[Home ] [Archive]   [ فارسی ]  
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
:: Volume 21, Issue 2 (summer 2019) ::
JHC 2019, 21(2): 135-144 Back to browse issues page
The Study of Self-care and Related Factors in the Elderly with Chronic Diseases in 2018
M Avazeh , N Babaei , S Farhoudi , EA Kalteh , B Gholizadeh
Department of Nursing, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran
Abstract:   (355 Views)
Background & objectives: As people become older, the risk of life with chronic diseases increases, limiting the physical and mental activity of the elderly people and leads to a decline in quality of life. The World Health Organization recommends promoting of self-care for the prevention and treatment of chronic diseases. The aim of this study was to determine the level of self-care and related factors in the elderly with chronic diseases referring to specialty clinics of medical-educational centers of Ardabil.
Methods: In this cross-sectional study, 222 elderly people with chronic diseases (diabetes musculoskeletal, cardiovascular and renal diseases) referring to the specialty clinics of Imam Khomeini, Fatemi and Alavi Hospitals in Ardabil in 2018 were selected by convenience sampling method. Data were collected using a questionnaire including demographic characteristics and Self-care Ability Scale for the Elderly )SASE). Finally, the data were analyzed using descriptive statistics and multivariate logistic regression analysis in SPSS 16 software.
Results: 191 elderly people (86%) had unsatisfactory self-care ability and only 31 of them (14%) showed good self-care ability. Elderly woman showed better self-care than men (p=0.015), while married (p=0.004), divorced (p=0.045), and widowed (p=0.013) patients had poor self-care ability compared to single people.
Conclusions: According to the present study, self-care in the elderly with chronic diseases was assessed unsatisfactory, so planning and implementation of self-care promoting programs for elderly people seems necessary.
Keywords: Elderly, Chronic Diseases, Self-care
Full-Text [PDF 154 kb]   (121 Downloads)    
Type of Study: descriptive-cross-sectional |
Received: 2019/03/8 | Accepted: 2019/05/29 | Published: 2019/06/21
References
1. Lee TW, Ko IS, Lee KJ. Health promotion behaviors and quality of life among community-dwelling elderly in Korea: a cross-sectional survey. International Journal of Nursing Studies. 2006;43(3):293-300. [DOI:10.1016/j.ijnurstu.2005.06.009] [PMID]
2. Rostami M, Baraz PS, Farzianpour F, Rasekh AAR. Effect of Orem self care model on ederies' quality of life in health care centers of MasjedSolaiman in 2007-2008. Arak Medical University Journal. 2009;12(2):51-59 [Persian].
3. Mellor D, Russo S, McCabe MP, Davison TE, George K. Depression training program for caregivers of elderly care recipients: implementation and qualitative evaluation. Journal of Gerontological Nursing. 2008;34(9):8-15. [DOI:10.3928/00989134-20080901-09]
4. Mirzaei M, Shams Ghahfarokhi M. Demography of elder population in Iran over the period 1956 to 2006. Iranian Journal of Ageing. 2007;2(3):326-31 [Persian].
5. Malayeri S, Jafari Z. Frequency distribution of hearing loss among nursing home residents of Tehran province. Razi Journal of Medical Sciences. 2004;11(40):299-306 [Persian].
6. Canbaz S, Sunter AT, Dabak S, Peksen Y. The prevalence of chronic disease and quality of life in elderly people in Samsun. Turkish Journal of Medical Sciences. 2003;33(5):335-40.
7. Fitzgerald MJ. Coping with chronic illness. Philadelphia: Davis Company; 2000.
8. Witham MD, Crighton LJ, McMurdo MET. Using an individualised quality of life measure in older heart failure patients. International Journal of Cardiology. 2007;116(1):40-45. [DOI:10.1016/j.ijcard.2006.03.026] [PMID]
9. Lima MG, Barros MB, Csar CL, Goldbaum M, Carandina L, Ciconelli RM. Impact of chronic disease on quality of life among the elderly in the state of Sao Paulo, Brazil: a population-based study. Revista Panamericana de Salud Publica. 2009;25:314-21. [DOI:10.1590/S1020-49892009000400005] [PMID]
10. Kun LG. Telehealth and the global health network in the 21st century: from homecare to public health informatics. Computer Methods and Programs in Biomedicine. 2001;64(3):155-67. [DOI:10.1016/S0169-2607(00)00135-8]
11. Lawes D. A retrospective review of emergency admission for head injury in the over 75s. Injury. 2002;33(4):349-51. [DOI:10.1016/S0020-1383(02)00075-X]
12. Rao R. Cerebrovascular disease and late life depression: an age old association revisited. International Journal of Geriatric Psychiatry. 2000;15(5):419-33. https://doi.org/10.1002/(SICI)1099-1166(200005)15:5<419::AID-GPS140>3.0.CO;2-9 [DOI:10.1002/(SICI)1099-1166(200005)15:53.0.CO;2-9]
13. Sidani S. Self-care. In: D.M. Dorane (Ed.). Nursing Sensitive Outcomes: The state of the science (2th ed.). Sudbury, Massachusetts: Jones and Bartlett; 2011.
14. Ovayolu OU, Ovayolu N, Karadag G. The relationship between self-care agency, disability levels and factors regarding these situations among patients with rheumatoid arthritis. Journal of Clinical Nursing. 2012;21(1-2):101-10.| [DOI:10.1111/j.1365-2702.2011.03710.x] [PMID]
15. Akyol AD, Chetinkaya Y, Bakan G, Yarali S, Akkush S. Self-care agency and factors related to this agency among patients with hypertension. Journal of Clinical Nursing. 2007;16(4):679-87. [DOI:10.1111/j.1365-2702.2006.01656.x] [PMID]
16. Heo S, Moser DK, Lennie TA, Riegel B, Chung ML. Gender differences in and factors related to self-care behaviors: a cross-sectional, correlational study of patients with heart failure. International Journal of Nursing Studies. 2008;45(12):1807-15. [DOI:10.1016/j.ijnurstu.2008.05.008] [PMID] [PMCID]
17. Coyle KM. The relationship of depressive symptom over time on self care behavior in patient who experience a MI [PhD Thesis]. Washington: The Catholic University of America; 2009
18. Toljamo M, Hentinen M. Adherence to self-care and social support. Journal of Clinical Nursing. 2001;10(5):618-27. [DOI:10.1046/j.1365-2702.2001.00520.x]
19. Shojaei F, Asemi S, Najaf YA, Hosseini F. Self-care behaviors in patients with heart failure. Payesh. 2009;8(4):361-69 [Persian].
20. Abootalebi Daryasari Gh, Vosoghi Karkezloo N, Mohammadnejad E, Namadi Vosooghi M, Akbari Kagi M. Study of the self-care agency in patients with heart failure. Iranian Journal of Critical Care Nursing. 2012;4(4):203-208 [Persian].
21. Stys AM, Kulkarni K. Identification of self-care behaviors and adoption of lifestyle changes result in sustained glucose control and reduction of comorbidities in type 2 diabetes. Diabetes Spectrum. 2007;20(1):55-58. [DOI:10.2337/diaspect.20.1.55]
22. Gohar F, Greenfield SM, Beevers DG, Lip GYH, Jolly K. Self-care and adherence to medication: a survey in the hypertension outpatient clinic. BMC Complementary and Alternative Medicine. 2008;8(1):4. [DOI:10.1186/1472-6882-8-4] [PMID] [PMCID]
23. Nilvarangkul K, Wongprom J, Tumnong C, Supornpun A, Surit P, Srithongchai N. Strengthening the self-care of women working in the informal sector: local fabric weaving in Khon Kaen, Thailand (Phase I). Industrial Health. 2006;44(1):101-7. [DOI:10.2486/indhealth.44.101] [PMID]
24. Yeom HA. Self-care in elders with dementia. Journal of Korean Academy of Nursing. 2004;34(8):1402-8. [DOI:10.4040/jkan.2004.34.8.1402]
25. Tabari R. Nursing theories. Tehran: Boshra; 2003 [Persian].
26. Aggleton P, Chalmers H. Nursing models and nursing practice. Translated by: Tabari R. Tehran: Boshra; 2003 [Persian].
27. Sakhayi S. The study of applying rate of life style healthy promotion method in medical personal. Journal of Tabibe Shargh. 2005;7(2):95-100 [Persian].
28. Baquedano IR, Santos MA, Martins TA, Zanetti ML. Self-care of patients with diabetes mellitus cared for at an emergency service in Mexico. Revista Latino-Americana de Enfermagem. 2010;18(6):1195-202. [DOI:10.1590/S0104-11692010000600021] [PMID]
29. Bagheri Nesami M, Ardeshiri M, Holari B. Self-care behavior and its related factors in the community-dwelling elderlies in Sari, 2014. Journal of Clinical Nursing and Midwifery. 2014;4(4):48-56 [Persian].
30. Sheikh Sharafi H, Seyed amini B. Assessment of health literacy and self-care in heart failure patients. Journal of Health Literacy. 2016;1(4):203-219 [Persian].
31. Senst BL, Achusim LE, Genest RP, Cosentino LA, Ford CC, Little JA, et al. Practical approach to determining costs and frequency of adverse drug events in a health care network. American Journal of Health-System Pharmacy. 2001;58(12):1126-32. [DOI:10.1093/ajhp/58.12.1126] [PMID]
32. Esmaeili Shahmirzadi S, Shojaeizadeh D, Azam K, Salehi L, Tol A, Moradian Sorkhkolaei M. The impact of chronic diseases on the quality of life among the elderly people in the east of Tehran. Payavard. 2012;6(3):225-35 [Persian].
33. Soderhamn U, Bachrach-Lindstrom M, Ek A-C. Self-care ability and sense of coherence in older nutritional at-risk patients. European Journal of Clinical Nutrition. 2008;62(1):96-103. [DOI:10.1038/sj.ejcn.1602691] [PMID]
34. Hashemlo L, Hemmati Maslakpak M, Khalkhali H. The effect of Orem self-care program performance on the self- care ability in elderly. Journal of Urmia Nursing and Midwifery Faculty. 2013;11(2):119-126 [Persian].
35. Khoshtarash M, Momeni M, Ghanbari Khanghah A, Salehzadeh A, Rahmatpour P. Self-care behaviors and related factors in patients with heart failure reffering to medical & educational center of heart in Rasht. Journal of Holistic Nursing and Midwifery. 2013;23(1):22-29 [Persian].
36. Esmaeli M, Alikhani M, Gholamaragi M, Hosseini F. The quality of life and self efficacy of the patients under hemodialysis. Iran Journal of Nursing. 2005;18(41):77-84 [Persian].
Send email to the article author

Add your comments about this article
Your username or Email:

CAPTCHA



XML   Persian Abstract   Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Avazeh M, Babaei N, Farhoudi S, Kalteh E, Gholizadeh B. The Study of Self-care and Related Factors in the Elderly with Chronic Diseases in 2018. JHC. 2019; 21 (2) :135-144
URL: http://hcjournal.arums.ac.ir/article-1-1060-en.html


Volume 21, Issue 2 (summer 2019) Back to browse issues page
مجله سلامت و مراقبت Journal of Health and Care
Persian site map - English site map - Created in 0.12 seconds with 31 queries by YEKTAWEB 3986