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Bakım evlerinde yaşayan 60 yaş üstü bireylerin etkin yaşlanma konusunda tutum ve davranışlarının belirlenmesi

Year 2014, Volume: 27 Issue: 2, 144 - 148, 20.05.2014

Abstract

Amaç: Yaşlanmayla beraber açığa çıkan sağlık sorunlarının
belirlenmesi birey ve toplum sağlığı açısından oldukça önemlidir.
Çalışmamızda amaç, katılımcıların; beslenme, fiziksel ve sosyal
aktivite gibi günlük alışkanlıklarının ve sağlıkla ilişkili
davranışlarının ve kronik sağlık sorunlarının belirlenmesidir.
Hastalar ve Yöntem: Araştırma kesitsel tiptedir. Çalışmaya
farklı huzurevi ve bakımevlerinde yaşayan, akıl sağlığı yerinde 60
yaş üstü 175 kişi katılmıştır. Yüz yüze görüşmeyle yapılan mini
mental testin ardından çalışmanın anketi, geriatrik depresyon ve
günlük temel yaşam aktiviteleri (aktivitelerinde başkasına bağımlı
olma) ölçekleri uygulanmıştır.
Bulgular: Katılımcıların 85 (%48,6)‘i erkekti. Tüm
katılımcıların %42,3’ü hayatları boyunca düzenli olarak hiç
fiziksel egzersiz yapmamıştı. Günlük yaşam aktivitelerinde
bağımsız olanlarda düzenli fiziksel egzersiz yapma sıklığı daha
fazla idi (p=0,005). Beden kitle indeksi arttıkça depresyon
(p=0,012) ve bağımlılığın (p=0,010) arttığı tesbit edildi. Sürekli
ilaç kullananlarda depresyon, sürekli ilaç kullanmayanlara göre
oldukça fazla idi (p=0,002). Katılımcıların çalışma yılları arttıkça
bağımlılıklarının, istatistiksel anlamlılık olmaksızın azaldığı
gözlenmiştir.
Sonuç: Fiziksel egzersiz ve aktif çalışma hayatı ile ilerideki
yaşlarda başka bir kişiye bağımlı olarak yaşama arasında ters
orantılı ilişki saptanmıştır. Kronik sağlık sorunu nedeniyle ilaç
kullanan bireylerde depresyon görülme sıklığı yüksek
bulunmuştur. Beden kitle endeksinin artması ile depresyon ve
bağımlılık arasında doğru orantılı ilişki vardır.

References

  • 1. Definition of an older or elderly person. http://www.who.int/healthinfo/ survey/ageingdefnolder/en/. Access date: October 2013
  • 2. Aydin ZD. The aging world and education in geriatrics. Turkish J Geriatr 1999;2: 179-87.
  • 3. Aslan D, Kanuncu S, Gökçe-Kutsal Y. Ankara Tabip Odasına kayıtlı 65 yaş ve üzeri hekimlerin profili. Ankara: Mattek Matbaacılık, 2009. ISBN: 978-605-5867-21-8
  • 4. Active Ageing. A Policy Framework. WHO publications 2002. http:// whqlibdoc.who.int/hq/2002/WHO_NMH_NPH_02.8.pdf. Access date: October 2013
  • 5. World Health Organization, WHOQOL Measuring Quality of Life. Geneva, 1997. http://www.who.int/mental_health/media/68.pdf Access date: 13.07.2013
  • 6. Arslan Ş, Gökçe-Kutsal Y. Quality of Life assessments in geriatrics. Turkish J Geriatr 1999; 2: 173-8.
  • 7. Kaya B. Late life and depression: Diagnosis and assessment. Turkish J Geriatr 1999; 2 : 72-82.
  • 8. Sahin EM, Yalcin BM. Comparing the incidences of depression in the elderly living in Nursing Home or at Their Own Homes. Turkish J Geriatr 2003; 6: 10-3.
  • 9. Keskinoglu P, Ucku R, Yener G, Yaka E, Kurt P, Tunca Z. Reliability and validity of revised Turkish version of Mini Mental State Examination (rMMSE-T) in community-dwelling educated and uneducated elderly. Int J Geriatr Psychiatry 2009;24:1242-50. doi: 10.1002/gps.2252
  • 10. Ertan T, Eker E. Reliability, validity, and factor structure of the geriatric depression scale in Turkish elderly: Are there different factor structures for different cultures? International Psychogeriatrics 2000;12:163-72. doi: 10.1017/S1041610200006293
  • 11. Reijneveld SA, Spijker J, Dijkshoorn H. Katz’ ADL index assessed functional performance of Turkish, Moroccan, and Dutch elderly. J Clin Epidemiol 2007;60:382-8. doi: 10.1016/j.jclinepi.2006.02.022
  • 12. WHO report on the global tobacco epidemic, 2013: enforcing bans on tobacco advertising, promotion and sponsorship, Geneva 2013.
  • 13. Caraballo RS, Kruger J, Asman K, et al. Relapse among cigarette smokers: The CARDIA longitudinal study -1985-2011. Addict Behav 2014;39:101-6. doi: 10.1016/j.addbeh.2013.08.030.
  • 14. Wannamethee SG, Shaper AG, Walker M. Changes in physical activity, mortality, and incidence of coronary heart disease in older men. Lancet 1998;351:1603–8.
  • 15. Oguma Y, Shinoda-Tagawa T. Physical activity decreases cardiovascular disease risk in women: Review and meta-analysis. Am J Prev Med 2004;26:407–18.
  • 16. Dunn AL, Trivedi MH, O’Neal HA. Physical activity dose-response effects on outcomes of depression and anxiety. Med Sci Sport Exerc 2001;33:587–97.
  • 17. Takahashi M, Miyashita M, Park JH, et al. The association between physical activity and sex-specific oxidative stress in older adults. J Sports Sci Med 2013;12:571-8. doi: 10.1016/j.jclinepi.2006.02.022
  • 18. Sun F, Norman IJ, While AE. Physical activity in older people: a systematic review. BMC Public Health 2013;13:449. doi: 10.1186/1471-2458-13-449
  • 19. Akman M, Budak Ş, Kendir M. Obesity and related health problems: an adult outpatient clinical setting. Marmara Med J 2004;17;113-20.
  • 20. Kearns B, Ara R, Young T, Relton C. Association between body mass index and health-related quality of life, and the impact of self-reported long-term conditions -- cross-sectional study from the south Yorkshire cohort dataset. BMC Public Health 2013;13:1009. doi: 10.1186/1471- 2458-13-1009
  • 21. Bahar A, Tutkun H, Sertbaş G. The determination of the level of anxiety and depression of old people who live in the nursing home. Anatolian Journal of Psychiatry 2005; 6:227-39.
  • 22. Uçku R, Küey L. Yaşlılarda depresyon epidemiyolojisi-yarı kentsel bir bölgede 65 yaş üzeri yaşlılarda kesitsel bir alan çalışması. Nöropsikiyatri Arşivi 1992; 29:15-20.
  • 23. Lebowitz BD, Pearson JL, Schneider LS, et al. Diagnosis and treatment of depression in late life: Consensus statement update. JAMA 1997;278:1186-90. doi: 10.1001/jama.1997.03550140078045

Determination of attitudes and behaviours in relation to active aging in individuals aged over 60 who are living in nursing homes

Year 2014, Volume: 27 Issue: 2, 144 - 148, 20.05.2014

Abstract

Aim: As the population ages, it is important to recognize the health
problems of the elderly in relation to individual and public health
issues. Our aim was to determine the daily habits and health-related
behaviours of an aging population concerning factors such as
nutritional status, physical and social activity levels and chronic
health problems.
Patients and Methods: This is a cross-sectional study. The
study included 175 participants over 60 years of age that were
mentally healthy and living in different nursing homes. A minimental test, a study questionnaire, a geriatric depression scale and
an activities of daily living (ADL, physically dependent on others)
scale were applied to the participants face to face.
Results: Eighty-five (48.6%) of the participants were male.
42.3% of the participants did not do any regular physical exercise in
their life time. The frequency of regular physical exercise was
higher in the physically non-dependent to others (p=0.005) group in
the ADL scale. Depression and ADL scores increased with
increasing body mass index (BMI) (p= 0.012 and p= 0.010,
respectively). In continuous medication users depression is quite
high when compared to those who do not use medication constantly
(p= 0.002). With increasing working years, there was a tendency to
a decrease in scores of the physically dependent on others group in
ADL.
Conclusion: Regular physical exercise and an active work history
both have a negative correlation on dependency in ADL in later years.
Depression is more common among individuals who are on
medication due to chronic health problems. A greater BMI was related
to a higher frequency of depression and to dependency in ADL. 

References

  • 1. Definition of an older or elderly person. http://www.who.int/healthinfo/ survey/ageingdefnolder/en/. Access date: October 2013
  • 2. Aydin ZD. The aging world and education in geriatrics. Turkish J Geriatr 1999;2: 179-87.
  • 3. Aslan D, Kanuncu S, Gökçe-Kutsal Y. Ankara Tabip Odasına kayıtlı 65 yaş ve üzeri hekimlerin profili. Ankara: Mattek Matbaacılık, 2009. ISBN: 978-605-5867-21-8
  • 4. Active Ageing. A Policy Framework. WHO publications 2002. http:// whqlibdoc.who.int/hq/2002/WHO_NMH_NPH_02.8.pdf. Access date: October 2013
  • 5. World Health Organization, WHOQOL Measuring Quality of Life. Geneva, 1997. http://www.who.int/mental_health/media/68.pdf Access date: 13.07.2013
  • 6. Arslan Ş, Gökçe-Kutsal Y. Quality of Life assessments in geriatrics. Turkish J Geriatr 1999; 2: 173-8.
  • 7. Kaya B. Late life and depression: Diagnosis and assessment. Turkish J Geriatr 1999; 2 : 72-82.
  • 8. Sahin EM, Yalcin BM. Comparing the incidences of depression in the elderly living in Nursing Home or at Their Own Homes. Turkish J Geriatr 2003; 6: 10-3.
  • 9. Keskinoglu P, Ucku R, Yener G, Yaka E, Kurt P, Tunca Z. Reliability and validity of revised Turkish version of Mini Mental State Examination (rMMSE-T) in community-dwelling educated and uneducated elderly. Int J Geriatr Psychiatry 2009;24:1242-50. doi: 10.1002/gps.2252
  • 10. Ertan T, Eker E. Reliability, validity, and factor structure of the geriatric depression scale in Turkish elderly: Are there different factor structures for different cultures? International Psychogeriatrics 2000;12:163-72. doi: 10.1017/S1041610200006293
  • 11. Reijneveld SA, Spijker J, Dijkshoorn H. Katz’ ADL index assessed functional performance of Turkish, Moroccan, and Dutch elderly. J Clin Epidemiol 2007;60:382-8. doi: 10.1016/j.jclinepi.2006.02.022
  • 12. WHO report on the global tobacco epidemic, 2013: enforcing bans on tobacco advertising, promotion and sponsorship, Geneva 2013.
  • 13. Caraballo RS, Kruger J, Asman K, et al. Relapse among cigarette smokers: The CARDIA longitudinal study -1985-2011. Addict Behav 2014;39:101-6. doi: 10.1016/j.addbeh.2013.08.030.
  • 14. Wannamethee SG, Shaper AG, Walker M. Changes in physical activity, mortality, and incidence of coronary heart disease in older men. Lancet 1998;351:1603–8.
  • 15. Oguma Y, Shinoda-Tagawa T. Physical activity decreases cardiovascular disease risk in women: Review and meta-analysis. Am J Prev Med 2004;26:407–18.
  • 16. Dunn AL, Trivedi MH, O’Neal HA. Physical activity dose-response effects on outcomes of depression and anxiety. Med Sci Sport Exerc 2001;33:587–97.
  • 17. Takahashi M, Miyashita M, Park JH, et al. The association between physical activity and sex-specific oxidative stress in older adults. J Sports Sci Med 2013;12:571-8. doi: 10.1016/j.jclinepi.2006.02.022
  • 18. Sun F, Norman IJ, While AE. Physical activity in older people: a systematic review. BMC Public Health 2013;13:449. doi: 10.1186/1471-2458-13-449
  • 19. Akman M, Budak Ş, Kendir M. Obesity and related health problems: an adult outpatient clinical setting. Marmara Med J 2004;17;113-20.
  • 20. Kearns B, Ara R, Young T, Relton C. Association between body mass index and health-related quality of life, and the impact of self-reported long-term conditions -- cross-sectional study from the south Yorkshire cohort dataset. BMC Public Health 2013;13:1009. doi: 10.1186/1471- 2458-13-1009
  • 21. Bahar A, Tutkun H, Sertbaş G. The determination of the level of anxiety and depression of old people who live in the nursing home. Anatolian Journal of Psychiatry 2005; 6:227-39.
  • 22. Uçku R, Küey L. Yaşlılarda depresyon epidemiyolojisi-yarı kentsel bir bölgede 65 yaş üzeri yaşlılarda kesitsel bir alan çalışması. Nöropsikiyatri Arşivi 1992; 29:15-20.
  • 23. Lebowitz BD, Pearson JL, Schneider LS, et al. Diagnosis and treatment of depression in late life: Consensus statement update. JAMA 1997;278:1186-90. doi: 10.1001/jama.1997.03550140078045
There are 23 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Student's Corner
Authors

Pinar Kuru This is me

Yusuf Kellecı This is me

Gokhan Gulsayar This is me

Muhammet Emin Armagan This is me

Can Erzık This is me

Publication Date May 20, 2014
Published in Issue Year 2014 Volume: 27 Issue: 2

Cite

APA Kuru, P., Kellecı, Y., Gulsayar, G., Armagan, M. E., et al. (2014). Determination of attitudes and behaviours in relation to active aging in individuals aged over 60 who are living in nursing homes. Marmara Medical Journal, 27(2), 144-148.
AMA Kuru P, Kellecı Y, Gulsayar G, Armagan ME, Erzık C. Determination of attitudes and behaviours in relation to active aging in individuals aged over 60 who are living in nursing homes. Marmara Med J. May 2014;27(2):144-148.
Chicago Kuru, Pinar, Yusuf Kellecı, Gokhan Gulsayar, Muhammet Emin Armagan, and Can Erzık. “Determination of Attitudes and Behaviours in Relation to Active Aging in Individuals Aged over 60 Who Are Living in Nursing Homes”. Marmara Medical Journal 27, no. 2 (May 2014): 144-48.
EndNote Kuru P, Kellecı Y, Gulsayar G, Armagan ME, Erzık C (May 1, 2014) Determination of attitudes and behaviours in relation to active aging in individuals aged over 60 who are living in nursing homes. Marmara Medical Journal 27 2 144–148.
IEEE P. Kuru, Y. Kellecı, G. Gulsayar, M. E. Armagan, and C. Erzık, “Determination of attitudes and behaviours in relation to active aging in individuals aged over 60 who are living in nursing homes”, Marmara Med J, vol. 27, no. 2, pp. 144–148, 2014.
ISNAD Kuru, Pinar et al. “Determination of Attitudes and Behaviours in Relation to Active Aging in Individuals Aged over 60 Who Are Living in Nursing Homes”. Marmara Medical Journal 27/2 (May 2014), 144-148.
JAMA Kuru P, Kellecı Y, Gulsayar G, Armagan ME, Erzık C. Determination of attitudes and behaviours in relation to active aging in individuals aged over 60 who are living in nursing homes. Marmara Med J. 2014;27:144–148.
MLA Kuru, Pinar et al. “Determination of Attitudes and Behaviours in Relation to Active Aging in Individuals Aged over 60 Who Are Living in Nursing Homes”. Marmara Medical Journal, vol. 27, no. 2, 2014, pp. 144-8.
Vancouver Kuru P, Kellecı Y, Gulsayar G, Armagan ME, Erzık C. Determination of attitudes and behaviours in relation to active aging in individuals aged over 60 who are living in nursing homes. Marmara Med J. 2014;27(2):144-8.