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Identifier 000416850
Title Πρόγραμμα εκτίμησης αναγκών υγείας στους ηλικιωμένους κατοίκους της περιοχής ευθύνης του Κέντρου Υγείας Βιάννου, Ηρακλείου, Κρήτης
Alternative Title Health needs assessment of the elderly people in the catchment area of Vianos health center ,Heraklion ,Crete
Author Στεφανάκη, Ιωάννα Ν.
Thesis advisor Λιονής, Χρήστος
Φιλαλήθης, Αναστάσιος
Κογεβίνας, Εμμανουήλ
Reviewer Γκίκας, Αχιλλέας
Τζανάκης, Νικόλαος
Τατσιώνη, Αθηνά
Σμυρνάκης, Εμμανουήλ
Abstract Objective: The purpose of the proposed study is the health evaluation of the elderlies residing in a rural area of Crete and the planning of intervention in prevention matters and health promotion. Some aims of the study were (a) to evaluate the dependency in elderly’s every day life, (b) to assess their mental and mood status (c) to analyze elderly’s health status by taking into account morbidity data and by bringing emphasis on risk factors and determinants of the most common diseases (d) to explore the role of spirituality/religiousness and sense of coherence with the socio-demographic characteristics of the study population and (e) to compare Cretan elderly’s health status with European equivalents. This doctoral thesis has joined a European collaborative network (Tipping the Balance Towards Primary Health Care/TTB). Study population and methods: It is a cross sectional study. Six hundred subjects aged 65 years and over living in 4 rural villages were eligible and 411 people (179 men and 232 women) have participated. Details of the population (sex/age) were taken from the archives of Municipality of Viannos and were based on the census of 2001. We contacted these people by inviting them in the Primary Care Unit of Viannos or in the Rural Surgery of Emparos or by visiting them in their houses. Data were collected over a 2-year period (2007-2009). Medical and family history data were recorded with a standardized physical examination. Cognitive and mood disorders were assessed by GDS and MMSE. Urinary incontinence in women was assessed by a specific questionnaire. The quality of life of the elderly, their orientation to life and their religiousness/spirituality was evaluated by using self-completed tests that they have been validated into Greek language (QWB-SA scale, SOC scale and RFI-SRB). The dependency of daily life activities has been assessed by using the Barthel index. Results: From the 411 people, the 43,6% (N=179)were men and 56,4% (N=232) were women. The 175 participants (42,7%) were 75 years and over. The majority were married (71,5%), retired (70,7%) with a low educational level (61,3%).The most important behavioral risk factors were found physical inactivity (73%),low consumption of fruit and vegetables (22,8%) and smoking (18,8%).The most common diagnoses were hypertension in 55.8%, musculoskeletal disorders in 28,2%, diabetes mellitus in 21,2%, COPD in 14,4% and thyroid disorders in 9,2%.The majority of the elderly did not have difficulties in daily living activities assessed by Barthel index (mean value 96,9±8) and presented with a good cognitive status (MMSE score mean value 25,2±4,3, p<0.001) and low prevalence of mood disorders (GDS mean value 3,9%).A strong positive correlation of SOC with the spiritual scale as measured by the RFI-SRB (p=0,039) was ascertained. Mood disorders were found more frequent among women (GDS=4,6±3,5, P<0.001).Our study showed that men present higher SOC scores (128,2, p=0.032) compared to women (117,9, p=0.032). More than one third of the elderly (37,7%) rated their health as very good. Females rated their health worse than males (9,5% vs 4,5%,p=0,002).Elderly men reported higher frequency of visits to a physician than women, as well as with the hospitalization rates. Conclusion: This doctoral thesis presents a part of findings on health needs of elderly living in a rural area of Crete. Future research could explore the effects of psycho-social determinants and their links between possible protective health assets and status of the population in rural areas. Also can contribute to the standardization of the organization and implementation of health needs assessment program in the rural primary care setting. Constructing a database of the diseases and the needs of the elderly will aid health policy makers to plan prevention programs and to promote primary health care in isolated areas.
Language Greek
Subject Αγροτικές περιοχές
Γενική ιατρική
Πρωτοβάθμια φροντίδα
Issue date 2018-07-18
Collection   Faculty/Department--School of Medicine--Department of Medicine--Doctoral theses
  Type of Work--Doctoral theses
Permanent Link https://elocus.lib.uoc.gr//dlib/7/7/5/metadata-dlib-1536139538-784640-29241.tkl Bookmark and Share
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