Pub Date : 2024-07-01DOI: 10.21608/niles.2024.285338.1085
Asmaa Sharabash, Heba Mousa Ghaleb, Maha Salem, Emad Taha
Introduction: Egypt lacks awareness regarding the positive influence of reflexology along with aerobic training (AT) on the quality of life (QoL) of patients with hypertension (HTN). Objective: We aim to determine reflexology and AT effects on the insomnia severity index (ISI) and QoL of HTN patients. Methods: This study enrolled 40 HTN female patients aged 35–45 years who were equally divided into groups A and B. Groups A and B participants were provided with medications and peddling training, while Group B participants also received reflexology. The treatment protocol consisted of an eight-week program with three sessions per week. After the four-week treatment protocol, a post-evaluation (post-1) was conducted and was repeated after another four-week treatment (post-2). The participants underwent assessment for systolic and diastolic blood pressure, ISI, and a 36-item short-form survey (SF-36), a general QoL measure, pre-and post-treatment. Results: The results revealed significant discrepancies in the assessed variable between both groups pre-and post-treatment (post-1/2). When comparing the post-treatment values (post-1/2) of the evaluated variable between groups A and B, incorporating reflexology and AT, such as peddling training, into the physical treatment program is recommended. Conclusion: The study highlights the positive impact of reflexology and AT on the QoL and ISI of female HTN patients, recommending their incorporation into treatment programs.
导言：埃及对反射疗法和有氧训练（AT）对高血压（HTN）患者生活质量（QoL）的积极影响缺乏认识。目的：我们旨在确定反射疗法和有氧训练对高血压患者生活质量的积极影响：我们旨在确定反射疗法和有氧训练对高血压患者失眠严重程度指数（ISI）和生活质量的影响。研究方法本研究招募了 40 名年龄在 35-45 岁之间的高血压女性患者，将她们平均分为 A 组和 B 组。A 组和 B 组参与者接受药物治疗和足底按摩训练，而 B 组参与者也接受反射疗法。治疗方案为期八周，每周三次。在为期四周的治疗方案结束后，进行了一次后评估（后-1），并在另一次为期四周的治疗（后-2）后再次进行评估。参加者在治疗前和治疗后接受了收缩压和舒张压评估、ISI评估以及36项短表调查（SF-36），这是一项一般的QoL测量。结果显示结果显示，两组患者在治疗前后（1/2 后）的评估变量存在明显差异。如果比较 A 组和 B 组治疗后的评估变量值（1/2 后），建议在物理治疗方案中加入反射疗法和 AT（如踩踏训练）。结论本研究强调了反射疗法和反射疗法对女性高血压患者的 QoL 和 ISI 的积极影响，建议将其纳入治疗计划。
{"title":"Effect of Reflexology versus Aerobic Training on Insomnia Severity Index and Quality of Life in Hypertensive Patients","authors":"Asmaa Sharabash, Heba Mousa Ghaleb, Maha Salem, Emad Taha","doi":"10.21608/niles.2024.285338.1085","DOIUrl":"https://doi.org/10.21608/niles.2024.285338.1085","url":null,"abstract":"Introduction: Egypt lacks awareness regarding the positive influence of reflexology along with aerobic training (AT) on the quality of life (QoL) of patients with hypertension (HTN). Objective: We aim to determine reflexology and AT effects on the insomnia severity index (ISI) and QoL of HTN patients. Methods: This study enrolled 40 HTN female patients aged 35–45 years who were equally divided into groups A and B. Groups A and B participants were provided with medications and peddling training, while Group B participants also received reflexology. The treatment protocol consisted of an eight-week program with three sessions per week. After the four-week treatment protocol, a post-evaluation (post-1) was conducted and was repeated after another four-week treatment (post-2). The participants underwent assessment for systolic and diastolic blood pressure, ISI, and a 36-item short-form survey (SF-36), a general QoL measure, pre-and post-treatment. Results: The results revealed significant discrepancies in the assessed variable between both groups pre-and post-treatment (post-1/2). When comparing the post-treatment values (post-1/2) of the evaluated variable between groups A and B, incorporating reflexology and AT, such as peddling training, into the physical treatment program is recommended. Conclusion: The study highlights the positive impact of reflexology and AT on the QoL and ISI of female HTN patients, recommending their incorporation into treatment programs.","PeriodicalId":294863,"journal":{"name":"NILES journal for Geriatric and Gerontology","volume":"223 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141692833","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}
Pub Date : 2024-07-01DOI: 10.21608/niles.2024.287211.1087
Rokaia Mohammed
: Most amputations are caused by foot ulcers among diabetic older adults, so it is essential to identify people who are at risk as early as possible. Aim : To detect the risk of foot ulceration and its relation to foot self-care among diabetic elders. Design : A descriptive research design was conducted on 300 elderly patients with a type II of diabetes from the outpatient clinic and medical department of Minia University Hospital, Egypt. Tools: Demographic characteristics, medical data, and two research instruments were used: (1-Standardized INLOW’S 60s diabetic foot screening tool. 2) Nottingham Assessment of Functional Foot Care Scale (NAFFC). Results: The mean age was (71.36±6.835) and 60% were male. Foot examination using Inlow’s 60s screening scale reflected that 62.6% and 22% of the participants were at moderate and high risk for foot ulcers respectively. Additionally, 60.7% of them had a low adherence level to foot self-care practices, with a negative correlation between patients' risk of foot ulceration and their adherence to foot care (p <.000). Conclusion: Around half of the studied sample was detected at risk for foot ulceration between moderate and high levels and more than half of them had a low adherence level to foot self-care practices with a negative correlation found between them. Recommendations : Health care providers should emphasize regular foot screening along with proper education for diabetic elderly patients to detect the risky cases of DFUs at an early stage and consequently prevent foot complications.
{"title":"Detection of Risk for Foot Ulceration and its Relation to Foot Self-care among Diabetic Elderly Patients","authors":"Rokaia Mohammed","doi":"10.21608/niles.2024.287211.1087","DOIUrl":"https://doi.org/10.21608/niles.2024.287211.1087","url":null,"abstract":": Most amputations are caused by foot ulcers among diabetic older adults, so it is essential to identify people who are at risk as early as possible. Aim : To detect the risk of foot ulceration and its relation to foot self-care among diabetic elders. Design : A descriptive research design was conducted on 300 elderly patients with a type II of diabetes from the outpatient clinic and medical department of Minia University Hospital, Egypt. Tools: Demographic characteristics, medical data, and two research instruments were used: (1-Standardized INLOW’S 60s diabetic foot screening tool. 2) Nottingham Assessment of Functional Foot Care Scale (NAFFC). Results: The mean age was (71.36±6.835) and 60% were male. Foot examination using Inlow’s 60s screening scale reflected that 62.6% and 22% of the participants were at moderate and high risk for foot ulcers respectively. Additionally, 60.7% of them had a low adherence level to foot self-care practices, with a negative correlation between patients' risk of foot ulceration and their adherence to foot care (p <.000). Conclusion: Around half of the studied sample was detected at risk for foot ulceration between moderate and high levels and more than half of them had a low adherence level to foot self-care practices with a negative correlation found between them. Recommendations : Health care providers should emphasize regular foot screening along with proper education for diabetic elderly patients to detect the risky cases of DFUs at an early stage and consequently prevent foot complications.","PeriodicalId":294863,"journal":{"name":"NILES journal for Geriatric and Gerontology","volume":"13 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141698483","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}
Pub Date : 2024-07-01DOI: 10.21608/niles.2024.287055.1088
Noura Eid, Mona Ghallab, A. Sayed, Maha Saber, Mona Abdelwahab
Background: Cryolipolysis is a non-invasive procedure designed to target subcutaneous adipose tissue in obese patients that has emerged as a potential therapeutic approach for modifying insulin resistance(IR ) in T2DM individuals. Aim: to evaluate the efficacy of cryolipolysis in reducing IR among patients diagnosed with T2DM patients exhibiting abdominal obesity. Research design: Randomized, two-group pre–post-test, controlled design. Patients and Methods: sixty females with T2DM exhibiting abdominal obesity were enrolled. The participants were randomly and equally divided either in Group A (cryolipolysis in combination with aerobic exercise ), or in Group B (aerobic exercise therapy alone) for three months. All variables measured Pre-and post-study, including (HbA1c, FBG, fasting insulin level, HOMA testing). Results: there was statistically significant decrease in all measured parameters of groups A and B post-treatment compared with pre-treatment with a significant increase in water content, muscle mass, and a significant decrease in fat content and visceral fat of groups A and B post-treatment compared with pre treatment. Following the intervention, Group A significantly reduced fat content and visceral fat compared to Group B. However, there were no significant differences in waist-hip ratio, water content, and muscle mass between the two groups post-treatment. Significant improvements in metabolic parameters were observed in Group A compared to Group B. Group A showed a significant decrease in FBG, insulin levels, HbA1c, and HOMA-IR. Conclusions: Cryoliopolysis is one of the effective strategies for addressing localized fat deposits that enhance glucose absorption and favorable changes in HbA1c and HOMA-IR, that improve insulin sensitivity.
背景：冷冻溶脂是一种针对肥胖患者皮下脂肪组织的非侵入性手术，已成为改变 T2DM 患者胰岛素抵抗（IR）的一种潜在治疗方法。目的：评估冷冻溶脂术对减轻腹部肥胖的 T2DM 患者胰岛素抵抗的疗效。研究设计：随机、两组前后试验对照设计。患者和方法：60 名患有 T2DM 的女性腹部肥胖症患者入组。参与者被随机平均分为 A 组（冷冻溶脂联合有氧运动）或 B 组（单独有氧运动疗法），为期三个月。研究前后测量了所有变量，包括（HbA1c、FBG、空腹胰岛素水平、HOMA 测试）。结果：与治疗前相比，A 组和 B 组治疗后的所有测量参数均有统计学意义上的显著下降，A 组和 B 组治疗后的水分含量和肌肉质量显著增加，脂肪含量和内脏脂肪显著减少。干预后，与 B 组相比，A 组的脂肪含量和内脏脂肪明显减少，但治疗后两组在腰臀比、水分含量和肌肉质量方面没有明显差异。A 组的 FBG、胰岛素水平、HbA1c 和 HOMA-IR 均明显下降。结论冷冻溶解是解决局部脂肪沉积的有效策略之一，可促进葡萄糖吸收，使 HbA1c 和 HOMA-IR 发生有利变化，从而改善胰岛素敏感性。
{"title":"Effect of Cryolipolysis on Insulin Resistance in Type 2 Diabetic Females with Abdominal Obesity","authors":"Noura Eid, Mona Ghallab, A. Sayed, Maha Saber, Mona Abdelwahab","doi":"10.21608/niles.2024.287055.1088","DOIUrl":"https://doi.org/10.21608/niles.2024.287055.1088","url":null,"abstract":"Background: Cryolipolysis is a non-invasive procedure designed to target subcutaneous adipose tissue in obese patients that has emerged as a potential therapeutic approach for modifying insulin resistance(IR ) in T2DM individuals. Aim: to evaluate the efficacy of cryolipolysis in reducing IR among patients diagnosed with T2DM patients exhibiting abdominal obesity. Research design: Randomized, two-group pre–post-test, controlled design. Patients and Methods: sixty females with T2DM exhibiting abdominal obesity were enrolled. The participants were randomly and equally divided either in Group A (cryolipolysis in combination with aerobic exercise ), or in Group B (aerobic exercise therapy alone) for three months. All variables measured Pre-and post-study, including (HbA1c, FBG, fasting insulin level, HOMA testing). Results: there was statistically significant decrease in all measured parameters of groups A and B post-treatment compared with pre-treatment with a significant increase in water content, muscle mass, and a significant decrease in fat content and visceral fat of groups A and B post-treatment compared with pre treatment. Following the intervention, Group A significantly reduced fat content and visceral fat compared to Group B. However, there were no significant differences in waist-hip ratio, water content, and muscle mass between the two groups post-treatment. Significant improvements in metabolic parameters were observed in Group A compared to Group B. Group A showed a significant decrease in FBG, insulin levels, HbA1c, and HOMA-IR. Conclusions: Cryoliopolysis is one of the effective strategies for addressing localized fat deposits that enhance glucose absorption and favorable changes in HbA1c and HOMA-IR, that improve insulin sensitivity.","PeriodicalId":294863,"journal":{"name":"NILES journal for Geriatric and Gerontology","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141703900","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}
Pub Date : 2024-07-01DOI: 10.21608/niles.2024.353919
Doaa Abd Elmawla, Sally Ibrahim, Eman Radwan, D. Elzehiri, Heba El fadawy
Background: The aging population is the most significant demographic phenomena that the world has seen in recent decades, which in turn resulted in a sharp rise in the number of older people. Consequently, these data anticipate a reduction in expected years of active and healthy life and a rise in age associated with gradual deterioration of physical and mental health. Cognitive frailty is recognized as a precursor to major health conditions. Early identification and cognitive intervention programs can potentially preventing or reversing this decline in cognitive function. Aim: This study aimed to evaluate the effectiveness of cognitive stimulation therapy versus reminiscence therapy on cognitive and psychological outcomes in older adults with mild cognitive impairment. Design: A Quasi-experimental study was followed to conduct this study. Setting: The study was conducted in two elderly clubs namely El-Saada and El-Amal elderly club in Mansoura city. Subjects: A total of 60 older adults with mild cognitive impairment were included in the study and randomly assigned to three equal groups; cognitive stimulation therapy group, reminiscence therapy group and control group. Tools: The data were collected through demographic and health-related characteristics interview sheet, montreal cognitive assessment, psychological wellbeing scale-18, the satisfaction with life scale and one question to assess participants’ satisfaction with the program. Results: A significant increase in cognitive function and psychological outcomes were evident among the cognitive stimulation group and reminiscence group after implementation of the intervention when compared to pre intervention and the control group (p<0.05). Conclusion: The application of either cognitive stimulation therapy or reminiscence therapy is effective strategy in improving cognitive and psychological outcomes of older adults with mild cognitive impairment. Recommendation: The health care providers should be encouraged to incorporate such programs as non-pharmacological interventions in routine care of older adults residing either in the community or institutions to preserve their cognitive and psychological health.
{"title":"Effect of Cognitive Stimulation Therapy versus Reminiscence Therapy on Cognitive and Psychological Outcomes in Older Adults with Mild Cognitive Impairment: A Quasi-Experimental Study","authors":"Doaa Abd Elmawla, Sally Ibrahim, Eman Radwan, D. Elzehiri, Heba El fadawy","doi":"10.21608/niles.2024.353919","DOIUrl":"https://doi.org/10.21608/niles.2024.353919","url":null,"abstract":"Background: The aging population is the most significant demographic phenomena that the world has seen in recent decades, which in turn resulted in a sharp rise in the number of older people. Consequently, these data anticipate a reduction in expected years of active and healthy life and a rise in age associated with gradual deterioration of physical and mental health. Cognitive frailty is recognized as a precursor to major health conditions. Early identification and cognitive intervention programs can potentially preventing or reversing this decline in cognitive function. Aim: This study aimed to evaluate the effectiveness of cognitive stimulation therapy versus reminiscence therapy on cognitive and psychological outcomes in older adults with mild cognitive impairment. Design: A Quasi-experimental study was followed to conduct this study. Setting: The study was conducted in two elderly clubs namely El-Saada and El-Amal elderly club in Mansoura city. Subjects: A total of 60 older adults with mild cognitive impairment were included in the study and randomly assigned to three equal groups; cognitive stimulation therapy group, reminiscence therapy group and control group. Tools: The data were collected through demographic and health-related characteristics interview sheet, montreal cognitive assessment, psychological wellbeing scale-18, the satisfaction with life scale and one question to assess participants’ satisfaction with the program. Results: A significant increase in cognitive function and psychological outcomes were evident among the cognitive stimulation group and reminiscence group after implementation of the intervention when compared to pre intervention and the control group (p<0.05). Conclusion: The application of either cognitive stimulation therapy or reminiscence therapy is effective strategy in improving cognitive and psychological outcomes of older adults with mild cognitive impairment. Recommendation: The health care providers should be encouraged to incorporate such programs as non-pharmacological interventions in routine care of older adults residing either in the community or institutions to preserve their cognitive and psychological health.","PeriodicalId":294863,"journal":{"name":"NILES journal for Geriatric and Gerontology","volume":"100 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141714279","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}
Pub Date : 2024-07-01DOI: 10.21608/niles.2024.353844
Eman Elsayed, Eman Radwan, Doaa Fadila
Background: One of the most essential needs of all people is providing, enhancing the health level, and adopting a lifestyle that promotes health. It is the most significant and practical way to keep older persons' wellbeing and promote healthy aging. Aim: To investigate the effects of health promotion program on healthy aging, wellbeing and health promoting behaviour among community dwelling older adults. Methods: Four randomly selected health centers out of a total of 38 were used for the study, which was carried out in the Mansoura District within the Dakahlia governorate. Based on inclusion and exclusion criteria, a purposive sample of 94 older adults from 110 older persons enrolled in the above-mentioned setting was selected, 75 older adults were included in the final analysis. Tools: Four tools were used; Structured Interview Questionnaire, Healthy Aging Instrument (HAI), Modified Wellbeing Assessment Tool, and Health Promoting Lifestyle Profile-II Questionnaire (HPLP-II). Results: All healthy aging factors, wellbeing domains, and health promoting behaviour dimensions of the study group showed significant improvement after the program implementation (p <0.0001). This improvement appears in young old married female, with university education, who still working, had enough income , living with family, and with good health status. Also, highly statistically significant positive correlations (p<0.001) were found between wellbeing, healthy aging, and health promoting behaviour in the study group. Conclusion: Health promotion program has a positive effect on older adults' healthy aging, wellbeing, and health promoting behaviour. Recommendations: To promote older adults' health and decrease the prevalence of chronic illnesses and multiple complications due to lack of healthy lifestyle, it is recommended to implement health promotion lifestyle programs.
{"title":"The Effects of Health Promotion Program on Healthy Aging, Wellbeing and Health Promoting Behaviour among Community Dwelling Older Adults","authors":"Eman Elsayed, Eman Radwan, Doaa Fadila","doi":"10.21608/niles.2024.353844","DOIUrl":"https://doi.org/10.21608/niles.2024.353844","url":null,"abstract":"Background: One of the most essential needs of all people is providing, enhancing the health level, and adopting a lifestyle that promotes health. It is the most significant and practical way to keep older persons' wellbeing and promote healthy aging. Aim: To investigate the effects of health promotion program on healthy aging, wellbeing and health promoting behaviour among community dwelling older adults. Methods: Four randomly selected health centers out of a total of 38 were used for the study, which was carried out in the Mansoura District within the Dakahlia governorate. Based on inclusion and exclusion criteria, a purposive sample of 94 older adults from 110 older persons enrolled in the above-mentioned setting was selected, 75 older adults were included in the final analysis. Tools: Four tools were used; Structured Interview Questionnaire, Healthy Aging Instrument (HAI), Modified Wellbeing Assessment Tool, and Health Promoting Lifestyle Profile-II Questionnaire (HPLP-II). Results: All healthy aging factors, wellbeing domains, and health promoting behaviour dimensions of the study group showed significant improvement after the program implementation (p <0.0001). This improvement appears in young old married female, with university education, who still working, had enough income , living with family, and with good health status. Also, highly statistically significant positive correlations (p<0.001) were found between wellbeing, healthy aging, and health promoting behaviour in the study group. Conclusion: Health promotion program has a positive effect on older adults' healthy aging, wellbeing, and health promoting behaviour. Recommendations: To promote older adults' health and decrease the prevalence of chronic illnesses and multiple complications due to lack of healthy lifestyle, it is recommended to implement health promotion lifestyle programs.","PeriodicalId":294863,"journal":{"name":"NILES journal for Geriatric and Gerontology","volume":"92 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141695732","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}
Pub Date : 2024-07-01DOI: 10.21608/niles.2024.353910
Abdulaziz Alfatiah
This article explores the potential benefits of electromagnetic and heating therapies for promoting longevity and overall well-being. It reviews the scientific evidence supporting the efficacy of these therapies and discusses their potential mechanisms of action. The article also highlights the importance of integrating these therapies into a holistic approach to health and wellness. It has been taken into account that aging begins immediately after birth, and before that, it is in the developmental stage without aging
{"title":"Electromagnetic and Heating Therapy for Longevity","authors":"Abdulaziz Alfatiah","doi":"10.21608/niles.2024.353910","DOIUrl":"https://doi.org/10.21608/niles.2024.353910","url":null,"abstract":"This article explores the potential benefits of electromagnetic and heating therapies for promoting longevity and overall well-being. It reviews the scientific evidence supporting the efficacy of these therapies and discusses their potential mechanisms of action. The article also highlights the importance of integrating these therapies into a holistic approach to health and wellness. It has been taken into account that aging begins immediately after birth, and before that, it is in the developmental stage without aging","PeriodicalId":294863,"journal":{"name":"NILES journal for Geriatric and Gerontology","volume":"19 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141689024","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}
Pub Date : 2024-06-07DOI: 10.21608/niles.2024.358844
Eman Baleegh Meawad Elsayed, Sally Mohammed Elsayed Ibrahim, Heba Noshy Abd El-Aziz Mohamed
Background : One of the most prevalent issues among elderly patients in hospitals is pressure ulcers (PU), which place a great strain on the elderly as well as the society. Aim: Evaluate the effectiveness of nursing intervention program on prevention of acquired pressure ulcers among hospitalized elderly patients. Method: A quasi-experimental (study and control groups) design was used on a purposive sample of 84 elderly patients (42 for each group) selected from the medical and orthopedic departments at Mansoura University hospital (MUH), Egypt. Data were collected using ; demographic & medical data structured interview schedule, Braden risk assessment scale, European pressure ulcer advisory panel classification, and elderly patients' knowledge towards pressure ulcers prevention instrument. Results : The mean age of the study and control groups was 64.26 ± 4.26 and 65.64 ± 4.65 years respectively. For all the demographic data, there was no statistically significant difference between both groups. The study group shows overall improvement (decrease risk for developing pressure ulcers) throughout the implementation phases of the nursing intervention program, while the control group shows overall worsening. There was a statistically significant improvement in the study group compared to control group regarding knowledge and grades of developed pressure ulcers (P=0.001). While, the independent predictors of developing pressure ulcers among the study group were still higher in elderly who aged from 70 year and more, had hospital stay more than two weeks, being obesity, smoking, and those with diabetes and stroke. Conclusion : The nursing intervention program is successful in raising awareness and preventing older patients' pressure ulcers from developing in hospitals. Recommendation : Application of a nursing intervention program as a highly recommended approach to prevent pressure ulcers in immobilized and hospitalized elderly patients.
{"title":"Effectiveness of Nursing Intervention Program on Prevention of Acquired Pressure Ulcers among Hospitalized Elderly Patients","authors":"Eman Baleegh Meawad Elsayed, Sally Mohammed Elsayed Ibrahim, Heba Noshy Abd El-Aziz Mohamed","doi":"10.21608/niles.2024.358844","DOIUrl":"https://doi.org/10.21608/niles.2024.358844","url":null,"abstract":"Background : One of the most prevalent issues among elderly patients in hospitals is pressure ulcers (PU), which place a great strain on the elderly as well as the society. Aim: Evaluate the effectiveness of nursing intervention program on prevention of acquired pressure ulcers among hospitalized elderly patients. Method: A quasi-experimental (study and control groups) design was used on a purposive sample of 84 elderly patients (42 for each group) selected from the medical and orthopedic departments at Mansoura University hospital (MUH), Egypt. Data were collected using ; demographic & medical data structured interview schedule, Braden risk assessment scale, European pressure ulcer advisory panel classification, and elderly patients' knowledge towards pressure ulcers prevention instrument. Results : The mean age of the study and control groups was 64.26 ± 4.26 and 65.64 ± 4.65 years respectively. For all the demographic data, there was no statistically significant difference between both groups. The study group shows overall improvement (decrease risk for developing pressure ulcers) throughout the implementation phases of the nursing intervention program, while the control group shows overall worsening. There was a statistically significant improvement in the study group compared to control group regarding knowledge and grades of developed pressure ulcers (P=0.001). While, the independent predictors of developing pressure ulcers among the study group were still higher in elderly who aged from 70 year and more, had hospital stay more than two weeks, being obesity, smoking, and those with diabetes and stroke. Conclusion : The nursing intervention program is successful in raising awareness and preventing older patients' pressure ulcers from developing in hospitals. Recommendation : Application of a nursing intervention program as a highly recommended approach to prevent pressure ulcers in immobilized and hospitalized elderly patients.","PeriodicalId":294863,"journal":{"name":"NILES journal for Geriatric and Gerontology","volume":" 30","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141374485","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}
Pub Date : 2024-05-07DOI: 10.21608/niles.2024.285074.1084
Marwa Badr, Gamal Shamah, A. Badawy, Ahmed Sabakhawy, Fatma El Deeb
: Background: Schizophrenia is a chronic psychiatric disorder that affects mainly cognition and runs in chronic deteriorating course. Objective : The study aimed to assess the cognitive function of schizophrenic patients compared to healthy control and verify the effect of atypical anti-psychotics on cognition in schizophrenia. Patients & Methods: This case-control study included 3 groups, group 1: 20 newly diagnosed patients with schizophrenia, group 2: 20 schizophrenic patients receiving atypical antipsychotics and group 3: 20 control healthy persons. The participants of the three groups were subjected to clinical assessment, that included detailed psychiatric interview, neurological and general examination. Cognitive evaluation of both schizophrenic and control groups by, Wechsler Adult Intelligence Scale (WAIS), Wisconsin Card Sorting Test (WCST), stroop test (computerized version), the Trail Making test, continuous performance test and Wechsler Memory scale (WMS). Results: The schizophrenic patients had worse results than healthy control group in all neuropsychological tests: The Wechsler Adult Intelligence Scale (WAIS), The Wisconsin Card Sorting Test (WCST), Stroop Test, The Trail Making Test (TM,) Continuous performance test (CPT) and The Wechsler memory scale (WMS).The impairment was more in the newly diagnosed patients without treatment. Conclusions and clinical implications: Patients with schizophrenia suffered from cognitive impairment which mostly involved the different cognitive domains in different combinations, manifested least way in patients who received atypical antipsychotics.
{"title":"Effect of Atypical Anti-psychotics on Cognition in Schizophrenia","authors":"Marwa Badr, Gamal Shamah, A. Badawy, Ahmed Sabakhawy, Fatma El Deeb","doi":"10.21608/niles.2024.285074.1084","DOIUrl":"https://doi.org/10.21608/niles.2024.285074.1084","url":null,"abstract":": Background: Schizophrenia is a chronic psychiatric disorder that affects mainly cognition and runs in chronic deteriorating course. Objective : The study aimed to assess the cognitive function of schizophrenic patients compared to healthy control and verify the effect of atypical anti-psychotics on cognition in schizophrenia. Patients & Methods: This case-control study included 3 groups, group 1: 20 newly diagnosed patients with schizophrenia, group 2: 20 schizophrenic patients receiving atypical antipsychotics and group 3: 20 control healthy persons. The participants of the three groups were subjected to clinical assessment, that included detailed psychiatric interview, neurological and general examination. Cognitive evaluation of both schizophrenic and control groups by, Wechsler Adult Intelligence Scale (WAIS), Wisconsin Card Sorting Test (WCST), stroop test (computerized version), the Trail Making test, continuous performance test and Wechsler Memory scale (WMS). Results: The schizophrenic patients had worse results than healthy control group in all neuropsychological tests: The Wechsler Adult Intelligence Scale (WAIS), The Wisconsin Card Sorting Test (WCST), Stroop Test, The Trail Making Test (TM,) Continuous performance test (CPT) and The Wechsler memory scale (WMS).The impairment was more in the newly diagnosed patients without treatment. Conclusions and clinical implications: Patients with schizophrenia suffered from cognitive impairment which mostly involved the different cognitive domains in different combinations, manifested least way in patients who received atypical antipsychotics.","PeriodicalId":294863,"journal":{"name":"NILES journal for Geriatric and Gerontology","volume":"2 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141004553","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}
Pub Date : 2024-03-23DOI: 10.21608/niles.2024.347021
Nadia Saleh, Heba Abd El Aziz, A. El-Gilany, Heba El fadawy
Background: Many older persons do not make specific plans regarding their future care, or very few do, despite the possibility of health care demands. This is often because they do not see the need for it or choose not to consider the possibility of being dependent on others in their later years. Aim: assess attitudes and preparedness of older adults for future health care needs. Method: A descriptive cross sectional design was used on 243 older adults diagnosed with at least one chronic disease from geriatric outpatient clinics at Mansoura University Main hospital and Specialized Medical Hospital affiliated to Mansoura University. Data were collected using; demographic and health related data structured interview schedule, Preparation for Future Care Needs Attitude Scale and Preparation for Future Care Needs. Results : The mean scores of low usefulness of planning, expectations for care needs and expectations for no care needs that related to the older adults' preparation for future care needs attitudes were (23.74 ± 9.15, 19.23 ± 4.53, and 15.95 ± 4.10) respectively. Also, the total score of preparation for future care needs was (45.75±10.66) and the mean of overall awareness of future care needs and avoidance of care planning were (11.53 ± 3.26 and 5.35± 2.05) respectively. Conclusion: Older adults had moderate positive attitudes about planning future care needs and their awareness of future care needs tends to be high. Avoidance of planning was positively related to both low usefulness of planning and expectation of no care, while, it was negatively related to expectation of care need. Recommendation : To support the notion of care preparation and future care requirements, additional behaviorally based outcome measures must be investigated in future studies.
{"title":"Attitudes and Preparedness of Older Adults for Future Health Care Needs","authors":"Nadia Saleh, Heba Abd El Aziz, A. El-Gilany, Heba El fadawy","doi":"10.21608/niles.2024.347021","DOIUrl":"https://doi.org/10.21608/niles.2024.347021","url":null,"abstract":"Background: Many older persons do not make specific plans regarding their future care, or very few do, despite the possibility of health care demands. This is often because they do not see the need for it or choose not to consider the possibility of being dependent on others in their later years. Aim: assess attitudes and preparedness of older adults for future health care needs. Method: A descriptive cross sectional design was used on 243 older adults diagnosed with at least one chronic disease from geriatric outpatient clinics at Mansoura University Main hospital and Specialized Medical Hospital affiliated to Mansoura University. Data were collected using; demographic and health related data structured interview schedule, Preparation for Future Care Needs Attitude Scale and Preparation for Future Care Needs. Results : The mean scores of low usefulness of planning, expectations for care needs and expectations for no care needs that related to the older adults' preparation for future care needs attitudes were (23.74 ± 9.15, 19.23 ± 4.53, and 15.95 ± 4.10) respectively. Also, the total score of preparation for future care needs was (45.75±10.66) and the mean of overall awareness of future care needs and avoidance of care planning were (11.53 ± 3.26 and 5.35± 2.05) respectively. Conclusion: Older adults had moderate positive attitudes about planning future care needs and their awareness of future care needs tends to be high. Avoidance of planning was positively related to both low usefulness of planning and expectation of no care, while, it was negatively related to expectation of care need. Recommendation : To support the notion of care preparation and future care requirements, additional behaviorally based outcome measures must be investigated in future studies.","PeriodicalId":294863,"journal":{"name":"NILES journal for Geriatric and Gerontology","volume":" 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140386667","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}
Pub Date : 2024-03-22DOI: 10.21608/niles.2024.278125.1083
noha hassan, S. Hafez, Ahmad A. Alshehri, Abdalla MohamedAhmed Osman Abdalla, hoda Khalifa Abdelhady, Hanan Saad Abdullah Alwadei, Abdelelah Abdelgadir Ahmed Hamed, Elsadig Eltaher Hamed Abdulrahman, Nahla Elradhi Abdulrahman, Nahid Khalil Elfaki, Sadeq Abdo Mohammed Alwesabi, Mohammed Ateeg Abdelrahman Ahmed
: Background : The prevalence of vitamin D deficiency and its consequences is expected to increase with ageing. Consequently, this study aimed to explore the prevalence of the hidden danger posed by vitamin D deficiency among the elderly, awareness and its impact on psychological well-being. A cross-sectional study design was employed in Najran City, using a convenient sample of 100 elderly. Data collection included socio-demographic information, serum 25 (OH) D analyses, knowledge questionnaires
:背景：随着年龄的增长，维生素 D 缺乏症的发病率及其后果预计会增加。因此，本研究旨在探讨维生素 D 缺乏症在老年人中造成的隐患的发生率、认知度及其对心理健康的影响。研究采用横断面研究设计，在纳季兰市方便地抽取了 100 名老年人作为样本。数据收集包括社会人口学信息、血清 25 (OH) D 分析、知识问卷
{"title":"The Concealed Hazard: Vitamin D Deficiency, Awareness, and Its Impact on Psychological Wellness among elderly","authors":"noha hassan, S. Hafez, Ahmad A. Alshehri, Abdalla MohamedAhmed Osman Abdalla, hoda Khalifa Abdelhady, Hanan Saad Abdullah Alwadei, Abdelelah Abdelgadir Ahmed Hamed, Elsadig Eltaher Hamed Abdulrahman, Nahla Elradhi Abdulrahman, Nahid Khalil Elfaki, Sadeq Abdo Mohammed Alwesabi, Mohammed Ateeg Abdelrahman Ahmed","doi":"10.21608/niles.2024.278125.1083","DOIUrl":"https://doi.org/10.21608/niles.2024.278125.1083","url":null,"abstract":": Background : The prevalence of vitamin D deficiency and its consequences is expected to increase with ageing. Consequently, this study aimed to explore the prevalence of the hidden danger posed by vitamin D deficiency among the elderly, awareness and its impact on psychological well-being. A cross-sectional study design was employed in Najran City, using a convenient sample of 100 elderly. Data collection included socio-demographic information, serum 25 (OH) D analyses, knowledge questionnaires","PeriodicalId":294863,"journal":{"name":"NILES journal for Geriatric and Gerontology","volume":" 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140387550","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}
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