Home-based supportive and health care services based on functional ability in older adults in Iran

被引:1
作者
Mobasseri, Khorshid [1 ,2 ]
Matlabi, Hossein [2 ,3 ]
Allahverdipour, Hamid [4 ]
Kousha, Ahmad [4 ]
机构
[1] Tabriz Univ Med Sci, Student Res Comm, Tabriz, Iran
[2] Tabriz Univ Med Sci, Fac Hlth Sci, Dept Geriatr Hlth, Tabriz, Iran
[3] Tabriz Univ Med Sci, Aging Res Inst, Res Ctr Integrat Med Aging, Tabriz, Iran
[4] Tabriz Univ Med Sci, Fac Hlth Sci, Dept Hlth Educ & Promot, Tabriz, Iran
关键词
Activities of daily living; family caregiver; home care services; regression analysis; social support; INSTRUMENTAL ACTIVITIES; SOCIAL-ISOLATION; RISK-FACTORS; DISABILITY; LONELINESS; PATTERNS; FAMILY;
D O I
10.4103/jehp.jehp_422_23
中图分类号
G40 [教育学];
学科分类号
040101 ; 120403 ;
摘要
BACKGROUND: Home-based care is affordable due to population aging, increased chronic disease, and higher hospitalization costs. The objective was to evaluate home-based supportive and health care services provided to older adults and identify possible associations between activities of daily living (ADLs), instrumental ADL (IADLs) classifications, sociodemographic variables, clinical characteristics, and perceived social support among older adults. MATERIALS AND METHODS: In this cross-sectional study, 700 people aged 60 years and older were selected by stratified cluster sampling. Areas of Tabriz City were selected as clusters, and 55 comprehensive urban health centers were selected as stratifies. Chi-square, Pearson's and Spearman's tests, and multiple linear regression were used for statistical analyses. Statistical analysis was performed using the Statistical Package for Social Sciences (SPSS 24.0, SPSS Inc., Chicago, USA). The study instrument included demographic characteristics of older adults and caregivers, health services provided at home, and two valid questionnaires, including the KATZ index of independence in (instrumental) activities of daily living and a multidimensional scale of perceived social support. Scores on scales and demographic variables were collected during telephone interviews. The study lasted from April 25, 2022, to October 30, 2022. RESULTS: A high level of perceived social support was 56.6%. The study found that 51.3% of participants had family caregivers. Most participants had ADL independence (85.4%), while 22.9% and 24.3% were dependent and needed assistance with IADL, respectively. Women had a lower ADL score and a higher IADL score than men (P < 0.05). The obtained results of multiple regression analysis revealed a negative and significant association between unemployment, illiteracy, increasing age, five and more medications, and ADL and IADL dependency (P < 0.05). CONCLUSION: Empowering older adults to reduce dependency, and designing a formal home-based care system is recommended.
引用
收藏
页数:10
相关论文
共 55 条
[1]   Elder Care in Iran: A Case with a Unique Demographic Profile [J].
Amini, Reza ;
Chee, Kyong Hee ;
Keya, Sen ;
Ingman, Stanley Rusk .
JOURNAL OF AGING & SOCIAL POLICY, 2021, 33 (06) :611-625
[2]   Comparative study between formal and informal caregivers of older adults [J].
Andreotti Diniz, Maria Angelica ;
de Souza Melo, Beatriz Rodrigues ;
Neri, Karolina Helena ;
Casemiro, Francine Golghetto ;
Figueiredo, Leandro Correa ;
Leonardo de Oliveira Gaioli, Cheila Cristina ;
Martins Gratao, Aline Cristina .
CIENCIA & SAUDE COLETIVA, 2018, 23 (11) :3789-3798
[3]  
Azadbakht M., 2016, J Mazandaran Univ Med Sci, V25, P103
[4]   Comorbidities, polypharmacy, functionality and nutritional status in Turkish community-dwelling female elderly [J].
Bahat, Gulistan ;
Tufan, Fatih ;
Bahat, Zumrut ;
Tufan, Asli ;
Aydin, Yucel ;
Akpinar, Timur Selcuk ;
Nadir, Sevilay ;
Erten, Nilgun ;
Karan, Mehmet Akif .
AGING CLINICAL AND EXPERIMENTAL RESEARCH, 2014, 26 (03) :255-259
[5]   Comparison of Population Aging in Europe and Asia Using a Time-Consistent and Comparative Aging Measure [J].
Balachandran, Arun ;
de Beer, Joop ;
James, K. S. ;
van Wissen, Leo ;
Janssen, Fanny .
JOURNAL OF AGING AND HEALTH, 2020, 32 (5-6) :340-351
[6]   Structural and Contextual Dimensions of Iranian Primary Health Care System at Local Level [J].
Baygi, Mehdi Zanganeh ;
Seyedin, Hesam ;
Salehi, Masoud ;
Sirizi, Mehdi Jafari .
IRANIAN RED CRESCENT MEDICAL JOURNAL, 2015, 17 (01)
[7]  
Bemis A., 2008, Agency for Health Care and Quality (US)
[8]   DISABILITY IN THE INDIVIDUAL ADL, IADL, AND MOBILITY AMONG OLDER ADULTS: A PROSPECTIVE COHORT STUDY [J].
Bleijenberg, N. ;
Zuithoff, N. P. A. ;
Smith, A. K. ;
de Wit, N. J. ;
Schuurmans, M. J. .
JOURNAL OF NUTRITION HEALTH & AGING, 2017, 21 (08) :897-903
[9]   The uniqueness of elderly care: Registered nurses' experience as preceptors during clinical practice in nursing homes and home-based care [J].
Carlson, Elisabeth ;
Bengtsson, Mariette .
NURSE EDUCATION TODAY, 2014, 34 (04) :569-573
[10]   Ageing populations: the challenges ahead [J].
Christensen, Kaare ;
Doblhammer, Gabriele ;
Rau, Roland ;
Vaupel, James W. .
LANCET, 2009, 374 (9696) :1196-1208