ปีที่ 5 ฉบับที่ 3 กันยายน-ธันวาคม 2558 วารสารสมาคมเวชศาสตร์ป้องกันแห่งประเทศไทย 291 Holistic Health of the Home Bound and Bed Bound Elders at Chakkarat District, Nakhon Ratchasima Province. Abstract Suwitra Tangsree, M.D.* Because Thailand has entered an aging society, accessibility to and quality of health care need to be improved for the elderly, especially those with functional limitations. The objective of this research is holistic health assessment of homebound or bedbound elderly in Chakkarat district, Nakhonratchasima Province. The data can shape the way to develop better health care services suitable for homebound or bedbound elderly. The study design is cross-sectional descriptive. Data collection was conducted through questionnaires with 164 homebound and bedbound elderly and caregivers living in the community. The data were analyzed using descriptive statistics (percentage, mean and standard deviation). Result: Homebound or bedbound elderly in Chakkarat district, Nakhonratchasima Province were mostly females 68.3 percent, average age of 79.58(9.7) years. All of them had caregivers of which literacy rate was only 16.4 percent. According to functional assessment, while 75 percent of the homebound elderly needed help to go up and down stairs, all the bedbound elderly were unable to go up and down stairs and take a bath with no help. Among these elderly, 42.9 percent were underweight. 58.5 percent of them were found having cataract, and 88.4 percent of them had risk of falls. Rate of polypharmacy was 27.8 percent. Regarding underlying diseases, prevalence of hypertension was 26.2 percent. Only 1.8 percent of them completely received influenza, tetanus and hepatitis B vaccine, 68.6 percent of them had risk of dementia, and 1.8 percent of them had severe depression. Rate of regular exercise (3 days/ week) was 43.55 percent. Incidence of elder abuse/violence was 18.9 percent, 30.7 percent of them regularly participated in social activities (at least monthly). Conclusion: This study could inform the development of the health system to better serve homebound and bedbound elderly in the community. Accordingly, elderly care should include integrated holistic care, health promotion, prevention, treatment, and rehabilitation. Keywords: Elder, homebound elder, bedbound elder, health, holistic health of elder *Department of healthcare service, Chakkarat Hospital, Nakhon Ratchasima province.
13
Embed
Holistic Health of the Home Bound and Bed Bound Elders at ... · ประเมินภาวะซึมเศร้าโดยใช้แบบประเมิน PHQ-9...
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Holistic Health of the Home Bound and Bed Bound Elders at Chakkarat District, Nakhon Ratchasima Province.
Abstract Suwitra Tangsree, M.D.*
Because Thailand has entered an aging society, accessibility to and quality of health care need to be improved for the elderly, especially those with functional limitations. The objective of this research is holistic health assessment of homebound or bedbound elderly in Chakkarat district, Nakhonratchasima Province. The data can shape the way to develop better health care services suitable for homebound or bedbound elderly. The study design is cross-sectional descriptive. Data collection was conducted through questionnaires with 164 homebound and bedbound elderly and caregivers living in the community. The data were analyzed using descriptive statistics (percentage, mean and standard deviation). Result: Homebound or bedbound elderly in Chakkarat district, Nakhonratchasima Province were mostly females 68.3 percent, average age of 79.58(9.7) years. All of them had caregivers of which literacy rate was only 16.4 percent. According to functional assessment, while 75 percent of the homebound elderly needed help to go up and down stairs, all the bedbound elderly were unable to go up and down stairs and take a bath with no help. Among these elderly, 42.9 percent were underweight. 58.5 percent of them were found having cataract, and 88.4 percent of them had risk of falls. Rate of polypharmacy was 27.8 percent. Regarding underlying diseases, prevalence of hypertension was 26.2 percent. Only 1.8 percent of them completely received influenza, tetanus and hepatitis B vaccine, 68.6 percent of them had risk of dementia, and 1.8 percent of them had severe depression. Rate of regular exercise (3 days/week) was 43.55 percent. Incidence of elder abuse/violence was 18.9 percent, 30.7 percent of them regularly participated in social activities (at least monthly). Conclusion: This study could inform the development of the health system to better serve homebound and bedbound elderly in the community. Accordingly, elderly care should include integrated holistic care, health promotion, prevention, treatment, and rehabilitation.Keywords: Elder, homebound elder, bedbound elder, health, holistic health of elder
*Department of healthcare service, Chakkarat Hospital, Nakhon Ratchasima province.
เอกสารอางอง1. United Nations, Department of Economic and Social Affairs. World Population Ageing 1950-2050. Population Division, DESA, United Nations. 2002 [cited 2014 January 2]. Available from: URL:http://www.un.org/esa/population/publications/worldageing19502050/.2. วพรรณ ประจวบเหมาะ. สถานการณผสงอายไทย 2554. กรงเทพฯ: บรษท พงษพาณชยเจรญผล จ�ากด; 2555.3. ส�านกงานสาธารณสขจงหวดนครราชสมา. จ�านวนประชากรแยกกลมอาย [อนเทอรเนต]. (วนทคนขอมล 3 ม.ค. 2557) แหลงขอมล: URL:http://www.korathealth.com/basedata/index.php.4. ประเสรฐ อสสนตชย. ปญหาสขภาพทพบบอยในผสงอายและการปองกน. ภาควชาเวชศาสตรปองกน และสงคม คณะแพทยศาสตรศรราชพยาบาล มหาวทยาลยมหดล. กรงเทพฯ: บรษท ยเนยนครเอชน จ�ากด; 2552.5. ทพวรรณ วงษา. คณภาพชวตผสงอายในเครอขายบรการสขภาพอ�าเภอจกราช จงหวดนครราชสมา. [การศกษาคนควาดวยตนเอง สม. สาขาวชาการจดการบรการสขภาพปฐมภม]. พษณโลก : มหาวทยาลย นเรศวร ; 2555.6. Beswick AD, Rees K, Dieppe P, Ayis S, Gooberman-Hill R, Horwood J, Ebrahim S. Complex interventions to improve physical function and maintain independent living in elderly people: a systematic review and meta-analysis. Lancet 2008;371:725-35.7. Ellis G, Whitehead MA, Robinson D, O’Neill D, Langhorne P. Comprehensive geriatric assessment for older adults admitted to hospital: meta-analysis of randomized controlled trials. BMJ 2011 Oct 27;343:d6553. doi: 10.1136/bmj.d6553.8. Trentini M, Semeraro S, Motta M. Effectiveness of geriatric evaluation and care. One-year results of a multicenter randomized clinical trial. Aging (Milano) 2001;13(5):395-405.9. Bula CJ, Berod AC, Stuck AE, Alessi CA, Aronow HU, Santos-Eggimann B, Santos- Eggimann B, et al. Effectiveness of preventive in-home geriatric assessment in well functioning, community-dwelling older people: secondary analysis of a randomized trial. Journal of The American Geriatrics Society 1999;47:389-95.10. Burns R, Nichols LO, Martindale-Adams J, Graney MJ. Interdisciplinary geriatric primary care evaluation and management: two-year outcomes. Journal of The American Geriatrics Society. 2000;48:8-13.