Showing 33 results for Health
Kh Shahandeh, Sr Majdzadeh, Sh Kamali, F Pourmalek, E Jamshidi, S Ghajarieh Sepanlou, R Heshmat,
Volume 3, Issue 0 (7-2004)
Abstract
Introduction: The human being is part of its surrounding socio-economic framework. He is affected by the environment and actively affects it. Ignoring the socio-economic dimensions of health leads to the failure of health promotion programs and widens the inequity in the health status of different groups in the society. The aim of this study is to identify the socio-economic and demographic status of the inhabitants in 17th zone of Tehran Methods: A combination of qualitative and quantitative approaches was used in this study. A crosssectional descriptive study was carried out in population research Center of Tehran University of Medical Sciences (TUMS) with a sample containing 1121 households. They were chosen by random cluster sampling. Data was gathered using the World Health Survey questionnaire of WHO. Construct validity, and test-retest reliability and internal consistency of the questionnaires were already approved. The SEAGA tools, which are classified as Rapid Appraisal (RA) methods were used to complete the community profile .Techniques such as direct observation, Semi-structured interview with key informants, field notes, social map, and trend line were devised to identify community profile. The method of triangulation was used to validate the data. Results: Data analysis showed means of age was 27/9 years. The average size of the household was 4.23. 47.5% of the respondents were unmarried. The Majority of participants (30/7%) have been qualified at high school level. The dominant ethnic group was Azari (57/8%). All of them were Moslems. The majority are self-employed (11/9%). The qualitative studies showed that district one is the economic core of the area. Economical heterogeneity in three districts of 17th zone was evident. Social problems were reported as unemployment, drug abuse, violence and aggressive behavior and so on. Conclusion: The variety of socio-economic problems among inhabitants in 17th zone of Tehran represents this area as a problematic community. Capacity building and providing proper background for community participation in solving its own health problems can be an effective approach towards sustainable development. Total reliance on the health sector to solve the numerous problems of this area will not be successful as inter-sectoral collaboration and community participation are mandatory requirements of this process
S Ghajarieh Sepanlou, Sr Majdzadeh, Sh Kamali , F Pourmalek, E Jamshidi, Kh Shahandeh,
Volume 3, Issue 0 (7-2004)
Abstract
Introduction: The success of a health system depends on the accessibility and the quality of health services it provides. One major indicator of service quality is peoples satisfaction from the service. In this article, healthcare availability and satisfaction of people in 17th zone of Tehran is investigated.
Methods: Population Research Center has performed a survey in 17th zone of Tehran to investigate people s access to health services and healthcare costs. This face- to-face survey is based on the standard questionnaire of World Health Survey. 1121 households were chosen through cluster sampling. The validity and reliability of the questionnaire are confirmed in previous studies.
Results: The average size of the households is 4.23 and its ratio to the number of rooms in the households is 1.98. Expenses per capita and the insurance coverage and quality have no significant difference in large and small households. The share of health expenditures is significantly smaller in households with a female guardian than those with male guardians. People s overall satisfaction from health services is mediocre, little or very little in 62% of the cases.
Conclusion: Although the level of inequity in coverage and quality of health services is small over the area, the overall health care quality is not enough for customer s satisfaction. Initiatives to improve the quality of health services seem mandatory.
Minou Asadzandi, Zahra Farsi, Soheil Najafi Mehri, Ali Akbar Karimizarchi,
Volume 6, Issue 2 (9-2006)
Abstract
Background: Diabetes is a chronic disease which requires patient participation in treatment process. The outcome of the treatment depends on the patient health belief and the cognition about illness. The aim of this study was to clarify the effect of educational intervention focusing on Health Belief Model in health beliefs and awareness of diabetic patients.
Methods: As a clinical trial 64 diabetic patients were selected from 4 hospitals in Tehran in 2006. Patients randomly assigned to two equal number groups, as case and control groups. After determine of education needs using the health belief model, education program were performed in intervention group. Data from each patient was collected by using questionnaire, at the initial visit and two month after education. Parametric and nonparametric tests were used for statistical analysis.
Results: Independent t test didn’t show a significant difference between two groups in the HBM's domains before the educational program (p>0.05). After education the same test indicated a significant difference between two groups (p<0.05), except in perceived barriers and perceived benefits domains (p>0.05). In the intervention group awareness from 11 to 15(p<0.0001), perceived susceptibility from 27 to 30 (p<0.05), perceived severity from 20 to 25 (p<0.0001), self efficacy from 19 to 22 (p<0.0001) and self care behaviors from 95 to 117 (p<0.0001) increased.
Conclusion: Educational intervention focusing on changing health beliefs and increasing awareness may be effective in promoting self care behaviors in diabetic patients.
Mohsen Khoshniat, Zahra Komeylian, Mansoureh Moadi, Maryam Peimani, Ramin Heshmat, Reza Baradar Jalili, Bagher Larijani,
Volume 6, Issue 4 (6-2007)
Abstract
Background: Children with Type 1 diabetes were present one of the greatest challenges in the worldwide. Health-care providers must be sufficiently aware of diabetes so that such children make utmost benefit of their educational opportunities. The aim of the present study was to compare the effect of three educational methods in raising the level of knowledge of school health-care providers. Therefore the best method would be applied for this purpose.
Methods: In this interventional study 132 samples were randomly chosen from the list of school health care providers of Tehran and divided to the three groups (educated by posters, booklets, and group education). A questionnaire was completed for all the three groups before and after the education. Questionnaire consisted of two parts: -demographic information and 16 questions about diabetes information. Scores were analyzed by descriptive and inferential methods (T-test, ANOVA).
Results: The level of knowledge of school health-care providers was weak in 23.5% of the case, average in 59.8% of cases, and good in 16.7% of cases. The level of knowledge in the groups educated by booklets and group education increased meaningfully, while no obvious increase was observed in the group trained via posters.
Conclusion: From the three aforementioned training methods, group education and education by booklets have the most effect on raising the level of knowledge of health-care providers.
Ghasem Abedi, Abolhasan Naghibi, Mahtab Alizadeh , Hosain Faghrzadeh, Farshad Sharifi, Mojtaba Rezaei Rad, Reza Yosefi, Fereshteh Farshidi,
Volume 13, Issue 1 (1-2014)
Abstract
Objective: Health of old people is one of the critical issues in many societies that needs to accurate
health policy making and adjust planning in health issues of elderly. The present study designed to
compare the efficacy of the two traditional and electronic training methods in nutritional issues in order
to life style modification in old people to develop of healthy elderly.
Methods: This survey was a quasi-experimental method via applying the Pre-test and Post-test among
65+ years old people in a retirement association of Sari province, Mazandaran state. By simple random
sampling method, 60 old people were selected, and then trained in two separated classes to 15 persons as
women and men (30 persons) via film technique. The other method was a traditional which applied in the
two separated classes of 15 persons as women and men (30 persons) by book technique. The
questionnaire applied to measure of nutritional knowledge made up by the health center. Data were
described by using SPSS software in accordance to descriptive statistics indexes (mean and standard
deviation), and inferential statistics indexes (independent T and dependent T) were used in order to
generalize results.
Findings: The mean score of increasing knowledge in training group by film was 18/57 and the mean
score in training group by book was 16/90 (T =5/299, df= 58). To satisfaction evaluating, the mean score
in training group by film was 59 and the mean score in training group by book was 35/73 (T =1/96,
df=58).
Conclusion: Based on results training of old people by electronic method as a film is more effective than
traditional method to increasing of nutritional knowledge in elderly. On the other hand, they had more
satisfaction to life style modification by using film method in comparison with traditional method as
book reading technique. Also, the training cost of the elderly via educational film is lower than training
by book. So, should be suggested to consider in training by film rather than book as an efficient and
effective method to improve of elderly health.
Mahtab Alizadeh, Hossein Fakhrzadeh, Farshad Sharifi, Nasibeh Zanjari, Siamaksiamak Ghassemi,
Volume 13, Issue 1 (1-2014)
Abstract
Introduction: Studying of physical and mental health of older adults is important for health care services
to elderly. With increasing ageing population and chronic diseases among older people, the expenditure
of ageing services will increase. Thus, it is necessary to clear a cut point chronological age for starting
ageing career. The aim of this paper is to understand health differences between two cohorts (60-64 and
65-69) of older adults.
Methods: This study is cross-sectional and descriptive-analytical study. Data collected by structured
questionnaire. The study population was 60 -64 and 65-69 cohort groups of older adults who living in
rural and urban areas of Tehran in 2011. The sample size was estimated 400 people those were chosen
using cluster sampling.
Findings: The findings of study showed significantly differences between two groups of older adults,
60-64 and 65-69, in terms of physical health that measured using activity of daily living(ADL) and
limitation of physical function. In contrast, there were no significant differences between two age groups
in psychological wellbeing and mental illness. Based on results, complementary health services can start
from 65 years old and providing counseling services according to women and men differences.
Baharak Najafi, Seyed Masoud Arzaghi, Hossein Fakhrzadeh, Farshad Sharifi, Shervan Shoaei, Mahtab Alizadeh, Mohsen Asadi Lari, Reza Fadayevatan, Neda Mehrdad,
Volume 13, Issue 1 (1-2014)
Abstract
Introduction: Mental disorders are common in the elderly.The purpose of this study was to assess the
general health status and its related factors among people ≥ 65 years in different districts of Tehran.
Methods: This study has used data of the participants ≥ 65 years old in urban health equity and response
tool (Urban-HEART) study. Finally the data of 1313 elderly were considered for this study. Variables
included demographic characteristics (gender, age, education level, family size, marital status and
employment status) and mental health using the Persian GHQ -28 questionnaire (domains: somatic,
depression, insomnia and anxiety) and quality of life using the SF12.
Results: The mean age of participants was 73.68 (5.91) (women=627 and men=686). GHQ-28 median of
scores the participants were 24.00 (22.00)[20.00 (27.00) in women and 19.00 (19.00) in men
(P<0.01)].Based on GHQ-28 cut-point 23, 50.2%of the participants had mental health problems, [61.2%
women and 40.1% men (P<0.01)].The residents of third municipality districts had the best mental health
(26.3% of men and 38.5% of women had mental health problems) and the aged of 20th municipality
district had the worst health status (65.7% of males and 84.2% of women had mental health problems).In
multivariable logistic regression model, for each year of increment age, 2.9% chance of mental health
problems increased (P<0.01). With increasing level of education, mental health status was improved (P
trend < 0.01). The relationship between family size and mental health was not significant (P =0.06).
Conclusion: Mental health status of the elderly in Tehran was worse than the many other countries. The
elderly lived in 20th
municipal district, had the worst and the dwellers in the 3th
district had the best mental
health status.
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Volume 13, Issue 6 (9-2014)
Abstract
Background: The world population is aging and it is expected that in 2020 more than one billion people in the world be elderly. The aim of this study was the evaluation of socioeconomic and physical health of elderly people in Ilam province in 2011.
Methods: This study was a cross - sectional study in which 1012 elderly people residing in the city of Ilam and eight townships participated by proportional allocation methods. Data collected by using a standard questionnaire and the Data were analyzed by using SPSS statistical software.
Results: The mean age of the study population was 70/1 ± 8/02 years. The differences between employment status and job type of elderly in each township was Significant. Mean systolic and diastolic blood pressure in subjects was 133/03±28/38 and 11/76±8/02 excursively, and mean body of BMI was 25/72±4/48. 36/1% of the elderly had a history of heart disease, 15% are living with diabetes, and 22/5% had respiratory problems. 45/3% have surgery history, 72/8% experienced joint pain, 64/6% experienced musculoskeletal pain and 12/6% had a history of stroke. 23/8% had problems of knowing the time, 22/8% had problems recognizing the place, 22/2% had problems recognizing people and 25/9 % Shake hands and head.
Conclusion: Common problems with physical health problems reported by elderly of Ilam the same in the rest of the country and major differences in socioeconomic status. Due to lower per capita income in Islam compared to other provinces of Iran, the health status of the elderly has been lowered in Ilam rather to another province.
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Volume 13, Issue 6 (9-2014)
Abstract
Background: Oral health is an important issue in elders’ life in both food consumption style and their self-esteem. The aim of this study was to survey the oral health among aged people in Gorgan city.
Methods: In a cross sectional study and through a standard questionnaire, the data of 869 aged people who were resident in the areas where were covered by 4th and 5th Health Station of Gorgan Health Center, has been analyzed. Participants (over 60 years old persons) entered in the study through a census method are asked about their oral health by trained persons. Data analyzed by descriptive statistics and Chi-Square test. Alpha level set at 0.05.
Results: Complete toothless was 54.3 percent in male and 62.6 percent in female. Totally teeth preservation rate was 6.4 percent in male and 1.5 percent in female. The mean and standard deviation of tooth loss were 22.5±12.4 in male and 24.4±11.2 in female. The Complete toothless significantly was high in single people compared with married one. Completely toothless was low among aged people with less than or equal to four children and was low among aged people in the worst status of economic situation.
Conclusion: Oral health among the study population was in a bad situation. For preservation of teeth till adult age, appropriate planning and interventions is necessary.
Mahnoush Reisi, Firoozeh Mostafavi, Homamodin Javadzade, Behzad Mahaki, Elahe Tavassoli, Gholamreza Sharifirad,
Volume 14, Issue 3 (3-2015)
Abstract
Background: Diabetes is a chronic disease that can cause severe complications such as cardiovascular disease, blindness and kidney failure. Given the importance of self-care in diabetic patients, and considering that inadequate health literacy is a serious barrier for the management of diabetes that can affect patients' participation in self-care, Therefore this study aimed to assess the status of health literacy in patients with type 2 diabetes in three domains of functional, communicative and critical and Determine the factors associated with self-care behaviors in these patients. Methods: A cross-sectional study on 187 diabetic patients referred to Hazrat Ali diabetes clinic in Isfahan. The samples were selected by randomly Convenience sampling method. The level of health literacy and Status of self-care behaviors in patients was assessed by a standardized questionnaire (FCCHL) and (DMSES) respectively. Collected data were analyzed Using the ANOVA, t-independent, Pearson correlation coefficient at SPSS v.21 statistical software. Results: The mean age of the study population was 57.40 ± 11.07. Average health literacy score and self-care behaviors of the participants were 2.28± 0.57 and 3.84 ± 1.56 respectively. There was significant relationship between total health literacy, communicational and critical health literacy with self-care behaviors. There was no significant relationship between functional health literacy and self-care behaviors. Communicational health literacy was associated with diet, physical activity, blood glucose monitoring and foot care. Critical health literacy was associated with physical activity, blood glucose monitoring, foot care, and taking medication. There was no significant relationship between Communicational health literacy and taking medication and also between critical health literacy and diet. Conclusion: Considering that communication and critical health literacy was associated with the self-care of patients with diabetes so Emphasis and consideration should primarily be given on skills related to these domains of health literacy. Since that Patients’ functional HL capabilities that was associated with basic skills in reading and writing was not related to self-care, therefore assessment of education levels alone in the clinical setting is not recommended.
Abodulaziz Aflakseir, Sare Raoofi, Javad Mollazadeh, Farhad Khormaei, Azam Farmani,
Volume 14, Issue 5 (7-2015)
Abstract
Background: Health locus of control is an important variable in diabetes. The aims of the present study were to investigate the role of health locus of control in predicting psychosocial adjustment to illness and compare psychosocial adjustment to illness and dimensions of health locus of control among male and female type 2 diabetic patients.
Methods: One hundred and eighteen patients were recruited via convenience sampling method from type 2 diabetic patients who were referred to the Shahid Motahari diabetes clinic in Shiraz. The participants filled Multidimensional Health Locus of Control (MHLC) and Psychosocial Adjustment to Illness Scale (PAIS).
Results: The results indicated that there were significant positive correlations between psychosocial adjustment to illness and internal health locus of control (r= .30, P &le .001) and God health locus of control (r= .18, P &le .05). Internal health locus of control (&beta= .28, P &le .01) significantly predicted psychosocial adjustment to illness. There were significant differences between male and female diabetic patients on the basis of chance health locus of control. Female patients got higher scores on chance health locus of control. Moreover, there were no significant differences between male and female diabetic patients on the basis of psychosocial adjustment to illness.
Conclusion: The findings highlighted that internal health locus of control and God health locus of control play significant role in psychosocial adjustment to illness. Therefore, it is recommended that psychologists and clinicians take the dimensions of health locus of control into considerations in the treatment of psychological problems of diabetic patients.
Siros Kabodi, Mehrali Rahimi, Elhame Niromand, Elahe Ajami, Afsane Egbalian, Majid Barati, Nader Rajabi Gilan,
Volume 15, Issue 2 (1-2016)
Abstract
Background: The aim of this study was to investigate the Belief related to Rejection of Insulin injection among type 2 diabetic patients based on Health Belief Model (HBM).
Methods: This cross-sectional study was carried out on 400 diabetic patients referred to Kermanshah Diabetes Research Center who were recruited with available sampling method. The participants completed a self-administered questionnaire including demographic characteristics, and HBM construct. Data was analyzed by SPSS-16 using coefficient correlation, Mann-Whitney, Kruskal-Wallis statistics.
Results: The maximum scores of Participants in perceived susceptibility, perceived severity, self-efficacy, perceived benefits, perceived barriers, cues to action was 66/95%, 60/7%, 59/95%, 51/97%, 68/04%, 74/74%respectively. Results showed that, in diabetic patients (II) require insulin level Susceptibility, severity and perceived benefits were intermediate, and the barriers to acceptance of insulin therapy were more.
Conclusion: Preparing training packages for promoting knowledge and self-efficacy and removing related berries of insulin therapy acceptance in diabetic patients are necessary.
Mahnaz Seyedoshohadaee, Morteza Kaghanizade, Mohsen Nezami, Behzad Hamedani, Salman Barasteh,
Volume 15, Issue 5 (7-2016)
Abstract
Background: Type 2 diabetes mellitus is a major general health problem that causes widespread effects on the individual and social functions. The purpose of this study was to investigate the relationship between health literacy and general health in type 2 diabetic patients.
Methods: This cross-sectional study was done on 200 patients referred to the Diabetes Research Center, Tehran University of Medical Sciences in 1392. Data were collected using three questionnaires: demographic characteristics, health literacy (TOHFLA), general health (GHQ28 . Data analyses were done by using descriptive statistical tests, frequency distribution tables and tests (test t, ANOVA) using SPSS (Version 16).
Result: More than half of participants (58%) didn't have adequate health literacy and their general health was average (average: 53/7 ± 58/48). There was a significant correlation between health literacy and public health (p: 0.007, r:-0.191). Health Literacy was statistically significant with three aspect of general health, anxiety and sleep disorders (p: 0/0029, -0/154), social functioning (p: 0/013, r:-0/176) and depression (p: 0/002, r:-0/218).
Conclusion: In general, chronic diseases, including diabetes type 2 has clinical, social and psychological problems, which leads to mental and physical limitations in these people. This study showed that inadequate health literacy and public health are common problems, which indicate that diabetic patients need more education to improve their level of health literacy and general health.
Hamideh Moosapour, Farzaneh Saeidi Fard, Bagher Larijani, Akbar Soltani,
Volume 16, Issue 3 (3-2017)
Abstract
Research, as systematic way to discover, interpret, explain, predict, modify, and control events, entails the knowledge-based performance of individuals, organizations and systems. Today, knowledge is a tool for development, entrepreneurship, and improving economic value added rather than be a product of development. Also, Health systems, with their increasing complexity and scope, are causes and especially effects of an increasing rate of production, translation and implementation of health-related knowledge. This knowledge, with complexity, vast range, and variety, is produced by variety of research projects which mainly resulted from different problems addressed and presumed epistemic positions by them.
Authors believe that a comprehensive outlook on the variety of research projects in the health system could help to change the stereotypical view on research in the health system. To the best of our knowledge, this paper is a novel, narrative review gathering and presenting various existing classifications of research projects in the light of an inductive distinction. It aims to help specialists in the different levels of health system to profoundly understand and meticulously apply research results and to help researchers and research bodies to more accurately define, manage, prioritize, and allocate resources for future research projects to solve upcoming problems.
Different aspects used in this paper to classify health research projects are the followings: The purpose of research, the research paradigms, tacit or explicit knowledge, primary or secondary knowledge, relation with known disciplines, functions of the health system, the partnerships of non-academic persons, decision-making level, taxonomy of questions, and levels of evidence.
Parisa Taheri Tanjani, Farshad Sharifi, Neda Nazari, Fakher Rahim, Hossein Fakhrzadeh, Seyed Masoud Arzaghi, Mohammadsmaeel Motlagh, Saeid Saeidimehr,
Volume 16, Issue 4 (9-2017)
Abstract
Background: Older people are vulnerable in terms of health status. The elderly`s Khuzestan due to the very warm weather of this region are more at risk for health problems. This study is a report on the health status of the elderly in Khuzestan province in 2012.
Methods: This is a Cross-sectional study, with multi-level proportional cluster Random sampling among people aged ≤ 60 years of Khuzestan province. Nutritional status was assessed by Mini Nutritional Assessment (MNA), depressed mood screening was conducted with Geriatric Depression Scale-15 questionnaire, activities of daily living was evaluated using KATZ ADL and Lawton Instrumental ADL tools.
Results: In this study, 387 people participated. The prevalence of hypertension, diabetes mellitus, depressed mood, and anxiety in the participants, were 38.8%, 28.6%, 34.9 and 38.7, respectively. Hearing loss reported in 33.9% and vision impairment was in 62.2% of the participants. Memory impaired founded in 14.9% of the participants. 4.3% of the elderly suffered from malnutrition and 48.3% were at risk of malnutrition. Dysfunction in ADL were existed in 13.9% and 30.3% of the participants had some degrees of dysfunction in IADL.
Poly pharmacy (consumed more than 3 medications) was observed in 36.5% of older adults in this province. The most common health services need was medical services at home and then transport services.
Conclusion: Although the health status of the elderly in Khuzestan province generally was not worse than the average of Iran, it needs that a special pay attention in some areas, such as hypertension, diabetes, nutritional status and lack of independence in activities of daily living in this age group.
Parisa Taheri Tanjani, Parishad Ghavam, Shima Raeesi, Farshad Sharifi, Hossein Fakhrzadeh, Mohammadsmaeel Motlagh, Neda Nazari,
Volume 16, Issue 4 (9-2017)
Abstract
Background: Improved in health condition, reduced fertility rates, and increased life expectancy has increased number and proportion of elderly population. This study was reported the health status of older population
in North Khorasan province
.
Methods: This is a cross-sectional study that enrolled 99 subjects (40 men and 59 women) ≥ 60 years by a multi-levels proportionate cluster random sampling method.
Required information was gathered by means of a demographic questionnaire. Mini Nutritional Assessment (MNA), Geriatric Depression Scale-15 (GDS-15), Katz's basic activity of daily living, and Lawton's instrumental activity of daily living were administered. Measurements of anthropometric and blood pressure were performed based on standard methods
Results: The prevalence of diabetes and hypertension in elderly, were 17.7% and 57.6%, respectively. Depressed mood was observed in 36.4% of the participants 36.4% of the participants and 18.2 percent of them reported that their health condition was bad. In addition, 73.5% of the elderly had complained about any bodily pain. As well as, 22.6% of the participants used opium at least once during the last year.
Conclusion: It seems that the health status of the elderly in North Khorasan province is not suitable in many indicators, such as hypertension, malnutrition, drug abuse and complaints of pain and their health status was worse than the national average of Iran. A special attention requires to the health status of elderly in this province .
Mostafa Qorbani, Mohammad Parvaresh Masoud, Ali Soleimani, Hossein Rahmani Anarki, Leila Ghanbari Afra, Hamid Asayesh,
Volume 16, Issue 4 (9-2017)
Abstract
Background: health care providers have different attitudes and belies toward elders that have effect on their behaviors in health service delivery to older adults. This study was done to determine the Golestan province health centers staffs attitude towards elders.
Methods: In this cross-sectional study, 152 general practitioners of Glestan province health centers were selected via random simple sampling. Demographic questionnaire and Kogan's Attitudes toward Older People Scale (KAOPS) was used as data gathering tools. Data analysis was done in SPSS 16 software environment with Pearson correlation coefficient, paired t-test, t-tests and one way ANOVA.
Results: mean and standard deviation of participants age was 34.48 (4.31) years. Mean and standard deviation of total score of attitude toward elder scale was 116.42±9.58 (score range in scale 34-204). Lower score than mean were observed in 49.3 percent of health care providers. Negative attitude mean score were higher than positive attitude mean and paired t-test showed the difference is significant (P< 0.001).
Conclusion: according to our finding, only half of participants had favorite attitude toward aged people. Whereas, negative attitudes to this age group were higher than positive attitudes, designing some programs for change in attitudes of heath care staffs is necessary.
Parisa Taheri Tanjani, Mehdi Varmaghani, Neds Nazari, Farshad Sharifi, Hossein Fakhrzadeh, Seyed Masoud Arzaghi, Mahtab Alizadeh Khoee, Mohammad Smaeel Motlagh, Mahdi Ebrahimi,
Volume 16, Issue 5 (10-2017)
Abstract
Background: Elderly people need more receiving health services. Planning to provide services at regional and national levels requires information about the health status of the elderly. This study was performed to assess the health status of East Azarbaijan province.
Methods: In this cross-sectional study, 436 subjects were enrolled (180 men and 258 women) aged ≥ 60 years using multi-level proportioned cluster Random sampling from 19 cities of the province.
Data was collected by a demographic questionnaire , measuring anthropometric characteristics, and blood pressure and using "Mini Nutritional Assessment" ,”Geriatric Depression Scale-15 ", “Katz’s Activity of daily living”, and "Lawton’s Instrumental activities of daily living”.
Results: The mean age of the participants was 69.31 years. The self-reported prevalence of diabetes was 34.2%. The prevalence of hypertension in the elderly was 52.5%. The most common complaint of the participants was pain (60.9%). Totally, 46.9% had a difficulty in walking, 44.3% visually impaired, and 26.4% suffered from hearing impairment. Moreover, 44.8% of sleep disorders was found. Also 26% of the participants had depressed mood.
Conclusion: Elderly residents of East Azerbaijan province, has probably a better health status than the average Iranian elderly. However, there is a high prevalence of hypertension and diabetes among older adults of this province that need to more pay attention.
Parisa Taheri-Tanjani, Farshad Sharifi, Neda Nazari, Hossein Fakhrzadeh, Mahtab Alizadeh-Khoee, Mohammad Smaeel Motlagh, Hosna Ataee, Seyed Masoud Arzaghi , Mahdi Ebrahimi,
Volume 16, Issue 5 (10-2017)
Abstract
Background: Alborz Province is one of the provinces that accepted immigrants. Immigration has a profound effect on physical and mental health in elderly. This study was performed to assess the health status of Alborz province older population.
Methods: In this cross-sectional study, 235 subjects were enrolled (113 men and 122 women) aged ≥ 60 years using multi-level proportionated cluster random sampling that selected from 19 cities of this province. Data was collected by a demographic questionnaire, measuring anthropometric characteristics, and blood pressure and using "Mini Nutritional Assessment", ”Geriatric Depression Scale-15 ", “Katz’s Activity of daily living”, and "Lawton’s Instrumental activities of daily living”. Data was analyzed with spss21.
Results: The mean age of the participants was 68(6.00) years. The prevalence of anxiety and depression among the participants was as 51.5% and 34%, respectively. At risk or malnutrition was observed in 27% of the participants and 54.5% had suffered dental problems and 49.8% also had problem in walking.
Conclusion: Overall, the health status of elderly people in the Alborz, perhaps slightly better than the national average, but the high prevalence of metabolic disorders also the high prevalence of depression and anxiety require serious intervention by policy makers to promote the health in elderly.
Somaye Karimi Moghadam, Elaheh Lael- Monfared, Rouhollah Barghbani, Mohammad Reza Ghezekgharshi, Rezvan Rajabzadeh, Davood Robat Sarpooshi,
Volume 16, Issue 6 (10-2017)
Abstract
Background: Considering the importance of chronic diabetes and significant impact on patients' quality of life, A study to evaluate health-related quality of life in type II diabetic patients referred to diabetes clinic in Sabzevar And factors associated with planning and designing health promotion interventions in the areas studied
Methods: This cross-sectional study in which 197 patients with type II diabetes referred to diabetes clinic participated. Of data through a two-part questionnaire that included demographic characteristics, social and Quality of Life Questionnaire, which has a five physical, psychological, social, economic and disease and treatment, collected and then using SPSS version 16 and using Chi-square tests, ANOVA, t-test and Spearman correlation coefficient were analyzed.
Results: The findings of the study suggests that most participants in the study were in the age group aged 50 to 60, 77.2% female, 85.8% were married, 74.6 percent were housewives. Average quality of life in terms of physical functioning, role limitations due to emotional problems and emotional health and physical pain was good. There was a significant difference between the score of physical function, feeling well and pain according to education (P≤ 0/05).
Conclusion: The findings of this study have informed us about the impact of diabetes on the quality of life of patients with this disease, which can be used to plan the care of chronic patients and improve their quality of life.
