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Keresési eredmények
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COVID-19, lockdown, elderly. Experiences of the follow up research among active older adults 2020-2021.
40-42Megtekintések száma:129Introduction, 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. -
Gerontofitnesz – A rendszeres testmozgás jótékony hatása az idősödő emberek testi-lelki egészségére
53-64.Megtekintések száma:295Az egész életen át tartó fejlődésben rendkívül nagy szerepe van a testmozgásnak, így az időskorban is nagyon jelentős. Akik rendszeresen sportolnak jobb szív és érrendszeri állapotnak örvendenek, kielégítőbb állapotban marad a mozgató szervrendszerük, kevésbé panaszkodnak depresszióra, alvászavarokra, magabiztosabbak és önállóbbak még idősebb korban is.
A rekreációs sportok kiterjednek a hétköznapi emberek széles körére, akik számára a mindennapi élet szempontjából szükséges fitnesz biztosítása a cél. Új fogalomként megjelenik a gerontofitnesz, mely az idősek által végzett sporttevékenységgel és azok jótékony hatásaival foglalkozik. Napjainkban elterjedtek az olyan programok, amelyekkel az idős embereket rendszeres testmozgásra sarkallják. Ugyanakkor ezek megvalósítása számos akadályba ütközik, hiszen az idősek fizikai aktivitását olyan kulturális tényezők, sztereotípiák, attitűdök és elvárások is befolyásolják, amelyek inkább az inaktivitás irányába hatnak. -
Comparison of sociodemographic characteristics in nursing home residents and community-dwelling elders
19-29Megtekintések száma:103Purpose: This study aimed to compare the sociodemographic characteristics in nursing home residents and community-dwelling elders.
Methods: This descriptive study consisted of 342 older people between October and November 2019 (nursing home = 79, community-dwelling = 263). The data were collected by “Questionnaire Form for Individuals Living in Nursing Homes” and “Questionnaires for Individuals Living in Community-Dwelling." Comparisons between groups were made with the chi-square test. Descriptive characteristics were presented as numbers, percentage, mean, standard deviation, min. and max. scores.
Results: The average age of the elderly living in a nursing home was 77.35±7.40 (min: 66, max: 97). Before coming to the nursing home, 38.0% lived with their spouses. The average age of community-dwelling older people was 70.90±5.57 (min: 65, max: 88). Of community-dwelling older people, 81.7% lived with their families. There was a significant difference between both groups regarding age, income status, having a child, having a physical disability, using dentures, ability to maintain activities of daily living, self-confidence, sleep problems, social activity, smoking rates, and history of visiting a nursing home (p < 0.05).
Conclusion: Compared to the community-dwelling older people, the elderly living in a nursing home were more senior, lonely, had a lower income, had higher physical disabilities, had lower social activity and self-confidence, had more sleep problems, and smoked.
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Subjective Assessments of the Disease Seriousness in the Population Aged 60+
19-20Megtekintések száma:66The population aged 60+ constitute a considerable part of patients needing nursing care. A subjective assessment represents an important aspect that needs to be respected in nursing care and included in the care provided.
The goal of the paper is to draw attention to the importance of a subjective assessment in the population aged 60+.Method:
The study was performed in the South Bohemian Region. The study was quantitative and this part was carried out using a non-standardized questionnaire. The questions were particularly focused on the assessment of the social situation, health and everyday activities. The study was focused on the population aged 60+; it included the total number of 498 respondents.Results:
Motor diseases, followed by cardiovascular and respiratory diseases, were perceived as the most serious. Motor and malignant diseases had the highest influence on performing everyday activities. On the other hand, these activities were least influenced by cardiovascular diseases. The worst assessment for the physical and psychological state was awarded by respondents with cancer, which was also reflected in low satisfaction. Respondents with cardiovascular or metabolic diseases perceived their physical and psychological health best. However, from the point of view of the assessment, it needs to be mentioned in which environment the respondents lived. E.g., respondents with cardiovascular diseases mostly stayed at the home setting, which could influence their assessment and their satisfaction with the state of health. Respondents with malignant diseases spent more time at hospitals or nursing homes, which can influence the assessment of their state of health.
The results show that the patient subjective views of their own disease and associated issues need to be included both in the nursing care and in the comprehensive multidisciplinary care. This sensitive information cannot be obtained from any objective assessments performed in nursing care. -
Association between leisure activities, anxiety, depression and well-being of older adults living in nursing homes in Slovakia
40-41Megtekintések száma:35Engaging in leisure activities (LA) is associated with physical, psychological and social benefits leading to feelings of happiness, life satisfaction and successful ageing in older adults.
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Staff Training and Stress in Long Term Care Facilities Special Care Units for Alzheimer's Elders
43-44Megtekintések száma:57Objective:
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. -
Állatterápia hatása idősek distressz állapotára
78-91.Megtekintések száma:218Az állat-asszisztált terápiát (AAT), mint módszert Boris Levinson amerikai pszichológus dolgozta ki az 1960-as években. Kutatásunk célja megvizsgálni, hogy milyen különbségek vannak a distressz állapotban, állatbaráttal rendelkező, valamint állatbarát nélküli egyedül élő idősek között. Összesen 111 személy vett részt a kérdőíves felmérésben és 20 személy a kutatásban. Az időseket beavatkozás előtt-után egyénenként, objektív pszichológiai módszerekkel felmértük (DASS-Depresszió, Szorongás és Stressz Skálával), hogy képet kapjunk a beavatkozás sikeréről. Az eredmények alapján, feltételezésünk igaznak bizonyult, az állatterápiának van hatása az idősek distressz állapotára. Hatékonyan használható terápiás módszer, depresszió, szorongás és stressz kezelésére.
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Social well-being of the elderly in Hungary
22-24Megtekintések száma:38In our study, we intended to identify the components of social well-being in the elderly. An examination of the intrapsychic and the interpersonal aspect also played a role in our research. A number of areas were measured by a questionnaire, such as traits, social well-being, the amount of exercise and the range of daily activities.
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Quality of life for social care centre clients
11-13Megtekintések száma:70Introduction:
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. -
A comparative analysis of the community-based care and program for the elderly in the Seychelles and Mauritius Islands
71-75Megtekintések száma:24The World Health Organization describes an elderly person as someone who is aged 60 years and older and further predicts that by 2030, the number of older people will rise by 1.4 billion (WHO, 2017). This phenomenon has not spared the Small Island Developing States (SIDS); according to the United Nations (2023), they anticipated growth from 6.5 to 14.0 million older persons between 2021 and 2050. Undoubtedly, these figures are indicative of significant growth in the aging population across the world, and this is merely the chronological age; needless to say, numerous physical, psychological, and environmental factors can impede longevity and healthy aging.
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Challenges to Mental Health Security and Safety of Older Adults in the U.S.
3Megtekintések száma:102Although rates of Covid-19 infection are lower for older adults, the mortality rates are higher than all other ages. While the health challenges are evident, the mental health effects of the pandemic are less evident. The term “compassionate ageism” has been used to describe protection of all older adults as vulnerable groups, however it overlooks individual factors that may mitigate risk and enhance mental health aspects of coping with the realities of the pandemic. Isolation and separation from families and once enjoyed activities, whether residing in their own homes or long-term care facilities, has taken an immeasurable physical and mental health toll on older adults. Safety and security for mental health as well as physical health must be considered in any strategy to try mitigate the effects on the quality of life of older adults during this critical time in our history.
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Elderly Service Officer Trainings
15-16Megtekintések száma:107Introduction One of the challenges that stands before the aging population is the integration and mental and physical wellbeing of the elderly, and building the culture of active ageing. Meeting this challenge requires the activity of professionals who, in alliance with the work and services of the local governments, will become able to organise programmes that meet the needs and demands of the older citizens.
This objective is targeted by the Elderly Service Officer Trainings provided by Family-Friendly Country Public Beneficiary Ltd.
Methods: Our goal is to enable future Elderly Service Officers to actively contribute and enforce lawful practice to preparing, organising and implementing local civil programmes that target active aging; to recognise the special needs of the older citizens; and to orient within the legal environment of the programmes for the elderly. They should become able to co-operate efficiently with local government officials and NGOs supporting active ageing.
Training topics: 1. Active ageing and mental wellbeing, 2. Community development, networking, volunteering, 3. Environment for active ageing, 4. Planning and implementing elderly friendly programmes.
As regards to monitoring effectiveness, above activity indicators, we survey the changes of attitudes among trainees, and further activities of the Elderly Service Officers. The effectiveness studies are in progress.
Results: Since May 2019, 16 study groups with 238 attendees have been launched (11 in Budapest és 5 on the countryside), and 12 groups have finished, yielding 144 certified trainees. We are planning a further set of 23 groups for 2021, in order to achieve the planned number of participants of 1000.
Discussion: Further development of the training will depend on our future results.
Supported by: Grant No. EFOP-1.2.6-VEKOP-17-2017-00001, „Family Friendly Country Project.
References:
L Patyán, JI Tóth, AM Tróbert, R Wernigg: Methodology to Aid the Community Inclusion and Person-Centered Care of Older Generations. Family-Friendly Country Public Beneficiary Ltd., 2019.
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Tevékeny időskor, aktív és sikeres idősödés
73-96Megtekintések száma:532Háttér és célkitűzések: Kutatásunk célja az idős emberek idősödéshez való viszonyának, a rendelkezésre álló és ebből megvalósított aktivitásának, közösségi bevonódásának, valamint a sikeres idősödésről alkotott laikus véleményének a kvalitatív vizsgálata volt.
Módszer: A kutatás során félig strukturált interjúk felvételére került sor, az interjúkat tartalomelemzéssel értékeltük.
Eredmények és következtetések: Az idősek szerint a sikeres idősödéshez főként testi vagy mentális egészség, az aktivitás megőrzése, tevékeny életmód, pozitív életszemlélet, jó családi környezet, társas kapcsolatok, anyagi biztonság, célok, motiváció, sikerélmények, előre tervezés, társas támasz megléte szükséges.