Elderly People In Nursing Homes Research Articles

Quality of Life of Elderly People in Nursing Homes During the Covid-19 Pandemic

Covid-19 and the restrictive measures it brought with it significantly impacted the daily habits and routines of elderly people. Residential care facilities for the elderly were high-risk environments during the Covid-19 pandemic, as the residents themselves were a vulnerable group with various morbidities and co-morbidities. This study aimed to investigate the factors influencing the quality of life of older people living in nursing homes. The research included 153 participants who were residents of nursing homes and was conducted from May to August 2021. The study included "Naš dom" in Travnik, "Revitalis" in Bugojno, "Linija života" in Donji Vakuf, "Sentivo 1" and "Sentivo 2" in Ilidža, and "Vitalis" in Ilidža. The research used the WHOQOL-BREF questionnaire, which is a shortened version of the WHOQOL-100 questionnaire developed by the World Health Organization (WHO) to assess the quality of life. The results showed that older people did not experience a significant decline in quality of life, but the results varied between institutions. Women had a lower quality of life than men, as did older participants compared to younger ones. Gender, age, educational status, and experience with COVID-19 are significant factors that may influence the quality of life of elderly people living in nursing homes.

Effects of group reminiscence therapy on the negative emotions of the elderly in pension sectors

Objective To explore the effects and feasibility of group reminiscence therapy on improving the negative emotions of the elderly inpension sectors. Methods From April to June 2019, using convenient sampling method, a total of 19 elderly people who volunteered and met the selection criteria at two pension sectors in Beijing were selected to participate in a four-week group reminiscence therapy. The scores of the negative emotions, pulse rate changes, behavior changes, and facial photo changes of each subject before and after the intervention were compared, and the relationship between the changes in the negative emotion score and the number of participations was analyzed to evaluate the intervention effect. Results After intervention, the elderly negative emotion scale score increased and the pulse rate increased, and the difference was statistically significant compared with that before the intervention (P 0.05) . Conclusions Group reminiscence therapy can significantly improve the negative emotions of elderly people in nursing homes, and has a positive effect on emotional mobilization, which can be used as a normalizing intervention for elderly people to intervene in mental health in nursing homes. Key words: Aged; Negative emotion; Group reminiscence; Pension sectors; Care

Pet therapy: an effective strategy to care for the elderly? An experimental study in a nursing home.

There has recently been a growing interest towards patients' affective and emotional needs, especially in relational therapies, which are considered vital as to increase the understanding of those needs and patients' well-being. In particular, we paid attention to those patients who are forced to spend the last phase of their existence in residential facilities, namely elderly people in nursing homes, who often feel marginalized, useless, depressed, unstimulated or unable to communicate. The aim of this study is to verify the effectiveness of pet therapy in improving well-being in the elderly living in a nursing home. This is a longitudinal study with before and after intervention variables measurement in two groups of patients of a nursing home for elderly people. One group followed an AAI intervention (experimental group) the other one did not (control group). As to perform an assessment of well-being we measured the following dimensions in patients: anxiety (HAM-A), depression (GDS), apathy (AES), loneliness (UCLA), and quality of life (QUALID). Both groups filled the questionnaires as to measure the target variables (time 0). Once finished the scheduled meetings (time 1), all the participants, including the control group, filled the same questionnaires. In accordance with scientific evidence the results confirmed a significant reduction of the measured variables. Especially for the quality of life, which showed a greater reduction than the other. The implementation and success of the Pet Therapy could have a great emotional and social impact, bringing relief to patients and their family members, but also to health professionals.

Relationship between physical and mental health and self-control of elderly people in nursing home

Objective To explore the relationship between self-control ability and physical and mental health of the elderly people in nursing home. Methods 183 elderly people from three nursing homes were investigated using self control measurement method of dual system scale and World Health Survey. The individuals were divided into high control low impulsiveness group(n=51), high control high impulsiveness group(n=36), low control low impulsiveness group(n=27) and low control impulse group(n=69). Results The total score of physical and mental health for elderly people in nursing homes was (1.76±0.46), while the scores of body health, mental health and overall self evaluation were (1.84±0.56), (1.66±0.42) and (2.93±0.72). The scores of physical health and mental health for elderly people in nursing homes of impulse and control system for elderly people in nursing homes were (2.98±0.63) and (3.35±0.59). The scores of physical health(r=0.15), mental health(r=0.29) and overall self evaluation(r=0.31)were positively correlated with impulse system, and negatively correlated with control system (r=-0.26, -0.33, -0.34, P<0.05). The scores of physical health, mental health and overall self evaluation in four groups were significantly different (F=12.39, 33.82, 21.50, P<0.01). Conclusion The physical and mental health of the elderly people in nursing home is correlated with self-control ability. Key words: The elderly in nursing home; Physical and mental health; Self-control

Quality of Life of Institutionalized Elderly People in Nursing Homes: a Quantitative Analysis

Nursing homes have the characteristic of being “complete institutions” or “enclosed microcosms” and the quality of life (QoL) in late adulthood is generally perceived as a multidimensional construct. Over recent years, media reports have focused on the deficiencies in nursing home residences, and a subsequent increase in the demand for instruments capable of measuring this construct has arisen. Objective: To compare the quantitative functional mobility, level of independence, depressive symptoms and QoL of nursing home residents compared with home care recipients. Methods: have analyzed the quality of life and physical and psychological disorders 400 people over 60 years old, admitted to nursing homes or living with their families through the implementation of a questionnaire covering three different indices (Barthel Index, Yesavage and WHOQOL-OLD) to assess the degree of dependence of people. Results: has resulted in a significant reduction in quality of life of older people living in nursing homes (p&lt;0.001) compared to older usually live with their families. Our results show that the degree of physical and / or psychological dependence on our largest is the determinant for entry into a nursing home in our community (p&gt;0.001) factor. Conclusions: the current model residences require a change that allows responding to the real needs of our elderly institutionalized.

Quality of Life of Institutionalized Elderly People in Nursing Homes: a Quantitative Analysis

Nursing homes have the characteristic of being “complete institutions” or “enclosed microcosms” and the quality of life (QoL) in late adulthood is generally perceived as a multidimensional construct. Over recent years, media reports have focused on the deficiencies in nursing home residences, and a subsequent increase in the demand for instruments capable of measuring this construct has arisen. Objective: To compare the quantitative functional mobility, level of independence, depressive symptoms and QoL of nursing home residents compared with home care recipients. Methods: have analyzed the quality of life and physical and psychological disorders 400 people over 60 years old, admitted to nursing homes or living with their families through the implementation of a questionnaire covering three different indices (Barthel Index, Yesavage and WHOQOL-OLD) to assess the degree of dependence of people. Results: has resulted in a significant reduction in quality of life of older people living in nursing homes (p&lt;0.001) compared to older usually live with their families. Our results show that the degree of physical and / or psychological dependence on our largest is the determinant for entry into a nursing home in our community (p&gt;0.001) factor. Conclusions: the current model residences require a change that allows responding to the real needs of our elderly institutionalized.

Study on the influencing factors of self-care ability of elderly people in nursing homes of Urumqi

Objective To find out the influencing factors of self-care agency of elderly people in nursing homes of Urumqi.Methods Fifteen nursing homes out of 27 which were registered in Urumqi were chosen by a stratified cluster random sampling method from September 2011 to June 2012,where ESCAS (Exercise of Self-Care Agency Scale),SSRI (Social Support Rate Information) and a self-designed questionnaire of general information were handed out for investigation.Results A total of 317 elderly people were interviewed,whose average age was (77.51 ±9.24) and score of self-care agency (106.50 ± 20.46)was intermediate-level.There were significant differences among them with different educational levels,family income,family members and professions (F =6.077,2.544,3.243,3.124,respectively; P ＜ 0.05).People with higher educational level,family income and professional level had better self-care ability,and people who had 3-5 family members had the highest level of self-care ability.There were significant difference among elderly with different self-rated health,whether be able to live on one' s own and different health education(F =5.827,-2.071,12.343,respectively; P ＜ 0.05).The higher the level of the self-rated health,ability to live on one' s own and health education level,the higher the self-care agency.The score of social support was (30.95 ±7.75),lower than the national norm which was (34.56 ± 3.73),and the differences were statistically significant (t =6.609 9,P ＜ 0.05).The multiple linear regression analysis showed that the independent influencing factors of self-care ability included social support,education level,health education and self-rated health (P ＜ 0.05).Conclusions Self-care ability of elderly should be improved by corresponding methods and measures to enhance their life quality and health status. Key words: Elderly people; Nursing home; Self-care agency; Influencing factor

Quality of Drug Prescribing in Elderly People in Nursing Homes and Special Care Units for Dementia

Drug prescribing to the elderly is extensive and often inappropriate. Furthermore, the number of drugs used is the most important risk factor for adverse drug reactions. Despite this, drug prescribing in the elderly in Sweden is high and increasing. In 2003 the Swedish National Board of Health and Welfare launched a set of indicators to evaluate the quality of drug therapy in the elderly. Use of this tool in combination with the Swedish computerized national register covering all persons receiving multi-dose drug dispensing (drugs dispensed in one dose unit bag for each dose occasion) would enable detection of inappropriate drug prescribing and could help reduce the risk of drug-related problems among the elderly. To assess the extent and quality of drug prescribing in younger and older elderly residents receiving multi-dose drug dispensing in ordinary nursing homes (NHs) and special care units for dementia (NHDs), and to evaluate the relationship between the quality of prescribing and the number of prescribers per resident, in a Swedish county. The computerized national pharmacy drug register provided the database and a cross-sectional design was used. Selected drug-specific quality indicators proposed by the Swedish National Board of Health and Welfare in 2003 were used to assess the quality of drug prescribing. This study included 3705 residents. Their mean age was 85 years and 72% were women. The mean number of prescribed drugs was 10.3 per resident. The proportion of residents with prescriptions for psychotropic drugs was 80% in NHs and 85% in NHDs. The prevalence of each drug-specific quality indicator was as follows: long-acting benzodiazepines 16.4% (NHs) versus 11.7% (NHDs), anticholinergic drugs 20.7% versus 18.5%, drug duplication 14.6% versus 13.6%, three or more psychotropic drugs 25.6% versus 35.3%, class C interactions (drug combinations that may require dose adjustment) 41.9% versus 38.7% and class D interactions (drug combinations that should be avoided) 8.1% versus 5.6%. Younger elderly residents (age 65-79 years) had a lower quality of drug prescribing. An increasing number of prescribers per resident was associated with a lower quality of drug therapy. We found a lower quality of drug prescribing, e.g. anticholinergic drugs prescribed to approximately 20% of residents of NHs and NHDs, and a higher rate of psychotropic drug use (>/=80%) compared with previous studies in NHs. Our results also demonstrated a negative correlation between quality of prescribing and number of prescribers per resident.