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Introduction: Daily behaviors of the elderly affect oral and dental conditions. Today, the oral health of the older adults and promote it are very much taken into consideration, which is directly related to their quality of life. The main aim of this study was evaluation of Oral health status of male older adults in Razi psychiatric hospital.
Method: In this cross-sectional hospital-based study, we recruited male admitted older adults aged ≥ 60 in Razi psychiatric hospital in Tehran, 2016. The study sample comprised120 subject which were selected through the census sampling method. Geriatric Oral Health Assessment Index (GOHAI), Abbreviated Mental Test score (AMTs), and socioeconomic questionnaires were used to collect the data. Reliability and validity of both questionnaires in Persian language have been confirmed. The gathered data were analyzed by SPSS-18 and Pearson correlation coefficient test.
Results: A total of 120 male older adults, were included into the study. The mean age of the participants was 66.14 ± 3.37 years and of mean years of hospitalization was 20.16 ± 9.70. Results indicated that the oral health status of the elderly was undesirable. Factors such as cognitive status, age, education, and number of teeth were significantly correlated with oral health status.
Conclusion: Evaluation of the oral health in the elderly is essential for determining the impact of different dental procedures and care. According to the findings, the oral health status of elderly men in Razi Psychiatric Hospital is weak. Therefore, accurate oral examinations are recommended.
 

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Introduction: Along with an increase in the prevalence of chronic diseases, demographic changes are regarded as a challenge in the health care systems for the elderly. To improve the quality of health care, the communication between health care providers and older patients should be taken into consideration. This study was conducted to improve the quality of services for the elderly referred to 22-Bahman Hospital.
Method: This is a qualitative action research study. The study population included 11 elderly patients admitted to the different wards of 22-Bahman Hospital. Their age range was between 65 to 89. In the first stage   after obtaining informed consent, data was collected and recorded purposefully by using an unstructured interview in 30 minutes. Qualitative content analysis was used to analyze data.In the second stage, a focus group consisted of 12 members of the health care team was formed and their attitudes in providing optimal health care as well as   constrains  and problems of the elderly were proposed and recommended solutions were evaluated. In the third stage, a workshop was held and evaluation was performed in different stages.
Results: The content of interviews was analyzed and classified into the following concepts: 1. Problems of nursing care quality.2. The lack of participation in decision-making.3. The lack of respect.4. Limited resources   to improve the welfare of patients.5. Worries about treatment payment .6. Nutritional issues.The following problems were reported by health care team in the focus group: 1.Crowded wards. 2. Shortage of nurses .3. Hearing problems and amnesia in the elderly.4. Reduced learning.5.Patients without a companion.6. Patients' dialect.
Conclussion: The results indicated that training nurses and health care team for aging process and physical and mental needs of this vulnerable group is necessary. So, action research is an effective way which influences the manner and incentives of health care team. The participation of elderly patients in action research improves health care services and consequently reduces the dissatisfaction of elderly patients.


 

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Introduction: Elderly re-admission to the hospital is a recurrent, costly and often life-threatening event. This study has been performed with the aim of assess the prevalence and factors associated with elderly re-admission.
Method: The present study is a descriptive-analytic study with cross-sectional method which was done through convenience sampling. The study was done on a total of 441 elderly who were eligible for entering the study and discharged from three hospitals in Bojnourd in April-May 2017. Data gathering tool was a researcher-made questionnaire that its reliability is calculated with Cronbach's alpha coefficient 0.86 and face and content validity was approved by ten faculty members in geriatric nursing department. The questionnaire was completed in three stages: From May 1 for a month daily, then at the end of a month and three months after the discharge of each patient. Data was collected using information obtained from the patient himself or his companions also by referring to the information in the HIS system and patient records. Data interpretation was done using SPSS-21.
Results: The majority of sample (56%) were female, (67%) aged 60-75 years old, (64.5%) married, (52%) lived in the city, (56%) had independent income, (74%)  illiterate, (45%) and  lived with children 45 of the discharged elderly (%10.2) had a re-admission within one month and within three months after the discharge was 61 people (%13.8).The results of the findings are based on chi-square test showed a significant relationship between the elderly dependency status and re-admission (p <0/01). There was no significant relationship for other factors such as demographic and clinical variables as well as environmental- hospital variables with elderly readmission (p≥ 0/05).
Conclusion: Elderly patients who have a level of dependency on their relatives, more likely to be re-admitted. Paying attention to the dependence of the elder on relatives; to meet their basic needs; serves as a prevention of their subsequent sequelae and re-hospitalization.

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Introduction​: Since hospitals are one of the most prolific and vital areas for the elderly, and the evaluation of the present situation is one of the first steps to create an appropriate environment, this study was aimed at determing effective factors in an assessing tool for evaluating the structural characteristics of age- friendly hospitals.
Methods: In this methodological research, a list of items was provided based on existing components for other age-friendly environments such as city, park, sanatorium and home. Then, the content validity was determined using a panel of experts including civil engineers, architects, ergonomists, and gerontologists, and the determination of face validity with a team of evaluators including MSC Gerontology, occupational health, environmental health and ergonomics.
Results: With the help of the research team, 194 primary items in 20 domains were reduced to 100 in 19 domains. Content validity and face validity processes reduced the number of items to 72 items and 17 domains, respectively.
Conclusions: Findings of this research by determining the present conditon and identifing suitable ergonomics interventions could be effective to promote comfort, safety, and independency of aged pepople in hospitals.
 

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Introduction : The rate of first hospitalization for incidence of stroke has been significantly rising over the past 20 years and this requires proper management of the neurology ward beds. In this regard, the present study was conducted to evaluate the correlates of length of stay in stroke patients.
 Method: the study design is descriptive and correlation. The study population consisted of 153 patients diagnosed with stroke admitted to the neurology ward of Imam Reza Hospital of Kermanshah in Iran, December 2014 to February 2015. The required data obtained from Hospital Information System (HIS) and it was confirmed by telephone follow-up. Statistical analysis included Pearson correlation and linear regression analysis were used to analyze the data.
Results: The linear regression analysis results show that type of transfer the patient to hospital can correctly predict the length of stay (P=0.012) and the patients who used ambulance for transfer to hospital occupy a bed almost 5 days more than others. Our model was able to explain only 7% of the variance for the length of stay.
Conclusion: It seems stroke patients who used ambulance for transfer to a hospital compared to others stay in the hospital for a longer time. Therefore, it is necessary that the number of beds required in stroke therapy wards be calculated according to the usual demand for dispatching ambulances and taking the ratio of personal referrals.

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Introduction: It is in high importance to pay attention to different aspects of health and well-being in the elderly age. Spiritual health is one of the important aspects of health status that is often neglected. So, this study was conducted with the aim of Assessment the status of spiritual health and related factors in elderly patients admitted to governmental hospitals in Kashan.
Methods: In this cross-sectional study, 300 elderly hospitalized in government hospitals in Kashan in 2018 were enrolled into study by convenience sampling. The tools of gathering data were Spiritual Well-Being Scale questionnaire. After collecting data, they were analyzed using SPSS software and independent t-test and one-way ANOVA tests.
Results:The mean score for spiritual health was 73.93±7.67. There were positive significant correlation between spiritual health scores and age (r=0.14, P=0.01).
The independent T-test showed a significant difference between the spiritual health score and the marital status (P= 0.02). The one-way ANOVA test showed a significant difference between the spiritual health score and the job (P= 0.004) and the economic status (P= 0.01).
Conclusions: According to the results, the increase in age was associated with an increase in spiritual health. Married older adults with higher economic status had higher spiritual health. Unemployed seniors experienced lower spiritual health.

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IntroductionThese days, as the population ages, health and treatment of geriatric people needs increasing. The
The World Health Organization (WHO) has proposed an age-friendly hospital for countries concerned with geriatric care. This study aims to investigate the degree of compatibility of non-academic and private hospitals in Razavi Khorasan in terms of the criteria of hospitals using the WHO checklist for geriatric patients.
Method:The cross-sectional study designed in Razavi Khorasan province during February 1402 to 1403, with the participation of non-teaching and private hospitals. The data collection tool was "WHO Elderly Friendly Hospitals Checklist". Here, 3 hospitals of the Social Security Organization and 16 private non-teaching hospitals in Razavi Khorasan province were investigated. SPSS version 22 software and descriptive statistics such as mean, standard deviation, number and percentage were used for data analysis.
Results:
An average of 32.84 was seen in the indicators of the elderly-friendly hospital. This is despite the fact that the physical environment as well as sanitary services had the highest average and the lowest points were related to admission and payment, respectively, that 94.7% of hospitals did not give priority to the elderly in the admission and settlement process. In terms of access to hospitals, only 26% of hospitals were near a bus station or metro station, and none of the hospitals had dedicated parking and a separate entrance for the elderly, and other components were also in an unfavorable condition.
Conclusion:Private and non-educational hospitals in Razavi Khorasan Province are in a very unfavorable situation in relation to the criteria of elderly-friendly Hospital. Therefore, in order to provide proper care to the elderly, it is necessary to pay attention to the policy makers, managers and investors provide better care to the elderly.