Effectiveness of Integrated and Comprehensive Geriatric Care Program of Ministry of Health on Physical and Mental Health of Older Adults in Golestan Province

Lotfalinezhad, Elham; Momtaz, Yadollah Abolfathi; Nazaripanah, Neda; Honarvar, Mohammad Reza; Ameri, Fatemeh; Azimi, Mahin Sadat

doi:10.32598/sija.2020.16.3.2190.2

Cited by 3 publications

(5 citation statements)

References 2 publications

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“…One of the most important resources for supporting older adults is the health care system. [ 34 ] In this study, this system did not have adequacy for the vulnerability of the older adults following the death of a child. Iranian healthcare centers have not effectively integrated comprehensive geriatric care programs for mental health of older adults.…”

Section: Discussionmentioning

confidence: 82%

“…Iranian healthcare centers have not effectively integrated comprehensive geriatric care programs for mental health of older adults. [ 34 ] Despite the emphasis of experts on home care and its benefits for older adults, this program has not yet been implemented in Iran. [ 35 ] Inadequate home care was particularly salient during the COVID-19 pandemic and may increase the risk for poor outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…Nurses' responsibilities are not limited to the patient's bedside and they should care for and support the older people to promote their health and prevent their diseases. [ 34 ] Effective communication with older adults, counseling with them, and physical and mental examinations to prevent diseases after losing a child are just a few of the actions nurses can take to help them. In this study, the healthcare team did not provide adequate care for the older people following the death of a child.…”

Section: Discussionmentioning

confidence: 99%

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Support Received and Provided by Older Adults who Lost a Child

Safa

Adib-Hajbaghery

Rezaei

2022

Iranian Journal of Nursing and Midwifery Research

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Background: Despite the vulnerability of older adults and the importance of social support following the death of a child, little research has been conducted on the Iranian older population. This study aimed to explore perceived support among older adults after the death of a child. Materials and Methods: This study was carried out in Iran in 2020-2021 using a qualitative content analysis method. Semi-structured interviews with older adults who had experienced child death were used to collect data. To ensure the data's trustworthiness, Guba and Lincoln's criteria were applied. The Graneheim and Lundman method was used to analyze the data. Results: The participants' mean age was 70.41 years. The findings were organized into one theme, two main categories, and five subcategories based on 352 initial codes. Two main categories emerged from the participants' experiences: “supporting networks” and “giving support to others” with the theme of “healing emotional pain.” Following the death of a child, the older parents perceived support as recuperation from their hurt feelings. Conclusions: Receiving support from family, entourages, and society, as well as providing support to the family and parents with the same experience were protective factors against the effects of child death among older parents. To reduce the consequences of child death, older parents' health should be monitored through home care provided by nurses.

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Section: Discussionmentioning

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Support Received and Provided by Older Adults who Lost a Child

Safa

Adib-Hajbaghery

Rezaei

2022

Iranian Journal of Nursing and Midwifery Research

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“…They highlighted issues such as the non-implementation of home care programs and a lack of educational and recreational opportunities for older adults. A study conducted in Iran revealed that integrated and comprehensive mental health care for older adults was not effective enough [ 15 ]. Also, older adults’ home care programs have not yet been implemented in Iran [ 37 ].…”

Section: Discussionmentioning

confidence: 99%

“…Nurses are crucial in providing care for older adults in Iran, but studies suggest that mental health services may not be effective enough [ 15 ]. While nursing models for coping exist, they tend to be general and not specific to older adults [ 16 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

A model for older adults’ coping with the death of their child: a grounded theory study

Safa,

Adib-Hajbaghery,

Rezaei

2024

BMC Psychiatry

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Background Losing a child at an old age while also facing health problems and physical limitations can have significant negative impacts on parents’ lives such as anxiety, depression, and impairment in social functions. The process of coping with the death of a child is particularly unknown among older adults. Therefore, this study aimed to explore how older adults cope with the death of their child. Method This qualitative study was conducted in 2020–2021, using Corbin and Strauss (2015) approach to the grounded theory method. The sampling began purposefully and continued theoretically until theoretical saturation was achieved. Semi-structured interviews were conducted to collect data from Iranian older adults who had experienced the death of their child. To ensure data trustworthiness, the Guba and Lincoln (1985) criteria were utilized. A qualitative data analysis software, MAXQDA2020, was used to manage the data. Findings The results of this study were obtained from 27 participants. The main concern of older adults was the fear of their lives collapsing following the death of their child. Participants utilized three main strategies to address their concerns: attempting to rebuild themselves, connecting to a higher power, and searching for positivity amidst grief. The central category that emerged from the analysis was “improving physical, mental, and spiritual capacities,” resulting in personal growth and improved social relationships. Conclusions Through the use of the three aforementioned strategies, older adults were able to overcome their primary concern of the fear of their lives collapsing following the death of their child. Further development of the theory is suggested in order to design a model that can facilitate older adults’ coping with this difficult life event.

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Evaluation and Strategy Provision to Promote the Indicators of Integrated Geriatric Care Program in an Iranian Community: Protocol for a Participatory Action Research (Preprint)

Nazaripanah,

Nadrian,

Hashemiparast

et al. 2023

Preprint

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BACKGROUND The presence of an effective primary healthcare system can serve as a pivotal factor in promoting and fostering a state of well-being conducive to healthy aging in older adults. OBJECTIVE The objective of this investigation was to evaluate and strategy provisions to promote the indicators of the Integrated Geriatric Care Program (IGCP) for community-dwelling older adults in Yazd, Iran. METHODS The current study is a quantitative-qualitative study with a Participatory Action Research (PAR) approach. One of the healthcare centers that has recently obtained the weakest health indicators of the IGCP will be selected as the center for the PAR. The present study aims to enhance the health indicators of IGCP in the designated healthcare center. The principles of this PAR study are based on a cyclical approach including problem identification, planning, implementation, feedback, and evaluation. The study participants comprise the executive staff and the older adults covered by this healthcare center. The data will be collected in two phases quantitative and qualitative. The quantitative data will be obtained through Electronic Health Records (EHRs) and a checklist made by the researcher. The qualitative data will be collected via semi-structured interviews using conventional content analysis design. The interviews will be carried out both before and after the PAR intervention. RESULTS Participant invitation and data collection started in January 2023. PAR will be implemented in November 2023. It is expected that the final evaluation and results report will be done at the end of February 2024. This protocol describes the steps and process of PAR in the present study. CONCLUSIONS PAR studies can be used to empower and create innovative recommendations for the health promotion of older persons. Through the PAR methodology, this investigation seeks to evaluate and strategy provisions to promote the health indicators of IGCP in a developing country.

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Effectiveness of Integrated and Comprehensive Geriatric Care Program of Ministry of Health on Physical and Mental Health of Older Adults in Golestan Province

Cited by 3 publications

References 2 publications

Support Received and Provided by Older Adults who Lost a Child

Support Received and Provided by Older Adults who Lost a Child

A model for older adults’ coping with the death of their child: a grounded theory study

Evaluation and Strategy Provision to Promote the Indicators of Integrated Geriatric Care Program in an Iranian Community: Protocol for a Participatory Action Research (Preprint)

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