Life Of Elderly People Research Articles

The Correlation Stress Level Toward Quality of Life in Elderly People with Hypertension

Background: Elderly people is someone who due to age experiences biological, physical and behavioral changes. These changes will have an impact on all aspects of life, including health. The changes that occur can have a social and economic impact. It is very important to emphasize the quality of life in the elderly. A good quality of life for the elderly will encourage the elderly to become more independent, healthy, productive and prosperous. According to WHO, the quality of life domain for the elderly consists of four domains, including physical health, psychological health, social relationships and the environment. Hypertension is a disease that most elderly suffer from, the majority experience stress, both physical stress and psychological stress, such as getting tired easily when carrying out daily activities, difficulty sleeping, disturbed sleep and headaches. Purpose: To determine the relationship between stress levels and the quality of life of elderly people with hypertension. Method: This type of research is descriptive correlative with a cross sectional approach. The sampling technique used total sampling with a total of 42 respondents. Data collection tools used the DASS 42 and WHOQOL-BREF questionnaires, statistical tests used the Chi Square test. Results: Most respondents had moderate levels of stress, 13 respondents (31.0%) and low quality of life, 24 respondents (57.1%). The results of the bivariate test using Chi Square obtained a p-value of 0.002 (p<0.05). Conclusion: There is a relationship between stress levels and the quality of life of elderly people with hypertension

Quality Of Elderly Life With Chronic Diseases In The Working Area of Kembangan District Hospital

The success of health development in Indonesia has increased the life expectancy of the Indonesian people. West Jakarta Kembangan Hospital has responsibility for improving the quality of life of the elderly in their working area, in line with Government Policy Number 17 of 2014 concerning Geriatric Service Standards in Hospitals. The aim of the study was to analyze the quality of life of elderly people with chronic diseases in the working area of Kembangan Hospital, West Jakarta in 2023. This study used a quantitative approach with a cross-sectional design, with an elderly population in the working area of Kembangan Hospital and a sample size of 60 elderly people by Simple Random Sampling. The research instrument used the WHOQOL-Bref questionnaire, while the questionnaire was used to measure the variable characteristics of the elderly. Research time: Juni 2023. Data analysis techniques using univariate, bivariate and multivariate analysis. The results showed that the most chronic diseases were hypertension (50%), diabetes mellitus (23.7%), hypertension and diabetes mellitus (6.7%), hypertension and heart (6.7%), arthritis (3.3%), the rest is a combination of existing chronic diseases. The proportion of high quality of life for the elderly (63.3%) and low quality of life for the elderly (36.7%), marital status, education, employment, income and status of residence as well as the length of chronic disease in the elderly are related to the quality of life for the elderly, while age, gender, name of chronic disease and the number of chronic diseases are not related to the quality of life of the elderly. The dominant variable related to the quality of life of the elderly is income with OR = 0.269. Suggestions that can be recommended to the Kembangan Hospital are reactivating geriatric services through promotive efforts for elderly health so that chronic diseases in the elderly can be detected early and receive optimal treatment so as to improve the quality of life of the elderly, can open geriatric innovation services that are "One Stop Service for the Elderly"

Prevalence of Depression in Elderly People Living With HIV: A Systematic Review and Meta-analysis

Abstract We conducted a systematic review and meta-analysis to determine the prevalence of depression among elderly people living with HIV. We searched electronic databases and included 12 observational studies that reported on depression among people who were 50 years of age or older and had HIV. The studies were mostly hospital-based and from Western and African countries. They included a total of 5868 older people with HIV, of whom 1667 had depression. Pooled prevalence of depression was 28% with heterogeneity of 95.2%. Prevalence ranged from 14.5% in the Netherlands to 42.4% in South Africa. Although there was asymmetry in the funnel plot, the Egger’s test showed no significant publication bias. Our meta-analysis found a high burden of depression among older people with HIV. Comprehensive health services addressing psychosocial needs and interventions to prevent and treat depression are needed, especially in community settings. Healthcare providers and policymakers should address the prevalence of depression in such communities.

Socioeconomic Status and Tooth Loss Impact on Oral Health–Related Quality of Life in Chinese Elderly

ObjectiveWe studied the association between the socioeconomic status (SES), tooth loss, and oral health–related quality of life (OHRQoL) in an adult cohort in western China. As socioeconomic inequalities in oral health are often neglected in oral health promotion. we aimed to verify the impact of SES on tooth loss and OHRQoL. MethodsIn all, 348 participants aged 60 years and older were selected for this study. Relationships amongst SES, tooth loss, and OHRQoL were identified by using a structural equation model (SEM). ResultsIn the final sample, 312 people were included, and the response rate was 89.7%. The bias-corrected 95% confidence intervals of the total, direct, and indirect effects were (−0.267 to 0.475), (−0.489 to 0.185), and (0.088 to 0.450), respectively. The comparative fit index of SEM was 0.943. The model showed that their SES directly affected tooth loss in the elderly population. This indirectly affects their oral health–related quality of life. The numbers of natural teeth and occlusal units (with standardised path coefficients of 0.79 and 0.74, respectively) were found to be the most significant factors relating to tooth loss. ConclusionSES affected the oral health–related quality of life in elderly people through tooth loss in a Chinese study population. Our data suggest that improvements in the social and economic environments are a primary measure that should be implmented to prevent tooth loss and improve the OHRQoL.

Joint status, pain and quality of life in elderly people with haemophilia: A case-control study.

Elderly people with haemophilia (PwH) develop haemophilic arthropathy, pain, and reduced health-related quality of life (HR-QoL). The condition of elderly mild haemophilia patients have rarely been evaluated. This study aimed to compare joint status, pain, and HR-QoL between elderly with mild, moderate/severe haemophilia and healthy elderlies. Knee/ankle abnormalities were assessed by ultrasound (HEAD-US) and physical examination (HJHS 2.1). Pain severity and pain interference were investigated using the Brief Pain Inventory. Pressure pain thresholds (PPTs) were obtained at knees/ankles and forehead. Functional limitations were evaluated using the 2-Minute-Walking-Test, Timed-Up-and-Go and HAL. The EQ-5D-5L questionnaire evaluated HR-QoL. Healthy controls (HCs) and elderly individuals with moderate/severe and mild haemophilia were compared using Kruskal-Wallis and Mann-Whitney U tests. From the 46 elderly PwH approached, 40 individuals (≥60 years) with haemophilia A/B (17 moderate/severe; 23 mild) and 20 age-matched HCs were recruited. Moderate/severe PwH displayed worse joint status, lower PPTs, and poorer HR-QoL than mild PwH and HCs (p-value=.010-<.001). HEAD-US abnormalities were observed in 100% of knees and 94% of ankles in moderate/severe PwH, versus 50% of knees and 61% of ankles in mild PwH. Pain was reported by 80% and 57% of moderate/severe and mild PwH, respectively. Low PPTs, functional limitations, and poor HR-QoL scores were likewise observed in some mild PwH, yet without significantly differing from HCs. This study highlights poor joint/functional status, pain, and HR-QoL outcomes in elderly with moderate/severe haemophilia. A few mild haemophilia subjects presented joint abnormalities, pain, functional limitations, and poor HR-QoL, without significantly differing from HCs. Elderly individuals with mild haemophilia have not yet been extensively studied, whereas moderate/severe haemophilia individuals have proven to suffer from haemophilic arthropathy, pain, and poor health-related quality of life (HR-QoL). Using a case-control design, joint status, pain, and HR-QoL outcomes were examined in elderly haemophilia individuals and compared with those of healthy controls (HCs). Elderly moderate/severe haemophilia individuals exhibited worse joint status, increased joint pain sensitivity, and reduced HR-QoL compared with both mild haemophilia subjects and HCs. A subset of mild haemophilia subjects exhibited poor joint status, pain, and HR-QoL outcomes, without any differences noted when compared with HCs.

Physiotherapy for Kyphosis to Improve Quality of Life in Elderly People

Physiotherapy for Kyphosis to Improve Quality of Life in Elderly People

The Ego Resilience and Life Satisfaction in Elderly People Living in Old Age Homes and with Families: A Quantitative Analysis

The Ego Resilience and Life Satisfaction in Elderly People Living in Old Age Homes and with Families: A Quantitative Analysis

Health-Related Quality of Life and Social Participation of Older People with Hearing Loss and their Relatives

Introduction: Hearing loss is commonly associated with aging, occurring in around 60% of people over the age of 60. The impact of hearing loss can have consequences for the person themselves, but can also have collateral effects. Family members, especially spouses, often take on additional responsibilities, and family roles can be altered. Age-related hearing loss impacts daily life, quality of life and the role of caregivers. Objective: To assess the impact of hearing aids on the quality of life and social participation of hearing-impaired elderly people and their families. Methods: Systematic literature review using the CINHAL, Embase, Medline and Pubmed databases, with no age restriction.

PROCare4Life lessons learned

PeRsOnalised Integrated CARE Solution for Elderly (PROCare4Life) has been an EU funded project running since January 2020 until June 2023, whose focus has been to further develop and integrate previous ICT solutions developed by several previous EU funded projects into a unique modular system able to support the autonomy, empowerment and to increase the Quality of Life (QoL) of elderly people living with Parkinson’s, Alzheimer’s, or similar dementia, having also tested the system for elderly people living with comorbidities. This article focuses on the methodology and results used to identify the internal Lessons Learned. PROCare4Life has been developed using a codesign approach involving more than 2000 participants whose support has been listened to and transformed into valuable changes of the system and also into lessons learned included in this case study report. Since the beginning of the implementation of PROCare4Life there has been a commitment to make invisible knowledge visible through open discussion and including our lessons learned in each of our deliverables. In the last six months of implementation, to the previous results internal qualitative research has been implemented by the PROCare4Life consortium to identify and select our most relevant challenges and recommendations for future projects and initiatives. PROCare4Life was highly impacted by the COVID-19 pandemic, and it is acknowledged in the lessons learned. However, the consortium has focused on the recommendations that could be more valuable for ordinary implementation of future projects and initiatives developing eHealth tools for elderly citizens living with conditions that might affect their cognitive or mobility capacities.

Effects of a home-based palliative heart failure program on quality of life among the elderly: a clinical trial study

IntroductionOne of the frequent issues that lowers elderly people's quality of life is chronic heart failure, a progressive and life-limiting disease. The purpose of this study was to evaluate the effects of home-based palliative care (HBPC) on the quality of life of elderly patients with heart failure who received discharge orders from hospitals affiliated with Kerman University of Medical Sciences in 2022.MethodsOne hundred heart failure patients were divided into two intervention and control groups for this randomized clinical trial study. The patients were then given the pre-test questionnaires, such as the demographic questionnaire and the Quality of Life Index (QLI) by Ferrans and Powers. The intervention group was given the home care plan. To measure the quality of life one month after the intervention, the quality of life questionnaire was lastly filled out by both groups following the last care session. Software called SPSS 22 was used to enter and analyze the patient data.ResultsThe mean age for the elderly in the intervention and in the control groups were 69.46 ± 11.61 and 66.14 ± 12.09 years, respectively. The palliative care program at home made a statistically significant difference in the quality of life and all of its components in the elderly with heart failure in the intervention group immediately after the intervention and one month after the intervention compared to before (P < 0.001). As a result, its scores improved compared to the stage before the intervention. Additionally, a significant difference between the quality of life score and all of its components between the intervention's immediate aftermath and one month later was noted (P < 0.05).ConclusionHome-based palliative care has a positive effect on the quality of life for elderly people who have heart failure, making it a worthwhile intervention to enhance their quality of life.Trial registrations(IRCT20211213053389N1). Date of registration: (19/02/2022).

The relationship between diabetes burden and health-related quality of life in elderly people with diabetes

BackgroundOne of the most common chronic diseases in the elderly is diabetes. When diabetes is not well controlled, it can cause complications and affect health-related quality of life. Determining the burden of diabetes in elderly patients can provide a good health-related quality of life. AimThe study was conducted to examine the relationship between diabetes burden and health-related quality of life in elderly patients with diabetes. MethodsThis is a descriptive and correlational study of 207 patients who applied to the diabetes outpatient clinics of a private and a public hospital in Istanbul. Respondents were completed with “Personal Information Form for Elderly People”, “Elderly Diabetes Burden Scale” and the “Quality of Life in the Elderly Scale”. Data were analyzed by SPSS. The tests used are Kolmogorov-Smirnov, Mann-Whitney U, Kruskal Wallis and Spearman Correlation tests. ResultsThe mean total score from the Elderly Diabetes Burden Scale was 47.13 ± 11.95 (18−88), and the mean score from the Quality of Life in the Elderly Scale was 19.36 ± 7.00. In the study, as the total diabetes burden score of the elderly patients increased, the Quality of Life in the Elderly Scale score decreased. There was a difference between the mean total score of the Elderly Diabetes Burden Scale and gender, education, living alone and using oral antidiabetic (p < 0.05). ConclusionsAs a result it was determined, a negative correlation was found between the diabetes CASP-19 scale total score and the total EDBS. Determining the burden of diabetes and affecting factors in elderly is important in terms of increasing the health-related quality of life. It may be recommended to plan diabetes education programs that will reduce the burden of diabetes and increase the health-related quality of life in elderly patients.

The effect of sexuality on the quality of life of elderly people in Morocco.

In Morocco, the sexuality of the elderly is still a taboo subject, and sexual health is very much marginalised in the care system. The aim of this study was to investigate the relationship between sexuality and the quality of life of elderly people in Morocco. A cross-sectional survey using a structured questionnaire aimed at a sample of 354 people aged 65 and over attending health centres in the province of Essaouira was conducted between 2021 and 2022. The French version of the Leipad scale was used to assess quality of life and sexual functioning. Our results showed that sexual functioning is a major determinant of quality of life in the elderly. Participants' Leipad scores ranged from 9.7 to 93.5, with an average of 29.4 ( =11.2). The highest score indicating an alteration in quality of life was recorded for sexual functioning (83.9±19). We need to think about an integrated strategy, involving all those involved in gerontological and social action, to promote the sexual health of older Moroccans so that they can "age in good health.

팬데믹 속, 요양시설 거주노인들의 자기결정 지원: 돌봄종사자들과 함께 한 12주 동안의 실행연구 기록

This study focuses on efforts for human rights and self-assertive lives of elderly people struggling with long quarantine under&#x0D; the COVID-19 pandemic. This paper aims to explore and analyze what support strategies care workers are carrying out and what barriers&#x0D; exist to help the elderly living in nursing homes make 'self-determination' well. Data were collected from 16 workers at two institutions&#x0D; through an Participatory Action Research(PAR) process consisting of 17 FGI sessions, and the data were analyzed through directed content&#x0D; analysis. This study proposed 7 frameworks of practice. In the last COVID-19 situation, three factors such as ①Internalization of Extrinsic&#x0D; Motivation, ② Understanding Preference &amp; Value, ③Close communication based on trust were smoothly implemented, while strategies such&#x0D; as ④Areas, ⑤Causal Agent, ⑥Providing information and options, ⑦Providing Enough time were not well utilized. Based on the results&#x0D; of the study, we presented the following policy suggestions. First, it is necessary to establish a system that can support the self-determination&#x0D; of the elderly living. Second, a friendly culture and environment should be created so that nursing facilities can work more actively. Also&#x0D; it is emphasized that there is a need for a place to actively discuss the base-line when there is a value that conflicts with self-determination.

KECEMASAN LANSIA DENGAN HIPERTENSI TERHADAP KUALITAS HIDUPNYA

Hypertension is still a health problem faced by the elderly related to changes in the cardiovascular system, which if left unchecked will interfere with the function of other organs. So that the issue arises where feelings of anxiety and depression are experienced by the elderly. This study aims to determine the level of anxiety on the quality of life of elderly people with hypertension. This type of research is quantitative, with a cross sectional design where data collection for independent and dependent variables is carried out at the same time. The research instrument used was a questionnaire. Research respondents were 40 elderly hypertension. The research was conducted from May to August 2021 in Limbangan District, Kendal, Central Java. The test analysis method used is Rank Spearman. There is a relationship between the level of anxiety and the quality of life of the elderly with hypertension. The results of the analysis obtained p value = 0.000 &lt;0.05, the coefficient value or r value = 0.602 indicates a strong relationship with a negative direction which means that the higher the level of anxiety, the lower the level of quality of life. It can be concluded that there is a relationship between the level of anxiety on the quality of life of elderly people with hypertension in Limbangan Village, Kendal Regency.

Evaluation on the Nutrition Quotient Scores of Elderly People Living Alone in Korea.

As the Korean society is aging rapidly, the issues on physical, social, economic, and mental disabilities of single-person households aged 65 years or older has also increased. This study aimed to investigate the nutrition-related dietary conditions of elderly people living alone and determine their dietary behavior by calculating the nutrition quotient for elderly (NQ-E). One hundred and three elderly people living alone who were basic living recipients were recruited from six senior welfare centers in Seoul, and the data were collected using a questionnaire from 19 July 2016 to 17 August 2016, with a 1:1 in-depth interview using the modified version of the NQ-E questionnaire. The data were analyzed using SPSS 27.0 for Mac (IBM Corp., Armonk, NY, USA); a p value of <0.05 was considered significant. The nutrition-related dietary conditions of the elderly living alone were limited, and many of them received support from the government, which helped improve their diet. The nutrition quotient score of the elderly living alone was 50.14, which was lower than the NQ-E mean score (57.6) of the Korean elderly and the NQ-E (62 points), which is the top 25% of the national survey subjects according to the criteria value presented by the Korean Nutrition Society. Elderly people living alone often have poor dietary habits and nutritional status. The NQ-E presented in this study can be used to evaluate the dietary conditions of the elderly and is expected to be used as an indicator for developing community programs for health promotion and evaluating their effectiveness.

A pathway analysis of the impact of childhood domestic violence on depression in middle-aged and elderly people from the perspective of life course

BackgroundNegative life events in early life have a cumulative effect on health trajectory changes in middle and old age, and some scholars have used life course theory as a guide to empirically explore the effect of childhood adversity or adverse experiences on depression in the elderly, but few study focuses on violence within the family. ObjectiveTo explore the influence mechanism of domestic violence experience on depression in later life in middle-aged and elderly people, and to provide academic support for the whole society to pay attention to good family function and intergenerational interaction, and to propose whole-life health promotion strategies. Participants and settingThis paper selects the 2014 life course survey data and 2018 cross-sectional data of the China Health and Elderly Care Longitudinal Survey for analysis, and the research objects are middle-aged and elderly people aged 45 and above. MethodsBased on a retrospective survey of 3008 middle-aged and elderly people, this study analyzed the influence path of domestic violence on depression level in childhood by using multiple mediation models, and used the Bootstrap method to test the significance of indirect effects. ResultsBased on controlling for gender, age, age square, household registration, marital status, community environment and education level, childhood domestic violence had a direct positive effect on depression level in the elderly (P < 0.001), and childhood domestic violence also had an indirect effect on the depression level of the elderly through childhood health status, income logarithm and IADL (P < 0.05). ConclusionAs a life experience in early life, childhood domestic violence has a cumulative effect on depression in middle-aged and elderly people, is an important risk factor for depression, and has an important impact on mental health in later life.

Sociodemographic Factors Associated With Oral Health-Related Quality Of Life Among Elderly Population

The aim of the study was to analyze sociodemographic factors associated with oral health-related quality of life among elderly population. Methods: a cross-sectional study was undertaken in 20-23 February 2022 with 75 elderly people aged 60 years and older. This sample size was representative of the geriatric population living at home in the RW 02, Kelurahan Sukahati, Kecamatan Cibinong, Kabupaten Bogor. Participants were interviewed at home by trained interviewers using a 15-item questionnaire that included socio-demographic indicators (gender and age). Participants' OHRQoL were evaluated using a validated Indonesian version of GOHAI. The questionnaire consisted of 12 questions, with answers ranging from 1 to 5. GOHAI evaluates three aspects: (A) Physical functions such as speaking, eating and swallowing. (B) Dissatisfaction with appearance and psychosocial effects, including contact with others, self-esteem for oral health, and concerns about appearance. (C) Pain or discomfort, including taking medication to relieve pain. Results: a total of 75 participants completed the questionnaire. Most of the participants were between 60-69 years old (52%). The study population included 33 men (44%) and 42 women (56%). Most of the participants reported a poor OHRQoL score (GOHAI ? 56). There was significantly associated between age and gender with GOHAI category (p = 0.026, CI 95%; p = 0.000, CI 95%). Conclusion: most of respondents reported a poor oral health related quality of life. Sociodemographic factors (age and gender) associated with oral health related quality of life in elderly people.

社会工作服务介入城市空巢老人社会交往需求研究: 以昆明市A社区为例

With the development of the economy and the improvement of medical standards, the material life of community empty nest elderly people has been basically satisfied, but their psychological problems are gradually increasing. Taking the urban community in Kunming as an example, the group work is involved in the social interaction services of the empty nest elderly in the community. Combining the actual situation of the social interaction of the empty nest elderly in the city, the group work is carried out to tap the resources around the empty nest elderly and meet the social needs of the empty nest elderly. Research has found that most empty nest elderly people are in a state of severe or moderate loneliness, eager to gain access to their activity and social circles. Group work can help empty nest elderly people establish a sense of belonging, increase social interaction opportunities, expand social interaction content, enhance social adaptability, and help empty nest elderly people alleviate their sense of loneliness.

Skin Health of the Elderly and People in Long-term Care

Abstract: The proportion of the elderly in the population is increasing in many developed countries, and Japan has one of the oldest populations in the world. Therefore, health care for the elderly is becoming a serious issue in Japan. Skin health is a significant concern in maintaining the quality of life (QOL) in elderly people and those requiring long-term care. The skin deteriorates and becomes fragile in elderly individuals, and the accompanying increase in skin wrinkles is caused by the degradation of structural proteins in the dermis, collagen, and elastin fibers. In addition, skin aging occurs due to genetic factors and UV. Xerosis and dry skin are the primary skin problems in the elderly. Dry skin occurs frequently in elderly women, as sebaceous glands decrease with age, while the skin of elderly men tends to have a high lipid content. Skin wrinkles and blemishes increase with age. Inflammation frequently occurs in the dermis of the elderly person. Skin cancer is a serious threat to elderly people, and skin pH increases with age. Therefore, it is important to understand the health characteristics of elderly people to improve their QOL. The skin profiles of elderly people and those requiring long-term care have many associated problems. This situation is especially serious in Japan due to the ratio of elderly people showing an increasing trend. Elderly people requiring long-term care also experience skin problems caused by pressure ulcers and diapers. Microbial and fungal infections are also common in aged people. In this review, we have discussed the skin problems associated with aging and long-term care.

Partial inhibition of class III PI3K VPS-34 ameliorates motor aging and prolongs health span.

Global increase of life expectancy is rarely accompanied by increased health span, calling for a greater understanding of age-associated behavioral decline. Motor independence is strongly associated with the quality of life of elderly people, yet the regulators for motor aging have not been systematically explored. Here, we designed a fast and efficient genome-wide screening assay in Caenorhabditis elegans and identified 34 consistent genes as potential regulators of motor aging. Among the top hits, we found VPS-34, the class III phosphatidylinositol 3-kinase that phosphorylates phosphatidylinositol (PI) to phosphatidylinositol 3-phosphate (PI(3)P), regulates motor function in aged but not young worms. It primarily functions in aged motor neurons by inhibiting PI(3)P-PI-PI(4)P conversion to reduce neurotransmission at the neuromuscular junction (NMJ). Genetic and pharmacological inhibition of VPS-34 improve neurotransmission and muscle integrity, ameliorating motor aging in both worms and mice. Thus, our genome-wide screening revealed an evolutionarily conserved, actionable target to delay motor aging and prolong health span.