Vani R, Joseph Zeanath C, Aranha Priya R
Department of Community Health Nursing, SDUCON, SDUAHER, Kolar, Karnataka, India.
Department of Medical Surgical Nursing, SDUCON, SDUAHER CNO at RLJH&RC, Kolar, Karnataka, India.
J Family Med Prim Care. 2024 Nov;13(11):5060-5066. doi: 10.4103/jfmpc.jfmpc_536_24. Epub 2024 Nov 18.
Old age is a privilege for a second childhood and a new stage of opportunity and strength. Older adults are the most rapidly growing segment of the population. By 2050, 80% of all older people will live in low- and middle-income countries.
To evaluate the effectiveness of multimodal intervention on perception and quality of life among geriatric clients.
Quantitative approach quasi-experimental interventional controlled study with pre-test, post-test design and follow-up for two months, adopted by using purposive sampling technique among 120 geriatric clients who gave consent for participation in the study at two different settings of hospitals from July 2022 to January 2023, Kolar. After obtaining Central Ethics Committee approval, data was obtained using the structured perception questionnaire and WHO Quality of Life questionnaire, and the Multimodal Intervention package consisting of a snake and ladder health promotion strategies game, educational video, and informational pamphlet distributed to the experimental group, whereas routine care was given to the control group followed by post-test group on the 30 and 60 day. Reinforcement was carried out by the investigator on a fortnightly basis reminders through messages. Data were analyzed by using descriptive and inferential statistics such as repeated measures of ANOVA, independent ''- test, paired '-test, and Chi-square.
A perception significant effect was demonstrated in the experimental group with enhanced mean, standard deviation from pre-test to post-test I and Post-test II found to be 35.1 ± 7.9, 46.3 ± 6.1, and 48.3 ± 4.7, respectively, without significant changes in the control group. Concerning quality of life, important variations were demonstrated in the experimental group with enhanced mean, SD from pre-test to post-test I and Post-test II found to be 54.76 ± 10.39, 74.15 ± 6.75 and 77.71 ± 4.99, respectively, without any significant changes in the control group.
Geriatric population was the biggest beneficiary, multimodal intervention was proven to be effective and can be implemented in hospitals and community settings in improving the perception and quality of life of senior clients to foster healthy aging. CTRI/2021/07/034632.
老年是第二个童年的特权，是机遇与力量的新阶段。老年人是人口中增长最快的群体。到2050年，所有老年人中的80%将生活在低收入和中等收入国家。
评估多模式干预对老年患者认知和生活质量的有效性。
采用定量方法进行准实验性干预对照研究，采用前测、后测设计并进行为期两个月的随访，于2022年7月至2023年1月在科拉尔的两家不同医院，采用目的抽样技术从120名同意参与研究的老年患者中选取样本。获得中央伦理委员会批准后，使用结构化认知问卷和世界卫生组织生活质量问卷获取数据，将由蛇梯健康促进策略游戏、教育视频和信息手册组成的多模式干预包分发给实验组，而对照组接受常规护理，然后在第30天和第60天进行后测。研究者每两周通过短信进行强化提醒。使用描述性和推断性统计方法进行数据分析，如重复测量方差分析、独立t检验、配对t检验和卡方检验。
实验组显示出显著的认知效果，从前测到后测I和后测II的平均得分和标准差分别提高到35.1±7.9、46.3±6.1和48.3±4.7，而对照组无显著变化。关于生活质量，实验组显示出重要变化，从前测到后测I和后测II的平均得分和标准差分别提高到54.76±10.39、74.15±6.75和77.71±4.99，对照组无任何显著变化。
老年人群是最大受益者，多模式干预被证明是有效的，可在医院和社区环境中实施，以改善老年患者的认知和生活质量，促进健康老龄化。CTRI/2021/07/034632。
