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Showing 4 results for Older Adult
Factors Associated With Fear of Falling and Functional Independence in Older Adult Living in an Iranian Nursing Home: A Cross-Sectional Study
Farideh Bastani, Masoumeh Birjandi, Hamid Haghani, Mohammad Reza Sobhan,
Volume 2, Issue 3 (8-2016)
Abstract

Background: Fear of falling is common amongst older adults, especially those who live in nursing homes. This study aimed to determinate factors associated with fear of falling and functional independence in older adults living in nursing homes.

Methods: This was a cross-sectional study using a convenience sampling method to enroll 200 older adults living in nursing homes from 25 senior centers in Tehran 1 and 2 districts between September 2015 and November 2015. Main outcome measurement instruments were the 16-Item falls efficacy scale international (FES-I, Persian version) and 11-Item Barthel index (BI) functional independence measure. In this study, variables were analyzed using Student’s t test and ANOVA. The Pearson coefficient correlation was used to examine the relationship between FES and BBS[g1] . A 2-tailed P value < 0.05 was considered statistically significant.

Results: The participants were mostly female (51.5%) and aged over 70 (mean age 76.89±8.50 years). Of 200 seniors within the study, 60.8% experienced one or more falls during the last year. Statistically significant relationships were found between the fear of falling and functional independence (r = - 0.524; P ≤ 0.001). There was a significant relationship between fear of falling and age (P = 0.039), history of falling (P=0.002), and chronic disease (P=0.009). In addition, there was a significant relationship between functional independence and some older adults’ characteristics, including gender (P = 0.048), education level (P = 0.028), duration of living in nursing home (P=0.002), history of falling (P=0.006), and chronic disease (P=0.01).

Conclusion: According to the findings, there was a high level of fear of falling in the older adults. The fear of falling in the older adults living in nursing homes is associated with age, history of falling, and chronic disease. There was a significant association between functional independence and variables of gender, education level, duration of living in nursing home, history of falling, and chronic disease.

 [g1]Expand this term.


The Effect of Group Movie Therapy on the Activities of Daily Living Among the Older Adults
Narges Yaghini, Fatemeh Sadat Izadi-Avanji, Sedigheh Miranzadeh, Hossain Akbari,
Volume 5, Issue 4 (11-2019)
Abstract
Background: The daily living activities are among the essential components of life and reflect an important aspect of functional independence in older adults. This study aimed to determine the effect of Group Movie Therapy (GMT) on the Activities of Daily Living (ADL) in older adults.
Methods: A randomized clinical trial was conducted on 48 older adults referred to Urban Comprehensive Health Service Centers of Kashan City, Iran. The study subjects were enrolled by a convenience sampling method and were randomly assigned to the intervention (n=24) and control (n=24) groups. GMT was performed in 6 weekly sessions. The Lawton’s ADL Scale was used for data collection. The obtained data were analyzed by the Chi-Squared test, Fisher’s Exact test, and Independent Samples t-test using SPSS. 
Results: There was no significant difference in the mean scores of Basic Activities of Daily Living (BADL) and Instrumental Activities of Daily Living (IADL) before the intervention between the study groups. A significant difference was found in the mean scores of IADL after the intervention between the study groups (P=0.001); however, there was no significant difference in the BADL values of the groups after the intervention. 
Conclusion: GMT is a non-invasive, low-cost, and non-risky way to improve the elderly’s autonomy in performing IADL. Thus, GMT is recommended as a method of behavior therapy.

Characteristics and Palliative Care Needs of Older Indonesian Adults With Chronic Hypertension
Yodang Yodang, Nuridah Nuridah,
Volume 9, Issue 3 (8-2023)
Abstract
Background: Chronic diseases like hypertension have become a global burden in the older population and are associated with high mortality rates and poor quality of life. The tenacity of these diseases could increase the comorbidities and impact older patients who need palliative care (PC) services to manage the symptoms and improve their quality of life. This study aims to determine the characteristics and determinants of PC needs of older Indonesian adult patients with chronic hypertension. 
Methods: This cross-sectional study applied a quantitative research design. The study was conducted in a primary healthcare facility in Kolaka Regency, Southeast Sulawesi, Indonesia, from July to October 2022. The study subjects were 142 elderlies with chronic hypertension who were recruited by the census method. The data were collected using a demographic questionnaire and the Indonesian version of the supportive and PC indicators tool (SPICT 2019 version). The data were analyzed with the Pearson chi-square test at a significant level P<0.05 in IBM SPSS software, version 25. 
Results: According to the findings, 47.2% of the respondents were in the age group of 55 to 64 years, most were women (55.6%), and living in rural areas (54.9%). Also, most had comorbidities (77.5%), at least one comorbidity (66.9%), and 26.8% needed palliative care. The bivariate analysis showed that comorbidities are associated with PC needs among older adults with chronic hypertension (P<0.05). 
Conclusion: This study showed that comorbidity has a significant relationship with PC needs in older patients with chronic hypertension. This condition demands the treatment team members’ attention to comorbidities in patients with chronic hypertension. To enhance the results’ generalizability and provide stronger evidence, it is advisable to conduct research with a larger sample size. 

Investigating the Predictive Role of Disability and Comorbidity in the Sleep Quality of Hospitalized Older Adults
Dr Farnoosh Rashvand, Mrs Fateme Safari Alamuti, Mrs Neda Shahsavari, Dr Maryam Momeni,
Volume 11, Issue 1 (1-2025)
Abstract
Background: One of the aspects affecting the quality of life (QoL) of the older adults is sleep quality. Hospitalized older adults may experience a poor quality of sleep due to one or more diseases and their related disabilities. This study determines the predictive role of disability and comorbidities in the sleep quality of hospitalized elderly patients.
Methods: This cross-sectional, correlational study was conducted on 300 hospitalized older adults admitted to the teaching hospitals affiliated with Qazvin University of Medical Sciences, Iran, in 2023. The subjects were recruited via convenience sampling. The data were collected using the demographic characteristics form, the Pittsburgh sleep quality index, the World Health Organization (WHO) disability assessment schedule 2.0 and the Charlson comorbidity index. They were analyzed using the chi-square test or the Fisher exact test, independent t-test, and binary logistic regression in the SPSS software, version 26. In addition, the statistical significance was set at P<0.05.
Results: The Mean±SD sleep quality, disability and comorbidity scores were 6.12±2.99, 23.36±9.20 and 1.15±0.37, respectively. Half of the older adults (50%) had poor sleep quality. There was a significant relationship between the sleep quality scores and all domains of disability (P<0.05) except for participation and life activities (P≥0.05). The results of the logistic regression model showed that disability (odd ratio=1.044, P<0.004) and comorbidities (odd ratio=2.078, P<0.044) were predictors of sleep quality in hospitalized older adults. No significant relationship was observed between sleep quality and gender, education, smoking, and non-opioid analgesics in multivariate regression analysis.
Conclusion: Disability and comorbidities are important predictors of sleep quality in hospitalized older adults; therefore, it is necessary to consider effective interventions to minimize hospitalization-associated disability and to help improve the sleep quality of older adults.

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