Health Sciences
Masoud Lotfizadeh; Zahra Karimi; Marjan Sadat Seghayat; Fatemeh Fatahian
Abstract
Background: The aging process begins at the age of 60 and is accompanied by several biochemical, physiological, anatomical, and metabolic changes. Transitioning into old age has serious medical, psychological, and social consequences. Given the significance of mental health in old age, the goal of this ...
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Background: The aging process begins at the age of 60 and is accompanied by several biochemical, physiological, anatomical, and metabolic changes. Transitioning into old age has serious medical, psychological, and social consequences. Given the significance of mental health in old age, the goal of this study was to compare stress, anxiety, and depression levels among nursing home residents and non-residents.Methods: A census approach was used to choose 264 older persons for this cross-sectional study. Data was gathered using the Depression, Anxiety, and Stress Scale (DASS) questionnaire.Results: The mean and standard deviation of the age of the elderly participants in the study were 69.64 ± 9.35, with 202 (76.5%) females and 62 (23.5%) males. The study's findings revealed that the mean and standard deviation of stress in old people who are maintained at home were (11.28 ± 8.85), anxiety (10.45 ± 8.16), and depression (9.09 ± 8.25). The mean and standard deviation of stress, anxiety, and depression in nursing home residents are (17.18 ± 8.08), (18.08 ± 9.63), and (15.57 ± 10.97, respectively. There was a significant difference in stress, anxiety, and depression levels between senior individuals living at home and those living in nursing facilities (P < 0.001).Conclusion: According to the study findings, elderly people living in nursing homes had higher levels of stress, anxiety, and depression than those living in their own homes. As a result, long-term measures for lowering mental health difficulties in the senior population are critical.
Patient Care
Zahra Noori; Parvaneh Khorasani; Habibollah Hosseini
Abstract
Introduction: The purpose of this study was to assess the status of diabetes management among elderly people living in Isfahan nursing homes using the Donabedian framework in three parts: structure, process, and outcome.Methods: In 2018, the current descriptive-cross-sectional approach was used in 13 ...
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Introduction: The purpose of this study was to assess the status of diabetes management among elderly people living in Isfahan nursing homes using the Donabedian framework in three parts: structure, process, and outcome.Methods: In 2018, the current descriptive-cross-sectional approach was used in 13 nursing homes in Isfahan. Data was collected using a dependable and valid research-created checklist that evaluated diabetes management through three components: organizational structure (8 dimensions and 33 items), processes (3 dimensions and 23 items), and outcomes (2 dimensions and 7 items). Data was collected by observing the equipment and human resources, interviewing key informants and nurses, reviewing documents, and collecting blood and urine samples under standard conditions.Results: Structure, process, and outcome mean scores were 34.5±2.6, 38.5±5.9, and 65.6±13.9, respectively. The highest and lowest structure scores were associated with "referral system" and "trained personnel," respectively; process scores were associated with "counseling and risk factor reduction" and "immunization," and outcome scores with "physical examination and history taking" and "documentation of laboratory results." The mean score of structure was found to have a direct relationship with process and outcome (p < 0.05). There was also a direct relationship (p <0.05) between the mean process and outcome scores. Linear regression analysis revealed that structure was a significant predictor of outcome (p = 0.01).Conclusions: The findings revealed some issues with the structure, process, and outcome of providing appropriate diabetes management care in nursing homes. To achieve positive results in this area, it is necessary to focus on the human resources, facilities, and equipment required to manage diabetes in nursing homes.
