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ISSN: 1899-1874
Medical Studies/Studia Medyczne
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2/2017
vol. 33
 
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abstract:
Original paper

The need for home-based geriatric care and physical, mental, and social functioning of seniors of over 65 years of age

Małgorzata Dziechciaż
1
,
Izabela M. Wróblewska
2
,
Dorota Talarska
3
,
Jarosław Chmielewski
4
,
Rafał Filip
5
,
Monika Szpringer
6

1.
Department of Health Sciences, Health Care Institute, State School of Higher Vocational and Economic Education, Jarosław, Poland
2.
Department of Gerontology, Faculty of Health Sciences, Medical University, Wroclaw, Poland
3.
Department of Preventive Medicine, Faculty of Medical Sciences, Poznan University of Medical Sciences, Poznan, Poland
4.
Institute of Environmental Protection-National Research Institute, Warsaw, Poland
5.
Department of Gastroenterology, Clinical Regional Hospital No. 2 Św. Jadwigi Królowej Faculty of Medicine, Rzeszow University, Rzeszow, Poland
6.
Department of Social Prevention, Faculty of Medicine and Health Sciences, Jan Kochanowski University, Kielce, Poland
Medical Studies/Studia Medyczne 2017; 33 (2): 81–87
DOI: https://doi.org/10.5114/ms.2017.68700
Online publish date: 2017/06/30
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Introduction: The increased percentage of seniors observed within society establishes new challenges for healthcare systems.

Aim of the research: To estimate the need for geriatric, home-based care for people over 65 years of age living in rural areas, in the context of physical, mental, and social functioning.

Material and methods: The research methods included the diagnostic poll method and direct observation. The following research tools were used: Barthel Index, Lawton Index, Abbreviated Mental Test Score by Hodkinson, Geriatric Depression Scale Short Form, and an authorial interview questionnaire. The criterion for home-based geriatric care was to be declared as a geriatric patient. The research was carried out among 504 people in the ages of 66 to 94 years (average: 77.41 years).

Results: For home-based geriatric care, significantly more women than men were qualified (p < 0.01). The average age of respondents qualified for home-based geriatric care was higher than the age of other test subjects (p < 0.001). Subjects qualified for home-based geriatric care were more often widowed (p < 0.001) with incomplete primary education (p < 0.001) and substantially were living alone (p < 0.05). Among the people qualified for home-based geriatric care there were more multi-diseases, worsened agility to perform basic and complex daily life activities, and worsened cognitive and emotional performance (p < 0.001) than with other test subjects.

Conclusions: For home-based geriatric care, a third of seniors living in rural areas were qualified. The need for home-based geriatric care was determined by suffering from multi-diseases, having functional, emotional, and cognitive disorders, progressing age, being female, having low education, and being widowed.
keywords:

old age, seniors, older age
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