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Showing 9 results for Elderly
Masoud Entezariasl, Ghodrat Akhavan Akbari , Khatereh Isazadeh Far,
Volume 7, Issue 4 (12-2007)
Abstract
Background & Objective: With consideration the daily increased development of outpatient surgeries and high rate of these operations in elderly patients, rapid and safe recovery of patients for coming back to daily life is necessary. In this clinical trial study recovery time and nausea and vomiting after the use of two rapid-onset narcotic, alfentanil and remifentanil in elderly patients has been compared. Methods: In this double-blind clinical trial 40 elderly patients (age above 65) candidated to cataract surgery with general anesthesia were studied. The patients were divided randomly into two groups and for first group alfentanil was injected 10 m g/kg and for second group remifentanil 0.5 m g/kg during 30 seconds one minute before induction. Both two groups were under general anesthesia with same method and during the anesthesia first group took infusion of alfentanil 1 m g/kg/min and second group remifentanil 0.1 m g/kg/min. At the end of surgery the time intervals between end of anesthesia drug adminstration and autonomic respiration, eyes opening with stimulation, verbal response and discharge of recovery room, also the incidence of complications related to narcotic drugs especially nausea and vomiting were recorded. The data were analyzed in SPSS software using descriptive and analytical statistics as T-test, chi square and ANOVA. Results: The time of autonomic respiration in alfentanil group was 2 minutes and in remifentanil group 3.3 minutes,this time in alfentanil groupe1.3 minutes shorter but the difference was not significant. The time of eyes opening with stimulation, verbal response and discharge of recovery room were not significantly different. During recovery incidence of nausea and vomiting in remifentanil group (30% of patients) was significantly more than alfentanil group (5% of patients) (P<0.05). Conclusion: The time of recovery between alfentanil and remifentanil group was not significantly different, but incidence of nausea and vomiting in remifentanil group was higher than alfentanil group significantly.
Aghil Habibi, Soghra Neekpoor, Mahnaz Seyedolshohda, Hamid Haghani,
Volume 8, Issue 1 (4-2008)
Abstract
Background & Objective: As life expectancy increases health promotion behaviours are even more important, particularly with regard to maintaining functional independence and improving quality of life (QoL). The purpose of this study was to explore the relationship
between health promotion behaviours and quality of life among elderly people in west region of Tehran.
Methods: This was a descriptive-correlational study. Through multi-stage sampling method, 410 participants over 60 years old and cognitively intact were selected to contribute in the study. The data-gathering tool consisted of a 2-part questionnaire Health Promotion Behaviour Checklist and Short Form Health Survey (SF12) that were used to measure QoL.
Results: The results of the study showed that there were statistically significant differences in QoL of the elderly related to 'exercise or walking and consumption of milk, dairy products, meat, vegetables and fruits and 'low salt diet', 'low fat diet', 'health check up', 'blood pressure (BP) (p< 0.05). The Elderly with high quality of life had more exercise or walking and consumption of milk, dairy products, meat, and fresh fruit and vegetables and the elderly with low quality of life, had better observed low salt diet, low fat diet, health condition control and blood pressure control.
Conclusion: Regarding the results we found that health promotion behaviours and the quality of life are related meaningfully, so, considering old people as a vulnerable group by health authorities, it is recommended to provide this group with programs and facilities to promote their health behaviours, social participation and to improve health care and provide consultation services.
Bita Shahbazzadegan , Rabiollah Farmanbar, Atefeh Ghanbari , Zahra Atrkar Roshan , Masoumeh Adib ,
Volume 8, Issue 4 (12-2008)
Abstract
Background & Objectives: With regards to the importance of health and Quality of Life improvement in the elderly in relation with physical activity and self esteem, the aim of this study was to determine the effect of programmed exercise on the self esteem of elderly residents in the nursing home of Rasht city in 2008. Methods: This study included a pretest and post test on 32 qualified samples. The Rosenberg self esteem scale were filled by them. Then, they attended a programmed exercise for one month. The scale was filled again by participants. The collected pre-test and pot-test data were analyzed using a-t-test SPSS software. Results: The average age of the participants was 73.53 (± 8.31). Most of them were widowed, 43.8% had no children, 87.5% were uneducated and the rest (12.5%) had a primary level of education. 37.2 of them had resided in the nursing home for less than one year and their average of residence was 1357±17.11 days. The source of income for 59.4% of participants was through children and relations. 27 persons (84.4%) had frequent visits with relations. 34.4% of them had a disease in history. There were significant correlations between number of children, marriage, education and job and number of previous jobs, gender job and education and number of previous job, visit frequency and education and time of the last visit. The correlation between sums of self esteem scores before and after the exercise was positive and significant and 22.81±4.84 Average of self esteem score before and after programmed exercise was 26.84±4.35. Conclusion: Regular exercise is effective in improving the self-esteem among the elderly and it can recommend to the elderly as a safe and cheap method.
Behnood Abbasi , Masoud Kimiagar, Shahriyar Shahidi , Minoo Shirazi, Khosro Sadeghniiat, Mahdi Hedayati , Bahram Rashidkhani,
Volume 13, Issue 2 (7-2013)
Abstract
Background & Objective: Advances in public health and control of infectious diseases have led to increased number of elderly people in the world including Iran. Thus serious concerns exist in terms of age-related diseases . Consequently, Iran’s ministry of health has chosen “ageing and health” as the theme for 2012 along with WHO. Psychological disordersare among the most prevalent diseases in elderly people. Recent studies suggest a two-way relationship between some psychological disorders and insomnia. Also there is evidence implying magnesium role in improvement of aforementioned disorders. The objective of this study was to determine the effects of dietary magnesium supplementation on mental health in insomniac elderly subjects. Methods: A double-blind randomized clinical trial was conducted on 46 insomniac elderly subjects randomly allocated into the magnesium or the placebo group, receiving daily for 8 weeks either 500 mg magnesium or a placebo, respectively. SCL-90-R and ISI questionnaires were conducted at baseline and at the end of the intervention period. Serum magnesium and cortisol levels were also determined in the patients. In addition, information was obtained on anthropometric confounding factors and daily intake of magnesium, calcium, potassium and caffeine using 24-hr dietary recall questionnaire for 3 days. The N4 and SPSS19 were used for data analysis. Results: No significant differences were observed in assessed variables between the two groups at baseline. As compared to the placebo group, in the experimental group, dietary magnesium supplementation brought about statistically significant decreases in GSI, PST, PSDI, ISI scores as well as somatization , anxiety, psychoticism , and depression symptoms and serum cortisol concentration. While the obsessive-compulsive , interpersonal sensitivity, hostility , phobic anxiety, paranoid ideation scores and serum magnesium concentration were not different between the experimental and the placebo groups. Conclusion: In this study dietary magnesium supplementation resulted in improvements in insomnia severity index and some indices of mental health.
Mir Mohammad Taghi Mortazavi, Masoud Niazi, Naser Rezapour, Masoud Parish,
Volume 15, Issue 4 (1-2015)
Abstract
Background & objectives: Surgery of upper part of femor in elderly patients can be due to the fracture of femoral neck, shaft and arthroplasty. Hemodynamic changes and complications of the anesthesia are among the major concerns. The aim of this study was to compare the hemodynamic changes in low dose isoflurane with propofol in upper femoral surgeries in elderly patients.
Methods: This prospective clinical trial study was done on 60 patients over 65 year-old elderly patients with ASA physical status of I and II that were candidate for upper femoral surgery in two groups (inhalational: isoflurane 0.5-0.6 MAC) and (total intravenous anesthesia with propofol 50-100 mic/kg/min). Hemodynamic changes were compared in these groups with the same anesthetic depth (HR-SBP-DBP-MBP-SaO₂).
Results: There was no significant difference in heart rate, age or sex between two groups. In isoflurane group SBP on 20 and 25th minutes and DBP and MBP on 20, 25 and 35th minutes were significantly higher than propofol group. In propofol group SaO₂ was significantly more than isoflurane group on induction, start of surgery and on 5, 25, 35 and 45th minutes of surgery.
Conclusion: In anesthesia with the same Bi-Spectral Index, isoflurane provides more stable hemodynamic parameters than propofol.
Faride Bastani, Fateme Farajtabar,
Volume 20, Issue 1 (4-2020)
Abstract
Background & objectives: Chronic obstructive pulmonary disease (COPD) is one of the most common diseases in the elderly. Elderly people with this disease have many problems, as sleep disorders, that can cause many complications such as falls, depression, memory disorders, irritability, fatigue, difficulty concentrating and dementia. The aim of this study was to determine the severity of insomnia in elderly patients with chronic obstructive pulmonary disease.
Methods: This is a cross-sectional, descriptive study that was performed on 170 elderly people with COPD referred to Hazrat Rasoul Akram Hospital in Tehran. The research instruments were short form of cognitive test and demographic characteristics, insomnia severity questionnaire. Data analysis was performed in SPSS software (V.16), using Pearson and Spearman correlation test, one-way ANOVA, independent t-test, logistic regression analysis and Tukey post hoc analysis.
Results: The mean and standard deviation of insomnia in the elderly were found to be 14.4±5.6 which indicated moderate insomnia. Factors such as gender, marital status, patient's occupation, history of sleep disorders, and history of hypnotic drugs use and duration of COPD were the variables that were significantly associated with patients' insomnia. (p<0.001)
Conclusion: Insomnia disorder in the elderly will have adverse consequences. Hence the control of effective factors in these patients can improve their health and quality of life.
Mohammad Javad Veisi Miankali , Zinab Dehghan, Hamid Haghani,
Volume 20, Issue 1 (4-2020)
Abstract
Introduction & objectives: Aging is a period of life that is affected by the deprivation of social activities, lifestyle, and life satisfaction. Social capital plays a key role in the social, economic and health dimensions of individuals. Therefore, this study examines the relationship between social capital and demographic characteristics of the elderly who referred to the houses in the neighborhoods of Tehran in 2018.
Methods: The present study is a cross-sectional, descriptive study. Elderly people aged 60 years and older referring to the neighborhoods of Tehran were selected by a multi-stage sampling method. Data collection tools included the Demographic Information Questionnaire and the Onyx Social Capital Questionnaire. Data were analyzed using spss-21 software and both descriptive and inferential statistics. The significance level of the test was considered p≤0. 05.
Results: The mean score of the elderly's social capital was 80/15 ± 14.89. Although the score of women's social capital (81.86) was higher than men. There was no significant statistical relationship between the numerical indicators of social capital and gender.
Conclusion: The results of the study showed that a significant percentage of the elderly have the desired social capital. Therefore, the results of this study can be used to promote the health of the elderly referring to the neighborhood houses with respect to positive aspects of "social capital" and realize of the concept of "healthy and active aging.
Marefat Siahkohian, Leila Fasihi, Bahman Ebrahimi Torkamani,
Volume 22, Issue 4 (1-2023)
Abstract
Background & objectives: Coronary heart disease (CHD) is an important medical disorder and one of the most common heart diseases worldwide, which causes disability and economic burden. The medical and research community is increasingly interested in computer-aided coronary heart disease diagnosis through the use of machine learning methods. This study aimed to diagnose coronary heart disease using a discriminant analysis algorithm in active elderly men.
Methods: This analytical study was conducted on 351 patients of Ayatollah Kashani Hospital in Tehran. This work used discriminant analysis algorithm to diagnose coronary artery disease. Python software was used for data analysis.
Results: The results showed that by using 14 characteristics as risk factors related to the subjects' laboratory, personal and lifestyle information. The discriminant analysis algorithm could distinguish healthy and sick people with 94.4% accuracy and 88.9% precision.
Conclusion: The results of the present study showed that this system can probably be used as an effective and intelligent method along with other diagnostic methods by cardiologists to predict coronary artery disease. Also, new data mining methods can be effective in reducing invasive risks.
Amirsaleh Delara, Rasol Roshan Chesli , Mehriar Nadrmohammadi, Hojjatollah Farahani,
Volume 23, Issue 1 (4-2023)
Abstract
Background & objectives: The role of spirituality with its different levels in different countries and societies should be considered for investigating the elderly's health. Therefore, it is necessary to evaluate spirituality with a scale specifically designed to measure spirituality. This study investigated the psychometric properties of the Persian version of the Attitudes Related to Spirituality Scale (ARES) in the elderly.
Methods: In this psychometrics study, the study population included all the elderly of Ardabil city, among whom 459 individuals were randomly selected to fill ARES. The data was analyzed by SPSS and Amos Software.
Results: The reliability of ARES was 0.94 by Cronbach's alpha. Its construct validity, calculated by confirmatory factor analysis, showed that the model for measuring attitudes related to spirituality in the elderly had a suitable fit and its one-factor structure was confirmed (RMSEA=0.001, GFI=0.99, CFI=1).
Conclusion: The Persian version of the Attitudes Related to Spirituality has a one-factor structure, and could be used in psychological studies in Iranian samples due to its acceptable necessary validity and reliability.
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