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  • COVID-19, lockdown, elderly. Experiences of the follow up research among active older adults 2020-2021.
    40-42
    Megtekintések száma:
    533

    Introduction, aims:
    The COVID-19 pandemic caused invaluable harms on the World during last two years. Among all economic and societal consequences the negative effects for elderly people was also apparent. Researches - among others - focused on the age related inequalities for accessing and using services, economic disadvantages, the decline of psychical, physical and mental conditions, reduced quality of life, increased level of loneliness, stress and depression, such as the increase and new faces of ageism.
    This research focused on the individual and organizational consequences of COVID – 19 pandemic and the effects of the state interventions followed by. The target group were identified as active seniors who have leading positions in different local and regional senior’s associations. These people were affected individually as a member of the age group and as an experts with organizational responsibilities as well.

    Research method:
    We chose a qualitative follow up (longitudinal) research method that was committed by semi structured phone interviews, recorded and anonymised. The time of the two data record focused and followed the main Hungarian waves of the pandemic: May – June in 2020 and June – July in 2021. Sample were collected from all districts of Hungary (n=42).

    Main research topics were:
    - The situation of the older adults (experiences about the local older people, daily life, problems, issues, social connections)
    - The life in the organization (activities, new initiatives, problems, issues)
    - Individual experiences (fears, daily life, social connections, shopping habits, use of ICT, vaccination).

    Results:
    We found significant differences on the personal life situation and the perception of pandemic and related interventions during the two waves. Pandemic situation may influenced these results. The age related “stay at home campaign” made more difficulties for the older people during the first wave, meanwhile related interventions weren’t so strict during the second wave by introducing shopping timeline for older people and night curfew for all in the late nights. Even first wave did not cause such harm like the second one in Hungary.
    During the first wave we found older people as a rule following citizens. They followed all the restrictions and regulations strictly. Life situations mainly were determined by the living conditions, that is means the ones who lived in the countryside mainly a house with garden experienced less negative effects than those, who lived in the housing estate area (first wave mainly fall on March – May).
    Older people reported increased importance of the local authorities. With the lack of central supporting interventions, local authorities played main role for local support, care and security. If the local government took care of older people they felt safety. Less interventions and coordination made older people insecured.
    The second wave made new situations for people. Older adults became one of the first target groups in vaccination and people started to cope with the pandemic.
    Older adults became more critical with governmental interventions.
    Critics focussed on the
    - pandemic related communication, the vaccination (older people mainly got Shinofarm vaccine that was not accepted in the EU at that time),
    - difficulties with the availability of health services, and
    - they experienced increased economic problems.
    The life in the organization: during the first wave we found frozen life of the seniors organization, cancelled and delayed programmes. Some initiatives were also reported. People preferred to keep contact via phone instead of using another ICT tools. Some of the answerer worried about the community life, how they can restart after the pandemic, others preferred the forthcoming chance for personal meetings.
    Seniors organisations may play an important role of the senior’s life by organizing free time and social activities, advocacy, and many other aspects of active ageing. As we made a first extract of this research further analyse will focus more on the good examples and new initiatives on the social, community and organizational levels.

  • Spiritual care in Slovenian nursing homes: a quantitative descriptive study
    29-30
    Megtekintések száma:
    216

    Introduction:
    Spiritual care is an important component of holistic care in nursing. However, health care workers are not unanimous in who is responsible for the spiritual care of patients. It is likely that nurses are best suited to provide spiritual care because of the nature of their work, which requires constant contact with patients. Yet, meeting spiritual needs is not well defined in the role of nurses and is not always taught comprehensively in formal nursing education programmes. The aim of this study was to explore the extent to which nurses working in social care settings implement interventions related to spiritual care in their daily practise, how they perceive their knowledge of spiritual care, and the extent to which this dimension of care was included in their nursing education programmes.
    Methods:
    A non-experimental quantitative descriptive research study was used. In April 2020, 214 nurse assistants and registered nurses from 12 nursing homes in Slovenia participated in the study. The questionnaire used in the study included 12 statements related to 3 main areas: i) knowledge of the concepts of spirituality and religion, ii) implementation of spiritual/religious interventions in daily practice, iii) spirituality in nursing education. The individual statements were rated by the respondents on a 5-point Likert scale (1 - strongly disagree to 5 - strongly agree). The questionnaire had adequate internal consistency (Cronbach alpha = 0.857). Data were described using calculated means, Mann-Whitney U test, and Spearman correlation coefficient. A p-value ≤ 0.05 was considered significant.
    Results:
    Regular spiritual assessment of nursing home residents is rarely performed by nurses (x̄=2.73, s=1.03). Female nurses (U=2191.500, p=0.008) and nurses who described themselves as religious (U=3314.000, p=0.001) implement spiritual/religious interventions in daily practice to a greater extent; they also expressed higher knowledge of the concepts of spirituality and religion compared to the others (religious/non-religious: U=2920.000, p=0.000; female/male: U=1885.000, p=0.000). The implementation of spiritual/religious interventions in daily practice correlated positively and statistically significantly mainly with self-perceived knowledge of the concepts of spirituality and religion (r=0.495, p=0.000) and the extent to which the content of spiritual care was represented in their nursing education program (r=0.494, p=0.000). However, nurses emphasized that the concept of spirituality and spiritual care tended to be poorly represented in formal nursing education programs (x̄=2.76, s=0.89).
    Discussion and conclusions:
    Individual characteristics, particularly self-reported religiosity and gender, appear to have an important influence on the implementation of spiritual/religious interventions in daily practise. In addition, our study suggests that the level of knowledge about the concepts of spirituality and religion influences nurses' willingness to implement spiritual care with their residents. Therefore, nursing educators need to develop curricula that include strategies to increase trainees' awareness of spiritual care. Current international research efforts on perceptions of spirituality and spiritual care in nursing offer important contributions to understanding the role of nursing in relation to spirituality and to developing educational content and approaches for both undergraduate and lifelong learning in nursing.

  • Action for smart healthy age-friendly environments
    47-48
    Megtekintések száma:
    219

    Smart, adaptable and inclusive solutions can help improve and support independent life throughout the course of life, regardless of age, gender, disabilities, cultural differences and personal choices.
    A holistic approach that optimizes social and physical environments, supported by digital tools and services, allows to provide better health and social care, promoting not only independent living, but also equity and active participation in society. This approach follows the United Nations' line-up, with the Sustainable Development Goals (in particular Objectives 3 and 11), stating that sustainable environments for all ages represent the basis for ensuring a better future for the entire population.
    The challenges of different sectors, such as ICT, the building industry and urban planning and the health and social care, as well as those of citizens and their communities are interlinked. Responding to these challenges will foster awareness and support for the creation and implementation of smart, healthy and inclusive environments for present and future generations.
    From this insight, a new concept was developed and well received: Smart Healthy Age-Friendly Environments (SHAFE). The by the EC approved Thematic Network of 2018 evolved into a Stakeholders Network of about 170 organisations and it is represented in several European projects and networks. COST Action NET4Age-Friendly brings together over 320 researchers from 46 countries. Capacity building to support the implementation of SHAFE is present in Erasmus+ projects.

    The presentation will give an overview of relevant development and insights to support the building of smart, inclusive societies.

  • Staff Training and Stress in Long Term Care Facilities Special Care Units for Alzheimer's Elders
    43-44
    Megtekintések száma:
    245

    Objective:
    Special Care Units (SCU) in long term care health facilities are named to indicate "unique to diagnosis" or a level of care. The purpose of this study was to explore perceptions among caregivers and licensed nurses in selected nursing homes in Ohio and Pennsylvania and New York, as they pertained to the differences in care to Alzheimer's elders in SCUs. It examined the education and experience of staff and the satisfaction of this staff as it pertained to stress and wages.

    Background:
    Long-term caregivers often experience stress, resulting in "burn-out" as a consequence of limited training, levels of care required, cognitive decline of elders and family expectations. The caregivers, on SCUs, environmentally designed for the elders with cognitive decline, need specialized training in the physical and mental dimensions of the various forms of dementia, Alzheimer's type.

    Methods:
    The study used a qualitative research design with a survey questionnaire and one-on-one interviews with administrators and human resource directors. A pilot study of SCUs in Ohio and Pennsylvania and New York was initiated. The population was the employees of these SCU. The levels of employees questioned included: Executive director/Administrator, nurses, nurse aides, housekeepers and activities staff, laundry and social service workers. The procedure was standardized to enhance the reliability of the data. The respondents were notified in advance of the specific application of their answers and were afforded the opportunity to receive a monetary donation to the SCU of their respective facilities.
    An Eden Alternative Home, with a program of goals and missions characterizing enhancement of an elder's life, a home-like environment and family-centered staff and care, in a very rural area of Pennsylvania, was also engaged to contrast and compare the hypotheses of the study.

    Results:
    On the SCU, less than 5 percent of the staff had received training specific to the care of the Alzheimer's elders. In the Eden Home, 100 percent of the staff had received training specific to the care of the Alzheimer's elders. On the SCU, less than 18 percent were satisfied with the quality and quantity of specialized and extensive training. In the Eden Home, 100 percent of the staff was satisfied with their specific training. On the SCU, using a Leiken scale, more than 55 percent felt that they should receive higher wages. In the Eden home, the results were the same. However, the longevity of the employees was 13.5 years as opposed to only 3.25 years in the SCU in other homes.

    Conclusion:
    These findings suggest there is a need to examine, expand and intensify the training of all caregivers on a special unit for the elders afflicted with dementia, Alzheimer's type.

  • Behavioural Techniques in Work with Seniors
    Megtekintések száma:
    49

    This article explores the application of storytelling as a cognitive-behavioural therapy (CBT) tool for older adults, emphasizing its effectiveness in illustrating the role of avoidance and exposure in anxiety recovery. Integrating a complete theoretical introduction and narrative case example with conceptual support from psychoeducational materials, the article demonstrates how storytelling facilitates therapeutic insight and engagement, particularly in older populations.

  • Mental health of older adults living in nursing homes in Slovakia – Results of a preliminary study
    44-45
    Megtekintések száma:
    187

    Loneliness is a serious public health problem of an ageing population. The prevalence of loneliness in elderly population was estimated to rise from 10% to 45%. In elderly population, loneliness is considered as a risk factor for mental health disorders, especially depression. Depression and anxiety are among the most common mental health disorders worldwide and their prevalence is increasing, especially among seniors who are hospitalised and living in nursing homes.

  • An exploratory metaphor analysis on the perceptions of nursing students about the concept of aging
    30-42
    Megtekintések száma:
    335

    Purpose: The aim of this study was to reveal the perceptions of nursing students about the concept of aging through metaphors.

    Methods: The basic qualitative research design was used to evaluate the metaphors of nursing students regarding the concept of aging from their perspectives. The study sample consisted of 104 senior nursing students at Aksaray University in the 2021-2022 academic year. A purposive sampling method was used. "Metaphoric Perceptions Data Collection Form", which was prepared by the researchers in line with the literature, was used as a data collection tool. The form consists of two parts. In the first part, the demographic characteristics of the students were investigated. In the second part, the sentence “Aging is like … because … ” was given to reveal students' metaphors regarding the concept of aging. The metaphors developed by the students regarding the concept of old age were analyzed and interpreted with Metaphor Analysis. Metaphor analysis has been associated with content analysis.

    Results: The mean age of the students participating in the study was 21.65±0.99 (min: 20, max: 25). Of students, 68.6% were female, 33.3% lived in city, and 84.3% had nuclear family. About half (50.0%) of their grandparents lived in their house. Of the students, 39.2% thought about living with your parents when you start a family in the future; 52.9% lived with older adults aged 65 and over until now; 92.2% cared for an older patient during clinical practice; and 74.5% wanted to work in a health institution serving the elderly after graduation. Students produced a total of 102 valid metaphors for the concept of aging. Four main themes were obtained from the data. The main themes were aging as an ending story, a need for care, attention, and support, a new beginning, and a source of life.

    Conclusion: Nursing students' metaphors about aging are generally negative, but also contain expressions of respect.

  • Simulations in Social Work and Geriatrics
    22-25
    Megtekintések száma:
    142

    In the training of social work students and in the continuing education of social, mental health and medical professionals there is a wide range of opportunities to use simulation techniques. Simulation can be described as “a pedagogy using a real-world problem in a realistic environment to promote critical thinking, problem solving, and learning”.

  • Decade of Healthy Aging 2020-2030: international and local arctic context
    30-31
    Megtekintések száma:
    150

    Healthy aging has become an important policy issue at all levels of the society. The key international document is the World Health Organization’s (WHO) plan for a Decade of Healthy Ageing 2020–2030 which is the 2nd action plan of the WHO ‘s Global strategy on aging and health [1]. The Plan consists of 10 years of concerted, catalytic, sustained collaboration to improve the lives of older people, their families, and their communities. Older people themselves are at the core of this plan, and it brings together a variety of actors: governments, civil society, international agencies, professionals, media, and the private sector. The Plan also notes that healthy aging is not only a healthcare issue but also needs to engage many other sectors.

  • Frequency of multimorbidity and polypharmacy among geriatric patients
    33-46
    Megtekintések száma:
    268

    Magyarországra jellemző az elöregedő társadalom. Az egészségügyi ellátás nagy részét az idősek veszik igénybe. Kórházi kezelésre gyakran van szükség iatrogenezis miatt, amelyet gyógyszer-toxicitás és nemkívánatos kölcsönhatások okoznak. A polifarmácia fokozhatja ezeket a problémákat. 
    Kutatásom célja, hogy felmérjem a polifarmácia gyakoriságát és káros hatásait egy idősek fekvőbeteg-ellátó osztályán. A felmérés eredményei mellett. A fekvőbeteg osztályon végzett kutatás során az érintett betegek beleegyezésével összegyűjtöttem a szedett gyógyszereket, a felállított diagnózisokat és a vesefunkciót. 
    A kutatás szerint bebizonyosodott, hogy az időskorú betegek körében fontos a potenciális kockázataik. Minél több betegségben szenved egy személy, annál több gyógyszert kell szednie, így több gyógyszerkölcsönhatásra kell számítani. Ezért rendkívül fontos az adatbázisok rendszeres átvizsgálása a gyógyszerkölcsönhatások tekintetében. A betegbiztonság javítása érdekében a fekvőbetegek tekintetében nagy segítséget nyújt az "unit-dose rendszer", amely a kölcsönhatások automatikus monitorozását is magában foglalja. Mindezek segítségével csökkenthető a szövődmények kialakulása, a kórházi kezelés és a halálozás. Az iatrogenitás csökkentése nemcsak a betegek életminőségét javítja, hanem az egészségügyi rendszer terheit is csökkenti.

  • Contributing to the Decade of Healthy Aging in the Nordic-Russian Arctic
    4
    Megtekintések száma:
    276

    NCM-funded project and expert network “Indigenous and non-indigenous residents of the Nordic-Russian region: Best practices for equity in healthy ageing” will be introduced.

    The Arctic population is ageing, albeit at various speed across the regions and to a different degree of “healthiness” and “inequity related to healthy ageing” across the life-course. The aim of the research is to contribute to a multidisciplinary understanding of circumstances and patterns of healthy ageing in the Nordic-Russian Arctic and share examples of new solutions as components to the Arctic member states’ national policies and in accordance with the principles of WHO “Decade of Healthy Ageing 2020–2030”.

    We will focus on a broad evaluation of opportunities the region can bring in to carry activities,  building on the principles of the WHO Global Strategy on Ageing and Health, the United Nations Madrid International Plan of Action on Ageing, and aligned to the timing of the United Nations Agenda 2030 on Sustainable Development and the Sustainable Development Goals (SDGs). We will identify best practices at the regional/community levels among Non- and Indigenous older residents, using comparative approach: 1. How we think, feel and act towards age and ageing, 2.Communities fostering the abilities of older people, 3.Delivering culturally safe and person centred care and health services responsive to older people.

    The project complements our on-going activities under the UArctic Thematic Network “Health and Well-being in the Arctic” and a “Development of a Think Tank Functions of the Northern Dimension Institute”.

  • Burnout syndrome in healthcare profession
    20-21
    Megtekintések száma:
    147

    Burnout syndrome is a current topic. Helping professions are most at risk. We include the profession of nurse to these professions. The work is demanding, it requires mental endurance and physical fitness. Nursing profession is one of the most risky one in relation to burnout syndrome.

  • A magyar lakosok egészségi állapota, egészségmagatartása 2020-as SHARE Corona Survey (Covid-19) adatainak tükrében – Hagyományos statisztikai és rough set alapú elemzés
    126-129
    Megtekintések száma:
    374

    Pályázati támogatás:
    HEAlthy Life ALLiance for Health Tourism Education Development and Reorganisation – HEAL-ALL. Erasmus+ pályázat száma: 2020-1-HU01-KA203-078799

    Bevezetés
    A SHARE (Survey of Health, Aging and Retirement in Europe) felmérés egy olyan európai szintű projekt, amely egy panel-adatbázist fejleszt és gondoz az ötvenéves vagy annál idősebb egyének egészségére, társadalmi-gazdasági helyzetére, valamint szociális és családi hálózataira vonatkozó adatok vonatkozásában. A SHARE adatbázis kialakítása 2004-ben indult, tizenegy ország bevonásával. A kezdeményezés a népesség elöregedésével járó növekvő kihívásokra keresi a megalapozott válaszokat. A felmérések során a szervezők eddig nyolc adatgyűjtési hullámot hajtottak végre, amelyek lefedik az Unió összes kontinentális országát, valamint Svájcot és Izraelt. A 8. adatgyűjtési hullám végrehajtásának közepén kezdődött a COVID-19 járvány - a várható interjúk körülbelül 70 százaléka készült el 2020 márciusára - a terepmunkát ekkor az összes résztvevő országban fel kellett függeszteni. A szervezők elhatározták a felmérések folytatását; telefonos interjúk (CATI) elkészítésével. Jelentősen lerövidítették az eredeti kérdőívet és kiegészítették a kérdéslistát a COVID-19 élethelyzetre vonatkozó kérdésekkel.

    Az előadás célja a SHARE COVID-19 adatbázisának feldolgozásával kapott eredmények bemutatása – fókuszálva a magyar válaszadók egészségi állapotának helyzetére, egészségmagatartására a felmért országok polgáraihoz viszonyítva.

    Anyag és módszer
    A 2020-as nyolcadik SHARE felmérésben 28 ország vett részt. A válaszadók és kérdezőbiztosok egészségvédelmének okán a telefonos interjúk (CATI) alkalmazása volt az elsődleges ajánlott mintavételi alternatíva a korábbi személyes interjúkkal szemben. A válaszadók száma a módosított kérdőívre 54.567 fő volt. A magyar válaszadók 1053-an voltan – a teljes minta 1,9%-a. A kérdések csoportjai a következő öt fő területet érintettek:

    Egészség és egészségmagatartás. Általános egészségi állapot a COVID-19 járvány kitörése előtt és után, biztonsági intézkedések betartása (pl. szociális távolságtartás, maszk viselése, higiénés „viselkedés”).

    Mentális egészség. Szorongás, depresszió, alvási problémák és magány a COVID-19 járvány előtt és után.

    Fertőzések és egészségügyi ellátás. A COVID-19-hez kapcsolódó tünetek előfordulása, a tesztelés és kórházi kezelés tapasztalatai, orvosi kezelés elmaradása, a kezelésekkel való elégedettség.

    A munka és a gazdasági helyzet változásai. Munkanélküliség, üzletek bezárása, otthoni munkavégzés, munkaidő- és jövedelemváltozások, anyagi támogatás viszonyai a megkérdezettek között.

    Közösségi hálózatok. A családdal és a barátokkal való személyes kapcsolattartás változásai a járvány hatására; segítségnyújtás, személyes gondoskodás – az adott és kapott segítségek.

    Az elemzések során hagyományos statisztikai leíró és elemző módszerek, valamint a rough set analízis egyes elemzési módszerei kerültek alkalmazásra. A minta súlyozására a számítások során nem került sor. Alkalmazott programcsomagok: SPSS V22, Excel 2007.

    Eredmények
    A mintanagyság szerint Magyarország a 20. helyet foglalja el (1053 fő 1,9%). A legnagyobb minta Észtországban került felmérésre (4670 fő, 8,6%); a legkisebb elemszámú részminta a holland minta volt (803 fő, 1,5%). A teljes mintában az átlagéletkor 70,42 év volt (95% CI: 70,34-70,50; medián: 70,00; SD: 9,3977; min: 31, max: 104). A magyar részmintában 70,69 év (95% CI: 70,22-71,15; medián: 70,00; SD: 7,6825; min: 38, max: 95). A férfiak aránya a teljes mintában 42,29%; a nők aránya 57,71%; a magyar minta arányai: 39,98% és 60,02%.

    Az elemzések statisztikailag szignifikáns különbségeket mutattak ki számos elemzett változó esetében, a különböző országok polgárai között:
    a) a járvány előtti egészségi állapot (ön)megítélése;
    b) egészségváltozás megítélése a járvány előtti állapothoz képest;
    c) jelenlegi megbetegedések (akut, krónikus);
    d) gyógyszerszedés;
    e) védekező intézkedések betartása a gyakorlatban: maszkviselés; szociális távolságtartás kézmosás; fertőtlenítési lehetőségek alkalmazása.

    Megbeszélés
    Az országok összehasonlítása számos változó esetében statisztikailag kimutatható különbséget mutatott. A nagy elemszám okán igen kis eltéréseket is lényegesként jeleznek a statisztikai elemző módszerek. A különbségek tényleges elfogadását a szakmai validálás folyamata teszi érvényessé. Ennek a kutatási szakasznak a teljes lezárása még nem történt meg – az előadás az aktuális eredmények bemutatásával és értékelésével zárul.

    Irodalom
    Börsch-Supan, A. (2021). Survey of Health, Ageing and Retirement in Europe (SHARE) Wave 8. COVID-19 Survey 1. Release version: 1.0.0. SHARE-ERIC. Data set. DOI: 10.6103/SHARE.w8ca.100

  • COVID -19 pandemic, surveys on elderly about vaccination. National and European perspectives
    14-17
    Megtekintések száma:
    363

    A summary of Symposium titled COVID-19 pandemic, surveys on elderly about vaccination reserved in this abstract.
    The severe cases of COVID-19 in Europe. A comparative analysis using SHARE data base
    The paper focuses on the severe cases of COVID-19 in Europe and the predictors of these cases. The author used the secondary analysis of a large data base (SHARE) of persons aged 50 or more from the EU countries and the Switzerland. The data have been collected in the summer of 2020. In the first part the focus is on the theoretical starting point of the analysis. In the second part the main outputs are presented.
    How to convince the undecided - communication with the elderly and attitudes towards vaccination COVID-19 in Poland
    The pandemic has had its toll on the socio-economic life of most people. Governments and international organizations face new challenges in a situation of uncertainty. Social campaigns are designed to encourage as many people as possible to join the vaccination plan. Achieving population resilience requires a significant commitment of organizational, financial and communication resources.
    Older people constitute a priority group in the vaccination system in Poland. However, despite the measures taken, there remains a significant share of seniors who remain reluctant to vaccination. The government is taking further pro-turnout measures targeted at the elderly. The shortcomings of the existing strategies should be eliminated for the benefit of society.
    The aim is to summarize the research conducted in the field of the needs and possibilities of communication with the elderly, attitudes towards vaccinations and sources of influence on making purchasing decisions of seniors.
    Vaccination attitudes – international project in Central and Eastern Europe
    The beginnings of the project date back to 2020. The uncertainty that became commonplace in the times of the pandemic indicated new areas of previously unknown dependencies. Stress, uncertainty, attitudes towards the threat, protective behaviour, and soon also attitudes towards vaccination seemed the most important at that time. Examining the existing dependencies would allow a better understanding of the phenomenon of social responses to the pandemic and would support governmental and non-governmental, national and international actions that would be an important tool in the fight against the negative consequences of a spreading COVID-19.
    Scientists from Central and Eastern European countries representing different disciplines (sociology, economics, communication, statistics, psychology and psychiatry) joined forces in a common international project investigating the relationship between attitudes towards vaccines and the level of perceived mental health, uncertainty, socio-demographic variables and the level of religiosity. Core aims of the project were to analyse the model of predictors concerning demographic, psychological, and social factors influencing the intention to vaccinate against COVID-19 and to provide the information to prepare and implement more effective and efficient health messaging strategies and campaigns targeting groups reluctant to COVID-19 vaccination in Eastern and Central European countries.
    The project involved the development of a common research tool - a questionnaire, parallel research in four countries of Central and Eastern Europe (Poland, Romania, Slovenia, Hungary), more than 2000 respondents (unvaccined adults) and joint development of the results of the analysis, using the potential of all involved partners.
    The project is still developed to next stages of investigation. Results will be published in high quality journals in years 2022 and 2023.

    Partners involved represent: University of Gdańsk (Poland), University of Oradea (Romania), University of Ljubljana (Slovenia), University of Debrecen (Hungary).
    More information: k.balandynowicz@ug.edu.pl.
    Survey on unvaccinated Hungarian elderly people during the COVID-19 pandemic
    During the pandemic, we performed a comparative study of the Hungarian unvaccinated people, focusing on psychological and demographic aspects in our questionnaire. The survey data collection lasted from 27 August to 13 October 2021. Participants were over 18 years of age who have not yet received any vaccination against the COVID-19 virus.
    The method used is an on-line questionnaire survey.
    The survey is not for political but for scientific purposes, and we hope that its results will contribute to a more professional management of the COVID-19 epidemic. The survey of Hungarian team was conducted in collaboration with Polish, Slovenian and Romanian university researchers.
    The test dimensions are as follows:
    Well-being at the time of pandemic (happiness, health.)
    Depression, Anxiety and Stress Scale (DASS21)
    Vaccination Attitudes Examination Scale (VAX)
    Sources of information about vaccination
    Religiosity level
    Demographics (metrics)
    The presentation focuses on the most important aspects of the first analysis of the Hungarian results. The study involved 478 people: 113 men, 363 women, and 2 people identified as “other”. It is worth highlighting from the first processing of the data that a large number of unvaccinated people do not believe that they are at risk of getting the COVID-19 virus. In our sample 42% of the unvaccinated are very sure that the vaccine will not work, and 30.6% are afraid that they will become infected because of the vaccine. They do not usually feel safe after vaccinations, they are afraid of the undiscovered consequences, and they trust more in their natural immunity. 61.8% definitely do not want a vaccine for themselves, nor in the future. 67.3% want to wait to see how vaccines work in other people. During processing, we could identify the ones with a definite anti-vaccination attitude. They were also analyzed on the basis of their political affiliation, religiosity, and place of residence. Regarding the DASS-21 depression subscale, the young age group scored significantly higher than the elderly. According to the DASS-21 stress subscale, the value belonging to young people is significantly higher than that of older people. On the Vaccination Attitudes Examination (VAX) Scale’s concerns about financial profiteering subscale, seniors scored significantly higher. Interpreting our results in the context of parallel international studies is also part of our objectives. Our results provide an opportunity to serve important aspects for the communication strategies with unvaccinated elderly.

  • Az időskori szegénység társadalmi arcai Magyarországon
    Megtekintések száma:
    66

    Az időskori szegénység Magyarországon egyre fontosabb társadalmi kérdés, amely nem pusztán jövedelmi hiány, hanem többszörös depriváció: anyagi nélkülözés, egészségromlás, lakhatási bizonytalanság, digitális hátrányok, társas kapcsolatok gyengülése és elmagányosodás formájában jelenik meg, különösen a nők, vidéken élők, egyedülállók és alacsony iskolai végzettségűek körében.

    A tanulmány célja bemutatni az időskori szegénység formáit, hozzájáruló társadalmi tényezőit (pl. rendszerváltás hatásai, életpálya-törések, családi támogatás csökkenése), valamint azt vizsgálni, hogy helyi, közösségi és szakmapolitikai beavatkozások hogyan mérsékelhetik a kockázatot, biztosítva a méltó, biztonságos és részvételre épülő időskort.

    A vizsgálat elemző-deszkriptív módszerrel készült, hazai (KSH, 2024) és nemzetközi (Eurostat, 2024; Eurofound, 2022) statisztikák, szakirodalom (pl. Albert & Dávid, 2019; Walker & Zaidi, 2020) és esettanulmányok (pl. panelban élő idős hölgy mindennapi lemondásai) feldolgozásával, EU-jogi keretek (Alapjogi Charta) integrálásával.

    A 65+ korosztály 20,3%-a szegénység- vagy kirekesztődéskockázatban (EU-átlag: 17,2%), súlyos depriváció 9% (EU: <5%), >430 ezer fő <140 ezer Ft/hó nyugdíjjal; alacsony digitális használat (35-40%, EU: 65%), egészségi mutatók (5,3-6,5 év egészségben); ezek halmozódva rejtőzködő szegénységet erősítenek: gyógyszerek halasztása, közösségi visszavonulás, stressz és izoláció.

    A válaszok több szintűek: közösségi programok fejlesztése (klubok, önkéntes hálózatok), digitális kompetenciafejlesztés (tanfolyamok, segítői programok), célzott támogatások (lakhatás, rezsi), egészségmegőrzés (prevenció, age-friendly települések) és helyi adatgyűjtés szükséges a láthatatlan szegénység felismeréséhez és a társadalmi kohézió erősítéséhez.

  • The correlations of resilience of the geriatric population in Botswana: A cross sectional study
    36-37
    Megtekintések száma:
    179

    According to Botswana's Current statistics for 2021, people aged 60 and above would make up 8.9% of the population. As people age, they face a plethora of challenges; mental, legal, social, health, economic, environmental, and political, in addition to ageism and marginalization. Therefore, they need resilience to deal with these challenges that emanate from the aging process, the development of care needs, and the depletion of resources. However, in Africa, there is anecdotal evidence that some older people cannot cope with their lives, let alone carer responsibilities caused by HIV related death and other risk factors. For older people to flourish, they need resilience to achieve, endure, develop and sustain their health and well-being in the face of adversity. The degree of success and impact on their resilience is undocumented. The research will therefore determine the correlates with resilience and establish ways to curb the risk factors.

  • Quality of life for social care centre clients
    11-13
    Megtekintések száma:
    270

    Introduction:
    There are approximately 60 million people over 60 years of age in the world. The United Nations predicts that by 2050 the number of people aged 60 years and older could be around 2 billion (Zaļkalns, 2015). In Latvia, every fourth inhabitant is a pensioner. Given Latvia's socio-economic situation, social and health care options for older, lonely people are becoming increasingly less accessible. A large part of the population of Latvia cannot provide themselves with quality of life in old age. If there is no family or, due to various circumstances, relatives cannot take care of the elderly, the only option is social care institutions (Slokenbeka, Zepa, 2013). The quality of life of an elderly person remains an issue when he or she is in a social care centre. Quality of life is a complex, interacting set of objective and subjective indicators in different areas of life. The World Health Organisation defines quality of life as “the perception of an individual's personal life position in the context of the cultural and value system in which the individual lives in relation to the individual's goals, expectations, standards and concerns. It is a broad concept that is influenced in complex ways by a person's physical health, psychological state, personal beliefs, social relationships and key environmental factors” (Scester, 2012).

    The Aim of the study:
    To analyse the quality of life for social care centre clients.

    Materials and methods:
    Quantitative research method was chosen to obtain the results. A questionnaire with 25 questions was developed. The participants of the research were clients of two social care centres (hereafter SAC) (SAC “X”, n = 50; SAC “Y”, n = 50).

    Results:
    The majority of SAC respondents have lived in the institution for more than four years (SAC “X” = 54%; SAC “Y” = 70%). In both groups, the predominant reason for being in SAC is “I am lonely, I cannot take care of myself” (SAC "X" = 62%; SAC "Y" = 58%). On the questions about the frequency of meals and the quality of food in the SAC, the data show that 78% of clients in SAC “X” and 94% in SAC “Y” are satisfied with the frequency of meals, while on the quality of food the dominant answer is “the food is satisfactory” (SAC “X” = 54%; SAC “Y” = 32%). The questions on living conditions show that SAC clients live both alone and in pairs (mainly spouses). The relationship with the roommate is described by 52% in SAC “X” and 38% in SAC “Y” with the phrase “we get along peacefully, without quarrels”. 26% of respondents in both groups describe their relationship as “very good and friendly”. SAC clients describe their financial situation as “modest”. Emotional support is received from other residents, staff and family members/relatives. Emotional uplift is also provided by various activities in the SAC and by doing things that they enjoy and find interesting, e.g., handicrafts, crossword puzzles. SAC clients note that they try to attend all events organised by the SAC, especially concerts by amateur groups and famous artists. The “feeling of security” in the SAC is prevalent in both groups of respondents (SAC “X” = 56%; SAC “Y” = 70%). Although there is a feeling of security, both groups of respondents report that they “miss the feeling of home” when living in SAC (SAC “X” = 24%; SAC “Y” = 34%).

    Conclusions:
    Clients in the social care centre are satisfied with the quality of life in the physical and social spheres, but are partially satisfied or dissatisfied with the quality of life in the emotional and area of independence. The participants often feel lonely and sad and experience longing and anticipation. Respondents in both social care centres never or rarely experience feelings such as love, joy and happiness. Respondents indicate a lack of independence, acknowledging that they have limited autonomy and that they cannot be who they are because they have to adapt to the existing regime.

    Bibliography:
    1. Zaļkalns J. (2015). Novecošana – aktualitātes un problemātika. Retrieved 25 January 2017 from http://www.afonds.lv/editor/uploads/files/prezentacijas/1_Zalkalns_Novecosana_aktualitates_ problematika.ppt
    2. Slokenbeka A., Zepa D. (2013). Vecums – liktenis, izaicinājums, dāvana. Rīga: RAKUS Atbalsta fonds. 96 lpp
    3. Šķestere, I. (2012). Pētījums par dzīves kvalitātes izvērtējuma metodēm un instrumentiem. Rīga: ES Eiropas Sociālais fonds. 43 lpp.

  • Trends of smoking and alcohol consumption after acute myocardial infarction – a gerontological meta-analysis
    66-67
    Megtekintések száma:
    129

    The core aim of this conference presentation is to demonstrate how health behaviors of elderly social groups could be shifted by perceived social support (PSS) after acute myocardial infarction (AMI). More precisely, this presentation focuses on examining how elderly people could quit smoke and accept moderate alcohol consumption by PSS to improve their complex health conditions.

  • Older People in Crisis: Yemen’s Urgent Call for Humanitarian Assistance
    101-103
    Megtekintések száma:
    117

    The conflict in Yemen which has been ongoing for ten years led to one of the worst humanitarian crises worldwide. While the attention is given more to the general population, there are many unique challenges focusing on vulnerable elderly people face that remain unnoticed.

  • Állattartó idősek egészségi állapota
    161-179
    Megtekintések száma:
    291

    Az ember egy komplex lény: biológiai, pszichikai és társadalmi tényezők ötvözete. Életünket jelentős mértékben befolyásolják az egész világra kiterjedő társadalmi hatások és kommunikációs hálózatok. Az egészséghez harmónia és összhang szükséges a természettel, önmagunkkal, embertársainkkal és a természetfelettivel. Az állattartás nem csupán egy életforma, hanem naponta ismétlődő társadalmi rítus, szimbolikus értékekkel, társas interakciókkal. Kutatásom célja állattartó, különböző szociokulturális környezetben élő idős emberek egészségi állapotának vizsgálata.

  • Unmet care needs of older individuals: prevalence, patterns and influencing factors
    26-27
    Megtekintések száma:
    126

    Understanding and identifying unmet needs are crucial for improving the quality of health and social care. Research addressing unmet needs among older individuals in Slovakia is insufficient, highlighting the need for further investigation into this pressing issue.

  • Gerontological perspectives of Big Data analysis of mobile-based health data
    62-63
    Megtekintések száma:
    120

    The mass proliferation of smartphones with the features of general purpose computers is a major challenge for the iPhone in 2007. Medical use of these devices started in 2009 and today there are around 350,000 health apps in the world, are available, with hundreds of hundreds of millions of them, and they have more than 10 million users. Studies show that users are becoming more open to health apps and related mobile phone peripherals, use of assets (e.g. activity trackers).

  • Az idősek és az infokommunikációs technológiák elsődleges vonatkozásai
    138-160
    Megtekintések száma:
    775

    Cikkünkben kitérünk az információs és kommunikációs technológia (továbbiakban IKT) rövid áttekintésére, az idős korosztály legjellemzőbb sajátosságaira, végül azt vizsgáljuk, hogyan és mely részterületeken tudnak kapcsolódni az idősek az IKT megoldásaihoz. A gyorsan fejlődő technológia világában még azoknak sem könnyű kiigazodni, akiknek nem kell gondolkozni azon, hogy hogyan tanulják meg az IKT használatát. Komoly hátránnyal indulnak azok, akik életük egyharmadában, felében nem voltak kapcsolatban az infokommunikációs technológiákkal, idős korban pedig ez a hátrány tovább növekedhet. Manapság egyre nehezebb különbséget tenni online és offline világ között és valószínűleg ez a jövőben sem lesz könnyebb. A jóléti államokat elöregedő társadalom jellemzi, az ezekből fakadó problémák régóta jelen vannak minden területen, ahogy az egészségügyben, úgy a gazdaságban is. Tanulmányunkban megvizsgáljuk és összegyűjtjük a témakörhöz szorosan kapcsolódó releváns szakirodalmakat, melyek az életminőségre, a magányosság leküzdésére, a társadalmi felzárkóztatásra és az egyén egészségi állapotára vonatkoznak. Célunk, hogy megvizsgáljuk milyen lehetőségekkel segíti az IKT az idős emberek minőségi öregedését, milyen tényezők motiválják az időseket az eszközök használatában, melyek azok a nehézségek, amelyek akadályozzák az alkalmazást és a tanulást, illetve, hogy összességében milyen jövőbeni kilátások elé nézünk. Vizsgálatunk angol és magyar nyelvű szakirodalomra vonatkozott, azokra a publikációkra, melyek Európában jelentek meg vagy európai országokban végezték a kutatást, a 65 éves vagy idősebb emberek körében, 2011 és 2021 között.

  • Ageless quarantine yoga - Escape to Yogaland in the time of pandemic
    12-14
    Megtekintések száma:
    311

    Nowadays it is expansively recognised that practicing yoga can improve the quality of life by providing appropriate physical training exercises which can be performed by every age group. Yoga practitioners of the older generations beside maintaining their physical activity can heal  their sense of balance which decreases the hazard of off-balance and fall.

    During the years of my yoga teaching I met the representatives of every age group at my classes. I led kids yoga courses for preschool children, dynamic flow sequences for trained yoga practitioners, but I did have students over 70 years old who insisted to join an intermediate level hatha yoga class even if they had gone through serious illnesses and operations in the past and they were not able to hold each postures.

    I have experienced that the elderly people are very grateful for the healing that yoga gives them and for the careful attention whereby the yoga instructor tailors the yoga asanas and sequences according to the physical condtitions, state of health and capabilities of each individual.

    At the yoga instructor courses the contraindications of asanas and defining the anatomic and physiological backround of injuries and the physical limitations of each practitioner are emphasized intensively. This comprehensive teacher training and the continuous monitoring guarantee the safety. The instructor faces the mutations and the loss of physical and psychical balance in the the reality, at the yoga classes. Practice makes the master! It is more than true is yoga. Gaining practical experience the instructor can handle the special situations and needs with growing confidence applying yoga props (strap, yoga blocks, chair etc.), modifying the asanas, and using the power of words to motivate the students.

    Supported by my friends I created The Force Yoga Group Facebook site in April , where I have been leading yoga classes since then. It is a great place to meet my yoga practitioning friends, my family members, my elderly parents and in defieance of quarantine and lockdown to practice yoga together, at the same time. Our magical yoga carpet is a tranquil island to where we can escape from the raging pandemic, where we can start our inner journey in the time of the outer movelessness.

    The online practice team has already more than 100 members. It is an intercultural and intergenerational group. I knew I had no information of the health conditions, the perfection of yoga practice of each group member, and with many of them I had not practiced together in person (offline), so I had to call their attention to the rules of safe yoga practice constantly and acutely. At the beginning and at the end of the online sessions I dedicate some sentences to it, during practice I try to instruct precisely to protect them from the injuries. The verbal correction playes here a very important role.

    My online students can be informed about the topic from the scientific articles I share on our page from time to time.

    I am aware of the fact that an avarege home is not a well-equipped yoga studio, so  I show online how to use the furniture, fixtures and everyday objects as yoga props.

    A shorter, 30-45 minute Chair Yoga Class is the part of our weekly program as well, especially for those members who struggle with balance poses or get weak easily.

    In private messages the students send me their observations, remarks, questions  and requests. Some of them experience pain or tension in certain asanas, so we try to find out together the reason of it and to correct and to set the posture. A 75 year-old student of mine asked me to build a yoga sequence of simple breathing exercises and stretching asanas which can be performed by anyone.

    Many feedbacks speak about how big inspiration is to watch my everyday practice and my enthusiasm is pushing the spectators to their yoga mat. There are older practitioners who perform the breathing and warm up exercises sitting on a chair, and it means already 15-20 minutes of  physical training.

    During lockdown there are 4-5 online yoga sessions weekly, the videos are available anytime. The regular practice becomes a sure point in the life of the members, there is something to look forward to, even if there is no stimulus to receive from the outer world. In this online yoga space you can get new friends, through the comments you can share your ideas and suddenly you belong to a yoga community.

    The stress relieving classes I close with  Yoga Dream (yoga nidra) relaxation which is an at least 20 minutes of visualization, an imaginery journey interlarded by positive affirmations while body and mind are calming down.  Such a mini meditation does not require any intensive physical activity but breathing. I could mention many other positive increments that occured creating The Force Yoga Group, but quoted the great yoga master, B.K.S. Iyengar:

     “Words cannot convey the value of yoga – it has to be experienced.”

  • Revealing the Concept of Aging in Turkish Nursing Students: An Exploratory Metaphor Analysis
    51-52
    Megtekintések száma:
    231

    Purpose:
    This study aimed to reveal the perceptions of nursing students about the concept of aging through metaphors.

    Methods:
    The study was carried out in a qualitative research design. The study sample consisted of 104 senior nursing students at Aksaray University in the 2021-2022 academic year. In the study, "Metaphoric Perceptions Data Collection Form", which was prepared by the researchers in line with the literature, was used as a data collection tool. In order to collect the data, each student was asked to fill in the blanks of the sentence: "Aging is like … because …" .
    The analysis of the data was carried out in five stages: (1) Coding and sorting phase, (2) Sample metaphor image compilation phase, (3) Main theme and sub-themes development phase, (4) The stage of ensuring validity and reliability, and (5) Transferring the data to the computer environment.

    Results:
    Students produced a total of 102 valid metaphors for the concept of aging. The metaphors revealed the students' perceptions of the concept of aging, and four main themes and 11 sub-themes were collected. The main themes were aging as an ending story, as a need for care, attention, and support, as a new beginning, and as a source of life. Sub-themes were acceptance, no turning back, approaching the end, deprivation, helplessness, being dependent, rooting, starting, guiding, being a building block, and being valued.

    Conclusion:
    Nursing students' metaphors about aging are generally negative, but also contain expressions of respect.