Physical and mental health aspects of elderly in social care in Poland

Dorota Dobrzyn-Matusiak,1 Czeslaw Marcisz,2 Ewelina Bąk,3 Halina Kulik,1 Ewa Marcisz4 1Department of Nursing Propaedeutics, 2Department of Gerontology and Geriatric Nursing, School of Health Care, Medical University of Silesia, Katowice, Poland; 3Faculty of Health Sciences, University of Bielsko-Bi...

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Autores principales: Dobrzyn-Matusiak D, Marcisz C, Bąk E, Kulik H, Marcisz E
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Publicado: Dove Medical Press 2014
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spelling oai:doaj.org-article:cfc2d7fdc7c14990993f5888dc19e0c92021-12-02T00:38:35ZPhysical and mental health aspects of elderly in social care in Poland1178-1998https://doaj.org/article/cfc2d7fdc7c14990993f5888dc19e0c92014-10-01T00:00:00Zhttps://www.dovepress.com/physical-and-mental-health-aspects-of-elderly-in-social-care-in-poland-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Dorota Dobrzyn-Matusiak,1 Czeslaw Marcisz,2 Ewelina Bąk,3 Halina Kulik,1 Ewa Marcisz4 1Department of Nursing Propaedeutics, 2Department of Gerontology and Geriatric Nursing, School of Health Care, Medical University of Silesia, Katowice, Poland; 3Faculty of Health Sciences, University of Bielsko-Biała, Bielsko-Biała, Poland; 4Department of Anxiety Disorders, Hospital of Ministry of Internal Affairs, Katowice, Poland Background: The objective of the study was to evaluate health aspects in elderly individuals in social, institutional, and home care in Poland.Methods: A total of 300 elderly individuals in care in Poland were included in the study. The subjects were divided into three groups: residents of long-term care institutions (group I), residents of adult day-care homes (group II), and community-dwelling subjects (group III). Each group consisted of 100 subjects. Questionnaires evaluating the following physical and mental dimensions of health were used: SF-36 Health Survey, basic activities of daily living, instrumental activities of daily living, Geriatric Depression Scale, and Mini–mental state examination.Results: It was found that the health aspects of the elderly varied depending on whether care was provided in an institutionalized or a home environment, and the lowest health status was found in the elderly receiving in-home care. Furthermore, home-based elderly indicated significant limitations in performing basic activities of daily living and instrumental activities of daily living, as well as a higher prevalence of depression and cognitive impairment.Conclusion: The elderly in long-term institutionalized care, both in a residential home and adult day-care homes, were characterized by a better physical and mental health status than those receiving in-home care. It seemed that worse health status, including the more frequent depression occurrence and cognitive function disorders in the elderly using the nursing care at their homes, was related to their multimorbidity, loneliness, and too-short duration of the care during the day. Keywords: social institutions, health status, activities of daily living, depression, cognitive function Dobrzyn-Matusiak DMarcisz CBąk EKulik HMarcisz EDove Medical Pressarticlesocial institutionsactivities of daily livingdepressioncognitive function cognitive functionGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 9, Pp 1793-1802 (2014)
institution DOAJ
collection DOAJ
language EN
topic social institutions
activities of daily living
depression
cognitive function cognitive function
Geriatrics
RC952-954.6
spellingShingle social institutions
activities of daily living
depression
cognitive function cognitive function
Geriatrics
RC952-954.6
Dobrzyn-Matusiak D
Marcisz C
Bąk E
Kulik H
Marcisz E
Physical and mental health aspects of elderly in social care in Poland
description Dorota Dobrzyn-Matusiak,1 Czeslaw Marcisz,2 Ewelina Bąk,3 Halina Kulik,1 Ewa Marcisz4 1Department of Nursing Propaedeutics, 2Department of Gerontology and Geriatric Nursing, School of Health Care, Medical University of Silesia, Katowice, Poland; 3Faculty of Health Sciences, University of Bielsko-Biała, Bielsko-Biała, Poland; 4Department of Anxiety Disorders, Hospital of Ministry of Internal Affairs, Katowice, Poland Background: The objective of the study was to evaluate health aspects in elderly individuals in social, institutional, and home care in Poland.Methods: A total of 300 elderly individuals in care in Poland were included in the study. The subjects were divided into three groups: residents of long-term care institutions (group I), residents of adult day-care homes (group II), and community-dwelling subjects (group III). Each group consisted of 100 subjects. Questionnaires evaluating the following physical and mental dimensions of health were used: SF-36 Health Survey, basic activities of daily living, instrumental activities of daily living, Geriatric Depression Scale, and Mini–mental state examination.Results: It was found that the health aspects of the elderly varied depending on whether care was provided in an institutionalized or a home environment, and the lowest health status was found in the elderly receiving in-home care. Furthermore, home-based elderly indicated significant limitations in performing basic activities of daily living and instrumental activities of daily living, as well as a higher prevalence of depression and cognitive impairment.Conclusion: The elderly in long-term institutionalized care, both in a residential home and adult day-care homes, were characterized by a better physical and mental health status than those receiving in-home care. It seemed that worse health status, including the more frequent depression occurrence and cognitive function disorders in the elderly using the nursing care at their homes, was related to their multimorbidity, loneliness, and too-short duration of the care during the day. Keywords: social institutions, health status, activities of daily living, depression, cognitive function 
format article
author Dobrzyn-Matusiak D
Marcisz C
Bąk E
Kulik H
Marcisz E
author_facet Dobrzyn-Matusiak D
Marcisz C
Bąk E
Kulik H
Marcisz E
author_sort Dobrzyn-Matusiak D
title Physical and mental health aspects of elderly in social care in Poland
title_short Physical and mental health aspects of elderly in social care in Poland
title_full Physical and mental health aspects of elderly in social care in Poland
title_fullStr Physical and mental health aspects of elderly in social care in Poland
title_full_unstemmed Physical and mental health aspects of elderly in social care in Poland
title_sort physical and mental health aspects of elderly in social care in poland
publisher Dove Medical Press
publishDate 2014
url https://doaj.org/article/cfc2d7fdc7c14990993f5888dc19e0c9
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