Promoting Resilience and Coping Among Older Adults Living in Nursing Homes in Karachi, Pakistan

IF 1.1 Q4 GERONTOLOGY
Shireen Bhamani, Mehwish Dawood, Prisca Olabisi Adejumo
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Abstract

Geriatric mental health is a significant public health concern due to the high prevalence and impact of mental illness among older adults. These issues are more prevalent among elders in nursing homes. Resilience-building interventions have been shown to improve mental well-being in older individuals, but they have been less studied in nursing homes in Lower- and Middle-Income Countries (LMICs). This study aims to examine the effect of the resilience-building intervention on enhancing resilience, constructive coping, and reducing depression among older people living in nursing homes in Karachi. Using a quasi-experimental design, 37 participants from a single nursing home were enrolled in the study. The group-based resilience-building “GRACE: Geriatric Resilience, Adaptive Coping, and Emotional well-being” intervention was delivered separately for males and females. Outcomes were assessed through validated instruments (Geriatric Depression Scale, Brief Coping Scale, and Resilience Scale) at baseline and post-intervention. A paired t-test was performed to compare differences in scores from pre- to post-intervention. The median age for females was 65, and for males, it was 67. The results of the paired t-test showed a significant increase in average resilience and coping scores, indicating that the intervention was effective in a positive way. Additionally, there was no significant difference in the outcomes between males and females. The resilience-building intervention can enhance the resilience and coping skills of older adults living in nursing homes. The study has significant implications for nursing homes and healthcare providers working with the geriatric population. Such interventions can easily be integrated into the standard care practices of nursing homes.

促进生活在巴基斯坦卡拉奇养老院的老年人的复原力和应对能力
老年人心理健康是一个重大的公共卫生问题,因为老年人中精神疾病的发病率和影响很高。这些问题在养老院的老年人中更为普遍。恢复力建设干预措施已被证明可以改善老年人的心理健康,但在低收入和中等收入国家(LMICs)的养老院中对其进行的研究较少。本研究旨在探讨弹性建设干预在提高卡拉奇养老院老年人的弹性、建设性应对和减少抑郁方面的作用。采用准实验设计,来自一家养老院的37名参与者参加了这项研究。以群体为基础的复原力建设“GRACE:老年复原力、适应性应对和情绪健康”干预分别针对男性和女性进行。在基线和干预后,通过有效的工具(老年抑郁量表、简短应对量表和恢复力量表)评估结果。采用配对t检验比较干预前和干预后得分的差异。女性的平均年龄为65岁,男性为67岁。配对t检验结果显示,平均弹性和应对得分显著增加,表明干预是积极有效的。此外,男性和女性之间的结果没有显著差异。复原力建设干预可以提高住在养老院的老年人的复原力和应对技能。这项研究对养老院和与老年人口一起工作的医疗保健提供者具有重要意义。这些干预措施可以很容易地纳入养老院的标准护理实践。
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来源期刊
Ageing International
Ageing International GERONTOLOGY-
CiteScore
2.70
自引率
6.70%
发文量
39
期刊介绍: As a quarterly peer-reviewed journal that has existed for over three decades, Ageing International serves all professionals who deal with complex ageing issues. The journal is dedicated to improving the life of ageing populations worldwide through providing an intellectual forum for communicating common concerns, exchanging analyses and discoveries in scientific research, crystallizing significant issues, and offering recommendations in ageing-related service delivery and policy making. Besides encouraging the submission of high-quality research and review papers, Ageing International seeks to bring together researchers, policy analysts, and service program administrators who are committed to reducing the ''implementation gap'' between good science and effective service, between evidence-based protocol and culturally suitable programs, and between unique innovative solutions and generalizable policies. For significant issues that are common across countries, Ageing International will organize special forums for scholars and investigators from different disciplines to present their regional perspectives as well as to provide more comprehensive analysis. The editors strongly believe that such discourse has the potential to foster a wide range of coordinated efforts that will lead to improvements in the quality of life of older persons worldwide. Abstracted and Indexed in: ABI/INFORM, Academic OneFile, Academic Search, CSA/Proquest, Current Abstracts, EBSCO, Ergonomics Abstracts, Expanded Academic, Gale, Google Scholar, Health Reference Center Academic, OCLC, PsychINFO, PsyARTICLES, SCOPUS, Social Science Abstracts, and Summon by Serial Solutions.
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