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Original scientific paper

https://doi.org/10.24869/psyd.2017.369

PSYCHOGERIATRIC DIAGNOSES IN OLD PEOPLE'S HOMES AND NEGATIVE HEALTH BEHAVIOR

Spomenka Tomek-Roksandić ; Reference Centre for Health Care of the Elderly of the Ministry of Health of the Republic of Croatia, Center of Health Gerontology, Andrija Štampar Teaching Institute of Public Health, Zagreb, Croatia
Ivana Popek ; Institute of Public Health of Sisak-Moslavina County, Sisak, Croatia
Nada Tomasović Mrčela ; Reference Centre for Health Care of the Elderly of the Ministry of Health of the Republic of Croatia, Center of Health Gerontology, Andrija Štampar Teaching Institute of Public Health, Zagreb, Croatia
Zvonimir Šostar ; Reference Centre for Health Care of the Elderly of the Ministry of Health of the Republic of Croatia, Center of Health Gerontology, Andrija Štampar Teaching Institute of Public Health, Zagreb, Croatia
Branko Kolarić ; Reference Centre for Health Care of the Elderly of the Ministry of Health of the Republic of Croatia, Center of Health Gerontology, Andrija Štampar Teaching Institute of Public Health, Zagreb, Croatia
Nina Smolej Narančić ; Institute of Anthropological Research, Zagreb, Croatia
Ana Stavljenić Rukavina ; DIU Libertas International University, Zagreb, Croatia
Mate Ljubičić ; Croatian Medical Association, Croatian Society for Gerontology and Geriatrics, Zagreb, Croatia


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Abstract

Background: The study was designed as a gerontologic-public health analysis of the relationship between the leading and
accompanying psychogeriatric diagnoses and negative health behaviors recorded in the old people's home users, with the aim to
evaluate and redefine gerontologic-public health priorities and geroprophylactic measures, with special reference to persons
suffering from Alzheimer's disease and other dementias.
Subject and methods: Gerontologic-public health indicators obtained by monitoring health care needs of the elderly in specific
institutional primary health care at 10 old people's homes (N=1185) in Croatia in 2013 were analyzed using the professional
methodology developed at Department of Health Gerontology, Andrija Štampar Teaching Institute of Public Health (Registry List 1
that refers to monitoring specific primary health care needs of elderly at old people's homes).
Results: Study results revealed that essential arterial hypertension was the principal (leading) principal diagnosis in the old
people's home users as of 2013, accounting for 13% of all leading diagnoses recorded in the elderly in institutional health care. In
the study population, psychogeriatric diagnoses were recorded among the first five accompanying and leading diagnoses. Refusal of
occupational therapy was the most common unfavorable health behavior recorded in the old people's home users, accounting for
22%, followed by poor personal and environmental hygiene (19%), physical inactivity (18%), mental inactivity (15%), obesity (13%)
and smoking (5%) of 861 unfavorable behaviour characteristics recorded in study subjects. Study results showed the leading
diagnoses in the old people's home users (such as circulatory system diseases, hip fracture, non-insulin dependent diabetes mellitus)
to be associated with negative health behaviors that can be considered as risk factors for the development or progression of the
disease, in psychogeriatric patients in particular.
Conclusions: The results obtained by gerontological-public health indicator analysis indicate that programs of geroprophylaxis,
gerontologic and psychogeriatric measures should be implemented in old people's homes as a priority, with day centers for
Alzheimer's disease patients. It is necessary to identify and evaluate risk factors for the occurrence of preventable diseases, change
the negative health behaviors in the elderly, and apply the nutritional-gerontologic dietary standards at old people's homes including
follow up of dietary intake of nutrients such as vitamins and mineral, with special reference to psychogeriatric patients.

Keywords

elderly, psychogeriatric patients, geroprophylactic measures, health behavior, functional disability, leading diagnoses, old people's home

Hrčak ID:

187300

URI

https://hrcak.srce.hr/187300

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