Showing 17 results for Shah
Akram Ghanbari, Farahnaz Mohammadi Shahboulaghi, Mojtaba Mohammadi, Ali Vahidi,
Volume 1, Issue 2 (December 2015)
Abstract
Introduction: Leisure activities are common among the elderly, however the effect of such activities on their mental health is poorly defined and not underpinned by strong evidence. This study aims to determine the prevalence of leisure activities and its relation to mental health in the elderly.
Methods: A cross- sectional study was conducted and 400 community dwelling older adults 60 years and more with appropriate cognitive function (Abbreviated Mental Test score 7 and more), were recruited through multi-stage stratified cluster sampling in Tehran, Iran. Data was gathered by demographic questionnaire and General Health Questionnaire (GHQ). The primary outcomes to measure were the prevalence of leisure activities, and GHQ score in subgroups. Data were analyzed by Kolmogorov-Smirnov test, ANOVA, independent t-test and multiple linear regressions.
Results: Of participants 62% were in their 7th decade (60-74 years), 56% (224) were female with mean age of 66.98 ± 8.22 , and 44% (176) male with mean age of 66.98 ± 8.22. GHQ scores showed 65% of participants had good mental health (0-23) and 35% had mental health problems (24 and more). Mean of GHQ score in participants (n = 377) was 21.8 ± 11.37 (0-28). watching television (77%), reading books ( 40.3%), walking (31.5%) and taking trip (36%) were more interesting leisure activities among older adults .Women, single, unemployed, alone and illiterate older adults had statistically significant(p ≤ 0.05) upper GHQ scores. Participating in active leisure activities such as taking trip and cultural classes, participating in non-government organization activities, going to parks and gym and walking had significant relationships with good mental health (p ≤0.05).
Conclusion: Encouraging older adults to participation in active leisure activities would be an effective intervention in mental health improvement. On the other hand understanding of relationship between type of leisure activities and mental health, provides evidence for policy makers and health care planners to offer and facilitate a context in which older adults can improve participation in active leisure activitie.
Mohammad Ali Morowatisharifabad, Jafar Ravaei, Ahmad Haerian, Mohsen Asgari Shahi, Seyed Vahid Malekhosseini, Hassan Rezaeipandari,
Volume 2, Issue 2 (December 2016)
Abstract
Introduction: Given growing elderly population and high prevalence of oral and dental diseases in this age group, this study was conducted to investigate oral health status and related quality of life among older adults in Yazd located in central Iran.
Methods: The cross sectional study was carried out on 210 elderly people aged ≥ 60 years under the guise of Yazd health care centers who entered the study via cluster random sampling. Oral health was assessed by DMFT index; and self-reported oral and dental health scale was also tested. Further, to measure the oral health-related quality of life, the Geriatric Oral Health Assessment Index was applied. Data were then analyzed by SPSS software through descriptive statistics, t-test, ANOVA, and Pearson correlation coefficient.
Results: The mean score of age for the studied population was 67.22 ± 5.62 years. Of whom 60.48% were women, 79.05% were married and 42.4% were edentulous. The oral health-related quality of life mean score was 42.46 ± 5.76 (possible rang 12-60) and the DMFT index mean score was 20.33 ± 4.76. The correlation of oral health-related quality of life score with age (r = -0.213, p = 0.002) and DMFT index (r = -0.542, p < 0.001) was inversely significant. Further, that had a direct significant correlation with self-reported oral health score(r = 0.302, p < 0.001).
Conclusion: Elderly people's oral health-related quality of life, self-reported oral and dental health status was not desirable. These factors have significant relationships with each other so that increase in DMFT index was associated with decrease in self-reported oral and dental health.
Sima Ghasemi, Nastaran Keshavarz Mohammadi, Farahnaz Mohammadi Shahboulaghi , Ali Ramezankhani,
Volume 3, Issue 1 (June 2017)
Abstract
Introduction: Health improvement, control of communicable diseases and increase in life expectancy among the elderly of developed and developing countries has greatly increased. Since the health care and social needs of older adults differ from that of other adults, it is necessary to identify the needs of the elderly in order to make proper plans that will promote their health. The aim of this paper is to critically review these researches.
Methods: A comprehensive literature review on the needs assessment of elderly health was applied searching English and Persian databases in Pub Med, Science Direct, ProQuest, Elsevier, Magiran, ISC and using key words including, Health need, Assessment, Elderly, Aging, Older adults, Aged and Health care needs.
Results: Initial search yielded 745 references, considering the inclusion criteria, 21 papers were reviewed. Results revealed that in conducting needs assessment, various methods and procedures in various health dimensions including physical health, mental health, emotional, care, social, cultural, economic, nutritional, service, security, legal and educational needs have been utilized. Some of the dimensions had been more explored and some rarely.
Conclusion: Most of the conducted studies had mainly focused on the elderly physical health needs and had neglected to take in to account other needs such as social and health care needs. In order to comprehensively recognize the health needs of the elderly, identifying their health care and care services is also important. Furthermore, in addition to quantitative studies, discovering the older adults’ perceptions of their own health needs is also necessary. It seems that the challenge ahead of managers, experts and researchers on elderly health is trying to design comprehensive mechanisms of health need assessment and considering it as a reference for any future planning.
Zahra Mardanpour Shahrekordi , Ebrahim Banitalebi, Mohammad Faramarzi,
Volume 3, Issue 1 (June 2017)
Abstract
Introduction: Aging is associated with elevated levels of some proinflammatory factors and exercise is a non-invasive intervention to improve immune function among older adults .The aim of the study was to compare resistance training effects on interlukine-6 (IL-6) and high-sensitivity C-reactive protein (hs-CRP) levels in older-aged women.
Methods: The study was quasi-experimental and forty healthy females were selected and randomly assigned to one of four groups: strength after endurance training (endurance + strength (E + S), n = 9), strength prior to endurance training (strength + endurance (S + E), n = 10), interval resistance-endurance training (Int, n = 12), and control (n = 9) groups. The training program was performed for eight weeks, three times per week. Human TNF-α and IL-6 sandwich ELISA Kit were used. Within-group differences were analyzed using a paired samples t-test and between-group differences were analyzed using one-way analysis of variance.
Results: The intra-session order had not significantly influence on the adaptive response of waist-to-hip ratio (p = 0.55), IL-6 (p = 0.55) and hs-CRP (p = 0.55) throughout the study. However, significant differences were shown following combined training between the S + E, E + S and Int groups for Vo2 max (p = 0.029), body mass (p = 0.016) and BMI (p = 0.023) when comparing pre and posttests.
Conclusion: This study confirmed that adaptations to a combination of endurance and resistance training appear to be independent of whether resistance training occurs prior to or following endurance training.
Mohammad Ali Morowatisharifabad, Tahereh Shakeri-Mobarakeh, Ali Akbar Vaezi Sharifabad, Reza Bidaki, Mohsen Asgari-Shahi, Hassan Rezaeipandari,
Volume 3, Issue 1 (June 2017)
Abstract
Introduction: Due to the Increasing elderly population and the high prevalence of psychological, social and physical problems among them, this study was conducted to determine fear of falling and social participation status among elderly people in Mobarakeh city, Isfahan province, Iran in 2016.
Methods: This was a cross-sectional study in which 300 elderly residents of Mobarakeh city were randomly recruited by cluster sampling. Data collection tools were demographic questionnaire, Falls Efficacy Scale-International form and social participation scale of Canadian Community Health Survey. Mini Mental State Examination also was used to diagnose cognitive disorders. Data were analyzed with SPSS software using t-test, ANOVA and Pearson correlation coefficient.
Results: The mean age of participants was 70.83 ± 8.68 years and the mean score of fear of falling was 33.25 ± 16.37 (16-64). Regarding the fear level, 22.3 % had no fear, 34.3 % low fear, 20 % moderate fear, and 23% a high fear of falling. Mean score of social participation was 16 ± 4.63 (8-40). The most frequently reported social participation activity was attending religious ceremonies (99.7 %) while the least was attending professional and social forums (79.3 %). There was an inverse significant correlation between fear of falling and social participation (r = -0.421, p < 0.01).
Conclusion: Level of fear of falling in the elderlies was moderate while social participation was low. By using preventive measures, effective education, psychological and social interventions, disease-control programs and removing the existing obstacles, the fear of falling could be reduced and social participation could be promoted among the elderlies.
Ahmad Abooee, Robab Sahaf, Ahmad Ali Akbari Kamrani , Mohammad Hasan Lotfi, Fatemeh Heidari, Nazila Shahmansouri,
Volume 3, Issue 2 (December 2017)
Abstract
Introduction: Quality of life and dependency are two important issues in elderly population. The aim of this study was to investigate the effectiveness of the elderly psychoeducation on their quality of life and dependency in a day care center in Iran.
Methods: A pre-post interventional design was used to evaluate the effectiveness of a psychoeducation program on a convenient sample of 130 elderlies with randomized control group. Intervention procedure included a healthcare package which contained healthy lifestyle education, memory telling sessions, physical education, prayer meetings, art workshops and arranging excursions, all of which was delivered within 3 months. Quality of life short form (SF-12) and Lawton index of instumental activities of daily living (IADL) were assessed at baseline, after one month and three months later by a trained research coordinator. Covariance analysis was used to examine the effectiveness of the elderly psychoeducation on their psychophysical quality of life and their IADL status.
Results: The mean score of physical quality of life at pretest in the experimental group was 35.70 ±8.80. These score,were 38.53 ± 8.32 and 39.27 ± 7.80 in the first and second posttestrespectively. In terms of psychological quality of life, the mean of pretest score in the experimental group was 41.59 ± 9.47. It was 43.26 ± 9.09 and 47.19 ± 8.98 in the first and second post-test but in the control group the mean had decreased. The mean score of IADL in pretest for the experimental group was 9.98 ± 2.56 in the post-test it was 10.49 ± 2.31and 10.69 ± 2.34 in the first and second post-test, respectively.
Conclusion: These results suggest that psychoeducation for elderlies had a significant positive effect on psycho-physical quality of life and dependency. Therfore, psychoeducation can be helpful in day care centers.
Maryam Hasanshahi, Abdolrahim Asadollahi, Jeyran Ostovarfar, Nobaya Ahmad,
Volume 3, Issue 2 (December 2017)
Abstract
Introduction: Declining social participation and reduced engagement in communal activities among Khuzistani citizens are specifically more evident among the elderly than other age groups. The aim of this study was to investigate the social well-being within Aged People in Ahwaz city.
Methods: Via cross-sectional study in 2016, data were collected during interview with 382 samples (195 male and 187 female) 60 years old and above in accordance to cluster-multistage sampling method and the sample size were estimated by Cochran Formula as a whole. Data collection instrument was the version of 33 items of the Social Well-being Scale of Keyes. Data were analyzed by SPSS in descriptive statistics, F-test & geographical information system. Sampling method was cluster-ratio based on municipal zones, ethnicity, and gender.
Results: Total scores of Scale of Social Well-being (Mean = 61.42, SD = 14.92) show the average rank of loneliness among participants (between 59.35 and 64.20). Arabs (Mean = 59.35, SD = 14.95) have a lower social well-being rank than other ethnic groups. The comparison of the social well-being by gender and ethnic characteristics illustrates that the variables have significant differences within the aged as well (N = 382, ρ £ 0.05).Regarding financial support and economic status of aged samples, those older persons who did not receive any financial support, had better rank of social well-being than aged who were supported (Mean = 64.89, SD = 16.22).
Conclusion: According to the results of the study, aged minority ethnic group women faced inequalities regarding social well-being in Ahwaz City, Iran.
Parisa Parsa, Forouzan Rezapur-Shahkolai, Maryam Afshari, Ali Reza Moradi, Maliheh Araghchian,
Volume 4, Issue 1 (June 2018)
Abstract
Introduction: Aging is associated with non-communicable diseases and it gives rise to increase drug consumption. Regarding deeper cognition of the subject, a qualitative study was accomplished for recognition of taking medication problems from the elderly's viewpoint in Hamadan health centers.
Methods: The present qualitative study was done through conventional content analysis. The data were collected using semi-structured deep interviews with 15 elderlies referred to health-care centers in Hamadan. The participants were selected through purposive sampling from both genders and maximum variation of age, social and economic class and education level. Data strength was confirmed by member and external check. All the interviews were transcribed and analyzed using content analysis method.
Results: Analyzing data led to extraction of 7 themes of ignorance to medication use, medication forgetfulness, physical and mental status of the elderly, need to others help and support in medication use, relative negligence, economic and environmental problems in addition to 22 sub-themes of taking medication problems from elderly's viewpoint.
Conclusion: Study represented elderly people having some personal and environmental problems regarding medication. Alternatively, drug consumption difficulties in old people led to other side effects, individual's problems, and some problems related to their health.
Leila Dehghankar, Akram Shahrokhi, Arina Qolizadeh, Fatemeh Mohammadi, Elnaz Nasiri,
Volume 4, Issue 1 (June 2018)
Abstract
Introduction: Health promoting behaviors (HPBs) are one of the main criteria to determine health. HPBs have a complex nature and are influenced by several factors. The aim of this study was to determine the relationship between HPBs and general health in the elderly in Qazvin.
Methods: In this cross-sectional study, 372 older people were enrolled using convenience sampling. Data were collected using demographic information questionnaire, HPBs checklist, and Goldberg and Hillier's 12-items of the General Health Questionnaire. Data were analyzed by independent t-test and chi-square test.
Results: The results showed that 21% of the elderly were not in a desirable general health status. Walking (61%) and using low-fat foods (73.9%) were among the most uncommon HPBs while lack of alcohol consumption (97%) and blood pressure control (95.4%) were among the most common HPBs. The elderly who walked reported a significantly higher general health (P < 0.001), while the elderly who reported using low-salt (P = 0.008) and low-fat (P = 0.008) diet had a significantly lower general health.
Conclusion: While the rate of doing certain HPBs, such as walking, was not good, almost 80% of the subjects were in a satisfactory general health status. Efforts to expand and improve HPBs, especially walking, in the elderly can affect their general health status.
Akram Ghanbari Moghadam, Mojtaba Mohammadi, Fateme Ardane, Shahrbanoo Talebi, Zeinab Karbalaee,
Volume 5, Issue 1 (June 2019)
Abstract
Introduction: Emergency wards today are facing with an increasing numbers of older patients. Therefore, it seems important and essential to develop a short screening tool with an acceptable predictive power to identify the seniors being discharged from hospital and mean while are at risk of a decline in physical and mental performance, and thus, facing re-admission emergency wards in hospitals.
Methods: This prospective study was performed on 190 randomly selected elderly people being discharged from emergency centers in Sabzevar city. Data were collected using Identification of Seniors at Risk (ISAR), GHQ-12 and Barthel questionnaires. Descriptive and inferential statistical methods including Pearson correlation coefficient and area under the ROC curve were used for data analysis.
Results: Within the six months period of follow up, the accuracy of ISAR tool for predicting functional and mental performance decline was at a moderate level (AUC = 0.74 , AUC = 0.77 ) but at desirable level for both physical and mental performances, as a whole condition (AUC = 0.84).
Conclusion: ISAR has moderate accuracy to predict the risk of physical or mental decline in elderly people six months after discharge from hospital emergency wards.
Ho-Jui Tung, Ming-Chin Yeh, Randall Ford, Gulzar Shah,
Volume 7, Issue 1 (June 2021)
Abstract
Introduction: Higher personal mastery is associated with better physical functioning, wellbeing, and longevity among older populations. However, few studies have focused on whether personal mastery is protective against mortality among older adults living with diabetes over time.
Methods: A total of 1,779 participants were identified from an off-year survey of the Health and Retirement Study. Proportional Hazard Models were used to evaluate the significance of selected variables in predicting the survival of participants over a 13-year period.
Results: A substantial proportion (46.7%) of the diabetic patients had survived by the end of 2016. Adults with lower mastery scores were more likely to die (Hazard Ratio = .94, p < .001). Gender differences in the association patterns between personal mastery and survival were identified. Personal mastery had an independent health-protective effect on the survival of diabetes patients over the study period. With lower educational attainment, the foreign-born female diabetics scored higher in personal mastery measure when compared to their male counterparts. In the face of more severe diabetes comorbidity, foreign-born female diabetics also outlived their male counterparts over the study period.
Conclusion: As a crucial psychological resource and a modifiable factor, personal mastery holds a potential for improving the health status among lower SES groups of older adults. Further investigations into the identified gender difference could be applied to break the cycle of poor health among lower Socio-Economic Status groups of older adults.
Masood Yousefi, Shahab Papi, Yadollah Abolfathi Momtaz, Ahmad Ali Akbari Kamrani, Mahdi Yousefi, Reza Fadayevatan,
Volume 7, Issue 1 (June 2021)
Abstract
Introduction: Increasing age is one of the most important predictors of mortality among aged population. Therefore, determining the causes of death among older people could be imperative. The purpose of this study was to investigate non-communicable disease mortality among a sample of older people in Iran from 2007 to 2018.
Methods: This was a retrospective descriptive study that applied census sampling technique to investigate 1202 Medical Records of older adults (60 ≤ years old) died during 2007-2018 at three hospitals of Khuzestan province, Iran. Data analysis was conducted using SPSS version 24 software.
Results: The mean age of participants was 77.4 ± 8.38. Of whom 50.7 % were male. The highest number of deaths were related to the internal ward (41.4%), CCU (29.3%) and ICU (25.6%), respectively. In addition, Angina pectoris, Respiratory disease and Cerebrovascular Accident were the most important cause of death among aged population. Also, the history of hospitalization (87.1%) and cardiovascular disease (82.2%), and hypertension (67.8%) were the prominent risk factors for mortality among aged population. According to chi-squared, there was a significant relationship between smoking and death attributed to cardiovascular diseases among older adults.
Conclusion: Angina pectoris, Respiratory disease and Cerebrovascular accident diseases are the most important cause of death among older adults. Prevention and screening programs should be implemented to discern and screen these chronic diseases at the early stage among older people.
Zahra Fereidouni Valashejerdi, Shahnam Abolghasemi, Javad Khalatbari, Morteza Tarkhan,
Volume 8, Issue 1 (June 2022)
Abstract
Introduction: The elders need proper medical and psychiatric care and attention, so choosing a suitable therapeutic approach for their psychological care, especially in those with cognitive impairment, will be effective in improving psychological symptoms and their health. The present study aimed to investigate the effectiveness of cognitive rehabilitation on agitation, apathy and cognitive function.
Methods: This quasi-experimental study carried out among male elders with mild cognitive impairment (MCI) in Kahrizak Charity nursing home in Alborz province in 2020. A sample of 36 male elders with MCI was purposefully selected and randomly assigned to experimental (n = 18) and control (n = 18) groups. Data were collected through Cohen-Mansfield Agitation Inventory; Apathy Evaluation Scale and Montreal Cognitive Assessment-Basic. The intervention group received 8 sessions of 90 minutes, cognitive rehabilitation based on kelly and O'Sullivan's cognitive rehabilitation strategies and techniques.
Results: After controlling the mean scores of the pretest, a significant difference was observed in agitation (96.6 vs 101.9) apathy (30.02 vs 34.10) and cognitive function (19.60 vs 16.80) between experimental and control groups. This means that cognitive rehabilitation reduced agitation and apathy with effect sizes of 0.42 and 0.54 respectively and increased cognitive function with an effect size of 0.65.
Conclusion: Considering the effectiveness of cognitive rehabilitation in reducing agitation, apathy and increasing cognitive function of the participants, cognitive rehabilitation is suggested to improve individual functioning and interpersonal relationships in the elderly with MCI.
Shahab Papi, Samad Akbari, Mahshid Foroughan, Nasibeh Zanjari, Amir Mohamad Moghadasi, Zhale Zandieh,
Volume 8, Issue 2 (December 2022)
Abstract
Introduction: Elder abuse is a major public health concern worldwide. Considering the high prevalence of misbehavior towards the elderly, this study investigated the prevalence of elder abuse and its related factors among the elderly people in Yasouj, Iran in 2021.
Methods: Using a convenience sampling method, this cross-sectional study included 299 older adults aged over 60 years referring to the Social Security Outpatient Clinic in Yasouj. To collect data, we used the Domestic Elder Abuse Questionnaire. To analyze the data, chi-square and multiple logistic regression statistical tests were used.
Results: Of the participants, 55.2 % reported at least one type of misbehavior. While psychological misbehavior had the highest prevalence (41.8 %), rejection had the lowest prevalence (10.7 %). Multiple regression analysis showed that elder abuse was statistically associated with higher educational status (p = 0.002), lower economic status (p = 0.002), and single people reported a higher rate of elder abuse (p = 0.001).
Conclusion: According to our results, more than half of the participants reported at least one type of elder abuse, and psychological abuse was the most common type of abuse experienced by the elderly. Since elder abuse can have serious effects on the health and well-being of the elderly, it is critical to identify the related risk factors. Furthermore, it is essential to implement screening programs to increase the awareness of the elderly and caregivers.
Fardin Farmani, Shabnam Gholami Sehchek, Maryam Sarmadi, Morteza Jahanshahloo,
Volume 8, Issue 2 (December 2022)
Abstract
Introduction: Considering the increasing trend of the elderly population in Iran, attention paid to this critical phase, both socially and psychologically, is essential in improving their quality of life. The present study aimed to investigate prediction of quality of life - based on personality traits and spiritual intelligence in the elderly.
Methods: This correlational study carried out on older adults in Tehran who lived in nursing homes in 2020 and 182 of them were selected by convenience sampling. The NEO Personality Inventory (NEO-PI), The Spiritual Intelligence Self-Report Inventory (SISRI-24) and Leiden-Padua Questionnaire (LEIPAD questionnaire) were used for data collection. Descriptive statistics (mean, standard deviation) and inferential statistics (correlation and stepwise regression analysis) were used for data analysis. The correlation matrix and stepwise regression were used to predict the quality of life scores based on personality and spiritual intelligence.
Results: There was a significant relationship between personality traits with spiritual intelligence and quality of life (r: 0.361, p < 0.05). Also, there was a significant relationship between spiritual intelligence and quality of life (p < 0.05). Personality traits of neuroticism, extraversion, and spiritual intelligence could predict a total of 38.5% of the variance in quality of life (p < 0.05).
Conclusion: The quality of life has a significant relationship with both spiritual intelligence and personality traits, so, spiritual intelligence and personality components can predict the quality of life in the elderly.
Masood Ghorbanalipour, Shahla Alilou, Kosar Babalou, Nika Akbarlou,
Volume 10, Issue 1 (June 2024)
Abstract
Introduction: Hypertension is a prevalent condition among the elderly, significantly contributing to the burden of cardiovascular disease and related complications. This study examined how depression and perfectionism influence hypertension in older adults. It also explored how worry, tolerance for ambiguity, and problem-solving skills might influence this relationship.
Methods: Researchers recruited 192 participants with hypertension from a health center in Khoy city, Urmia, Iran. Participants completed questionnaires that assessed depression, perfectionism, worry, ambiguity tolerance, and problem-solving skills. Statistical methods were used to analyze the data and identify relationships between these factors and hypertension.
Results: Depression, perfectionism, worry, and ambiguity tolerance were all significantly associated with hypertension. Interestingly, problem-solving skills were not linked to blood pressure. Further analysis revealed that worry played a reinforcing role in the link between depression/perfectionism and hypertension, while ambiguity tolerance had a protective effect. In other words, higher worry levels strengthened the association between depression/perfectionism and high blood pressure, while greater tolerance for ambiguity lessened this association.
Conclusion: These findings suggest that emotional factors like worry and intolerance for ambiguity can significantly impact blood pressure in older adults. Therefore, managing these emotions alongside depression and perfectionistic tendencies may be crucial for controlling hypertension.
Corresponding Author: Masood Ghorbanalipour
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Fereshteh Davoodi, Shahzad Pashaeypoor, Mehrnoosh Partovirad, Farshad Sharifi, Nasrin Nikpeyma,
Volume 10, Issue 2 (December 2024)
Abstract
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.
