Şeyma Demir Erbaş, Arzu Akman Yılmaz, Elif Gençer Şendur
{"title":"Comfort and Quality of Life of Older Cardiac Patients: A Crosssectional Study","authors":"Şeyma Demir Erbaş, Arzu Akman Yılmaz, Elif Gençer Şendur","doi":"10.4274/ejgg.galenos.2022.2022-12-3","DOIUrl":"https://doi.org/10.4274/ejgg.galenos.2022.2022-12-3","url":null,"abstract":"Objective: A demographic transformation in favor of older people and the incidence of cardiovascular diseases requires considering the concepts of comfort and quality of life in older cardiac patients in all care settings. Thus, these concepts, closely related to the definition of health, conduce determination of the health care needs of older cardiac patients and the development of supportive approaches. The aims of the study were to determine the comfort and quality of life, examine the relationship between them, and to identify factors that affect the comfort and quality of life in older cardiac patients. Materials and Methods: The cross-sectional study was conducted in the inpatient cardiology clinic of a university hospital in Bolu. Overall, 209 patients, who met the inclusion criteria, consisted of the sample. The general comfort questionnaire and quality of life index cardiac version-IV were used to collect data. Further analyzes were carried out with multivariate analysis of variance. Results: Comfort and quality of life scores were 16.18±0.82 and 2.97±0.39, respectively. Physical, psycho-spiritual, environmental, and socio-cultural comfort closely correlated with quality of life (p<0.05). Multivariate analysis of variance showed that living place, perception of income status, frequency of hospitalization, dietary adherence, routine health checkup, and dizziness were common covariates of comfort and quality of life (p<0.05). Conclusion: There was a correlation between all dimensions of comfort and quality of life. By improving the variables that affect comfort and quality of life together, patients’ comfort can be provided and their quality of life can be increased.","PeriodicalId":341534,"journal":{"name":"European Journal of Geriatrics and Gerontology","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124043693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Firüzan Fırat Özer, S. Akın, T. Soysal, N. Şentürk Durmuş, Bilge Müge Gökçekuyu
{"title":"Falls in Older Women and Men: Associated Factors and Sarcopenia","authors":"Firüzan Fırat Özer, S. Akın, T. Soysal, N. Şentürk Durmuş, Bilge Müge Gökçekuyu","doi":"10.4274/ejgg.galenos.2022.2023-1-1","DOIUrl":"https://doi.org/10.4274/ejgg.galenos.2022.2023-1-1","url":null,"abstract":"Objective: Falls are the fifth leading cause of death among the older adults, and most of the risk factors of falls are modifiable. We aimed to investigate the clinical factors associated with falls comprehensively, by evaluating the sarcopenia components separately, in each gender. Materials and Methods: This is a cross-sectional study. Six hundred thirty-three female and 269 male outpatients, underwent a comprehensive geriatric assessment, were included. Falls, in the previous 12 months, were recorded. Geriatric evaluation regarding frailty, depression, nutrition, cognitive functions, and disabilities were done with related scales. SARC-F determined sarcopenia risk, and probable sarcopenia was defined according to handgrip strength. Skeletal muscle mass index and muscle performance were measured by bioimpedance analysis and physical performance tests, including 4-meter gait speed (4-m GS) and timed up and go (TUG) tests, respectively. Results: In the study population 35.2% of female and 30.9% of male patients experienced falls. In multivariate analysis, probable sarcopenia in women [odds ratio (OR): 1.56, p=0.034] and longer TUG test performance in men (OR: 1.06, p=0.020) were independently related to falls. In addition, both in women and men urinary incontinence (OR: 1.62, p=0.016 and OR: 1.95, p=0.045, respectively), sarcopenia risk defined by SARC-F (OR: 2.74, p≤0.001 and OR:4.79, p≤0.001, respectively) and depression (OR: 1.56, p=0.025 and OR: 1.93, p=0.046, respectively) were independently related with falls. Conclusion: Depression, incontinence, and sarcopenia risk were independent associated factors for falls in both genders. SARC-F appears to be effective in both genders in predicting the risk of falls. However, muscle strength in women and muscle performance in men get high impact for the falls.","PeriodicalId":341534,"journal":{"name":"European Journal of Geriatrics and Gerontology","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131496735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Effect of Environmental Modifications on Preventing Delirium for the Elderly Patients in the Intensive Care Unit: A Nonrandomized Controlled Trial","authors":"Arzu Çavuşoğlu, Arzu Akman Yılmaz","doi":"10.4274/ejgg.galenos.2022.2022-10-6","DOIUrl":"https://doi.org/10.4274/ejgg.galenos.2022.2022-10-6","url":null,"abstract":"Objective: The study aimed to examine the effect of environmental modifications on preventing delirium for the elderly patients in the intensive care unit. A quasi-experimental study with non-randomized independent two groups. Materials and Methods: The study was conducted at a hospital in Bolu, Turkey. The sample was constituted of 60 patients who met the inclusion criteria. In the intervention group (30 patients), the sound level of the environment was improved, the bright light, a largely written calendar and clock were used, and were allowed to use their glasses or hearing aids if they had. No extra regulation has been made regarding the temperature or humidity of the environment. Results: Mean humidity level and the mean sound level in the unit were different, while the mean of the temperature was similar between the groups. The mean sound level was higher in control group. In the intensive care unit, the frequency of delirium was 56.7%, and the risk of delirium was 2.32 times higher in the control group. Conclusion: The study provides scientific evidence to reduce the risk of delirium by a specific care bundle include nursing interventions for elderly patients in intensive care units.","PeriodicalId":341534,"journal":{"name":"European Journal of Geriatrics and Gerontology","volume":"78 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133562092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Coexistence Between Probable Sarcopenia, Undernutrition and Frailty in Geriatric Outpatients","authors":"M. E. Bozkurt","doi":"10.4274/ejgg.galenos.2022.2022-6-1","DOIUrl":"https://doi.org/10.4274/ejgg.galenos.2022.2022-6-1","url":null,"abstract":"Objective: Sarcopenia, undernutrition and frailty are three interrelated geriatric problems with strong associations with mortality and morbidity. This study assesses coexistence of probable sarcopenia, undernutrition and frailty in patients admitted to outpatient clinics in our country. Materials and Methods: The study population consisted of participants over the age of 60 years who applied to the geriatric outpatient clinics of a university hospital between December 2012 and August 2021. All of the participants were screened for frailty using the FRAIL scale, while the mini nutritional assessment-short form was used for undernutrition screening. Hand grip strength was measured using a Jamar hydraulic hand dynamometer, based on the European Working Group on Sarcopenia in Older People definition regional cut-offs (<35 kg <20 kg in males and females, respectively). Results: Included in the study were 438 participants with a mean age of 74+6.7, 129 of whom were male (29.5%). The prevalence of three clinical conditions (probable sarcopenia, undernutrition and frailty) was 48.8% (214), 24.2% (106) and 65.1% (285), respectively. Both probable sarcopenia and undernutrition were detected in 15.5% (68%), and 13.6% (60) of the sample had all three conditions. Conclusion: The majority of patients in the study were either frail (65.1%), probable sarcopenic (48.8%) or undernourished (24.2%), and the coexistence of all three clinical conditions was significant, affecting 13.6% of the total (60). Our study is the first to investigate the overlaps of the three interrelated geriatric syndromes in patients who applied to geriatric outpatient clinics.","PeriodicalId":341534,"journal":{"name":"European Journal of Geriatrics and Gerontology","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127439032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Effect of Perceived Social Support Systems and Empowerment Approaches on the Quality of Life in Elderly Patients","authors":"D. Ünalan, Elif Yayla, H. Baydur, Fatih Altan","doi":"10.4274/ejgg.galenos.2022.2022-10-7","DOIUrl":"https://doi.org/10.4274/ejgg.galenos.2022.2022-10-7","url":null,"abstract":"Objective: This study investigated the effect of social support systems and strengthening approaches on the quality of life in elderly patients. Materials and Methods: This cross-sectional study was conducted with 390 participants above the age of 65 receiving service at the Kayseri State Hospital Geriatric Care Center between September-October 2019. The World Health Organization quality of life scale module and multidimensional scale of perceived social support and the patient perceptions of empowerment scale were used as the data collection tools. The effect of multidimensional scale of perceived social support and the patient perceptions of empowerment scale on the quality of life was tested using structural equation modeling. Results: It was determined that education, income, smoking, and chronic disease were significantly related to the quality of life of the elderly. When the effects of multidimensional scale of perceived social support on the quality of life were modeled, it was determined that social support and patient empowerment influenced the quality of life. In the model, patient empowerment significantly affected the quality of life with a standardized regression coefficient of 0.47 and a patient empowerment scale of 0.59. Conclusion: Patient empowerment level has a significant effect on the quality of life of the elderly, with social support. Patient empowerment is an essential determinant of the quality of life in the elderly.","PeriodicalId":341534,"journal":{"name":"European Journal of Geriatrics and Gerontology","volume":"353 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115920956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Okyar Baş, S. Ceylan, Merve Güner, M. Koca, Burcu Balam Doğu, M. Halil, M. Cankurtaran, C. Balcı
{"title":"The Validation of the Turkish Version of the PRISMA-7 Questionnaire; A Case-finding Instrument for Detecting Older Adults Living with Frailty","authors":"A. Okyar Baş, S. Ceylan, Merve Güner, M. Koca, Burcu Balam Doğu, M. Halil, M. Cankurtaran, C. Balcı","doi":"10.4274/ejgg.galenos.2022.2022-8-2","DOIUrl":"https://doi.org/10.4274/ejgg.galenos.2022.2022-8-2","url":null,"abstract":"","PeriodicalId":341534,"journal":{"name":"European Journal of Geriatrics and Gerontology","volume":"69 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127580986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Selenium’s Role on Thyroid Autoimmunity and Cognitive Dysfunction in Elderly","authors":"G. Sayıner, Y. Beyhan","doi":"10.4274/ejgg.galenos.2022.2022-7-4","DOIUrl":"https://doi.org/10.4274/ejgg.galenos.2022.2022-7-4","url":null,"abstract":"","PeriodicalId":341534,"journal":{"name":"European Journal of Geriatrics and Gerontology","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124566566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Potential and Challenges of Creatine Supplementation for Cognition/Memory in Older Adults","authors":"M. Machado, R. Pereira","doi":"10.4274/ejgg.galenos.2022.2022-9-9","DOIUrl":"https://doi.org/10.4274/ejgg.galenos.2022.2022-9-9","url":null,"abstract":"","PeriodicalId":341534,"journal":{"name":"European Journal of Geriatrics and Gerontology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129555337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Impact of Malnutrition Status at Admission on Post-discharge Short Term Mortality in Palliative Care Unit","authors":"O. Deniz, Nuray Kaya","doi":"10.4274/ejgg.galenos.2022.2022-9-1","DOIUrl":"https://doi.org/10.4274/ejgg.galenos.2022.2022-9-1","url":null,"abstract":"","PeriodicalId":341534,"journal":{"name":"European Journal of Geriatrics and Gerontology","volume":"115 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124147144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}