Background: Subjective health and well-being are closely linked with quality of life (QoL) in old... more Background: Subjective health and well-being are closely linked with quality of life (QoL) in older adults. Self-reported health, happiness, satisfaction with life and interpersonal relationships, social support, loneliness, and social isolation make robust indicators for the psychological well-being of older adults. This study aimed to explore subjective health, psychological well-being and associated factors, and their relationship with QoL in older adults. Materials and methods: This was a cross-sectional, community-based survey that included adults aged 60 years and above (n = 260) who were living in selected communities. A semi-structured questionnaire was used to collect data on self-reported health, happiness, satisfaction with family and marital relationships, and felt loneliness and isolation. The relationship between psychological well-being and QoL was identified. Data analysis was carried out by descriptive and analytical statistical applications using Statistical Package for the Social Sciences (SPSS) version 20 at P ≤ 0.05. Results: Study findings showed that a significant number of older adults (56%) reported poor general health; 56.4% of men and 59.2% of women were "not at all happy" with their family and interpersonal relationships, and 13.5% of respondents were not at all happy in general. Self-reported health (0.277**) and happiness (0.506**) were positively correlated with the psychological domain of QoL (P ≤ 0.01). Conclusions: The study findings identified the interrelationship between changing family and social relationships and psychological well-being of older adults, which is an immediate public health concern. Inadequate social support and deficient quality of interpersonal relationships predispose loneliness and isolation in later life. Strategies to promote social support and age-friendly social and healthcare resources are urgent needs for healthy aging.
Background: Injuries are leading cause of disability and premature mortality in children below 18... more Background: Injuries are leading cause of disability and premature mortality in children below 18 years of age and are a growing public health concern globally. There is an urgent need to understand injury epidemiology and its prevention. Aim: The study aims to identify the prevalence and pattern of injuries and its associated factors among children (≤18 years) in peri-urban communities. Methods: The present cross-sectional community-based survey undertaken in peri-urban communities of Telangana, South India. Two areas each from urban and peri-urban communities were randomly selected from the total clusters of villages under the purview of urban and rural health centers. House-to-house survey was conducted by trained field assistant and data were collected on sociodemographic details, injury history, causes, and consequences, community practices with the help of a structured questionnaire administered to parent/guardian of the children. Results: Study findings identify 53.6% childre...
The world is experiencing a great demographic transition with a phenomenal increase in ageing pop... more The world is experiencing a great demographic transition with a phenomenal increase in ageing population. Family, social transitions brought drastic changes in the family and social life associated physical and mental health. Fear of falls is one of the major barriers in physical and social mobility among older adults. Ageism further blocks the need for activity and social participation among older population. Fear of falls (FOF) predisposes to diminished physical, social mobility and sense of well-being resulting to increased fall risk, loneliness and associated health risks among older people. COVID- 19 pandemic aggravated the social restrictions, mobility and increased fears and anxieties among older population. Evidence identifies that 25% of the older adults experience FOF very often, and 20% of them with activity restriction due to pain. Regular physical activity and exercise is one of the best strategies to alleviate physical dependence, promote physical and mental health in seniors.
Advanced health care, demographic transitions, improved longevity has resulted into fast-growing ... more Advanced health care, demographic transitions, improved longevity has resulted into fast-growing ageing population worldwide. Objective: The present study aims to identify the gender differences and factors associated with health care utilization and morbidity experience among adults in later life. Materials and Methods: The community-based cross-sectional study assessed the health care utilization and pattern of chronic diseases experienced by adults in later life. Adults (≥60 years), willing to participate and meeting study criteria were interviewed using a pre-defined, pre-tested, structured interview questionnaire. Results: Men (n=26 (50%) and women (n=12 (19%) have more than three chronic morbidities. About 21 (40%) men and 37 (59%) women reported at least one chronic morbidity. More men, (55%; 29) compared to women (n=51%; 32) were reported of having hypertension. The second most common chronic condition in men is (40.5%; 21) chronic respiratory diseases like asthma and COPD, ...
IJSR - INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH, 2015
Asthma is a chronic respiratory disorder affecting all age groups. Though the revolutionary chang... more Asthma is a chronic respiratory disorder affecting all age groups. Though the revolutionary changes are noticed in the pharmaceutical and technological advancements, the prevalence of asthma is still in rise worldwide. Rais- ing prevalence and asthma control are negatively associated. Uncontrolled asthma and ineffective management remains a public health challenge in the developing countries like India. Aim: The study aimed to assess the effectiveness of structured educational intervention on self care management of Bronchial asthma. Methods: Study was conducted to assess the effectiveness of structured asthma educational program on self care management of Bronchial asthma. Design: Experimental Pre test-post test control group design was chosen. Sample were selected randomly in to experimental (n=100) and control (n=50) groups. The Pre-test means between experimental (4.630) and control (4.780) groups were not much significant. There is a significant improvement within the pre test ...
Background: Caring for patients and their families in their vulnerable moments is a great challen... more Background: Caring for patients and their families in their vulnerable moments is a great challenge to health care providers. Moral distress occurs when health care professionals cannot carry out what they believe to be ethically appropriate for patient care. Imbalance between authority and responsibility, frustrating patterns in health care team and inability to make ethical decision making for patient care are more commonly associated ethical dimensions for practice resulting to moral distress. Unresolved ethical problems have been linked to increased experience of moral distress and reduced job satisfaction. Aim: The present study aimed to identify the perceptions of moral distress and associated levels of job satisfaction among Registered Nurses (RN) and physicians in an urban area hospital. Methods: Registered Nurses (n=65) and physicians (n=25) between the age group of 22-58 years, with minimum of two years of work experience, working in the government urban area hospital, who...
Background: Subjective health and well-being are closely linked with quality of life (QoL) in old... more Background: Subjective health and well-being are closely linked with quality of life (QoL) in older adults. Self-reported health, happiness, satisfaction with life and interpersonal relationships, social support, loneliness, and social isolation make robust indicators for the psychological well-being of older adults. This study aimed to explore subjective health, psychological well-being and associated factors, and their relationship with QoL in older adults. Materials and methods: This was a cross-sectional, community-based survey that included adults aged 60 years and above (n = 260) who were living in selected communities. A semi-structured questionnaire was used to collect data on self-reported health, happiness, satisfaction with family and marital relationships, and felt loneliness and isolation. The relationship between psychological well-being and QoL was identified. Data analysis was carried out by descriptive and analytical statistical applications using Statistical Package for the Social Sciences (SPSS) version 20 at P ≤ 0.05. Results: Study findings showed that a significant number of older adults (56%) reported poor general health; 56.4% of men and 59.2% of women were "not at all happy" with their family and interpersonal relationships, and 13.5% of respondents were not at all happy in general. Self-reported health (0.277**) and happiness (0.506**) were positively correlated with the psychological domain of QoL (P ≤ 0.01). Conclusions: The study findings identified the interrelationship between changing family and social relationships and psychological well-being of older adults, which is an immediate public health concern. Inadequate social support and deficient quality of interpersonal relationships predispose loneliness and isolation in later life. Strategies to promote social support and age-friendly social and healthcare resources are urgent needs for healthy aging.
Background: Injuries are leading cause of disability and premature mortality in children below 18... more Background: Injuries are leading cause of disability and premature mortality in children below 18 years of age and are a growing public health concern globally. There is an urgent need to understand injury epidemiology and its prevention. Aim: The study aims to identify the prevalence and pattern of injuries and its associated factors among children (≤18 years) in peri-urban communities. Methods: The present cross-sectional community-based survey undertaken in peri-urban communities of Telangana, South India. Two areas each from urban and peri-urban communities were randomly selected from the total clusters of villages under the purview of urban and rural health centers. House-to-house survey was conducted by trained field assistant and data were collected on sociodemographic details, injury history, causes, and consequences, community practices with the help of a structured questionnaire administered to parent/guardian of the children. Results: Study findings identify 53.6% childre...
The world is experiencing a great demographic transition with a phenomenal increase in ageing pop... more The world is experiencing a great demographic transition with a phenomenal increase in ageing population. Family, social transitions brought drastic changes in the family and social life associated physical and mental health. Fear of falls is one of the major barriers in physical and social mobility among older adults. Ageism further blocks the need for activity and social participation among older population. Fear of falls (FOF) predisposes to diminished physical, social mobility and sense of well-being resulting to increased fall risk, loneliness and associated health risks among older people. COVID- 19 pandemic aggravated the social restrictions, mobility and increased fears and anxieties among older population. Evidence identifies that 25% of the older adults experience FOF very often, and 20% of them with activity restriction due to pain. Regular physical activity and exercise is one of the best strategies to alleviate physical dependence, promote physical and mental health in seniors.
Advanced health care, demographic transitions, improved longevity has resulted into fast-growing ... more Advanced health care, demographic transitions, improved longevity has resulted into fast-growing ageing population worldwide. Objective: The present study aims to identify the gender differences and factors associated with health care utilization and morbidity experience among adults in later life. Materials and Methods: The community-based cross-sectional study assessed the health care utilization and pattern of chronic diseases experienced by adults in later life. Adults (≥60 years), willing to participate and meeting study criteria were interviewed using a pre-defined, pre-tested, structured interview questionnaire. Results: Men (n=26 (50%) and women (n=12 (19%) have more than three chronic morbidities. About 21 (40%) men and 37 (59%) women reported at least one chronic morbidity. More men, (55%; 29) compared to women (n=51%; 32) were reported of having hypertension. The second most common chronic condition in men is (40.5%; 21) chronic respiratory diseases like asthma and COPD, ...
IJSR - INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH, 2015
Asthma is a chronic respiratory disorder affecting all age groups. Though the revolutionary chang... more Asthma is a chronic respiratory disorder affecting all age groups. Though the revolutionary changes are noticed in the pharmaceutical and technological advancements, the prevalence of asthma is still in rise worldwide. Rais- ing prevalence and asthma control are negatively associated. Uncontrolled asthma and ineffective management remains a public health challenge in the developing countries like India. Aim: The study aimed to assess the effectiveness of structured educational intervention on self care management of Bronchial asthma. Methods: Study was conducted to assess the effectiveness of structured asthma educational program on self care management of Bronchial asthma. Design: Experimental Pre test-post test control group design was chosen. Sample were selected randomly in to experimental (n=100) and control (n=50) groups. The Pre-test means between experimental (4.630) and control (4.780) groups were not much significant. There is a significant improvement within the pre test ...
Background: Caring for patients and their families in their vulnerable moments is a great challen... more Background: Caring for patients and their families in their vulnerable moments is a great challenge to health care providers. Moral distress occurs when health care professionals cannot carry out what they believe to be ethically appropriate for patient care. Imbalance between authority and responsibility, frustrating patterns in health care team and inability to make ethical decision making for patient care are more commonly associated ethical dimensions for practice resulting to moral distress. Unresolved ethical problems have been linked to increased experience of moral distress and reduced job satisfaction. Aim: The present study aimed to identify the perceptions of moral distress and associated levels of job satisfaction among Registered Nurses (RN) and physicians in an urban area hospital. Methods: Registered Nurses (n=65) and physicians (n=25) between the age group of 22-58 years, with minimum of two years of work experience, working in the government urban area hospital, who...
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