Effects of Self-Care Education on Self-Neglect Among Older Adults

Davoodi, Fereshteh; Pashaeypoor, Shahzad; Partovirad, Mehrnoosh; Sharifi, Farshad; Nikpeyma, Nasrin

doi:10.18502/ehj.v10i2.17361

Volume 10, Issue 2 (December 2024) Elderly Health Journal 2024, 10(2): 83-89 | Back to browse issues page

‎ 10.18502/ehj.v10i2.17361

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Davoodi F, Pashaeypoor S, Partovirad M, Sharifi F, Nikpeyma N. Effects of Self-Care Education on Self-Neglect Among Older Adults. Elderly Health Journal 2024; 10 (2) :83-89
URL: http://ehj.ssu.ac.ir/article-1-324-en.html

Effects of Self-Care Education on Self-Neglect Among Older Adults

Fereshteh Davoodi

, Shahzad Pashaeypoor

, Mehrnoosh Partovirad

, Farshad Sharifi

, Nasrin Nikpeyma ^*

Department of Community Health and Geriatric Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran , nikpeyma@yahoo.com

Abstract: (35 Views)

Introduction: Self-neglect, a form of abuse, significantly impacts the physical, mental, and social health of older adults, leading to a diminished quality of life and, in severe cases, death. For older adults experiencing self-neglect, attention to self-care is crucial for preventing or managing health issues. This study aimed to investigate the effect of self-care education on self-neglect among older adults.
Methods: This quasi-experimental study was conducted in 2021 with 100 eligible individuals selected from older adults receiving services at comprehensive health service centers in Qazvin, Iran. Participants were chosen using a non-randomized method and were divided into two groups: the self-care education group and the control group. The intervention comprised six outdoor sessions lasting 45-60 minutes each, held twice weekly at a health center. These sessions addressed five dimensions of self-care for older adults, which were validated by experts. Participants in the control group received only routine care. Post-tests were administered six weeks later.
Results: Before the intervention, the mean self-neglect scores were 1.345 ± 0.89 in the control group and 1.453 ± 0.43 in the self-care education group (p = 0.034). After the intervention, mean scores improved significantly to -0.760 ± 0.43 in the self-care education group and -7.056 ± 2.31 in the control group (p = 0.001).
Conclusion: Self-care education addressing various dimensions—physical, psychological-emotional, social, and spiritual—can serve as an effective, accessible, and cost-effective strategy for preventing and reducing self-neglect among older adults in care centers and hospitals. Future studies should consider larger populations and diverse cultural contexts to develop comprehensive clinical guidelines for preventing self-neglect.

Keywords: Self-Neglect, Elder Abuse, Self Care, Health Education, Aged

Full-Text [PDF 488 kb] (17 Downloads) | | Full-Text (HTML) (5 Views)

Type of Study: Research | Subject: Special
Received: 2024/08/10 | Accepted: 2024/12/11 | Published: 2024/12/20

References

1. Arab-Zozani M, Mostafazadeh N, Arab Zozani Z, Ghoddoosi-Nejad D, Hassanipour S, Soares JJ. The prevalence of elder abuse and neglect in Iran: a systematic review and meta-analysis. Journal of Elder Abuse & Neglect. 2018; 30(5):408–23.

2. Hanefeld J, Fischer HT. Global health: Definition, principles, and drivers. Handbook of Global Health. 2021: 3–27.

3. Boyer S, Trimouillas J, Cardinaud N, Gayot C, Laubarie-Mouret C, Dumoitier N, et al. Frailty and functional dependence in older population: lessons from the freedom limousin–nouvelle Aquitaine cohort study. BMC Geriatrics. 2022; 22(1): 1-10.

4. Yu M, Qian M, Guo C, Wang Q. The role of frailty, social networks, and depression in self-neglect in an older Chinese population: a cross-sectional descriptive study. Geriatric Nursing. 2023; 51: 394–9.

5. Molaei M, Etemad K, Taheri Tanjani P. Prevalence of elder abuse in Iran: A systematic review and meta analysis. Iranian Journal of Ageing. 2017; 12(2) :242-53. [Persian]

6. Salvador JT, Alqahtani FM. The phenomenon of aging: The adaptation of Filipino elderly. Activities, Adaptation & Aging. 2020; 44(4): 309–26.

7. Addo KM, Khan H. Factors affecting healthy aging and its interconnected pathways. Turkish Journal of Healthy Aging Medicine. 2024; 1: 9–24.

8. Wang B, Hua Y, Dong X. Development and validation of a predictive index of elder self-neglect risk among a Chinese population. Aging & Mental Health. 2021; 25(8): 1572–9.

9. Yu M, Gu L, Shi Y, Wang W. A systematic review of self-neglect and its risk factors among community-dwelling older adults. Aging & Mental Health. 2021; 25(12): 2179–90.

10. Dong X. Elder self-neglect: research and practice. Clinical Interventions in Aging. 2017; 12: 949–54.

11. Dong X, Simon MA, Evans D. Prospective study of the elder self-neglect and ED use in a community population. The American Journal of Emergency Medicine. 2011; 30(4): 553–61.

12. Ghalenow HR, Nikpeyma N, Kazemnejad A, Ansari M, Pashaeypoor S. Effect of educational program based on health literacy index on self-care ability among older adults: A randomized clinical trial. International Journal of Preventive Medicine. 2022; 13(24): 1-7.

13. İlhan B, Bahat G, Saka F, Kılıç C, Oren MM, Karan MA. A new screening tool for self-neglect in community-dwelling older adults: IMSelf-neglect questionnaire. The Aging Male. 2020; 23(5): 388-95.

14. Joosten M, Vrantsidis F, Dow B. Understanding elder abuse: A scoping study [Internet]. Melbourne: University of Melbourne and the National Ageing Research Institute; 2017 [cited 2024 Aug 12]. Available from: https://socialequity.unimelb.edu.au/__data/assets/pdf_file/0011/2777924/Elder-Abuse-A-Scoping-Study.pdf

15. Johnson YO. Nurse perceptions of elder self-neglect. The University of North Carolina at Greensboro; 2014.

16. Martínez N, Connelly CD, Pérez A, Calero P. Self-care: A concept analysis. International Journal of Nursing Sciences. 2021; 8(4): 418–25.

17. Morowatisharifabad MA, Rezaeipandari H, Dehghani A, Zeinali A. Domestic elder abuse in Yazd, Iran: a cross-sectional study. Health Promotion Perspectives. 2016; 6(2): 104-110.

18. Nikpeyma N, Negarandeh R, Partovirad M. Comparison of the effects of mobile learning and traditional self-care education on loneliness and social isolation in community-dwelling older adults: Study protocol of a three-arm randomized controlled trial. Elderly Health Journal. 2024; 10(1): 43–51.

19. Nassiri H, Heravi Karimooi M, Jouybari L, Sanagoo A, Chehrehgosha M. The prevalence of elder abuse in Gorgan and Aq-Qala cities, Iran in 2013. Iranian Journal of Ageing. 2016; 10(4): 162–73. [Persian]

20. Salimi F, Garmaroudi G, Hosseini SM, Batebi A. Effect of self-care educational program on improving quality of life among elderly referred to health centers in Zanjan. Journal of Education and Community Health. 2015; 2(2): 28–37. [Persian]

21. Mohseni M, Rashedi V, Iranpour A, Naghibzadeh Tahami A, Borhaninejad V. Prevalence of elder abuse and associated factors among community-dwelling older adults in Iran. Journal of Elder Abuse & Neglect. 2019; 31(4–5): 363–72.

22. Ling WHH, Lee WPV, Chui WH, Sin KMC. Older adults and volunteering: Mental wellness, motivation, and satisfaction. Activities, Adaptation & Aging. 2023; 47(4): 482–500.

23. Bian J, Xiang Z. Do the various leisure forms have equal effects on mental health? A longitudinal analysis of self-selected leisure activities. Frontiers in Public Health. 2023; 11:1-11.

24. Lim WM, Bowman C. Aging in a place of choice. Activities, Adaptation & Aging. 2022; 46(3): 183–9.

25. Kim KT, Hawkins BA, Lee YH, Kim H. Social support and daily life activity: determinants of aging well. Activities, Adaptation & Aging. 2023; 47(2):171–94.

26. Ricci L, Buzzi M, Kivits J, Rat AC. Patient satisfaction and perspectives on self-management education programs: A qualitative study. Patient Preference and Adherence. 2023; 17: 2175–86.

27. Pickens S, Daniel M, Jones EC, Jefferson F. Development of a conceptual framework for severe self-neglect (SN) by modifying the CREST model for self-neglect. Frontiers in Medicine. 2021; 8: 1-15.

28. Vaezi A, Lotfi MH, Shaker M. The effect of implementation of elderly respect training program in families on elder abuse in Yazd. Journal of Community Health Research. 2018; 7(2): 74–84.

29. İlhan B, Bahat G, Saka F, Kılıç C, Oren MM, Karan MA. A new screening tool for self-neglect in community-dwelling older adults: IMSelf-neglect questionnaire. The Aging Male. 2021; 23(5): 388–95.

30. Vizeshfar F, Ghelbash Z. Effect of a self-care training program using smartphones on general health, nutrition status, and sleep quality in the elderly. Psychogeriatrics: Official Journal of the Japanese Psychogeriatric Society. 2021; 21(6): 910–9.

31. Chen YW, Wei J, Chen HL, Cheng CH, Hou IC. Developing a heart transplantation self-management support mobile health app in Taiwan: qualitative study. JMIR MHealth and UHealth. 2020; 8(8): 1-13.

32. World Health Organization. Self-care can be an effective part of national health systems [Internet]. 2019. Available from: https://www.who.int/news/item/02-04-2019-self-care-can-be-an-effective-part-of-national-health-systems

33. Yu M, Gu L, Jiao W, Xia H, Wang W. Predictors of self-neglect among community-dwelling older adults living alone in China. Geriatric Nursing. 2019; 40(5): 457–62.

34. Zhao Y, Hu C, Feng F, Gong F, Lu S, Qian Z, et al. Associations of self-neglect with quality of life in older people in rural China: a cross-sectional study. International Psychogeriatrics. 2017; 29(6): 1015–26.