Using the Backman Model in Determining the Dimensions of Self-Care and Its Factors Affecting the Elderly in Tehran City, Iran

Abstract

Aims Self-care helps older people manage their own health and stay independent by delaying disability. This study aimed to apply the Backman Model in determining the dimensions of self-care and the factors affecting it in the elderly in Tehran. Methods & Materials: This cross-sectional study was performed on 400 elderly members ofnursing homes by systematic random sampling. Data gathering tool included demographic characteristics and self-care behaviors, self-care orientation, life satisfaction assessment, self-confidence, social support, and functional capability. The Chi-square and Pearson correlationand regression analysis were used with a significance coefficient of 0.05. The data were analyzed in SPSS v. 19. Findings: The total mean ages of elderly were 69.11±7.51, 42.5% male. There was significant difference between the types of self-care and gender only in the dimensions of work habits (P<0.001) and medical treatment (P<0.001). Pearson correlation indicated there was a direct and positive relationship between self-care type and self-care orientation (r=0.662, P=0.01). The relationship between self-care type and social support was negative (r=0.075, P=0.01). Conclusion: Factors such as life satisfaction, functional capacity, social support and self-confidence are associated with self-care in the elderly. It is suggested that health system policymakers formulate support programs for the elderly in various forms, such as the elderly access to transportation program, facilities, tax exemptions, etc.