Using the MDS-HC to Assess Health Status and Care Needs of the Elderly Living Alone

2.50
Hdl Handle:
http://hdl.handle.net/10755/621982
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Using the MDS-HC to Assess Health Status and Care Needs of the Elderly Living Alone
Author(s):
Chang, Chia-Chi; Wu, Yi-Jung; Kuo, Li-Min
Lead Author STTI Affiliation:
Lambda Beta-at-Large
Author Details:
Chia-Chi Chang, PhD, RN, Professional Experience: My professional experience focus on geriatric nursing, I have participated several reseach regarding elderly population. In my PhD program, I studied about feeding and nutritional issues among people with dementia. Dementia care have become a major probelm all over world due to the aging population increasing. More attention and efforts should be provided in the furture. Author Summary: My professional experience focus on geriatric nursing, I have participated several reseach regarding elderly population. In my PhD program, I studied about feeding and nutritional issues among people with dementia. Dementia care have become a major probelm all over world due to the aging population increasing. More attention and efforts should be provided in the furture.
Abstract:

The aim of the study was to understand the health status, care needs, and the predicative factors that influence their care needs among elderly living alone. The cross-sectional study was conducted and a total of 151participants were enrolled. The interviewers assessed their health status and care needs by using MDS-HC instruments. The results indicated that who are predominantly male, widowed, and illiterate or with only an elementary school education; their average age is 82.18 years old. In terms of health, the ADL and IADL function are generally good. The 70.9% of participants was having visual impairment. On average, each person have two chronic disease which are most commonly high blood pressure and cataract. The 13.9% of the participants took at least nine medicines. The 87% of the participants were having poor living environment. Each of them has six to seven care needs. The most important care needs were pain control, social interaction needs, and visual function. There were no significant difference between gender and health status. However, significant differences were founded between age, marital status, education, living conditions and the health status. Regarding the result of the regression, the overall health status can predict the care needs. The main related factors of the predictive care needs, in decreasing order, are teeth (β=2.265, p=0.000), environmental condition (β=0.563, p=0.000), social function (β=0.355, p=0.02), health and preventive care (β=0.128, p=0.05), medical treatment (β=0.128, p=0.012), and physical function (β=0.112, p=0.001). The overall explanatory power is 71.4%.

Based on the study results, we should pay more attention to the condition of their teeth, living environment, social function, and health, as well as preventive care, medical treatment, and physical function. It were suggested about the community health care: (1) provide home care regarding the oral hygiene; (2) assess and improve the safety of living environments; (3) encourage seniors to participate in activities designed for them in order to reduce their social isolation and loneliness; (4) offer elderly people related health examinations and counseling, especially visual and audio and oral checks; and (5) integrate seniors’ polypharmacy problem and long-term life care assistance to improve elderly people’s quality of life.

Keywords:
care needs; elderly people living alone; health status
Repository Posting Date:
20-Jul-2017
Date of Publication:
20-Jul-2017
Other Identifiers:
INRC17PST308
Conference Date:
2017
Conference Name:
28th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International
Conference Location:
Dublin, Ireland
Description:
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleUsing the MDS-HC to Assess Health Status and Care Needs of the Elderly Living Aloneen_US
dc.contributor.authorChang, Chia-Chien
dc.contributor.authorWu, Yi-Jungen
dc.contributor.authorKuo, Li-Minen
dc.contributor.departmentLambda Beta-at-Largeen
dc.author.detailsChia-Chi Chang, PhD, RN, Professional Experience: My professional experience focus on geriatric nursing, I have participated several reseach regarding elderly population. In my PhD program, I studied about feeding and nutritional issues among people with dementia. Dementia care have become a major probelm all over world due to the aging population increasing. More attention and efforts should be provided in the furture. Author Summary: My professional experience focus on geriatric nursing, I have participated several reseach regarding elderly population. In my PhD program, I studied about feeding and nutritional issues among people with dementia. Dementia care have become a major probelm all over world due to the aging population increasing. More attention and efforts should be provided in the furture.en
dc.identifier.urihttp://hdl.handle.net/10755/621982-
dc.description.abstract<p><span lang="EN-US">The aim of the study was to understand the health status, care needs, and the predicative factors that influence their care needs among elderly living alone. The cross-sectional study was conducted and a total of 151participants were enrolled. The interviewers assessed their health status and care needs by using MDS-HC instruments. The results indicated that who are predominantly male, widowed, and illiterate or with only an elementary school education; their average age is 82.18 years old. In terms of health, the ADL and IADL function are generally good. The 70.9% of participants was having visual impairment. On average, each person have two chronic disease which are most commonly high blood pressure and cataract. The 13.9% of the participants took at least nine medicines. The 87% of the participants were having poor living environment. Each of them has six to seven care needs. The most important care needs were pain control, social interaction needs<span lang="EN-US">, and visual function. There were no significant difference between gender and health status. However, significant differences were founded between age, marital status, education, living conditions and the health status. Regarding the result of the regression, the overall health status can predict the care needs. The main related factors of the predictive care needs, in decreasing order, are teeth (<em>β=2.265, p=0.000</em>), environmental condition (<em>β=0.563, p=0.000</em>), social function (<em>β=0.355, p=0.02</em>), health and preventive care (<em>β=0.128, p=0.05</em>), medical treatment (<em>β=0.128, p=0.012</em>), and physical function (<em>β=0.112, p=0.001</em>). The overall explanatory power is 71.4%.</span></span></p> <p><span lang="EN-US">Based on the study results, we should pay more attention to the condition of their teeth, living environment, social function, and health, as well as preventive care, medical treatment, and physical function. It were suggested about the community health care: (1) provide home care regarding the oral hygiene; (2) assess and improve the safety of living environments; (3) encourage seniors to participate in activities designed for them in order to reduce their social isolation and loneliness; (4) offer elderly people related health examinations and counseling, especially visual and audio and oral checks; and (5) integrate seniors’ polypharmacy problem and long-term life care assistance to improve elderly people’s quality of life.</span></p>en
dc.subjectcare needsen
dc.subjectelderly people living aloneen
dc.subjecthealth statusen
dc.date.available2017-07-20T15:27:17Z-
dc.date.issued2017-07-20-
dc.date.accessioned2017-07-20T15:27:17Z-
dc.conference.date2017en
dc.conference.name28th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationDublin, Irelanden
dc.descriptionEvent Theme: Influencing Global Health Through the Advancement of Nursing Scholarshipen
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