faculty of Health, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. , yabolfathi@gmail.com
3- Health Management and Social Development Research Center, Golestan University of Medical Sciences, Gorgan, Iran.
4- Middle-Aged and Elderly Health Group, Golestan Health Center, Gorgan, Iran
5- Department of Statistics and Health Economics, The Ministry of Health, Tehran, Iran.
Abstract:   (4833 Views)
Objectives: In order to maintain and improve older adults’ health, the integrated and comprehensive geriatric care program has been developed and run by ministry of health. The present study was conducted to evaluate the effectiveness of this program on physical and mental health of older adults in Golestan province in 2019.
Methods & Materials: The present retrospective cohort study employed a multistage clustered random sampling technique to obtain 500 e-health records of older adults during 2017-2019. The data on blood pressure, depression, and BMI were extracted from e-health records. Data analysis was conducted using repeated measure anova, paired t-test and Wilcoxon tests. The SPSS statistics software v. 20 was used to perform data analysis
Results: Of the 500 cases studied, were male and female, respectively. The Mean±SD age of the participants was 69.97±7.45 years. The results of inferential statistics showed that the mean score of systolic blood pressure was significantly decreased through study period (P<0.001). However, through study period depression score was significantly increased (P≤0.05). There was no significant difference in BMI index.
Conclusion: The results of this study showed that the integrated and comprehensive geriatric program was effective for controlling blood pressure, however was not effective for preventing depression. Therefore, stakeholders should pay more attention towards establishing appropriate program to improve older adults' mental health.
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Type of Study: Research | Subject: gerontology
Received: 2020/01/03 | Accepted: 2020/02/22 | Published: 2021/10/01

References
1. World Health Organization. Definition of an older or elderly person 2013. Available from: http://www.who.int/healthinfo/survey/ageingdefnolder/en/.
2. Organization WH. Towards policy for health and ageing [Last accessed on 2013 May 22]. Available from: http://www.who.int/ageing/publications/alc_fs_ageing_policy.pdf
3. Iran SCo. The Statistical Yearbook of Iran 2016 2016 [18 July]. Available from: https://www.amar.org.ir/english/Iran-Statistical-Yearbook.
4. Sadoughi F, Shahi M, Ahmadi M, Davaridolatabadi N. Health Information Management System for Elderly Health Sector: A Qualitative Study in Iran. Iran Red Crescent Med J. 2016;18(2). [DOI:10.5812/ircmj.21520]
5. Boutayeb A, Boutayeb S. The burden of non communicable diseases in developing countries. International journal for equity in health. 2005;4(1):2. [DOI:10.1186/1475-9276-4-2] [PMID] [PMCID]
6. Shrivastava SRBL, Shrivastava PS, Ramasamy J. Health-care of Elderly: Determinants, Needs and Services. Int J Prev Med. 2013;4(10):1224-5.
7. Azimi MS, Davari S, Solbi Z, Ladni S, Kargozar E, Raeisi S, et al. integrated and comperhensive health care system for elderly people (for health care staff): Ministry of Health and Medical Education; 2017.
8. Malakouti SK, Fatollahi P, Mirabzadeh A, Salavati M, Zandi T. Reliability, validity and factor structure of the GDS‐15 in Iranian elderly. International Journal of Geriatric Psychiatry: A journal of the psychiatry of late life and allied sciences. 2006;21(6):588-93. [DOI:10.1002/gps.1533] [PMID]
9. Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo Jr JL, et al. The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure: the JNC 7 report. Jama. 2003;289(19):2560-71. [DOI:10.1001/jama.289.19.2560] [PMID]
10. Guo Z, Viitanen M, Winblad B. Low blood pressure and five-year mortality in a Stockholm cohort of the very old: possible confounding by cognitive impairment and other factors. American journal of public health. 1997;87(4):623-8. [DOI:10.2105/AJPH.87.4.623] [PMID] [PMCID]
11. Dregan A, Ravindrarajah R, Hazra N, Hamada S, Jackson SH, Gulliford MC. Longitudinal trends in hypertension management and mortality among octogenarians: prospective cohort study. Hypertension. 2016;68(1):97-105. [DOI:10.1161/HYPERTENSIONAHA.116.07246] [PMID] [PMCID]
12. Khezeli M. Study on the prevalence of hypertension and its associated factors in the elderly population. La Revue du praticien. 2012;62(9):1225-8.
13. Hoseini R, Zabihi A, Bijani A. The Prevalence of Cardiovascular Disease among amirshar elderly people in 2006. Salmandan. 2010;4(11):46-52.
14. Tugay Aytekin N, Pala K, Irgil E, Akis N, Aytekin H. Distribution of blood pressures in Gemlik District, north‐west Turkey. Health & social care in the community. 2002;10(5):394-401. [DOI:10.1046/j.1365-2524.2002.00379.x] [PMID]
15. Khodabakhshi H, Tiyuri A, Yari E, Beheshti D, Sharifzadeh G. Prevalence of Non-Communicable Disease Risk Factors Among the Elderly of Birjand in 2014. Salmand: Iranian Journal of Ageing. 2019;14(1):52-63.
16. Alirezaei Shahraki R, Aliakbari Kamrani‏ A, Sahaf R, Abolfathi Momtaz Y. Effects of Nationwide Program for Prevention and Control of Diabetes Initiated by the Ministry of Health on Elderly Diabetic Patients' Knowledge, Attitude and practice in Isfahan. Salmand: Iranian Journal of Ageing. 2019;14(1):84-95. [DOI:10.32598/SIJA.14.1.84]
17. Gunnell D, Berney L, Holland P, Maynard M, Blane D, Frankel S, et al. How accurately are height, weight and leg length reported by the elderly, and how closely are they related to measurements recorded in childhood? International journal of epidemiology. 2000;29(3):456-64. [DOI:10.1093/ije/29.3.456] [PMID]
18. Hickson M, Frost G. A comparison of three methods for estimating height in the acutely ill elderly population. Journal of human nutrition and dietetics. 2003;16(1):13-20. [DOI:10.1046/j.1365-277X.2003.00416.x] [PMID]
19. Nazari N, Fakhrzadeh H, Sharifi F, Arzaghi M, Alizadeh M, Mehrdad N, et al. Prediction of Iranian aged people height from age, shin length and forearm length. Iranian Journal of Diabetes and Metabolism. 2013;13(1):1-8.
20. Young-Eun K, Seok-Won H. Health-Related Effects of the Elderly Care Program. BioMed Research International. 2018;2018:1-8. [DOI:10.1155/2018/7121037] [PMID] [PMCID]
21. Chang S-C, Pan A, Kawachi I, Okereke OI. Risk factors for late-life depression: a prospective cohort study among older women. Preventive medicine. 2016;91:144-51. [DOI:10.1016/j.ypmed.2016.08.014] [PMID] [PMCID]
22. Davey A, Halverson Jr CF, Zonderman AB, Costa Jr PT. Change in depressive symptoms in the Baltimore Longitudinal Study of Aging. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences. 2004;59(6):P270-P7. [DOI:10.1093/geronb/59.6.P270] [PMID]
23. Bastami F, Salahshori A, Shirani F, Mohtashami A, Sharafkhani N. Risk factor of depression on elderly: A review study. gerontology 2016;1(2):54-65. [DOI:10.18869/acadpub.joge.1.2.54]
24. Kim O, Byeon Y-S, Kim J-H, Endo E, Akahoshi M, Ogasawara H. Loneliness, depression and health status of the institutionalized elderly in Korea and Japan. Asian nursing research. 2009;3(2):63-70. [DOI:10.1016/S1976-1317(09)60017-7]
25. Wan Mohd Azam WMY, Din NC, Ahmad M, Ghazali SE, Ibrahim N, Said Z, et al. Loneliness and depression among the elderly in an agricultural settlement: Mediating effects of social support. Asia‐Pacific Psychiatry. 2013;5:134-9. [DOI:10.1111/appy.12061] [PMID]

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