Self-Management of the Elderly and the Old-Efficiency and Significance
DOI:
https://doi.org/10.3889/oamjms.2022.9665Keywords:
self management, elderly, old, efficacy, significanceAbstract
BACKGROUND: Self-management is an active approach to coping and assuming responsibility on the part of a person, independently or in collaboration with medical specialists, to manage his/her health status. In cases of chronic diseases, the stigma of an uncertain future is a norm; it dominates and often suppresses the everyday routine. In this context, the need of training in self-management appears to be a pressing one in socially significant diseases, and is aimed at helping patients, especially elderly and old ones, cope with the clinical symptoms, with the psycho-social consequences in the way of life and with the changes in risky behavior.
AIM: Researching the level of informity of people aged 65 or more, considering activities for self-observation and self-control and resources of health information.
MATERIALS AND METHODS: An anonymous survey of randomly selected 340 people aged 60 and over was conducted in the period from April 2020 to February 2021. Methods applied: Descriptive statistics with amount-measured quantities. To analyses the data there have been used: Dispersive analysis (one-way ANOVA), alternative analysis, non-parametric analysis-Pearson’s criterion of agreement (χ2 –ksi-square) at the testing of hypotheses for statistically significant correlation between factorial and resultative indices; and correlational analysis according to Spearman and graphic analysis. For standard of significance of the zero hypothesis, there has been perceived p < 0.05.
RESULTS: The obtained data serve as sufficient grounds to claim that the level of awareness of the use of simple diagnostic activities for self-management and self-control is inadequate in view of the predominant chronic conditions. The information requested by the respondents reflects significant educational needs connected mainly with their condition–77.9%, drug therapy–54.4%, behavioral risk factors and prophylactic measures and recommendations.
CONCLUSION: The respondents showed clearly expressed preferences, willingness, and desire to be informed by medical specialists–doctors and nurses. Their contribution in the sphere of health education so far has been insufficient, humble, and yet to develop its full potential.
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Alekova S, Slavova V, Ivanov V, Ovcharov I, Platikanova M. The role of family doctors in Bulgaria in solving the main medical and social problems which are of direct concern to elderly people. Trakia J Sci. 2015;13(2):256-9. https://doi.org/10.15547/tjs.2015.s.02.057 DOI: https://doi.org/10.15547/tjs.2015.s.02.057
Nikolova M, Tineshev S. Comparison of the body mass index to other methods of body fat assessment in Bulgarian children and adolescent. Biotechnol Biotechnol Equip. 2010;24:329-37. https://doi.org/10.1080/13102818.2010.10817857 DOI: https://doi.org/10.1080/13102818.2010.10817857
Tineshev SL Nikolova M. Anthropological characteristics of body composition in children and adolescents from Plovdiv. Biotechnol Biotechnol Equip. 2010;24(Suppl 1):338-41. https://doi.org/10.1080/13102818.2010.10817858 DOI: https://doi.org/10.1080/13102818.2010.10817858
Nikolova M, Boyadjiev D. Relation between body composition and some social factors and habits in children and adolescents. Acta Morphol Anthropol. 2011;17:156-62.
Vodenicharov TS, Popova S, Mutafova M, Shipkovenska E. Emergency Medical Services Social Medicine. Sofia: Gorex Press Publishers; 2013.
Lorig KR, Holman H. Self-management education: History, definition, outcomes, and mechanisms. Ann Behav Med. 2003;26(1):1-7. https://doi.org/10.1207/S15324796ABM2601_01 PMID: 12867348 DOI: https://doi.org/10.1207/S15324796ABM2601_01
Lorig KR, Sobel DS, Stewart AL, Brown BW Jr., Bandura A, Ritter P, et al. Evidence suggesting that a chronic disease self-management program can improve health status while reducing hospitalization: A randomized trial. Med Care. 1999;37(1):5-14. https://doi.org/10.1097/00005650-199901000-00003 PMid:10413387 DOI: https://doi.org/10.1097/00005650-199901000-00003
Vizeva M. The Quality of Life and Health-Care Management of People with Diabetes, Type 2. Sofia: Gorex Press Publishers, Author’s Summary of Dissertation; 2014.
Vizev KR. Social and Health Aspects of Premature Ageing and its Prophylaxis. Author’s Summary of Dissertation. Sofia: Gorex Press Publishers; 2017.
Nikolova M, Mollova D, Tineshev SL. Pecullarities in body composition of children. comparison of anthropometric and bioelectrical impedance methods. J Biomed Clin Res. 2009;2:121-6.
Mihailova K, Bivolarski I, Baltov M, Raykova E, Alakidi A. The role of purposeful physical activity by means of the exercise complex for elderly and elderly people. Eurasian Union of Scientists, Medical Sciences 2015;2(11):129-134.
Alekova S, Slavova V, Platikanova M, Parashkevova B. Socially significant diseases and their frequency in general medicine. Trakia J Sci. 2010;8(2):369-73.
Gibson PG, Powell H, Wilson AJ, Abramson M, Haywood P, Bauman A, et al. Self-management education and regular practitioner review for adults with asthma. Cochrane Database Syst Rev. 2002;2002(3):CD001117. https://doi.org/10.1002/14651858.CD001117 PMid:12535399 DOI: https://doi.org/10.1002/14651858.CD001117
Available from: https://www.nsoplb.com/uploads/article_documents/sbornik_s_dokladi_2011_g1.pdf
Mladenova S, Nikolova M, Boyadzhiev D. Body mass index, some circumference indices and their ratios for monitoring of physical development and nutritional status of children and adolescents. Acta Morphol Anthropol. 2005;10:226-9.
Von Kroof M, Gruman J, Schaefer J, Curry SJ, Wagner EH. Collaborative management of chronic illness. Ann Intern Med. 1997;127(12):1097- 102. https://doi.org/10.7326/0003-4819-127-12-199712150-00008 PMid:9412313 DOI: https://doi.org/10.7326/0003-4819-127-12-199712150-00008
Bodenheimer T, Lorig K, Holman H, Grumbach K. Patient Self-management of chronic disease in primary care. JAMA. 2002;288(19):2469-75. https://doi.org/10.1001/jama.288.19.2469 PMid:12435261 DOI: https://doi.org/10.1001/jama.288.19.2469
Deakin TA, Cade JE, Williams R, Greenwood DC. Structured patient education: The diabetes X-PERT program makes a difference. Diabet Med. 2006;23(9):944-54. https://doi.org/10.1111/j.1464-5491.2006.01906.x PMid:16922700 DOI: https://doi.org/10.1111/j.1464-5491.2006.01906.x
Chudiak A, Lomper K, Jankowska-Polańska B, Uchmanowicz I. The impact of diabetes education on the assessment of the quality of life of patients Type 2 diabetes. Nurs Probl. 2015;23(1):1-6. https://doi.org/10.5603/PP.2015.0001 DOI: https://doi.org/10.5603/PP.2015.0001
Korzon-Burakowska A, Adamska K, Skuratowicz-Kubica A, Jaworska M, Świerblewska E, Kunicka K. Effect of education level on diabetes control and quality of life in insulin-treated Type 2 diabetic patients. Diabet Prakt. 2010;11(2):46-53.
Ho TM, Estrada D, Agudo J, Arias P, Capillas R, Gibert E, et al. Assessing the impact of educational intervention in patients with hypertension. J Ren Care. 2016;42(4):205-11. https://doi. org/10.1111/jorc.12165 PMid:27458081 DOI: https://doi.org/10.1111/jorc.12165
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Copyright (c) 2022 Tanya Paskaleva, Gulseren Citak Tunc, Biyanka Tornyova, Snezhana Dragusheva, Penka Petleshkova, Svetlan Dermendzhiev, Blagica Panova (Author)
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