Showing 3 results for Nursing Home
Mahnaz Mardani, Amir Abbasnezhad, Maryam Rezapour, Sepideh Rostami, Maryam Bonyadi, Farzad Ebrahimzadeh, Razieh Choghakhori,
Volume 16, Issue 2 (6-2018)
Abstract
Objectives: Elderly nursing homes residents are at an increased risk of malnutrition due to a variety of factors. We aimed at investigating the prevalence of malnutrition and its correlation with elderly subjects using Mini Nutritional Assessment (MNA) questionnaire.
Methods: This cross-sectional study was conducted on elderly individuals (N=56; female=28) dwelling in the Sedigh Nursing Home in Khorramabad, Iran, in 2015. Nutritional status was assessed using MNA, which consisted of anthropometric measurements, global assessment, dietary questionnaire and subjective assessment.
Results: The participants’ mean age was 74.86 (SD=±11.82) years. The mean MNA-score of the subjects was 19.46 (SD=±3.23). The prevalence of malnutrition and at risk of malnutrition were 20% and 70%, respectively. No significant difference (P>0.05) was observed between male and female, age subgroups, marital status, education levels and different cut-off points of the Body Mass Index (BMI), Mid-Arm Circumferences (MACs) and Calf Circumferences (CCs) regarding the nutritional status of subjects. Malnutrition and risk of malnutrition were observed significantly and more frequently in elderly who had weight loss greater than 3 kg, took more than three prescription drugs per day and had low/moderate protein intake (P<0.05). The MNA-score was independently associated with age, weight, BMI, MACs, CCs and food intake during last 3 months (P<0.05).
Discussion: According to high prevalence of malnutrition and risk of malnutrition among the subjects, proper nutritional interventions are required. Longitudinal studies on elderly and primary prevention by lifestyle interventions according to the culture and habits of the region are recommended.
Mahsa Fadavi-Ghaffari, Akram Azad, Mahsa Meimandi, Zohre Arani-Kashani, Hamze Ghorbanpoor,
Volume 17, Issue 3 (9-2019)
Abstract
Objectives: The elderly residents of nursing homes experience falling at least once a year. The fear of falling influences the quality of life and causes limitations in their daily living activities. Therefore, this study aimed to translate the Falls Efficacy Scale (FES) and investigate its validity and reliability in the elderly Iranian residents of nursing homes.
Methods: The current methodological study was conducted on 100 healthy 60-87 years older adults in Tehran City, Iran. The subjects were selected by convenience sampling method. The translation was conducted using forward-backward procedure. The face and content validities of the scale were determined by impact score, Content Validity Index (CVI), and Content Validity Ratio (CVR). We established the construct validity by Exploratory Factor Analysis (EFA), applying principal component analysis by varimax rotation. The scale’s convergent validity was examined using the Spearman correlation coefficient with the Falls Efficacy Scale-International (FES-I) and Single Item Question (SIQ). Cronbach's α and Intra-Class Correlation (ICC) were calculated to investigate the scale’s internal consistency and test-retest reliability. There were 4-7 days of interval for assessing the test-retest reliability.
Results: The CVR and CVI of all items were greater than 0.57 and 0.79, respectively. The obtained results suggested an impact score higher than 1.5 for each item. The EFA results indicated two factors in the FES. Convergent validity revealed very high to high correlation between the FES and FES-I (rho=0.92, P<0.0001), and SIQ (rho=0.72, P<0.0001). Excellent internal consistency (α=0.95) and test-retest reliability (ICC=0.98) were reported for the scale.
Discussion: The obtained results indicated that the original version of FES was a reliable and valid tool for assessing the fear of falling among the elderly residents of nursing homes.
Hakime Pashazade, Yadollah Abolfathi Momtaz, Ghonche Raheb,
Volume 20, Issue 1 (3-2022)
Abstract
Objectives: As the elderly population increases, the need for their care and establishing nursing homes and hiring formal caregivers becomes more significant. Caregivers are under the pressure and burden of care due to the provision of services. The current study investigates the effect of Cognitive-Behavioral Therapy (CBT)-based social work intervention on the extent of care burden among the formal caregivers of the elderly.
Methods: This research was a quasi-experimental study with a pretest-posttest-follow-up design. The study’s statistical population comprised the formal caregivers of the elderly. The study sample consisted of 30 caregivers (15 men and 15 women), who were selected by convenience sampling method. The study participants received seven 90-min intervention sessions (CBT-based social work). The intervention protocol was validated by the Agree form using expert opinion evaluation. For data collection, the Zarit caregiver burden interview (short-form) was used. This scale has been validated by Rajabi Mashhadi et al. (2014) in Iran.
Results: The care burden score of the explored participants was 24.20, within the average level. The repeated-measures analysis of variance revealed that the presented intervention provided a significant difference between the two stages of pretest and posttest in physical (P=0.004) and psychological (P=0.05) dimensions. Also, the changes in the study variables remained constant until the follow-up stage.
Discussion: The obtained data indicate that the provided CBT-based social work intervention with the dimensions of identifying and accessing supportive resources, modifying attitude, and relaxation training can reduce the burden of care in physical, psychological, and general aspects among the study subjects. Therefore, more use of this intervention by specialists can affect the care burden of formal caregivers. The present research results also highlight the necessity for the attention of nursing home officials, social policymakers, and professionals active in the field of elderly care.
