Salmand-Iranian Journal of Ageing最新文献

{"title":"Factors Related to Frailty Among Older Adults in Khuzestan, Iran","authors":"Saeid Saeidimehr, A. Delbari, N. Zanjari, Reza Fadaye Vatan","doi":"10.32598/sija.16.2.1600.1","DOIUrl":"https://doi.org/10.32598/sija.16.2.1600.1","url":null,"abstract":"Objectives: Frailty syndrome is one of the most important geriatric syndromes that imposes high psychological and financial costs on the elderly, their families and health system. This study aims to determine the factors associated with frailty in older adults living in Khuzestan province of Iran Methods & Materials: This is a cross-sectional study conducted in 2019 on 540 older adults in Khuzestan province who were selected by a multistage random sampling method. Data collection tools include a demographic form, Deficit accumulation Frailty Index, Wax’s Social Support Scale and the Geriatric Depression Scale. Collected data were analyzed using Spearman correlation test, chi-square test and sequential logistic regression analysis. Results: The Mean±SD age of participants was 72.61±8.72 years and 65.6% were women. Around 10.4% were frail and 25.6% were pre-frail. Frailty was higher among older women with higher age, lower education, without social support, with depression, living alone, single, with a history of taking high number of medications, and with a history of hospitalization (P<0.001). Frailty was lower in older men with lower age, a history of taking less than 5 medications, no depression, and high social support (P<0.005). Conclusion: The consequences of frailty syndrome can be reduced by early identification of frail older adults and using appropriate interventions based on risk factors such as polypharmacy and low social support.","PeriodicalId":44423,"journal":{"name":"Salmand-Iranian Journal of Ageing","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85171950","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":"Effect of Mindfulness Therapy and Aromatherapy Massage on Pain Perception, Quality of Life and Sleep Quality in Older Women With Chronic Pain","authors":"Sima Alemi, Khadijeh Abolmaali Alhosseini, Saied Malihialzackerini, M. Khabiri","doi":"10.32598/sija.16.2.3058.1","DOIUrl":"https://doi.org/10.32598/sija.16.2.3058.1","url":null,"abstract":"Objectives: Aging is one of the phenomena in the field of global health. It is very important to pay attention to older adults psychologically and physically. This study aims to evaluate the effect of mindfulness therapy combined with aromatherapy massage on the psychological functions of older women with chronic pain. Methods & Materials: This is a quasi-experimental study with a pre-test, post-test, follow-up design using a control group. The study population consists of all older women with chronic pain referred to hospitals, clinics, and rehabilitation centers in the west of Tehran, Iran in 2017. By using a convenience sampling method, 30 women were selected based on inclusion and exclusion criteria and randomly divided into two matched groups. The intervention group underwent mindfulness group therapy plus aromatherapy massage at ten 120-min sessions while the control group received no intervention. Their pain perception, sleep quality, and quality of life as psychological functions were evaluated at baseline, at the end of intervention and 45 days later. Collected data were analyzed using the analysis of covariance method in SPSS v. 19 software. Results: The mindfulness therapy/aromatherapy massage significantly reduced the pain perception and its components and improved quality of life and sleep quality in the intervention group compared to the control group (P<0.05), and these effects remained stable in the follow-up phase. Conclusion: mindfulness therapy combined with aromatherapy massage improves the quality of life and sleep and reduces chronic pain in older women. It can be used as an effective intervention for improving general health and quality of life in older patients with chronic pain.","PeriodicalId":44423,"journal":{"name":"Salmand-Iranian Journal of Ageing","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73215751","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":"Understanding the Lived Experiences of Athlete Elderly in COVID-19 Pandemic in Tehran (A Phenomenological Approach)","authors":"Rasoul Norouzi Seyed Hosseini","doi":"10.32598/sija.16.1.3000.1","DOIUrl":"https://doi.org/10.32598/sija.16.1.3000.1","url":null,"abstract":"Objectives: Epidemics create extensive socio-behavioral changes in all areas, sport is no exception. The current study aimed at understanding the lived experience of athletic older adults from the Coronavirus Disease 2019 (COVID-19) pandemic. Methods & Materials: The present qualitative research applied a phenomenological approach. The study participants were 16 athletic older adults in Tehran City, Iran who were selected by the purposive sampling method. Through in-depth and unstructured interviews, the required data were collected. The obtained data were analyzed using the seven-step Diekelman’s (1993) approach. Results: According to the obtained data, 4 categories of meanings were identified about the lived experiences of the explored elderly from the COVID-19 pandemic. These categories included the experiences of psychosocial isolation and thinking about death; the marginalization of older adult's sports; mood swings and lifestyle changes, and finding opportunities for sports activism. Conclusion: These concepts of experiences in the life-world of athletic older adults in Tehran from the COVID-19 pandemic were the constitutions of their social action. In the case of proper analysis and application, they can be helpful in better managing professional sports in epidemics.","PeriodicalId":44423,"journal":{"name":"Salmand-Iranian Journal of Ageing","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79106462","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":"Facilitators and Barriers to Social Participation of Community-dwelling Older Adults in Iran: A Qualitative Study","authors":"R. Amini, Farahnaz Mohammadi Shahboulaghi, Kian Norouzi Tabrizi, Ameneh Setareh Forouzan","doi":"10.32598/sija.16.2.3052.1","DOIUrl":"https://doi.org/10.32598/sija.16.2.3052.1","url":null,"abstract":"Objectives: Social participation in older adults is one of the key pillars of active aging. Social participation is influenced by multiple underlying factors. The present study aims to explore the facilitators and barriers to social participation in community-dwelling older adults in Iran. Methods & Materials: This is a qualitative study using the grounded theory approach. The study population consisted of community-dwelling older adults. Fifteen samples were selected using a purposive sampling method. Data were collected through in-depth semi-structured interviews. Information were collected until data saturation. Each interview lasted for 45-60 minutes. Analysis was done using the method of Corbin and Strauss (2015). Results: Three main categories and 11 sub-categories were found based on data analysis which were: Participatory elderly (with 5 sub-categories), participatory family (with 2 sub-categories), and community capacity for social participation (with 4 sub-categories). Conclusion: Facilitating social participation of community-dwelling older adults in Iran is associated by individual, family and community. Proper planning should be done in these areas. Providing facilitators for the development of social participation in the elderly can facilitate movement towards active aging.","PeriodicalId":44423,"journal":{"name":"Salmand-Iranian Journal of Ageing","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74926568","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":"Investigating Some Risk Factors Related to the COVID-19 Pandemic in the Middle-aged and Elderly","authors":"A. Dadgari, S. M. Mirrezaei, S. Talebi, Yasaman Alaghemand Gheshlaghi, Marzieh Rohani Rasaf","doi":"10.32598/sija.16.1.3172.1","DOIUrl":"https://doi.org/10.32598/sija.16.1.3172.1","url":null,"abstract":"Objectives: The outbreak of Coronavirus Disease 2019 (COVID-19) has influenced all age groups; however, the risk of mortality increases with age. Several factors impact the development of this disease. This study aimed to determine the relationship between some risk factors in the development of COVID-19 among community dwellers of ≥50 years of age.This cross-sectional study was performed at Shahroud University of Medical Sciences from April 1, 2019, to June 20, 2020. Methods & Materials: This cross-sectional study was conducted on individuals aged ≥50 years, including middle-aged and aging suspected of COVID-19 referring to registration centers in Shahroud University of Medical Sciences from Feb. 20th to Jun. 20th, 2020. The basis for diagnosing COVID-19 in suspected cases was a positive Reverse Transcription Polymerase Chain Reaction (RT-PCR) test based on a nasopharyngeal swab or Computed Tomography (CT) scan. The data used included demographic information, a history of smoking, and comorbidities. Data analysis was performed in SPSS by descriptive statistics, Chi-squared test, Independent Samples t-test, and logistic regression model. Results: In the first 4 months of the COVID-19 outbreak, 3945 suspicious cases were referred to Shahroud healthcare centers. After removing the missing cases, of the 3119 registered cases, 1348 participants were aged ≥50 years. Of all eligible participants, 602 cases were diagnosed with COVID-19, and 303 were males. The obtained data suggested that the Mean±SD age of the study subjects was 66.62±11.33 years. Diabetes (P=0.014) and other comorbidities, such as asthma, acute respiratory, hepatic and kidney diseases, and cancer in borderline significantly increased the incidence of COVID-19 by 38% and 32%, respectively. An increase of one unit in Body Mass Index (BMI) (P=0.002) enhanced the odds of infection by 4%. Conclusion: Based on the multivariate logistic regression results, high BMI and diabetes were significant risk factors in the development of COVID-19 among aged subjects. This conclusion emphasizes the importance of BMI and diabetes in the assessment of patients in middle-aged and aging groups.","PeriodicalId":44423,"journal":{"name":"Salmand-Iranian Journal of Ageing","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73155421","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":"Death Anxiety in the Elderly in Iran: A Systematic Review and Meta-analysis","authors":"M. Khalvati, Masoudeh Babakhanian, Mahboube Khalvati, Ayub Nafei, Monireh Khalvati, Ronak Ghafuri","doi":"10.32598/sija.16.2.862.2","DOIUrl":"https://doi.org/10.32598/sija.16.2.862.2","url":null,"abstract":"Objectives: Aging is one of the most critical stages of human development that has its own characteristics and conditions. One of the most common issues in old age is the mental health whose achievement requires special attention from both health system policymakers and service providers to the elderly. Death anxiety is one of the most common mental health issues in old age, because this period is full of feelings of shortcomings and disabilities. Since death anxiety is a multidimensional factor, it is expected to affect many aspects of the elderly. The present study aims to review and analyze published studies in the field of death anxiety in the elderly in Iran. Methods & Materials: This is a systematic review and meta-analysis conducted on the studies related to the death anxiety of the elderly in Iran published in Persian from 2011 to 2019. A search was conducted in national databases, including SID, IranDoc, MagIran, IDML, and CIVILICA using the keywords: Death anxiety, elderly, and older adult. Initial search yielded 61 articles. After screening, 33 studies that met the entry and exit criteria were selected for the final review. We used Stata v. 14 and SPSS v. 22 applications to perform meta-analysis. Results: In the studies, 40.35% of the participants were older women and the rest were older men with a mean age of 67.80±6.44 years. The mean score of death anxiety was higher in men than in women, and the elderly living in nursing homes had the highest score (11.8). Studies were categorized into three sections: comparison (3 studies), intervention (11 studies), and factors affecting the death anxiety (18 studies). The results of meta-analysis showed no significant relationship between spiritual therapy and reduction of death anxiety in the elderly (P>0.05). In studies with spiritual and behavioral therapies, the heterogeneity was significant and, thus, a significant positive relationship was observed between the reduction of death anxiety and these treatments methods. Conclusion: The death anxiety level of the elderly in Iran is low. Religious beliefs, hopes for the intercession of imams and religious leaders, and hopes for freedom from the hardships of worldly life seem to have contributed to low death anxiety in Iran. Different death anxiety scores have been reported for older men and women in Iran may be due to the effect of culture, religion, and traditions, the difference in the roles of men and women, and even the expression of fear and anxiety. Most of men have less tendency to express their emotions, including fear, while women are more likely to express their feelings. Behavioral and spiritual interventions lead to a decrease in the elderly’s death anxiety through affecting their finding meaning in life.","PeriodicalId":44423,"journal":{"name":"Salmand-Iranian Journal of Ageing","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78695650","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":"Analyzing the Elderly’s Quarantine-related Experiences in the COVID-19 Pandemic","authors":"S. Gholamzad, Narges Saeidi, S. Danesh, H. Ranjbar, Mahsa Zarei","doi":"10.32598/sija.16.1.2083.3","DOIUrl":"https://doi.org/10.32598/sija.16.1.2083.3","url":null,"abstract":"Objectives The present study aimed to discover the lived experiences of the older adults from quarantine during the Coronavirus Disease 2019 (COVID-19) pandemic. Methods & Materials This qualitative study employed a content analysis method. Sampling was performed in 10 subjects using a purposive sampling method and continued until data saturation. Semi-Structured face-to-face interviews were used to collect the necessary data. The texts of the interviews were analyzed by qualitative method. Results As a result of the interviews, the two main themes of negative outcomes with the sub-themes of illness anxiety, low mood, death anxiety, interpersonal conflicts, social isolation, treatment limitations, and reduced physical activity as well as the main themes of positive outcomes with the sub-theme of lifestyle improvements were discovered. Each of the above-mentioned themes had several supporting semantic units. Conclusion The themes discovered based on lived experience provided useful information about the effects of quarantine on biopsychological health and quality of life of the elderly;these characteristics can be considered in treatment planning and measures for this group.","PeriodicalId":44423,"journal":{"name":"Salmand-Iranian Journal of Ageing","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84725140","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":"Assessment of the Subjective Wellbeing of the Elderly During the COVID-19 Disease Epidemic in Mashhad","authors":"N. Peyman, S. Olyani","doi":"10.32598/sija.16.1.3109.1","DOIUrl":"https://doi.org/10.32598/sija.16.1.3109.1","url":null,"abstract":"Objectives: The Coronavirus Disease 2019 (COVID-19)pandemic could be considered as an uncontrollable stressful public health crisis. The ease of transmission of COVID-19 and its potential to kill older adults could affect older adults' Subjective Wellbeing (SWB). This study aimed to assess SWB, and investigate the risk factors associated with declined SWB in the elderly during the COVID -19 outbreak. Methods & Materials: In this cross-sectional study, a total of 400 older adults (age: >60 years) were studied from April 4 to June 20, 2020, in Mashhad City, Iran. In this study, the multistage sampling method was used. In the first stage, 5 healthcare networks were considered as 5 clusters. Next, from each healthcare network, one healthcare center was randomly selected and considered as a cluster. Then, to reach the desired number of samples, 80 subjects were randomly selected per healthcare center and entered into the study. After obtaining permission for entrance to the healthcare centers from the Vice-Chancellor of Mashhad University of Medical Sciences, the researcher in charge of research referred to the healthcare centers; after obtaining permission from the center officials, the researcher collected the telephone numbers of the elderly from their records and completed the demographic and main questionnaire used by telephone for all study participants. The questionnaires were completed in June 2020. Each day, 20 elderly were examined; accordingly, except for the 10 days off in June 2020, the questionnaires were completed in the remaining 20 days of the month. The SWB of the elderly was assessed using the Persian version of The 5-item World Health Organization Well-Being Index (WHO-5). The obtained data were analyzed in SPSS using descriptive statistics, Chi-squared, and logistic regression tests at the significance level of 0.05. Results: The Mean±SD age of the study participants was 66.7±5.8 years. Of the total research participants, 224(56%) were females and 176(44%) were males. The mean±SD SWB scores in the explored elderly were 44.8±24.7. Furthermore, the SWB score in 285(71.2%) of the study sample was <50, indicating low an SWB. Multivariable logistic regressions were used to identify associations between the SWB and contextual variables. Loneliness (OR=8.28, 95%CI: 4.79-14.31), chronic illness (OR=23.77, 95%CI: 13.42-42.08), isolation (OR=8.03, 95%CI: 3.72-17.30) ,and physical inactivity (OR=7.37, 95%CI: 2.98-18.18) predicted lower SWB in the study subjects. Conclusion: The present research results indicated that the SWB of the examined elderly was undesirable concerning the COVID-19 crisis. Thus, to maintain and improve the SWB of older adults at times of major life events and threats, like the COVID-19 pandemic, the adoption of coping strategies should be considered.","PeriodicalId":44423,"journal":{"name":"Salmand-Iranian Journal of Ageing","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88540913","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":"Antibiotic Susceptibility Profile of Clostridium Difficile Bacteria Isolated from Older Residents of a Nursing Home in Iran","authors":"A. Mobarez, E. Mostafavi","doi":"10.32598/SIJA.15.4.2997.1","DOIUrl":"https://doi.org/10.32598/SIJA.15.4.2997.1","url":null,"abstract":"Objectives: Clostridium difficile (C. diff) is a gram-positive anaerobic bacterium knwon as the most common cause of nosocomial diarrhea in nursing homes. The antibiotic susceptibility profile is the basic way for successful treatment due to antimicrobial resistance. This present study aims to assess the antibiotic susceptibility profile of C. diff isolated from older residents of a nursing home in Tehran, Iran. Methods & Materials: Forty-two isolates of C. diff were used in this study collected from 289 residents of Kahrizak Nursing Home. Antibiotic susceptibility testing was conducted by using disk-diffusion method, agar dilution method, and Epsilometer test (E-test). Results: All C. diff strains were susceptible to Metronidazole, Vancomycin, Rifampicin, Linezolid and Tigecycline. By using the disk-diffusion method, the highest rate of resistance was related to Clindamycin (100%), Levofloxacin (96.2%), Imipenem (81%), Azithromycin (61%) and Erythromycin (54.8%). All C. diff strains were susceptible to Metronidazole under E-test. Furthermore, 100% and 59.5% of strains were susceptible to Vancomycin and Erythromycin, respectively under agar dilution test. Conclusion: C. diff strains are sensitive to Vancomycin and Metronidazole. These two antibiotics can be used to treat C. diff infections in older adults. The disk diffusion method can be used as a screening test to determine antibiotic resistance.","PeriodicalId":44423,"journal":{"name":"Salmand-Iranian Journal of Ageing","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76567765","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":"طراحی و روانسنجی پرسشنامه شادکامی سالمندان","authors":"محبوبه هروی, محمدرضا حاتمی, حسن احدی","doi":"10.32598/SIJA.15.3.2749.1","DOIUrl":"https://doi.org/10.32598/SIJA.15.3.2749.1","url":null,"abstract":"","PeriodicalId":44423,"journal":{"name":"Salmand-Iranian Journal of Ageing","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2020-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78738421","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}