جستجوی مقالات مرتبط با کلیدواژه « elderly care » در نشریات گروه « پزشکی »

Objective (s):

 Family care is not a new phenomenon and family members have always served as the most important source of support for the elderly throughout human life. Caring for the elderly is a tedious task with varied consequences. This study aimed to determine the conflicts situation of elderly-caring couples.

This cross-sectional study was performed on a sample of women caring for an elderly in Larestan, Iran. The data were collected in person at participants’ home by using Strauss’s standard questionnaire of couple’s conflict and analyzed by SPSS 26 software

In all 377 women participated in the study. The majority of respondents’ age ranged from 30-50 years (67%), had secondary education (80%) and were housewives (87%). The analysis of the data showed that the four dimensions of verbal aggression, psychological conflict, physical conflict, and sexual coercion 70% total variance observed indicating the severity of the couples ‘conflicts. The inferential results revealed a significant difference between couples’ conflicts with religion, and place of living, but not employment and elderly gender.

Various factors seem to affect severity of couples’ conflicts. However, conflicts could be reduced by increasing couples’ skills.

Today, with the industrialization of societies and the reduction of the size of households and tendency to live alone, caring for the elderly and monitoring their performance in daily life has become doubly important. Carrying devices such a GPS is one of the proposed solutions, which may not be a suitable solution due to the unpleasant feeling of carrying such equipment and due to disorders such as Alzheimer’s disease. A proper solution for taking care of old people especially for their outdoor activities is to observe their behavior by using their mobile GPS sensor by which it is possible to detect possible abnormal events. An important challenge in this method is the high number of abnormal events. In this paper, this problem is solved by applying an adaptive neuro-fuzzy inference system (ANFIS). Other important challenge is how to carefully analyze the training data to achieve a powerful model. For tackling this problem, we used a deep neural network.

In this paper, by combination of ANFIS and convolutional neural networks (CNN), a method was proposed for anomaly detection in trajectory of patients with Alzheimer’s disease. The CNN was optimized by the Whale algorithm. The proposed method was applied on a set of movement path data with a specific origin and destination based on the mobile GPS sensor of subjects. 

The proposed method had an accuracy of 95.5% for classification of test data, which indicated the effectiveness of the proposed method.

It seems that the combination of ANFIS and a CNN is a good method for anomaly detection in trajectory of older people with Alzheimer’s disease.

The use of humanoid robots to care for the elderly has been introduced as one of the effective solutions to solve the problems caused by the increase in the elderly population. This issue has faced various ethical challenges. The purpose of this study is to analyze the ethical dimensions and problems arising from the use of robots in the field of geriatric care with a view to civil law rules on robotics.

The present article, by studying the scientific and legal documents related to the subject of research and using analytical-descriptive method, addresses the ethical challenges related to the performance of robots caring for the elderly.

 In writing this article, ethical aspects including fidelity, honesty and originality of the text have been observed.

Recourse to robots with the aim of caring for the elderly in need of support, while solving some of the problems in this field, brings challenges such as threats to safety, deceiving the elderly, invasion of privacy, deprivation of autonomy; situations that can become a serious problem due to the lack of a clear legal system regarding the issue of accountability and transparency.

Due to the increasing acceptance of humanoid robots in the elderly care sector and also due to the growing trend of production of this type of robot in different countries, including Iran, considering the challenges in this field is essential. In this regard, educating families is necessary to increase the level of support for the elderly and pay attention to their concerns; also, the lack of specific regulations in the field of controlling the production of robots, as well as the need to compensate for the losses caused by the use of robots, has made legislating specific laws in this field even more important.

  Nurses are one of the most important members of healthcare teams, who are directly responsible for the care of the elderly. Positive attitude toward the recipients of care plays a fundamental role in the provision of care. The quality of care provision to the elderly, especially those with delirium, is influenced by several factors, including the attitude of nurses toward this patient group. The present study aimed to assess the attitude of nurses toward the care of elderly patients with delirium in the dimensions of knowledge, ability and self-confidence, ability to identify and understand the consequences, willingness to enhance knowledge, and burden of care. This cross-sectional, descriptive-analytical study was conducted on 200 nurses employed in three teaching hospitals affiliated to Iran University of Medical Sciences, Iran, who were selected via convenience, proportionate stratification sampling in case they met the inclusion criteria. Data were collected using questionnaires of demographic data and attitude of nurses toward delirium consisting of 38 items. Data analysis was performed in SPSS version 16 at the significance level of P≤0.05. The attitude of head nurses toward the elderly patients with delirium was significantly better compared to nurses (P=0.005). The results of the analysis of variance indicated a significant difference with the variable of work experience with the elderly (P=0.003). In addition, occupational position (head nurse) was the only significant variable in the linear regression model. According to the results, occupational position and work experience with the elderly had the most significant associations with the attitude of the nurses toward the elderly patients with delirium. It is suggested that continuous training, evidence-based, and performance-based education be implemented to improve the attitude and practice of nurses. Furthermore, the care of elderly patients must be assigned to trained, experienced, enthusiastic, and interested personnel.

Old age is the third period in human life; the period before death. According to the World Health Organization (WHO) the elderly are defined as those aged 65 years and older. In sociology the old age is when the social role of a person and his participation in community affairs declines. Biologically, old age begins when human catabolic rate surpasses his anabolic rate. Psychologists believe that the old age is when the ability of a person to deal with life challenges and coping with stressful situations decreases. In Islamic jurisprudence old age is equal to disability and failure to perform such religious duties as fasting. In Islam there has been a lot of attention to the reverence of old people. According to the holy Quran: “And the Lord has decreed that you worship none but him. And that you be dutiful to your parents. If one or both of them attain old age in your life, say not to them a word of disrespect, nor shout at them; but address them in terms of honor. And lower unto them the wing of submission and humility through mercy, and say: My Lord bestow on them your mercy as they bring me up when I was small. (Sura Isra, Verse 23).

familyelderly care with its entire shortcomings as the most important base of community care for the elderly is considered. the object of studywas toexplore the factors strengthening the family in care of the elderly constitutes. This was a qualitative study of the experiences of 11 family elderly caregivers through in-depth, semi-structure interviews conducted in 2011-2012.Data collection, recording, and transcribing were doneafter obtaining informed consents. Data analysis was performed according to thematic analysis by Brown and Clarke (2006). To ensure consistency and accuracy of data, credibility, transferability, dependability, and conformability criteria were assessed. In the present study, insight, management, support and underlying conditions as reinforcing agents in the care of elderly family members was extracted. Iranian families have the capacity in terms of knowledge and insight as well as the importance of social infrastructure in continuity and stability of family members care. Special attention to vulnerable families raised will further strengthen the structure. In this regard, in order to prevent the growth of threatening factors for the family in care of the elderly and providing a useful Iranian family model for other communities regardingthe quality of care for the elderly, Custodians of family health system attempts to preserve existing capacity planning and integratemechanisms of necessary calls.