JOURNAL OF GERONTOLOGY (JOGE)
Year:2020 | Volume:4 | Issue:4|Papers Count:8

Introduction: Suicide is one of the major challenges of the elderly period that needs to be recognized in order to provide preventive and therapeutic strategies. The purpose of this study was to predict suicidal ideation based on coping strategies and meaning in life in the elderly. Methods: The research method was descriptive-analytical. The statistical population included all elderly men and women, 60 years and older in Tehran that 207 of them were selected by non-randomly sampling method. Suicide ideation, coping strategies, and life Meaning in life Questionnaires were used for data collection. Research data were also analyzed in SPSS software-version 24, using Pearson correlation coefficient and regression analysis. Results: There was a significant negative and positive relationship between problem-oriented and emotion-focused strategies with suicidal ideation (P<0. 05), and a significant negative relationship between meaning in life and its two subscales (framework and satisfaction) with suicidal ideation (P<0. 01). Also, two subscales of meaning in life, including satisfaction and framework, with standard beta coefficients of-0. 76 and-0. 32, respectively, were more predictive of suicidal ideation in elderly than problem-focused and emotion-focused strategies. Conclusions: Understanding the factors associated with suicide in the elderly such as problem-focused and emotion-focused strategies and meaningful life and trying to educate strategies to improve them can reduce some of the suicide rate in this period.

Introduction: Elderly is a very important period of life in which the death anxiety is a common feature of them. It is important to identify the factors that affect death anxiety during elderly period. The aim of this study was to investigate the role of social support on death anxiety in elderlies referred to Imam Khomeini Hospital. Methods: The descriptive research method was used in current research. This study included all the elderly over 60 years old referring to Imam Khomeini Hospital between 2017 and 2018. In addition, the sampling method was considered randomly. Three questionnaires such as Social Support (SS-A), the Scherer et al (1988) questionnaire and Death Anxiety Scale questionnaire by Templer included to the study. The Structural Equation Modeling (SEM) was applied to the data and the SPSS/AMOS version 23 were used for statistical analysis. Results: The results showed than score of social support, self-efficacy, and elderly death anxiety were above their average. Moreover, the impact of social support on self-efficacy and death anxiety was positive and negative significant, respectively. The impact of self-efficacy on death anxiety was negative significant. Self-efficacy and social support can explain the 36% of death anxiety variation. Conclusions: Social support can significantly reduce the anxiety of death in the elderly and have a positive effect on their self-efficacy. Finally, considering the presented models in the current study and their appropriate fits, extensive attention to improving social support can lead to increase the self-efficacy of the elderly and to reduce the death anxiety.

Introduction: Aging is a biological process that is associated with many changes in the personal and family context and presents many challenges for individuals. The purpose of this study was to evaluate the effectiveness of Frankl group logic therapy on resiliency, depression and quality of life in the elderly. Methods: The present study was a quasi-experimental study with pretest and posttest design. The statistical population of the study included all elderly men and women residing in Karaj nursing homes. The statistical population of the study included all elderly women and men in the elderly care centers of Karaj. The sample of the study was 30 of those who were selected through purposeful sampling and were divided into two groups (15 subjects) and control (15 people). The data were collected using the World Health Organization Quality of Life Questionnaire, Conver and Davidson Resiliency Questionnaire and Beck Depression Inventory. Data were analyzed by descriptive methods (mean and standard deviation) and inferential statistics (multivariate covariance analysis) using statistical software SPSS v. 23 was analyzed and analyzed. Results: Descriptive findings indicated that there were 8 female (53/3) and 7 male (46/6) in each experimental group. The mean age of the experimental group was 58/81 and in the control group was 59/14 Inferential data analysis also showed that group logotherapy had positive and significant effects on elderly resilience (P <0. 05) and decreased depression and increased quality of life in the experimental group at posttest (P <0. 05). Conclusions: Considering these findings, group therapy can be used to increase the mental health of the elderly.

Introduction: Elderly age is associated with a decrease in physiological and functional capacity that can lead to increased disability and decreased balance during walking, decreased speed and deformity of walking. The purpose of this study was to compare the effect of isometric and concentric resistance training on walking speed and double support time in elderly women. Methods: The present study was a quasi-experimental study with pre-test-post-test design and control group. 30 elderly women (66. 1 5 5. 7) with no history of falls voluntarily participated in this study. They were divided into 3 hhomogenous groups according to age and pre-test balance. All kinematic information related to the pre-test and post-test was obtained using the motion analyzer and at the preferred speed during the walking. After the pre-test phase, the training program was performed in 18 sessions, which consisted of three sessions per week, and walking speed and double support time were measured by a motion analyzer. Data were analyzed by Mixed factor analysis of variance (2 3 3) and LSD as a post hoc test (P≤ 0. 05). Results: The results of this study showed that 6 weeks of isometric and concentric resistance training had a significant effect on improving walking speed (P= 0. 001) and decreasing the double support time (P= 0. 001) in older women compared to the control group. As the effect of isometric training on the double support time is more than concentric training. In contrast, the effect of concentric resistance training on walking speed was longer than training. Conclusions: Isometric resistance training also reduces the double support time, and concentric training improves walking speed. As a result, this type of exercise can effectively improve walking parameters in the elderly.

Introduction: Aging is associated with a decrease in cognitive function and an increased risk of neurodegenerative diseases such as dementia and depression. Understanding the factors affecting these diseases is of great importance in order to improve the health of the community. So the aim of the present study was to investigate the cognitive function and its influencing factors in the elderly in Tehran sanatorium. Methods: The study was a correlational study which was conducted on 131 elderly people (38 male & 93 female) over 60 years old living in Tehran nursing homes with an average age of 72. 3 years. . Subjects first completed the consent form for participation in the study. Then the demographic characteristics of the subjects were recorded. The mini mental state exam (MMSE) and Depression Anxiety and Stress Scales (DASS-21) were used to assess dementia and stress, respectively. Weight and height were also measured and recorded by digital scale and tape meter, respectively. Independent T test was used to investigate the differences between groups and Pearson correlation coefficient was used to examine the relationship between variables. Statistical analysis was performed using SPSS v. 21 software. Results: The results of statistical analysis of data indicate that there is an inverse relationship between age and educational level (P <0. 02) and a positive relationship between age and dementia (P <0. 002). There was also a significant inverse relationship between education level and dementia (P <0. 000). Mean age (P <0. 003) and stress level (P <0. 048) were significantly higher in the dementia group. On the other hand, the level of education was significantly higher in the group without dementia (P <0. 000). Conclusions: According to the findings of this study, it can be concluded that increased age, level of education, and stress are influencing factors contributing to the decline in cognitive function and related diseases, such as dementia in nursing homes.

Introduction: Today, caring for growing population of the elderly is important. Elderly health management requires identifying existing knowledge and attitudes and revising educational programs, in this way, the aim of this study was compare the Knowledge and attitude of Nursing Students and Nurses towards facts of aging period. Methods: This descriptive cross-sectional study was performed on 403 nursing students and 446 nurses working in teaching hospitals of Tabriz University of Medical Sciences in 2019. Sampling of students and nurses were done by using census method and random-classified method (relative), respectively. The knowledge and attitude of nursing students and nurses were evaluated by using self-report questionnaire (FAQ: Facts on Aging Quiz) and (KOP: Kogan Attitudes toward Old People). Data analysis was performed in SPSS V. 16 software by using independent t-test, one-way ANOVA, and Pearson correlation. Results: The mean scores of knowledge and attitude in nursing students were 10. 91± 2. 95 and 143. 04± 13. 07 and in the nurses group were 10. 72± 3. 02 and 143. 57± 12. 15, respectively. Only mean score of students' knowledge in psychosocial dimension was statistically higher than nurses (P = 0. 03). And nurses had a more positive attitude toward the elderly in gratitude (P = 0. 02). Conclusions: The findings showed that university curricula and in-service programs provided in hospitals were not rich in the realm of the elderly and they failed to bring the knowledge of students and nurses to the desired level. Therefore, considering the growth of the phenomenon of aging in the society, reconsideration of existing educational programs is a serious proposal.

Introduction: The purpose of this study was to investigate the effect of therapeutic recreation on the quality of life in the elderly. This study aimed to examine the effect of therapeutic recreation on the quality of life among older women in the daycare center. Methods: It was a randomized controlled trial. The research population consisted of all older women over 60 years of age who were referred to the elderly center. A total of 64 people were randomly selected based on the sample size, and then the sample members were randomly divided into two groups (32 subjects) and control (32 subjects). The intervention consisted of 10 sessions of therapeutic recreation for 10 weeks for the experimental group. Life expectancy was measured before, after the intervention, and follow up in both groups. The research tool was SF-36 quality of life questionnaire. SPSS 20 software was used to analyze the data. Results: Mean scores of quality of life before intervention after intervention and follow up were 41. 52, 55. 07, and 72. 43, respectively, and in the control group, 45. 44, 45. 16, and 45. 81, respectively. In addition, the findings of this study showed that before the intervention, the mean quality of life in the two intervention and control groups was not significant (P = 0. 293). Still, there was a significant difference after the intervention and follow up (P<0. 001). Conclusions: Recreation therapy improves the health of older women, so it is recommended that recreational treatments be used in various age-care settings.

Introduction: Elderly people need a particular way of life in order to have a good life. They need training to become aware of and follow this particular style. Needs assessment and understanding of the current situation is necessary to provide appropriate training. Needs assessment causes proper planning, saving time and money. Therefore, in this study, we surveyed the educational needs of the elderly about healthy lifestyle in old age. Methods: This was a descriptive cross-sectional study that was performed on elderly people in Sirjan in 2018-2019. The sample size was 361 people that was selected based on Morgan table and multistage stratified sampling method. The data was collected on the basis of a questionnaire called "Living in the Iranian Faith" with 46 questions and Cronbach's alpha of 0. 77 Data were analyzed by SPSS software version 24 and using ANOVA and Student-t statistics. Results: The overall mean score of healthy elderly lifestyle was 131 ± 14. 00. Therefore; the life style of the elderly in Sirjan was moderate. 293 people (%95) were in the average level of life style; in the areas of lifestyle, mean score and standard deviation 47 ± 4. 00, in the areas of sport, recreation and physical activity with mean score and standard deviation13 ± 13. 01, in the areas of Healthy Nutrition Area with Average Score and SD 31 ± 4. 00 in the areas of Stress Management Score with Average Score and SD 13± 3. 00, in the areas of Social and Interpersonal Relations With the mean score and standard deviation 24± 5. 00, Elderly people ‘ s needs were in the average level. Another result of this study was that there is a relationship between the different educational needs of older people in the field of lifestyle with demographic factors such as gender, age, literacy level as well as the status of being or not having chronic illnesses and living alone or with a partner. Conclusions: Elderly people in Sirjan’ s Elderly people are in moderately situation in terms of healthy lifestyles and their domains. It is necessary to pursue more healthy lifestyle education based on their needs and taking into account demographic characteristics.