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1
Content available SELECTED MEDICAL AND SOCIAL PROBLEMS OF THE ELDERLY
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EN
Time definition of this process is very difficult, because the life situation of an individual human being significantly changes its course. In the evaluation of the aging process of the elderly in addition to calendar age, which to a small extent determines the spiritual and physical human efficiency, the biological age and mental state together with the social situation should also be taken into account. The age of sixty five has conventionally been adopted as the lower limit of old age. In the group of people crossing that limit there is a substantial difference in the condition and needs, which to a lesser extent depend on chronological age and to greater extent on other factors. Older people during this period of their lives experience numerous medical and social problems (major geriatric problems, loneliness, ageism).
2
Content available remote The Economic Situation and the Care Needs of Older Persons in Poland
100%
EN
The analysis of the answers provided by 60% of the surveyed population to the questions about the economic situation of their households shows that the income received by women is generally lower. The same applies to the earnings of the households where the respondents lived. 27.6% of the men and twice as many women (55,1%) received a revenue of up to 1000 PLN a month. Monthly revenue of more than a half of the respondents did not exceed 1250 PLN. Despite this fact, 2/3 of the respondents rated their revenue management capabilities as good, indicating that they live sparingly and can afford to make all the necessary purchases. However, this assessment does not seem to reflect the objective state and is rather over-optimistic. Overall, 18.6% of older people claim that they definitely need help of another person in their daily life. Although over 90% of them receives such assistance, it is in 80% of cases granted solely by the family. The study showed for the first time in Poland how as we age increases the level of the demand for care, from 5.5% in the age group 60–64 years to even 50.3% among those aged 90 years and over. Slightly more often men require repeated assistance during the day (69.3% of all in need of assistance) than women (65.4%).
PL
Wstęp. Choroba zwyrodnieniowa kręgosłupa jest przewlekłą i postępującą chorobą polegającą na przedwczesnym zużyciu i zwyrodnieniu tkanek tworzących funkcjonalne połączenia kręgów. Jest najczęstszą przyczyną dolegliwości bólowych. Do jej rozwoju predysponują: wiek, otyłość, praca i nadmierna aktywność fizyczna, wiążące się z dużymi obciążeniami,wady wrodzone i zaburzenia hormonalne. Cel pracy. Ocena efektów prowadzonej rehabilitacji jako jednej z metod leczenia chorób zwyrodnieniowych kręgosłupa u pacjentów po odbytym turnusie rehabilitacyjnym. Materiał i metody. Badaniem objęto 100 pacjentów Centrum Rehabilitacji Rolników w S zklarskiej Porębie w wieku 23–65 lat ze zdiagnozowanymi chorobami zwyrodnieniowymi kręgosłupa. Ankietowanymi w większości były kobiety (73%, 73) w wieku 51–60 lat (57%, 57). W badaniu wykorzystano autorską,anonimową ankietę, którą pacjenci wypełniali między majem i czerwcem 2013 r. Wyniki. Wśród ankietowanych 39% (39) miało zwyrodnienia w okolicy kości krzyżowej kręgosłupa, 29% (29) w odcinku lędźwiowym, a pozostali: szyjnym (16%, 16), piersiowym (14%, 14) i w okolicy kości ogonowej (2%, 2). U większości badanych (64%, 64) zwyrodnienia występowały powyżej 10 lat, a dolegliwości bólowe miały charakter ciągły (58%, 58). Spośród ankietowanych 45% (45) deklarowało, że w ramach leczenia korzysta z farmakoterapii i rehabilitacji. Większość z nich (96%, 96) dobrze znosiła zabiegi fizjoterapeutyczne, po których u 88% (88) wystąpiła poprawa samopoczucia. Wnioski. U ankietowanych dominowały zwyrodnienia w odcinku szyjnym i lędźwiowym, które dawały duże dolegliwości bólowe. Zastosowanie dostępnych metod rehabilitacyjnych spowodowało poprawę samopoczucia ankietowanych
EN
Background. The spine osteoarthritis is a chronic and progressive disease involving the premature wear and degeneration of tissues forming functional connections between vertebrae. It is the most common cause of pain. Predisposing factors are: age, obesity, work and excessive physical activity involving weight lifting, birth defects and hormonal disorders. Objectives. Purpose of this study was to evaluate the rehabilitation effectiveness, as one of the treatment modalities for degenerative diseases of the spine on the state of patients after one course of rehabilitation.Material and methods. The study comprised 100 patients aged 23–65 years who were diagnosed with a degenerative disease of the spine. Study group consisted predominantly of women (73%, 73), aged 51–60 years (57%, 57). The material was collected by the use of anonymous surveys among the patients of the Farmers Rehabilitation Center in Szklarska Poręba in May–June 2013. Results. 39% (39) of the respondents had degeneration in the sacral region, 29% (29) in lumbar area, neck was affected in 16% (16), and the thoracic and coccyx area comprised 14% (14) and 2% (2) respectively. In the majority of respondents (64%, 64) degeneration was present for more than 10 years, and the pain complaints were constant (58%, 58). 45% (45) of respondents declared the use of pharmacological treatment and rehabilitation. Most of them (96%, 96) tolerated the physiotherapy well and after the treatment 88% (88) had an improvement in well-being. Conclusions. In the surveyed dominated degeneration in the cervical and lumbar spine, which gave great pain. The use of the available methods of rehabilitation resulted in improved well-being of the study patients
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2014
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nr 2
189-203
EN
Research over the past decades has demonstrated that the social support impacts significantly on health of individuals and their ability to cope with stress. The purpose of this study was to examine the level and kinds of the received support and examine its predictors. The study was performed personally, using interviews based on the structural questionnaires. The group of respondents consisted of 203 people aged 65 years and over living in rural areas in Małopolska. The social support was evaluated by means of the Medical Outcomes Study Social Support Survey (MOS SSS) scale. The analysis of the collected research material was performed using the statistical package SPSS 19 for Windows and multivariate analysis techniques. The obtained results indicate that participants were experienced high level of instrumental support. In addition, the level and type of received support was determined by respondents: age, self-health assessment, disability in physical functioning and family situation.
5
Content available remote The incidence of oral dryness in people over 65 years living in Lublin
80%
EN
Saliva plays an important part in naturally maintaining oral homeostasis. Dry mouth or 'xerostomia', is a serious problem connected with decreased saliva secretion which considerably limits the quality of life in elderly people. The aim of the study was the assessment of the subjective oral dryness in the oral mucosa in people over 65 living in Lublin, Poland. The study was conducted among 240 people aged 65 to 96. The patients were placed into two groups: I - 117 residents of nursing homes, II - 123 people living with their families. Assessment of the subjective oral dryness taking into account the place of residence, sex and drug administration was performed based on a questionnaire survey. In the group of nursing homes residents, 32.48% of the surveyed experienced subjective oral dryness, while among the seniors living with their families, 33.33% reported this kind of discomfort. The conducted analysis revealed that oral dryness was more common amongst women than men, and it can be very often a side-effect of administered medicine drugs.
EN
The study visit between June and July 2012 included observation on rules regarding care for elderly people in Herrljunga commune (Swedish: Herrljunga komun). In Sweden, similar to other countries, the percentage of elderly people – those above 65 years old - is systematically growing. Care for elderly people is organized by authorities of the communes (komun). Health visitors are subjects to local government supervision Their main task is to develop rules and procedures for geriatric care. A patient’s health state indicates the commitment of staff, whether it should be a single visit, day care or 24/7 care.
EN
The article addresses the problem of violence against the elderly people. The types of violence (physical, sexual, psychological, and economic) and their manifestations concerning this age category are revealed. It is noted that this phenomenon is latent, since official statistics is not available in the majority of European countries, and Ukraine in particular. Therefore, the purpose of the paper is to prove the urgency and timely social-pedagogical prevention of violence against the elderly people, as well as to substantiate effective ways of its minimization, using the pro-social potential of the information society. In order to realize this goal, it is necessary to apply such methods of research as analysis, synthesis, comparison and generalization of results in relation to the stated problem. An analysis of the regulatory framework provides grounds for concluding that it is extremely difficult to gather sufficient evidence to justify the prosecution in court, due to the weak legal framework and vague definitions of the offense in the specific articles of the relevant codes. In this regard, the offender’s guilt is difficult to prove. As a result, offenders often avoid punishment and continue to commit violence. Social-pedagogical prevention of violence is a complex of measures aimed at preventing the violation of human rights in respect to its honor, dignity and living conditions. Such work should be carried out with all age categories: with children in order to prevent peer violence and protection of childhood, among parents in order to identify adequate methods of raising children and developing interpersonal skills (parents, relatives, neighbors and others); with representatives of various social institutions serving this category of persons in order to enhance professionalism and prevent professional burnout, with the elderly people in order to train them to protect themselves from violent attacks and to help others with the “peer-to-peer” technology. The emphasis is made on the conditions of the information society, which influence the development or suppression of such a phenomenon. In particular, having the information on ways to avoid violence, the work of the relevant institutions and providing the necessary services to victims of violence, a person has the opportunity to protect himself and others. The prospect of further research is the study of the structure and content of social-pedagogical support for the elderly people in the conditions of the information society.
9
Content available remote Polish Senior Citizens’ Opinion Concerning Old Age and Preparing For It
80%
EN
The article presents the results of the PolSenior national survey on how elderly people perceive old age and how they prepare for it. According to the respondents old age usually starts when one’s health deteriorates (55,9%), when one becomes dependent on other people (49,5%) and also when a person loses his/her strength and becomes less active (46,2%). The major problems related to old age, identified by the subjects, are the following: illnesses, suffering (66,9%), disability and dependence on other people (63,2%) and loneliness (30,9%). The respondents identified the following actions they used to take or are taking now bearing in mind the time when they grow older: regular medical checkups (34,7%), building and maintaining good family relationships (32,8%), as well as leading a healthy lifestyle (30,6%). Such factors as gender, age and environment account for striking differences in opinions.
EN
Backgorund Decreased affective efficiency, preceded by emotional problems, is a common advanced-age disorder which can lead to depression. Aim The aim of this study was to assess the relationship between depressive symptoms experienced by elderly people and their sociodemographic data, self-reported health status, physical fitness, functional capacity, and history of falls. Material and methods The study involved 304 individuals aged 65-100 years. The research instruments were the Geriatric Depression Scale-Short Form, the Barthel Scale, and the Background Survey Geriatric Questionnaire. Results Depression was more common among the elders who had a lower education level, lived alone, were in a worse financial position, and among those whose families were unprepared to provide them with informal care (p < 0.05). Conclusions Depressive symptoms observed in the respondents were significantly related to their sociodemographic data, reduced ability to perform daily activities, low self-reported health status and physical fitness, and recurrent falls.
EN
The aim of study was to investigate the role of physical activity in maintaining and improving functional capacity and quality of life for seniors. We analyzed research material PolSenior nationwide study carried out in 2008-2010 on a sample of 4979 people over 65 years of age. Also presented the results of own research on the role of regular physical activity in functional performance and impact on the quality of life for seniors, carried out in the nationwide PolSenior research subproject. These studies were conducted in 2009, on a group of 236 people aged 65+, twice, at the beginning and at the end of a 6-month program of physical activity. Respondents, with women as vast majority, participated in organized recreation activities on average two times a week for 60 minutes, primarily practicing gymnastics. The intensity of effort during the course of physical activity was moderate and adapted to the capabilities of research group members. In PolSenior survey people free of physical disabilities appear more frequently than in the studies carried out by Central Statistical Office back in 1987. Percentage of women aged 65 + participating in a 6-month program of exercises, capable of performing the exercises and activities that require physical fitness is much higher than in the PolSenior study. The observed effects of improved physical fitness and quality of life of seniors participating in the 6-month program of physical activity influence their functional autonomy as well as their social independence
EN
The main issue of the article is the role of intellectual and human capital in the economic development on national and regional level. Author has focused her analysis on potential of elderly people and activities which would support its optimum usage. In the article are presented two problems: increasing participation of elderly people in the whole population, and low level of professional activity among people aged 55 and more in Poland. Author has prepared short review of methods which could be taken up by regional authorities to stimulate the professional activity of elderly people.
13
Content available remote Lifestyle and Living Standards of Elderly Men in Eastern Hungary
70%
EN
This present study intends to deal with the lifestyles and living standards of elderly men. The health-related lifestyle was examined including a closer look at how elderly people value their own living standards, and how it is connected to the present state of their condition and activities. Our main goal was to highlight all lifestyle elements, because such an age, lifestyle has a decisive role in improving living standards. It seems reasonable to take several aspects - physical activity, change of lifestyle, and age differences - into consideration when health-cultural behaviour is examined because all of them can influence elderly people's lifestyles and quality of life. Data were collected in eastern Hungary, in Hajdú-Bihar County, among elderly males above 60 years old (N=1,269; M=70.23; min: 60; max: 99; SD±7.095) through questionnaires. Our survey contained questions in three main topics: demographic profile (age, sex, education, financial status, living conditions, and occupation), health status (subjective health status, health awareness, mental health status), and health behaviour (physical exercise, smoking, and alcohol consumption). Different sub-patterns were examined during the analysis: different qualifications, age, and settlement types.
14
70%
EN
Aging population, increases the number of major abdominal surgery (MAS) performed in the elderly. Main goal of physiotherapy after that surgery is prevention postoperative complications and reduction of functional limitation. The aim of the study was to asses functional status elderly people after MAS during early postoperative physiotherapy. Material and methods. In a prospective randomized study involved 34 patients scheduled for elective MAS, aged 65+. Patients were randomly assigned to receive PNF or conventional physiotherapy. The study included forced spirometry (FVC, FEV1, PEF) and functional tests (gait speed, up&go). Measurements were performed before surgery and the fourth day after surgery. Also analyzed age, sex, BMI and the level of postoperative independence (postoperative independence scale SAP). Kolmogorow- Smirnow test was used to check normal distribution, t-Student was used to check whether two sets of data differ significantly, and r-Pearsons for correlations testing. p values <0.05 were considered significant. Results. After surgery the time of gait speed test and up and go test was significant longer in comparison to preoperative value. FVC%, FEV1%, PEF% values was decrease. In the PNF group was found significantly higher postoperative independence(SAP) and shorter length of stay in hospital compared to conventional physiotherapy group. Results of SAP and functional tests were significantly positive correlated. Conclusions. Major abdominal surgery decrees efficiency of walking and lung ventilation after 65 year old in early postoperative period. Some techniques of the PNF concept used in improving older patients after the MAS may favourably affect the postoperative increase independence and reduce the time of hospitalization.
EN
This present study intends to deal with the lifestyles and living standards of elderly men. The health-related lifestyle was examined including a closer look at how elderly people value their own living standards, and how it is connected to the present state of their condition and activities. Our main goal was to highlight all lifestyle elements, because such an age, lifestyle has a decisive role in improving living standards. It seems reasonable to take several aspects - physical activity, change of lifestyle, and age differences - into consideration when health-cultural behaviour is examined because all of them can influence elderly people's lifestyles and quality of life. Data were collected in eastern Hungary, in Hajdú-Bihar County, among elderly males above 60 years old (N=1,269; M=70.23; min: 60; max: 99; SD±7.095) through questionnaires. Our survey contained questions in three main topics: demographic profile (age, sex, education, financial status, living conditions, and occupation), health status (subjective health status, health awareness, mental health status), and health behaviour (physical exercise, smoking, and alcohol consumption). Different sub-patterns were examined during the analysis: different qualifications, age, and settlement types.
EN
Individuals with particular qualities or characteristics are predisposed to develop cognitive impairment non dementia. The main aim to study socio-demographic factors and personality traits, that contribute to the development of depressive disorders in elderly patients with cognitive deficits. The purpose of the article was to show that it is important to investigate the socio-psychological factors that can worsen the course of cognitive impairment, which already comes with age. During the research an observational study involving 111 patients from Kazakhstan with cognitive deficits was conducted: 59 patients, whose depressive disorders had been identified by clinical and psychopathological research using the Hamilton Depression Rating Scale (HRSD) and 52 patients for whom psychogenic depressive disorders had not been defined. The recruitment of the study participants was carried out in the state nursing home for the elderly and disabled. The study included male and female individuals aged 60-74 years with different national and ethnic backgrounds, with mild to moderate cognitive impairment, who wished to participate in the study and signed an informed consent to participate in the study. This study uncovered the primary factors that increase the chances of individuals with cognitive impairments developing a depressive disorder. These factors include personal attributes of the patients, such as their sex, whether they are married or not, and the quality of their relationship with their family members. In addition, personality traits from before their cognitive decline, such as a tendency for isolation, insecurity, and passivity, were also significant. This study could have an exceptional value for medicine and psychological workers on the whole and in Republic of Kazakhstan in particular to prevent depressive diseases were mentioned.
PL
Możliwości wykonywania dokładnych i precyzyjnych ruchów manualnych odgrywają decydującą rolę w codziennym funkcjonowaniu człowieka, decydując często o jego przydatności zawodowej. Celem pracy jest ocena poziomu motoryki precyzyjnej ręki starszych kobiet o zróżnicowanym poziomie aktywności ruchowej. Zbadano 153 słuchaczki Uniwersytetu Trzeciego Wieku przy Uniwersytecie Wrocławskim (35 kobiet o wyższym poziomie aktywności i 118 seniorek o niższym poziomie aktywności ruchowej). W badaniach motoryki precyzyjnej ręki wykorzystano test MLS z panelu Wiedeńskiego Zestawu Testów. Wyniki wskazują, że poziom motoryki precyzyjnej ręki słuchaczek UTW we Wrocławiu jest dobry. Nie stwierdzono różnic między wynikami kobiet podejmujących regularną aktywność ruchową. Można przypuszczać, że czynności precyzyjne ręki wykorzystywane w życiu codziennym i wcześniejszej pracy zawodowej podlegają wolniejszym procesom inwolucyjnym niż ogólna sprawność fizyczna.
EN
The ability to perform exact and precise manual movements plays a crucial role in each man's everyday life often deciding about his/her professional career. The aim of the work is the evaluation of precise motor skills of a hand in elderly women representing different levels of locomotor activity. The investigation comprised 153 students from the University of the Third Age in Wroclaw (35 elderly women with the higher level of activity and 118 elderly women with the lower level of motor activity). In the study on precise motor movements of a hand, the MLS test from the panel of the Vienna Test System was used. The results show that the level of precise motor movements of the hand is good. No differences were observed between the women undertaking regular physical activities. It is assumed that precise hand movements used in everyday life and in the previous profession are subject to slower involution processes than the general physical fitness.
18
60%
EN
Background. The role of physical activity in the period of late adulthood is a subject increasingly undertaken in scientific discussion. Bearing in mind its influence on the quality of life, the authors attempted to answer the following questions: What are the possibilities for an active winter rest on the mountain routes in Poland? What energy effort accompanies mountaineering? Material and methods. The paper reports a case study analysing measurements taken with a pedometer type SW 700 in two people wandering in the mountains in years 2011–2016. The measurements were carried out on the hiking trails in the Tatra Mountains, the Silesian Beskids, the Żywiec Beskids, the Giant Mountains, the Pieniny, and the Jizera Moun­tains. Results and conclusions. The form of pedestrian hiking in the mountains in winter conditions is available for elderly tourists because of a wide range of routes and places to choose. Mountain hiking trails can be visited in winter – except for some routes in the Tatra and Giant Mountains because of the danger of avalanches.
EN
Background. An increase in the percentage of elderly people in the world population causes the necessity to emphasize the problem of adequate preparation to senility. Among the suggested activities, there is raising the level of knowledge about the importance of move­ment in a healthy lifestyle. Physical activity classes for elderly people offered by recreational centres, fitness clubs, and third age universities seem to be really helpful in solving that problem. Material and methods. The research was performed among 486 seniors. The applied methods were the diagnostic questionnaire, document analysis, and interview. Results and conclusions. Third age universities offer the widest possibilities to practise physical exercise for seniors. There are also regular sports events for elderly people organized in the West Pomeranian province. The examined seniors declared that physical activity let them improve their quality of life and become less dependent on others.
EN
The old age is generally comprehended as a time of rest and life’s wisdom. Unfortunately researches and reports more often show that old people’s life not always is full of calm and appreciation. The problem that not small percentage of elderly person wrestle is elder abuse, which seems to be one of the most important social issue on the world. Interest in the phenomenon of violence against the elderly, however, emerged only in the late 70s and early 80s of the twentieth century, when it was first diagnosed it as a health and social problem. This situation was the result of the increasing role of social policy and the growing interest in domestic violence. This article is a presentation of elder abuse occurrence in Podlaskie voivodeship. Furthermore, collected empirical material let show in this case study forms of elder abuse and perpetrators. Researches which were made in three selected rural communities of Podlaskie voivodeship showed that old people more often got abuse, neglect, and aggressive behavior in the form of arguments, insults and taking their money without their consent. Perpetrators of elder abuse mainly were immediate persons as spouses and adult children. Interesting is also fact that perpetrators also were unfamiliar persons – generally neighbours and young people.
PL
Starość powszechnie kojarzona bywa z czasem odpoczynku i życiowym doświadczeniem. Niestety jak wynika z coraz częściej prowadzonych badań oraz raportów życie osób starszych nie zawsze bywa pełne spokoju i zrozumienia. Problemem, z którym boryka się niemały odsetek seniorów jest przemoc, która okazuje się być jedną z najważniejszych kwestii społecznych dzisiejszego świata. Zainteresowanie zjawiskiem agresji wobec osób starszych pojawiło się jednak dopiero pod koniec lat 70-tych i z początkiem lat 80-tych XX wieku, kiedy to po raz pierwszy rozpoznano ją, jako problem zdrowotny i społeczny. Sytuacja ta była efektem wzrastającej roli polityki społecznej i rosnącego zainteresowania przemocą domową. Niniejsze opracowanie stanowi prezentację zjawiska przemocy wobec osób starszych zamieszkujących województwo podlaskie. W oparciu o zebrany materiał empiryczny przedstawione zostaną przejawy przemocy wobec osób starszych oraz jej sprawcy. Badania prowadzone w trzech wybranych środowiskach wiejskich województwa podlaskiego ukazały, iż osoby starsze doznawały najczęściej nadużyć, zaniedbań oraz zachowań agresywnych w postaci kłótni, znieważania i wyzwisk oraz zabierania pieniędzy. Sprawcami przemocy wobec osób starszych były zaś najczęściej osoby najbliższe, czyli współmałżonek oraz dzieci. Uwagę zwraca także, iż aktów agresji wobec seniorów dopuszczały się osoby obce – głównie sąsiedzi i młodzież.
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