Determinants of Quality of Life and the Need for Support for the Elderly with Good Physical and Mental Functioning

Talarska, Dorota; Tobis, Sławomir; Kotkowiak, Marta; Strugała, Magdalena; Stanisławska, Joanna; Wieczorowska‐Tobis, Katarzyna

doi:10.12659/msm.907032

Cited by 48 publications

(55 citation statements)

References 34 publications

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“…The degree of capability in elderly subjects depends on the process of aging as well as on the comor- ). It was also found that the need for 24-hour care was significantly influenced by the following factors: urinary incontinence, difficulties in undertaking physical activity outside the home, depression, and oblivion [22]. Studies by Głowacka et al [23] indicate the conditioning of functional capacity of seniors at home by many factors, such as age, sex, education, place of residence, self-assessment of their own health, and housing with another family member.…”

Section: Discussionmentioning

confidence: 99%

The level of independence in daily functioning of the elderly in home environments

Zboina¹,

Ślusarska²,

Stępień³

et al. 2018

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Introduction: Health problems in elderly patients, requiring special treatment and care, particularly home-based care, are an important challenge for healthcare providers today. Monitoring the functional status of elderly subjects is very important for subjects themselves as well as for the healthcare and social welfare providers. Aim of the research: To determine the functional capacity and independence in daily functioning of elderly subjects residing in their home environments, including potential correlations of these factors with the prevalence of certain medical conditions. Material and methods: The study was conducted in a population of 401 elderly subjects residing at their home environments in the Ostrowiec Świętokrzyski district. The inclusion criteria included age of at least 65 years as well as full logical and verbal contact with the subject. Independence in daily functioning was assessed by means of the EASY-Care questionnaire (1999-2002 Polish version). Results: The mean age of the subjects was 73.61 years. Vocational educational background was most prevalent. The highest prevalence was reported for eyesight problems (33.90%) and hearing problems (27.12%). The average score obtained by the elderly subjects in the EASY-Care daily functioning survey was 27.04 ±25.79 points. Significantly lower levels of functional capacity were observed in subjects with cardiovascular disorders (p < 0.05) and respiratory disorders (p < 0.05) as compared to subjects not diagnosed with these disorders. Conclusions: The level of independence of the elderly subjects was found to be moderate. Disorders most detrimental to the daily functioning of the elderly are those related to the respiratory and cardiovascular systems. Streszczenie Wprowadzenie: Problemy zdrowotne osób starszych związane z leczeniem i pielęgnowaniem, szczególnie w środowisku ich miejsca zamieszkania, stanowią bardzo aktualne wyzwanie. Monitorowanie stanu funkcjonalnego osób starszych jest niezmiernie ważne zarówno dla nich samych, jak i z punktu widzenia polityki zdrowotnej oraz społecznej. Cel pracy: Określenie poziomu sprawności funkcjonalnej oraz samodzielności w zakresie funkcjonowania w życiu codziennym osób starszych zamieszkałych w środowiskach domowych oraz ich związku z występowaniem uwarunkowań chorobowych wśród badanych. Materiał i metody: Badaniem objęto 401 osób starszych w środowisku ich zamieszkania w powiecie ostrowieckim. Kryterium doboru grupy stanowiły: ukończony 65. rok życia i pełny logiczny kontakt słowny. Do oceny samodzielności w zakresie funkcjonowania w życiu codziennym zastosowano kwestionariusz EASY-Care (wersja polska 1999-2002). Wyniki: Średnia wieku badanych wynosiła 73,61 roku, przeważało wykształcenie zawodowe. W największym odsetku u osób starszych występowały problemy ze wzrokiem (33,90%) i słuchem (27,12%). W ocenie skali funkcjonalnej czynności życia codziennego wg EASY-Care seniorzy uzyskali w grupie średni wynik 27,04 ±25,79 pkt. Stwierdzono istotnie niższy poziom funkcjonowania w życiu codziennym osób starszych z...

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Section: Discussionmentioning

confidence: 99%

The level of independence in daily functioning of the elderly in home environments

Zboina¹,

Ślusarska²,

Stępień³

et al. 2018

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“…Urinary incontinence is a condition which has a profound effect on wellbeing and quality of life of elderly people. (38)(39)(40) The International Continence Society has signified UI as a social problem. (41) In the present study 5.3% of the elderly people were having positive history of UI.…”

Section: Dementiamentioning

confidence: 99%

A snapshot of factual bitterness of elderly Indians: It’s time to act

Gupta

Gautam

et al. 2019

Preprint

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Background Elderly people suffer with diverse morbidities which comes with advancement in age.There is paucity of national and regional level studies to highlight the burden of various morbidities among elderly population in a comprehensive manner, which is of paramount importance for further fine tuning of policies and strategies for geriatric people in the country. The primary objective of the study was to screen the rural elderly people for major morbidity issues, and to find out their association with sociodemographic variables.Methods This community based study was conducted in rural area of Jodhpur, India. WHO's 10-minute comprehensive screening tool was used for screening of geriatric giants. Other tools used were; SNELLEN chart, Dementia Assessment by Rapid Test (DART), Geriatric Depression Scale (GDS), weighing machine and stadiometer for calculating BMI, glucometer for random capillary blood sugar, and digital sphygmomanometer. Data was analyzed using SPSS v.23, and inferences were drawn using chi-square & t-test.Results Depression and dementia were found in 45.4% and 36.2% of elderly people, respectively. Age was a significant predictor for both. Functional disability in any form was prevalent among 73.7% people. Eighteen participants were either had history of falls for ≥2 times in past one year or were unsteady on examination. Nearly half were having impaired hearing and/or vision. As much as 44% of the elderly were either overweight or obese. More than one third of the participants were found hypertensive. One fourth were found with >140mg/dl random capillary blood sugar. Opium addiction was quite rampant in the study area (21.1%).Conclusions This study provides a comprehensive picture of regional level estimate of major geriatric morbidities in India. These findings reinforce the need to reform the healthcare delivery for elderly people in India, and rethink in the direction of improving their quality of life.

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“…Many of the activities that commonly require assistance involve mental health and well-being, and they include staying healthy, getting around, seeing, hearing, and communicating. These are associated with quality of life, level of dependency, risk of falls, and the need for assistance [ 11 ]. Nunes et al further classified the needs of assistance into the following four categories: no need (requiring no caregiver), minimum need (requiring a caregiver sporadically), moderate need (requiring a caregiver intermittently), and maximum need (requiring a full-time caregiver).…”

Section: Introductionmentioning

confidence: 99%

Factors Associated with the Need for Assistance among the Elderly in Malaysia

Safian

Shah

Mansor

et al. 2021

IJERPH

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The need for assistance among the elderly is rising, which poses challenges for healthcare systems. Thus, this study aims to determine the factors associated with the need for assistance in the daily living activities of Malaysia’s elderly population. A total of 1204 elderly individuals, aged 60 years and above, were recruited. An interview was conducted using the Bahasa Malaysia version of the Japan Gerontological Evaluation Study (JAGES-BM) questionnaire. Overall, 7.7% of the elderly participants required assistance. A logistic regression model showed that difficult financial statuses (aOR 4.56), hearing difficulties (aOR 1.78), and severe limitations in daily activity over the past 6 months (aOR 11.99) were associated with a higher likelihood of needing assistance. In addition, daily activities such as an inability to feed (aOR 8.46), stand without support (aOR 2.06), or walk for 15 min without stopping (aOR 1.99) were significantly associated with the need for assistance. Factors associated with the need for assistance are health status, disability, and the financial status of the elderly. Preventive measures should be included in policies to ensure the sustainability of the care provided to the elderly in terms of promoting healthy ageing and a good quality of life.

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Determinants of Quality of Life and the Need for Support for the Elderly with Good Physical and Mental Functioning

Cited by 48 publications

References 34 publications

The level of independence in daily functioning of the elderly in home environments

The level of independence in daily functioning of the elderly in home environments

A snapshot of factual bitterness of elderly Indians: It’s time to act

Factors Associated with the Need for Assistance among the Elderly in Malaysia

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