Email this article Medical and sociological research of persons elderly and senior age receiving medical and social assistance in stationary conditions and at home
- Authors: Karasaeva L.A.1, Timerbulatov I.F.2, Kondratyeva J.E.1,2, Puzin S.S.3
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Affiliations:
- St. Petersburg Institute of advanced training of doctors-experts
- Bashkir State Medical University
- Russian Medical Academy of Continuous Professional Education
- Issue: Vol 25, No 4 (2022)
- Pages: 249-257
- Section: ORIGINAL STUDY ARTICLE
- URL: https://journals.rcsi.science/1560-9537/article/view/133148
- DOI: https://doi.org/10.17816/MSER112079
- ID: 133148
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Abstract
BACKGROUND: Assessment of the need for medical and social and long-term care for elderly and senile people serves as the basis for improving organizational approaches to improve the quality of medical and social services provided.
AIMS: Determination of the needs of elderly and senile people in the provision of medical and social assistance.
MATERIALS AND METHODS: For the study, a representative selective set of 400 elderly respondents is determined, of which 280 (70.0%) respondents lived at home (I group) and 120 (30.0%) — under the stationary conditions of the gerontological center (II group). The study was conducted by interviewing based on a specially designed questionnaire and «Loneliness» by Svetlana G. Korchagina. Statistical processing of the received data was carried out using the Microsoft Office Excel 2013 and statistical package Statistica 12.
RESULTS: The average age of the respondents was 72.9±7.96 years (p >0.05). The presence of polymorbidity was noted by every third respondent (33.0%), of which 2–3 diseases had 26.0%, 4 or more — 7.0%, with a prevalence in the structure of the incidence of diseases of the cardiovascular system. 53.0% of people are in need for medical and social home care. 31.0% of people were satisfied with medical care, 41.0% of people consider social assistance available. A high prevalence of the state of loneliness in elderly and senile people was established: 94.0% in group I, 99.0% in group II, with a progressive increase in the rate as the age of the elderly increases.
CONCLUSIONS: With increasing age, the subjective self-assessment of health worsens, associated with an increase in polymorbidity (mainly age-associated diseases) and the presence of disability; the decrease in the possibility of self-care increases the need for the elderly for assistance and care. The high prevalence of self-assessment of «loneliness» among the elderly and senile causes an increased need for older people in psycho-corrective measures.
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##article.viewOnOriginalSite##About the authors
Ludmila A. Karasaeva
St. Petersburg Institute of advanced training of doctors-experts
Email: ludkaras@yandex.ru
ORCID iD: 0000-0001-5621-0240
SPIN-code: 9544-3108
MD, Dr. Sci. (Med.), professor
Russian Federation, 11/12, Bolshoy Sampsonievsky Dwy, St. Petersburg, 194044Ilgiz F. Timerbulatov
Bashkir State Medical University
Email: iftdoc@mail.ru
ORCID iD: 0000-0001-5241-6073
SPIN-code: 4176-5922
MD, Dr. Sci. (Med.), professor
Russian Federation, 3, Lenina Str., Ufa, 450008Julia E. Kondratyeva
St. Petersburg Institute of advanced training of doctors-experts; Bashkir State Medical University
Email: kondrateva_yulia@mail.ru
ORCID iD: 0000-0002-2157-5466
SPIN-code: 8466-3662
graduate student, assistant lecturer
Russian Federation, 11/12, Bolshoy Sampsonievsky Dwy, St. Petersburg, 194044; 3, Lenina Str., Ufa, 450008Sergey S. Puzin
Russian Medical Academy of Continuous Professional Education
Author for correspondence.
Email: pusinserg@mail.ru
ORCID iD: 0000-0003-1811-6936
SPIN-code: 8551-3229
MD, Dr. Sci. (Med.), professor, academician of the Russian Academy of Sciences
Russian Federation, 1 Bldg, 2/1, Barrikadnaya Str., Moscow, 125993References
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