The Relationship between Health Literacy and Rate of Receiving Integrated and Comprehensive Geriatric Care Program with Self-care Ability in Elderly Women

Document Type : Original Article

Authors

1 Bsc, Msc Nursing Student, Department of Nursing, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

2 Associated Professor of Health Education and Promotion, Department of Health Education and Promotion, School of public health, Ahvaz Jundishapur University of Medical Sciences Ahvaz, Iran

3 Assistant Professor of Biostatistics, Department of Biostatistics and Epidemioligy, School of public health, Ahvaz Jundishapur University of Medical Sciences Ahvaz, Iran

4 Assistant Professor of Nursing, Nursing Care Research Center in Chronic Diseases, Ahvaz Jundishapur University of Medical Sciences Ahvaz, Iran

Abstract

Background and objective: Health literacy can be effective in the control and self-care in old age, how to receive care services, reduce the costs of the health system; therefore, we aimed to investigate the relationship between health literacy and the rate of geriatric care programs with self-care ability in elderly women.

Materials and Methods: This correlative study was conducted on 260 women aged ≥60 years covered by the health centers in Dezful who were selected by using randomized sampling method. Data were collected by HELIA, SASE questionnaire, and checklist of the care plan received. Data were analyzed by SPSS 21, descriptive statistics and statistical tests. 

Results: The results showed that 247 (95%) women had poor health literacy levels and 223 (85.8%) women had low self-care ability and 77(29.6%) of them have a desirable care for the elderly. There was a significant relationship between health literacy and self-care ability (P<0.05, r=0/4-0/7) and the significant relationship was also found between health literacy and self-care ability in the two levels of desirable and undesirable receipt of care program (P<0.05). 

Conclusion: Health literacy and receiving integrated and comprehensive geriatric care programs can directly affect the self-care ability of older women. Considering the increase in the elderly population of Iran and the challenges arising from it, attention to the self-care ability and maintaining individual independence of the elderly in parallel with promoting health literacy with education in the field of health information of old age and specific problems of this period and strategies is required.

Keywords

References

1- Abusalehi A, Vahedian-Shahroodi M, Esmaily H, Jafari A, Tehrani H. Mental health promotion of the elderly in nursing homes: a social-cognitive intervention. International Journal of Gerontology. 2021;15(3):221-7.
 
2- Safavi SR, Bakhshi F, kasmaei P, Omidi S. Social determinants of health and lifestyle in the elderly. Iranian Journal of Health Education and Health Promotion. 2021;9(4):372-82.
https://doi.org/10.52547/ijhehp.9.4.372  
 
3- Iran SCo. The Statistical Yearbook of Iran 2016 [18 July]. Available from: https://www.amar.org.ir/english/Iran-Statistical-Yearbook.  
 
4- Nayeri ND, Abazari F, Pouraboli B. Challenges in caring for the elderly in Iran: A systematic review. Ethiopian Medical Journal. 2018;56(2)  
 
5-Montgomery KS. Health promotion with adolescents: examining theoretical perspectives to goide research. Res theory nurspract. 2002; 16(2): 119-134.
https://doi.org/10.1891/rtnp.16.2.119.53001
PMid:12371430  
 
6- Gholian-Aval M, Tehrani H, Esmaily H. Evaluation of Self-Care Status and Its Relationship with Self-Efficacy of Patients with Hypertension. Iranian Journal of Health Education and Health Promotion. 2020;8(4):336-47  
 
7- Ovayolu OU, Ovayolu N, Karadag G. The relationship between self-care agency, disability levelsand factors regarding these situations among patients with rheumatoid arthritis. Journal of Clinical Nursing. 2012; 21(1-2):101-10.
https://doi.org/10.1111/j.1365-2702.2011.03710.x
PMid:21371146  
 
8- Iovino P, Lyons KS, De Maria M, Vellone E, Ausili D, Lee CS, et al. Patient and caregiver contributions to self-care in multiple chronic conditions: a multilevel modelling analysis. International Journal of Nursing Studies. 2021;116:103574.
https://doi.org/10.1016/j.ijnurstu.2020.103574
PMid:32276720  
 
9- Barkhordari-Sharifabad M, Saberinejad K, Nasiriani K. The effect of health literacy promotion through virtual education on the self-care behaviors in patients with heart failure: A Clinical Trial. Journal of Health Literacy. 2021;6(1):51-60  
 
10-Oraki M, Mehdizadeh A, DortajAfsaneh. 2019. The Effectiveness of Self-care Empowerment Training on Life Expectancy Hap pines and Quality of the Elderly in Iranian Elderly in Iranian Elderly Care Centers in Dubai. Iranian Journal Ageing.14(3):320-331.  
 
11- Ebrahimi M, Moghadamnia M, Farmanbar R, Zayeni SH, Kazem Nejad Leili E. Status of self-care ability of patients with Rheumatoid Arthritis. Journal of Holistic Nursing And Midwifery. 2015;25(4):9-18.  
 
12- Stys AM, Kulkarni K. Identification of self-care behaviors and adoption of lifestyle changes result in sustained glucose control and reduction of comorbidities in type 2 diabetes. Diabetes Spectrum. 2007;20(1):55-8
https://doi.org/10.2337/diaspect.20.1.55  
 
13- Gohar F, Greenfield SM, Beevers DG, Lip GYH, Jolly K. Self-care and adherence to medication:a survey in the hypertension outpatient clinic. BMC Complementary and Alternative Medicine.2008; 8(1):4.
https://doi.org/10.1186/1472-6882-8-4
PMid:18261219 PMCid:PMC2259297  
 
14- Soodmand M, Ghasemzadeh G, Mirzaei Dahka S, Mohammadi M, Amoozadeh Lichaei N, Monfared A. Self-care agency and its influential factors in hemodialysis patients. Iran Journal of Nursing. 2019;32(118):93-103.
https://doi.org/10.29252/ijn.32.118.86  
 
15- Azadbakht M, Garmaroodi G, Tanjani PT, Sahaf R, Shojaeizade D, Gheisvandi E. Health promoting self-care behaviors and its related factors in elderly: application of health belief model. Journal of Education And Community Health. 2022;1(2):20-9.
https://doi.org/10.20286/jech-010220  
 
16- Shrivastava SRBL, Shrivastava PS, Ramasamy J. Health care of elderly: Determinants, needs and services. International journal of preventive medicine. 2013;1(1):1224-5.  
 
17- Olyani S, Gholian Aval M, Tehrani H, Mahdiadeh M. School-based mental health literacy educational interventions in adolescents: A systematic review. Journal of Health Literacy. 2021;6(2):69-77.  
 
18- angSefidi S, Ghanbari Moghaddam A, Mohamadzadeh M, Karbalaee Z, Mohammadi M. Self-care and its predictive role in the quality of life of the elderly living in the community. Journal of Gerontology. 2018;2(4):64-70.
https://doi.org/10.29252/joge.2.4.64  
 
19- Kwan C-W, Chi I, Lam T-P, Lam K-F, Chou K-L. Validation of minimum data set for home care assessment instrument (MDS-HC) for Hong Kong Chinese elders. Clinical Gerontologist. 2000;21(4):35-48.
https://doi.org/10.1300/J018v21n04_04  
 
20- Li C, Chi I, Zhang X, Cheng Z, Zhang L, Chen G. Urban and rural factors associated with life satisfaction among older Chinese adults. Aging & Mental Health. 2015;19(10):947-54.
https://doi.org/10.1080/13607863.2014.977767
PMid:25407598  
 
21- Javadzade H, Mahmoodi M, Sharifirad G, Fakhraee M, Reisi M. Investigation of psychological factors based on health belief model and health literacy on adult Self-Medication in Bushehr province. Journal of Health Literacy. 2020;5(1):39-49.  
 
22- Delavar F, Pashaeypoor S, Negarandeh R. Health literacy index: A new tool for health literacy assessment. Journal of Hayat. 2018;24(1):1-6.  
 
23- Wengryn MI, Hester EJ. Pragmatic Skills Used by Older Adults in Social Communication Health Care Contexts: Precursors to Health Literacy. Contemporary Issues in Communication Science and Disorders. 2011;38(Spring):41-52.
https://doi.org/10.1044/cicsd_38_S_41  
 
24- Borji M, Tarjoman A, Otaghi M, Salimi E, Naseri A. Health literacy level and its related factors among the elderlies in Ilam in 2015. Iran Journal of Nursing. 2017;30(108):33-43.
https://doi.org/10.29252/ijn.30.108.33  
 
25- Mohseni M, Khanjani N, Iranpour A, Tabe R, Borhaninejad VR. The relationship between health literacy and health status among elderly people in Kerman. Iranian Journal of Ageing. 2015;10(2):146-55.  
 
26- Bostock S, Steptoe A. Association between low functional health literacy and mortality in older adults: longitudinal cohort study. Bmj. 2012;344.
https://doi.org/10.1136/bmj.e1602
PMid:22422872 PMCid:PMC3307807  
 
27- Serper M, Patzer RE, Curtis LM, Smith SG, O'Conor R, Baker DW, et al. Health literacy, cognitive ability, and functional health status among older adults. Health services research. 2014;49(4):1249-67.
https://doi.org/10.1111/1475-6773.12154
PMid:24476068 PMCid:PMC4111764  
 
28- Mõttus R, Johnson W, Murray C, Wolf MS, Starr JM, Deary IJ. Towards understanding the links between health literacy and physical health. Health Psychology. 2014;33(2):164.
https://doi.org/10.1037/a0031439
PMid:23437854  
 
29- Kaup AR, Simonsick EM, Harris TB, Satterfield S, Metti AL, Ayonayon HN, et al. Older adults with limited literacy are at increased risk for likely dementia. Journals of Gerontology Series A: Biomedical Sciences and Medical Sciences. 2014;69(7):900-6.
https://doi.org/10.1093/gerona/glt176
PMid:24158765 PMCid:PMC4067115  
 
30- Taggart J, Williams A, Dennis S, Newall A, Shortus T, Zwar N, et al. A systematic review of interventions in primary care to improve health literacy for chronic disease behavioral risk factors. BMC family practice. 2014;13(1):49.
https://doi.org/10.1186/1471-2296-13-49
PMid:22656188 PMCid:PMC3444864  
 
31- Wolf MS, Gazmararian JA, Baker DW. Health literacy and health risk behaviors among older adults. Am J PrevMed. 2007; 32(1): 19-24.
https://doi.org/10.1016/j.amepre.2006.08.024
PMid:17184964  
 
32- Suls J, Bunde J. Anger, anxiety, and depression as risk factors for cardiovascular disease: the problem and implications of overlapping affective dispositions. Psycho bull. 2005; 131(2): 260-300.
https://doi.org/10.1037/0033-2909.131.2.260
PMid:15740422  
 
33- Panahi R, Osmani F, Sahraei M, Ebrahimi S, ShamsizadehNehadghashti M, Javanmardi E. Relationship of Health Literacy and Quality of Life in Adults Residing in Karaj, Iran. J Educ Community Health. 2018; 4 (4): 13-19.
https://doi.org/10.21859/jech.4.4.13  
 
34-Montazeri A, Tavousi M, Rakhshani F, Azin SA, Jahangiri K, Ebadi M, et al. Health Literacy for Iranian Adults (HELIA): development and psychometric properties. Payesh. 2014; 13(5): 589-599.  
 
35-Soderhamn U, Bachrach-Lindstrom M, Ek A-C. Self-care ability and sense of coherence in older nutritional at-risk patients. European Journal of Clinical Nutrition. 2008;62(1):96-103.
https://doi.org/10.1038/sj.ejcn.1602691
PMid:17327868  
 
36- tamizkar p, mohammadi M, Fathnezhad-kazemi a, marami s. The relationship between health literacy level and self-care ability in the elderly. Journal of Gerontology. 2019;4(3):54-62.
https://doi.org/10.29252/joge.4.2.54  
 
37- Reisi M, Javadzade SH, Mostafavi F, Sharifirad G, Radjati F, Hasanzade A. Relationship between health literacy, health status, and healthy behaviors among older adults in Isfahan, Iran. Journal of education and health promotion. 2012;1(1):31.
https://doi.org/10.4103/2277-9531.100160
PMid:23555134 PMCid:PMC3577376  
 
38- Javadzade SH, Sharifirad G, Radjati F, Mostafavi F, Reisi M, Hasanzade A. Relationship between health literacy, health status, and healthy behaviors among older adults in Isfahan, Iran. Health System Research. 2012; 7(4):1-11.
https://doi.org/10.4103/2277-9531.100160
PMid:23555134 PMCid:PMC3577376  
 
39- Alizadeh Aghdam M B, Koohi K, Gholizadeh M. The relationship of Self-care and Health Literacy with Mental Health among Citizens of Tabriz City. Health_Based Research. 2017; 2 (4) :381-394.  
 
40- Kutner MA, Greenberg E, Yin J, Paulsen C, White S. The health literacy of America's adults: results from the2003 National Assessment of Adult Literacy. Washington (DC): United States Department of Education; 2006.  
 
41-von WC, Knight K, Steptoe A, Wardle J. Functional health literacy and health-promoting sample of British adults. J Epidemiol Community Health 2007; 61(12): 1086-90.
https://doi.org/10.1136/jech.2006.053967
PMid:18000132 PMCid:PMC2465677  
 
42-Baker DW, Wolf MS, Feinglass J, Thompson JA, Gazmararian JA, Huang J. Health literacy and mortality amongelderly persons. Arch Intern Med 2007; 167(14): 1503-9.
https://doi.org/10.1001/archinte.167.14.1503
PMid:17646604  
 
43- Paasche-Orlow MK, Parker RM, Gazmararian JA, Nielsen-Bohlman LT, Rudd RR. The health literacy. J Gen Intern Med 2005; 20(2): 175-84.
https://doi.org/10.1111/j.1525-1497.2005.40245.x
PMid:15836552 PMCid:PMC1490053  
 
44-Mirmohammadkhani M, Ziari A, Momeni M. [Systematic Review and Meta-analysis of Health Literacy in Iranian Older Adults (Persian)]. Iranian Journal of Ageing. 2020; 15(1):2-13.
https://doi.org/10.32598/sija.2020.3.210  
 
45- Bagheri Nesami M, Ardeshiri M, Holari B. Self-care behavior and its related factors in thecommunity-dwelling elderlies in Sari, 2014. Journal of Clinical Nursing and Midwifery. 2014;4(4):48-56  
 
46- Lotfalinezhad E, AbolfathiMomtazY, Sadat Nazari Panah N, Honarvar MR, Arab Ameri F, Sadat Azimi M. Effectiveness of Integrated and Comprehensive Geriatric Care Program of Ministry of Health on Physical and Mental Health of Older Adults in Golestan Province, 2019. Salmand: Iranian Journal of Ageing. 2019; 3-18  

Files

Share

How to cite

Statistics