relationship between somatic symptoms and mental …gmcongress.ir/mckupload/file/news/gmcongress...

1 | G M C O N G R E S S . I R

Count: 1

Abstract ID: 129

subject: : - Geriatric Syndromes

Presentation Type: Poster

RELATIONSHIP BETWEEN SOMATIC SYMPTOMS AND MENTAL HEALTH IN

IRANIAN ELDERLY PEOPLE

Submission Author: Neda Abdolahrezaee

Neda Abdolahrezaee1, Dr. Mahboubeh Dadfar2, Dr. Arsalan Khanmohammadi Otaghsara3, Dr. Vahid Rashedi4

1. School of Behavioral Sciences and Mental Health-Tehran Institute of Psychiatry, Iran University of Medical Sciences, Tehran,

Iran; Islamic Azad University, Ayatollah Amoli Branch, Amol, Iran 2. School of Behavioral Sciences and Mental Health-Tehran Institute of Psychiatry, International Campus, School of Public Health,

Iran University of Medical Sciences, Tehran, Iran Corresponding Author: Mahboubeh Dadfar Email:

[email protected] 3. Department of Psychology, Islamic Azad University, Ayatollah Amoli Branch 4. School of Behavioral Sciences and Mental Health-Tehran Institute of Psychiatry, Iran University of Medical Sciences, Tehran,

Iran

Background and Aim : Background and Aim: Somatic symptoms are common in elderly people and impact on

their mental health. Therefore, it is important to examine the health of the elderly people. The aim of this study was

to investigate the relationship between somatic symptoms and mental health in Iranian elderly people.

Methods : Methods: This was a descriptive cross-sectional study. Data were collected using the Patient Health

Questionnaire-15 (PHQ-15) and General Health Questionnaire- 28 (GHQ-28). 100 elderly people were selected

using a convenience sampling from selected public parks of two districts of Tehran. Data were analyzed by

descriptive statistics, Pearson correlation coefficient and SPSS Statistics software version 24.

Results : Results: The mean score of the PHQ-15 and GHQ-28 were 8.77 (SD= 5.53), and 53.63 (SD= 16.27),

respectively. The PHQ-15 significantly positive correlated (r = 0.746, p <0.000) with total score of the GHQ-28; (r

= -0.806, p <0.000) with subscales of Physical symptoms; (r = 0.711, p <0.000) with Anxiety and insomnia; (r =

0.586, p <0.000) with Social dysfunction; and (r = 0.551, p <0.000) with Depression.

Conclusion : Conclusion: Increased somatic symptoms are associated with increased mental health problems.

Interventional strategies to reduce somatic symptoms in order to promote mental health in the elderly people are

recommended.

Keywords : Somatic symptoms; Mental health; Elderly


Count: 2

Abstract ID: 32

subject: : - Behavioral and psychological symptoms of dementia (BPSD)

Presentation Type: Oral

COMPARISON ATTITUDE OF RESIDENT / NON-RESIDENT ELDERLY

PEOPLE IN NURSING HOMES AND EVALUATION THEIR LIFE STYLE IN

NEYSHABUR CITY

Submission Author: Yazdan Abdolmohammadi

Yazdan Abdolmohammadi1, Elahe Daghighbin2, Shahroz Rahbari3

1. Graduate student of nursing, of Islamic Azad Univercity Neyshabur 2. Master of Midwifery, faculty of Islamic Azad Univercity Neyshabur 3. Master of Nursing psychology, faculty of Islamic Azad Univercity Neyshabur

Background and Aim : : the world’s population is rapidly aging, and today, in many societies, aging is an issue of

major importance. The purpose of this study was to compare the attitudes of elderly/ non- resident elderly people

with age and quality of life.

Methods : : this is a descriptive cross- sectional study. The data were collected using a questionnaire af elderly

quality of life (LIPAD) and a researcher- made questionnaire in a simple of 212 elderly people in neyshabur city.

Data analysis was done using SPSS software using descriptive and inferential statistics.

Results : of the 212 people in the study, 171 were elderly non- resident of the elderly and 41 elderly residents of the

elderly. 51/2 % of the elderly were male and 48/8 % were female. 59/1 % of the elderly are non- resident and 40/9

% are female. The majority of research units were between the age for the age group of 60-75 years old. The mean

age for the elderly was 79/57±04/73 and 89/70±36/71 for non- resident. There was a significant difference between

the elderly and non- residents in all dimensions of quality of life and attitude (p(05/0>. In all dimensions of quality

of life non- resident elderly were higher than elderly residents.

Conclusion : research finding indicate that factor such as number of children, home status, level of education, marital

status and…. It has a great impact on the attitude and quality of life of the elderly.

Keywords : Elderly, Nursing home, Attitude, life style


Count: 3

Abstract ID: 128

subject: : - Normal Aging & Successful Aging


COMPARISON OF THE AWARENESS AND ATTITUDE OF MALE AND

FEMALE GENERAL PRACTITIONERS OF SHIRAZ ABOUT ANDROPAUSE

Submission Author: Maliheh Abootalebi

Maliheh Abootalebi1, Marzieh Kargar2

1. PhD candidate in Gerontology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran 2. Assistant Professor, Department of Pediatric Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences,

Shiraz, Iran

Background and Aim : Male menopause is a natural age-dependent decline in testosterone levels in men. Despite

the importance of this issue for the health of the elderly, there is a lack of related information. So this study aimed to

assess and compare the awareness and attitude of male and female general practitioners about andropause.

Methods : The present cross-sectional study was conducted on 204 general physicians in Shiraz-2016. Cluster

method was used for sampling. A researcher-made questionnaire was developed for assessing the demographic

characteristics and levels of awareness and attitude of general physicians about andropause. All stages of research

were conducted ethically. SPSS 18 was used to analyze the data, and descriptive statistics, independent t-tests and

Pearson’s correlation were applied for data analysis. P-value less than 0.05 was considered significant

Results : Results showed that there was no statistically significant difference between the male and female general

physicians, awareness about andropause (p = 0.185). Also there was a statistically significant difference between the

attitude of males and females towards andropause (p > 0.001). The correlation between the mean score of awareness

and attitude towards andropause was statistically significant (p= 0.018, r = 0.166).

Conclusion : The implementation of training courses for spreading information and knowledge as well as positive

attitudes towards andropause for general practitioners are highly advocated.

Keywords : Andropause, Awareness, Optimism, General practitioner


Count: 4

Abstract ID: 72



SENIORS AND DIGITAL LIFE

Submission Author: Najmeh Aboutalebi

Najmeh Aboutalebi1, Vida Mehdizadehfar 2, Samira kushkestani 3

1. Department of Education in Tanin Pardaz Pasargad, Faculty of philosophy, Khatam University 2. Department of Education in Tanin Pardaz Pasargad, Faculty of Biomedical Engineering, Amirkabir University of technology 3. Department of Education in Tanin Pardaz Pasargad, Faculty of Biomedical Engineering, Shahed University

Background and Aim : Nowadays, new technologies play an important role in all aspects of life. In spite of all

facilities, the challenges faced by a number of strata of society, notably the senior. In this paper, the opportunities

and challenges of lifestyle based on information technology and additionally the winning transition ways for this

group of individuals to this new lifestyle are studied. The senior group rejects entry into the new world due to the

disability of using technology-based tools, resistance to change, cultural traditions and lack of familiarity with the

new conditions. For a successful transition to this new situation, the analysis of the requirements of the elderly is

extremely vital. In the present era, technology is trusty as a supporter and empowered and helps individuals through

modern communication tools. Health monitoring services, reminders, medication management tools and apps will

effectively manage an upsetting transition to adulthood.

Methods : According to the 1995 census, about eighty million individuals within the country, 5.7 million individuals,

28.9% are old. Iran’s old individuals are projected to rise to more than 30 percent in 2050. The proposed strategy is

based on the results of research and analysis by the Elderly Team of Tanning Pardaz Pasargad Company and a survey

from a group of our pricey seniors in our country. To find a more correct picture of the conditions, a 60-member

society was surveyed.

Results : More than half of the participants are reported Education as the most significant barrier to entry into the

world of technology. Other barriers include the variety and difficulty of selecting and trusting in services, the

necessity for a second language, the acceptance of the utility of services. Thus, an approach that this group adapts to

the new lifestyle based on learning and trust during this new situation. As each training process require specific

considerations based on the learner group, the educational content and also the purpose of the training process,

technology training for the elderly also has to be carefully considered in many respects: In addition to being simple

and easy to learn, educational content should be entertaining, and independent of cultural orientations to avoid

resistance. Educational tools should cover the physical and physical limitations of those group as much as possible.

The education process is customized to the particular wants of the senior, and freed from the normal school templates

in an interactive and motivating atmosphere.


Conclusion : The transition of our young society to the aging has been a priority of the authorities. If their obstacles

and divisions are overcome, they will take advantage of the new potentialities of this new lifestyle and reduce the

special issues of this era with the assistance of its tools and services. Designing, developing and implementing the

training process for the elderly, provide the chance for the group to enter this significant potential, and gradually

drawn the trust into the new world and replaced the calm and prosperity caused by panic due to feels alienated,

dependency and inaccessible.

Keywords : Elderly, Digital Life, Information Technology, Elderly Survey, Elderly Education


Count: 5

Abstract ID: 55



DETECTING AGE-RELATED CHANGES IN EXECUTIVE FUNCTIONS: AFTER

AGE 25

Submission Author: Sadaf Agah

Sadaf Agah1, Hadi Bahrami Ehsan2, Reza Kormi-nouri3, Tara Rezapour4, Hossein Karsazi5, Javad Hatami6

1. Department of Psychology, Faculty of Psychology and Education, University of Tehran, Tehran, Iran 2. Department of Psychology, Faculty of Psychology and Education, University of Tehran, Tehran, Iran 3. Department of Psychology, Orebro University, Sweden 4. Department of Psychology, Faculty of Psychology and Education, University of Tehran, Tehran, Iran 5. Department of Psychology, Faculty of Psychology and Education, University of Tehran, Tehran, Iran 6. Department of Psychology, Faculty of Psychology and Education, University of Tehran, Tehran, Iran

Background and Aim : Executive function (EF) is an umbrella term used for a variety of cognitive abilities. There

is clear evidence that EFs are vulnerable to the effects of age over lifespan but the patterns of decline and the age of

significant decrease are somewhat conflicting. The aim of the present study was to investigate the changes in EF

components across the lifespan.

Methods : A sample of 586 adults aged 25-81 years (M=47.95, SD=14.01) participated in this study and divided

into 5 age groups: 25-34 (25.3%), 35-44 (10.2%), 45-54 (24.9%), 55-64 (28.5%), and 65< (11.1%). Participants

completed a personal information questionnaire and carried out neuropsychological tests. One-way analysis of

variance (ANOVA) was performed to determine EF decline across age groups.

Results : ANOVA results showed that all EF task scores including Backward digit span [F(558 , 4) = 38.92, p =

0.01] and Corsi blocks [F(577 , 4) = 30.03, p = 0.01] for working memory, Wisconsin card sorting test [F(557 , 4) =

15.25, p = 0.01] for shifting, Stroop interference score [F(555 , 4) = 3.49, p = 0.01] and Incongruent reaction time

[F(558 , 4) = 60.35, p = 0.01] for inhibition and Tower of London [F(570 , 4) = 3.12, p = 0.01] for planning exhibited

a significant decline with aging.

Conclusion : Our findings add to the previous literature on age and cognitive changes in healthy population.

Moreover, we have also indicated that this cognitive decline begins by the age of 45, which is consistent with previous

studies.

Keywords : Executive function, Healthy population, Age-related decline


Count: 6

Abstract ID: 61



INVESTIGATING THE EFFECT OF HORTICULTURAL THERAPY ON LIFE

QUALITY IN THE ELDERLY RREFERRING TO THE DAILY CENTERS

Submission Author: Fatemeh Alipour

Fatemeh Alipour1, Ehteram Sadat Ilali2, Ali Hesamzadeh3

1. .MSc Student of gerontology nursing ،School of Nursing and Midwifery, Mazandaran University of Medical Sciences and Health

Services،Iran, Sari, 2. Assistant Professor, School of Nursing and Midwifery, Mazandaran University of Medical Sciences and Health Services, Iran,

Sari 3. Assistant Professor, School of Nursing and Midwifery, Mazandaran University of Medical Sciences and Health Services, Iran,

Sari

Background and Aim : According to the World Health Organization, the number of elderly people in the whole world will

increase from 600 million to 2 billion by 2050. Increasing the age in the elderly is accompanied by a decline in quality of life.

Horticulture is one of the activities that most elderly people enjoy, at the same time their physical and mental activity is

preserved. The aim of this study was to determine the effect of horticultural therapy on the quality of life of elderly patients

referred to daily care centers.

Methods : This is a quasi-experimental study that was carried out as pre-test and post-test in two groups of intervention and

control in 2012 in 60 elderly patients referred to day care centers in Sari. In the intervention group, horticultural treatments

were held in groups with friends for 6 weeks in 12 sessions of 45-30 minutes. Quality of life was assessed using LEIPAD

quality of life questionnaire in the elderly before and after intervention. Data were analyzed by SPSS version 20 and descriptive

and inferential statistical methods (Chi-square, independent t-test, paired t-test, Wilcoxon and covariance analysis).

Results : The mean of elderly quality of life before and after horticultural therapy in the intervention group were and و

respectively and the mean and standard deviation of elderly quality of life before and after the intervention in the control group

were and respectively. There was no significant difference in mean of quality of life before intervention in both intervention

and control groups (P = 0.86). Given that the F statistics in the covariance analysis test is significant (F (1.59) = 60.43, P =

0.001), therefore, horticultural therapy is effective in the overall scores of elderly quality of life

Conclusion : : The intervention in the criteria of physical activity, depression and anxiety, social function, perceived personality

disorder, anger, self-esteem and in the overall quality of life of the elderly was effective in the experimental group. Considering

the fact that horticultural therapy has a significant effect on the quality of life of elderly people, this method can be introduced

as an easy, non-invasive, delightful and helpful method.

Keywords : : Elderly, Horticultural Therapy, Quality of life


Count: 7

Abstract ID: 127

subject: : - Common Chronic Diseases in Elderly


SURVEYING OF CARING ADULTS HEALTH DIFFICULTIES BY COVERING

OF RUSTIC HEALTHY AND THERAPEUTIC CENTERS OF KALEYBAR TOWN

AT FIRST SIX MONTH 1396

Submission Author: Shahnaz Alipour

Shahnaz Alipour1, Mehrnaz Asghari2, fatemeh karimi3

1. MSc of family health 2. MSc of family health 3. MSc of family health

Background and Aim : : Now at all societies,adulthood is considered as an important problem.Being adult

population with enough increase in caring,increasing at spreading chronic diseases and finally is along with

increasing in healthy therapeutic costs by attending to ascendant process of adults population in the world and in our

country,this study is by survey of caring adults health difficulties by covering of rustic healthy and therapeutic centers

of kaleybar town at first six month of 1396.

Methods : This research was one descriptive-cross sectional study and the way of collecting datas such as doing

interview,completing questionnaire and measuring size, weight and calculating body mass index and is measuring

blood pressure,blood suger.

Results : : In this study, there were caring adult persons that% 54,8 females,%45,2 males formed.In this survey of

652 caring adult indivduals %27,3 fat, %47,4 had hight blood pressure, 10 were given to diabetes disease. this was

that %12,5 adults were consuming tobacco and between this surveyed difficulties meaningful relationship was

achieved.

Conclusion : programing and appropriate policy by managers for executing interfering programs at changing

personal behaviors ground and living way is necessary that by it we can prevent of chronic diseases and improve

health level of adults and expectancy to life.

Keywords : adults-health- difficulties.


Count: 8

Abstract ID: 76

subject: : - Nutrition in Old Age


PREDICTORS OF HEALTHY NUTRITION BEHAVIORS AMONG ELDERLIES

OF KALAT COUNTY BASED ON HEALTH BELIEF MODEL

Submission Author: Fahimeh Amani

Fahimeh Amani1, Mohammad Ali Morowatisharifabad2, Fatemeh Kaseb 3, Seyedeh Mahdieh Namayandeh 4

1. Department of Elderly, Deputy of Health of Mashhad University of Medical Sciences 2. Elderly Health Research Center, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran 3. Department of Nutrition, Paramedical Faculty, Shahid Sadoughi University of Medical Sciences, Yazd, Iran 4. Department of Biostatistics and Epidemiology, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd,

Iran

Background and Aim : Rapid changes in lifestyle, especially in nutritional aspects of the elderly, have led to many

chronic diseases. Therefore, attention to nutritional needs of the elderly is an essential issue. The purpose of this

study was to determine the predictors of healthy nutrition behaviors based on health belief model (HBM) in the

elderlies of Kalat city, Razavi Khorasan Province, Iran..

Methods : The cross-sectional study was carried out on 200 elderlies aged 60 years and older who were covered by

comprehensive health services centers in the city of Kalat. The participants were selected by multistage random

sampling. The data collection tools included a researcher-made questionnaire for measuring HBM constructs

regarding healthy nutrition and also a Food Frequency Questionnaire for measuring Healthy nutrition behaviors.

Data were analyzed by SPSS software using descriptive statistics, t-test, one-way ANOVA, Pearson correlation

coefficient and linear regression.

Results : The mean score of nutritional knowledge of the elderlies was 7.75 ± 2.14 (possible score 0-15) and the

mean score of healthy nutrition behaviors was 1.62 ± 1. 23 (possible score 0-5). Healthy nutrition behaviors were

significantly correlated with perceived benefits (r = 0.254), self-efficacy (r = 0.244) and cues to action (r = 0.334) (p

< 0.05). Linear regression showed that cues to action (β = 0.353), perceived benefits (β = 0.199) and self-efficacy (β

= 0.181) were significant predictors of healthy nutrition behaviors.

Conclusion : The level of healthy nutrition behaviors in the elderlies is not desirable, and cues to action, perceived

benefits and self-efficacy are the most important predictors of these behaviors. Paying attention to these factors helps

educators and other health professionals in designing appropriate intervention programs.

Keywords : Health Belief Model, Nutrition, Behavior, Knowledge


Count: 9

Abstract ID: 37



SOCIAL ACTIVITY IN ELDERLY:A CONCEPT ANALYSIS

Submission Author: Raziyeh Amini

Raziyeh Amini1, farahnaz mohammadi shahbalaghi2

1. phd nursing student. University of Social Welfare and Rehabilitation Sciences and.tehran. Nursing & Midwifery Sciences

Development Research Center,islamic azad university,najaf abad 2. Associate Professor. University of Social Welfare and Rehabilitation Sciences .tehran

Background and Aim : According to life transition,the phenomen of elderly will occure in the world. Because of

reduced in fertility and medical progress population will have more than 12 billion people over the 60-year world by

2050(World Health Organization 2012). Many studies of successful aging have been conducted to identify the

components and elements of successful aging, and what emerges from these studies is some components, such as

social interaction, physical activity. It is noteworthy that all the definitions and models presented in terms of

successful aging have a common focus on the concept of social activity of the elderly as one of the most successful

dimensions of aging. Concept analysis of social activity in elderly analysis of the concept is a method that not only

clarifies the characteristics of social activity but also identifies unrelated features about the social activity of the

elderly. Therefore, the analysis of obscure concepts, which are the foundation of a theory, and ultimately can lead to

improvement of action, is necessary .

Methods : The aim of this study was to clarify the concept of social activity in the elderly and determine the

dimensions of social activity in the elderly using the concept of Walker and Evant's concept analysis. The above-

mentioned approach has eight main stages: Select a concept .2 . Determine the aims or purposes of analysis. 3 .

Identify all uses of the concept that you can discover . 4. Determine the defining attributes . 5.Identify a model case.

6 . Identify borderline, related, contrary, invented, and illegitimate cases. 7.Identify antecedents and consequences

.8.Define empirical referents. The articles on social activity in the elderly were collected from reputable databases

and scientific sites such as, ovid, pubmed, science direct, springer, proquest ,pubmed. To search for articles, different

key words such as social activity, social contact, older adults, elderly, aging were used. Available articles in English

and Persian were reviewed. The extracted articles were used after the study to determine and determine the

characteristics and consequences of social activities of the elderly

Results : concept of social activity in the elderly is a broad concept, which has various dimensions, including formal

and informal social activities. Each of these dimensions has different classes. A review of available studies suggests

that social activity characteristics are also multifaceted, including variability, dynamism, the prominence of social

issues, being general, optional, the balance between challenge and skill, deep focus, at least anxiety and frustration,

And it's an automated or merely enjoyable experience. Additionally, individual factors, social networks, general

health, and motor skills have been identified as contributing to the formation of social activity. Some of the


implications for social activity of the elderly in texts and studies are enjoyment, relaxation and mental relaxation,

cognitive enhancement, sense of belonging, socialization, interaction and sharing of experiences.

Conclusion : The purpose of this study was to analyze the concept of social activity in the elderly. For this purpose,

texts and articles have been reviewed and the concept of social activity in the elderly has been clarified in terms of

conceptual characteristics, introducing the dimensions and antecedents and consequences and of social activities in

elderly.

Keywords : social activity.social contact.elderly.older adult


Count: 10

Abstract ID: 40



FOCUS ON PRODUCTIVE AGING: IMPROVING QUALITY OF LIFE IN OLDER

ADULT

Submission Author: Raziyeh Amini

Raziyeh Amini1, farahnaz mohammadi shahbalaghi2

1. phd nursing student. University of Social Welfare and Rehabilitation Sciences and.tehran. Nursing & Midwifery Sciences

Development Research Center,islamic azad university,najaf abad 2. Associate Professor. University of Social Welfare and Rehabilitation Sciences .tehran

Background and Aim : According to increase phenomenon of elderly in all countries,this phenomen has led the world health

care approach and planning to focus on the issue of aging. Iran is also one of the country that expose to this phenomen.so policy

maker must have enough specific plans before that this phenomen became a challeng position. Becaues of improve health care

systems, nutrition, disease control, quality of life, life expectancy were increas in elderly population. On the other hand,

according to this issue, the number of retirees with a general health has increased, which can be considered as a very important

potential. That is why the issue of productive and successful aging is a challenging topic that almost all developed countries

have invested in it seriously.

Methods : This study aimed to focus on explaining the concept of positive modeles in aging such as:successful aging,productive

aging and active aging and revealing barriers and opportunities for occurrence. The data are from authoritative articles in this

field. For relevant articles, valid sites and databases are also used, such as . google scholar, sicence direct, pubmed, springer

and the results are presented in the form of a general report.

Results : positive modeles in aging focus on the capacity of the elderly and their potential. Older adult people who have their

own professional and social backgrounds and specializations throughout their lives, should be properly resourced in retirement

as valuable resources .older adult In almost all fields, including social, economic, and intellectual contributions, the general

community can participate actively and voluntarily.These voluntary contributions can have multiple positive outcomes, such

as: Eliminating the tax burden on the elderly, helping to improve the conditions of families and civil society, and maintaining

the health and safety of the elderly. older people can volunteer for high social and economic participation through productive

activities. And these partnerships should increase for the benefit of communities and families. Policies that facilitate the

participation of the elderly, and policies that create a lifelong life-span can use the capacity of productive people throughout

life. Studies show that to advance productive aging, there should first be a general consensus on the definition of productive

aging, in which it is necessary to identify the results of elderly activities and be differentiated from other activities.

Conclusion : Studies show that there are various regulations that can increase the constructive participation of the elderly.

focus on policy planning and management planning and accreditation of programs in this area can be helpful. Ultimately,

productive aging should be a choice, not a commitment to the elderly. Otherwise, it is seen as exploitation of the elderly

Keywords : productive aging. successful aging.elderly.aging


Count: 11

Abstract ID: 78



THE EFFECT OF CITRUS AURANTIUM SCENT ON SLEEP QUALITY IN

OLDER ADULTS WITH HEART FAILURE: A RANDOMIZED CONTROLLED

TRIAL

Submission Author: Zoleikha Arab firozjaee

Zoleikha Arab firozjaee1, Ehteram Sadat Illali2, Zohreh Taraghi3, RezaAli Mohammadpour 4, Kamyar Amin5,

Emran Habibi6

1. MsC Candidate in Geriatric Nursing, Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran 2. School of Nursing and Midwifery, Mazandaran University of Medical Sciences and Health Services, Sari, Iran. 3. School of Nursing and Midwifery, Mazandaran University of Medical Sciences and Health Services, Sari, Iran. 4. Associate Professor, Department of Biotatistics,School of health, Mazandaran University Of Medical Sciences and Health

Services,Sari ,Iran 5. Assistant Professor, Department of Medicine,Clinical Research Development Unit Of Rouhani Hospital،Babol University Of

Medical Sciences and Health Services,Babol,Iran. 6. Assistant Professor, Department of Pharmacognosy, Pharmaceutical Sciences Research Center, Mazandaran University of

Medical Sciences, Sari, Iran.

Background and Aim : Heart failure is one of the most common chronic diseases in older adults and more than

70% of patients with heart failure suffer from various types of sleep disturbances. Bitter orange blossom is known

as a tranquilizing and sleep-promoting plant in traditional Iranian medicine. The present study was conducted to

determine the effect of bitter orange blossom scent on the quality of sleep in older adults with heart failure.

Methods : The present block-randomized clinical trial was conducted with a pretest-posttest design in 2017 on 80

hospitalized older adults with heart failure hospitalized in select teaching hospitals of Mazandaran Province divided

into an intervention and a control group. The intervention group received aromatherapy with two drops of 10% bitter

orange blossom essence poured onto cotton balls and held at a distance of 10 cm from the patient's nose for 20

minutes over three nights, and the control group received routine hospital care. The quality of sleep was assessed in

the older adults before and after the intervention using the SMHSQ. Data were analyzed in SPSS-20 using descriptive

and inferential statistics, including the Chi-square test, the paired t-test and Wilcoxon’s test.

Results : The mean and standard deviation of sleep disturbance score before and after the intervention was

24.70±3.67 and 21.05±3.62 in the intervention group, suggesting a significant difference (P=0.001), and 24.37±4.48

and 23.75±4.71 in the control group, suggesting no significant differences (P=0.228).


Conclusion : Aromatherapy with bitter orange blossom can improve the quality of sleep in older adults with heart

failure and therefore be used as a suitable low-cost and low-side-effect alternative to chemical medications taken for

sleep disturbances in older adults with heart failure.

Keywords : Sleep Quality, Aromatherapy, Citrus Aurantium , Older Adults


Count: 12

Abstract ID: 96

subject: : - Geriatric Models of Care


DISTANCE EDUCATION AND CARE IN THE ELDERLY

Submission Author: Zohreh Arabnezhad

Zohreh Arabnezhad1, Mehrnoosh Khoshnoodifar 2

1. Master of Science (MSc) in Electronic Learning Planning in Medical Sciences, Faculty of Medical Education, Shahid Beheshti

University of Medical Sciences, Tehran, Iran 2. Assistant Professor E-learning Planning Department in Medical Sciences, Faculty of Medical Education, Shahid Beheshti

University of Medical Sciences, Tehran-Iran

Background and Aim : Today, with the decline in birth and an increase in life expectancy, there is an increase in the number

of elderly people in all countries, including our country, Iran. Increasing the longevity and increasing the number of elderly

people has created many challenges, and naturally we will face a significant increase in disabling diseases of this age, such as

Alzheimer's, osteoporosis, arthritis, cardiovascular disease, stroke, and so on. Because these people need special care, education

and care are important, so this study was aimed at distance educating and caring for the elderly.

Methods : This research was conducted as a systematic review by searching authoritative databases such as Scientific,

iranmedex, SID, Google scholar, Scopus, PubMed, and with keyword distance education, care of the distance, elderly people,

Diseases of the elderly. Then, only full-text articles accessible at these databases were examined and used to set up the article.

Results : Aging is a natural phenomenon that over time develops with physiological changes, the process of these changes is

the same in different people, but the speed of doing it is different. Elderly includes all and can not be prevented, but with

education and care you can prevent or postpone disabilities. Education and distance-care services that provide long-distance

communication and information technology services to the elderly provide a good tool for meeting the needs of the elderly,

especially the elderly. Use of software that can report a person's position, use of alarms installed at the elderly home, access to

calls and messages from the elderly person and, in general, home care, nursing and medical care, which may Training,

monitoring general condition, how drugs are used, blood pressure status, insulin injections, medical and nursing advice, etc. By

improving the quality of treatment, improving care, improving medical and nursing communication, optimizing access, Reduce

the need for transportation and relocation, reduce hospital stay, reduce medical costs, increase satisfaction and comfort of the

elderly.

Conclusion : In general, distance education and care for elderly people with health problems and the main consumers of health

services are a good way to evaluate, monitor and manage their illnesses. Providing care for the elderly by facilitating access to

health facilities, health care and home care education, regardless of time and place constraints, facilitates care for the elderly

and increases their autonomy by increasing their sense of belonging to the community, self-care and self-management increases

and causes feeling less worried about their situation. Therefore, it is recommended to use this method to educate and care for

the elderly.

Keywords : distance education, care of the distance, elderly, elderly diseases


Count: 13

Abstract ID: 134



EVALUATION OF THE NUTRITIONAL STATUS AND ITS RELATIONSHIP

WITH OBESITY IN THE ELDERLY CITY OF KALYBAR

Submission Author: Mehrnaz Asghari

Mehrnaz Asghari1, Ghodsieh Abdolalizadeh2, Shahnaz Alipour3

1. MSc Famili Health 2. MSc Famili Health 3. MSc Famili Health

Background and Aim : Introduction: Obesity is one of the most important health problems that associated with

many diseases, including hypertension, diabetes and cancers. The aim of this study was to determine the relationship

between nutritional status and obesity in elderly in Kalybar city.

Methods : Material and Method: In this descriptive-analytical study, 3100 people (1400 men and 1700 women) from

elderly residents of Kalybar city in 2017 were randomly assigned to participate in the study. The data were collected

using demographic data, evaluation nutritional status by MNA method. The data were analyzed with SPSS.

Results : 49% of the elderly have a normal weight, 24% overweight, 31% obese and 4% lazy. 7% of the elderly whit

a normal weight have an unfavorable nutritional patterns and 86% of overweight elderly had a moderate to favorable

nutritional pattern. No significant relationship was found between the prevalence of obesity in elderly and nutritional

pattern.

Conclusion : Given the prevalence of obesity and overweight in the elderly, with good nutritional habits, authorities

need to be aware of this problem. It is recommended to reduce the weight , age-appropriate sports programs to be

trained.

Keywords : Elderly-Nutrition-Nutrition Pattern


Count: 14

Abstract ID: 84



ASSOCIATION BETWEEN INFLAMMATORY POTENTIAL OF DIET AND

MENOPAUSAL SYMPTOMS AMONG IRANIAN POSTMENOPAUSAL WOMEN

Submission Author: Zahra Aslani

Zahra Aslani1, Gity Sotoudeh2, Mostafa Qorbani3

1. Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences,

Tehran, Iran 2. Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences,

Tehran, Iran 3. Non-communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran

Background and Aim : Background and Aim: Due to a lot of complications of menopause in women which may

be related to diet, the present study was conducted to examine the association between dietary inflammatory index

(DII) score and menopausal symptoms (MS) across postmenopausal women.

Methods : Methods: This cross-sectional study was conducted on 393 postmenopausal women who have referred to

urban health centers affiliated to Tehran University of Medical Sciences and health houses affiliated with the southern

municipality of Tehran, Iran. The DII score was calculated using 34 food parameters obtained through a validated

147 item food frequency questionnaire (FFQ). Menopause Rating Scale (MRS) questionnaire was used to evaluate

the MS for each participant. Linear regression models were used to assess the association between the DII score and

MS.

Results : Results: Participants with pro-inflammatory diet (higher DII score) have greater somatic symptoms versus

those in the first tertile of DII (anti-inflammatory diet) (p<0.05). This significant positive association was not

observed for psychological and urinary-genital symptoms. The obtained results did not change after multivariable

adjustments.

Conclusion : Conclusion: Pro-inflammatory diet was associated with higher somatic complaints related to

menopause.

Keywords : Keywords: Diet, Inflammation, Menopause


Count: 15

Abstract ID: 91



ASSOCIATION OF THE DIETARY INFLAMMATORY INDEX WITH PROSTATE

CANCER RISK: A SYSTEMATIC REVIEW AND META-ANALYSIS OF

OBSERVATIONAL STUDIES

Submission Author: Zahra Aslani

Zahra Aslani1, Mostafa Qorbani2

1. Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences,

Tehran, Iran 2. Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical

Sciences, Tehran, Iran

Background and Aim : Background and Aim: The role of diet in the modification of low-grade chronic

inflammation and prostate cancer (PCa) development was indicated in numerous studies. The association of dietary

inflammatory index (DII), a newly developed tool to assess the inflammatory potential of diet, and PCa has been

investigated in various studies, although the obtained results have been inconsistent. Hence, we provided a

comprehensive systematic review and meta-analysis to assay the association between the DII and risk of PCa.

Methods : Methods: A comprehensive search was performed using PubMed, ISI Web of Science, Scopus, and

Google Scholar databases from inception through July 2018 in order to recognize the observational studies with the

aim of investigating the association between the DII and PCa incidence. From a total of 35 papers obtained at the

initial database search, seven studies (six were case-control studies and one was cohort study) were identified to

include in meta-analyses.

Results : Results: Meta-analyses of studies indicated the pooled adjusted odds ratio (OR) of PCa for pro-

inflammatory diet (highest DII score category) versus the first category was 1.33 (95% confidence interval [CI]:

1.07–1.59). When the DII was analyzed as a continues variable, the results of meta-analyses represented an increased

risk of PCa of 10% per one unit increment in the DII score.

Conclusion : Conclusions: The results of analyses indicated that pro-inflammatory diet (higher DII) was associated

with increased incidence of prostate cancer.

Keywords : Keywords: Diet; Inflammation; Prostatic neoplasms


Count: 16

Abstract ID: 136



A REVIEW ON QUALITY OF LIFE IN ELDERLY PEOPLE WITH DIABETES

Submission Author: Somayeh Azimpour

Adel Eftekhari1, Somayeh Azimpour2

1. Department of health in Disasters and emergencies,school of public health ,shahid sadoughi university of medical

sciences,yazd.iran 2. shahid sadoughi university of medical sciences,ziaee hospital ardakan, yazd.iran

Background and Aim : The number of elderly people in the world as well as in Iran has been increasing due to

increased life expectancy so that the aging of the world has become one of the most important public health

challenges in the current years. As the age decreases, people's ability to reduce their quality of life is also affected.

On the other hand, with the increase in age, the probability of getting older people increases in chronic diseases, and

the presence of any chronic disease affects the quality of life of people, especially the elderly. Diabetes mellitus is

one of the most important chronic diseases of aging, which is one of the most important causes of death and disability

in the elderly. The chronic nature of diabetes affects the body, mental and individual and social functioning of the

elderly patient. Therefore, the quality of life assessment in these patients is important. Due to the importance of this

issue, this study was conducted to evaluate the quality of life in elderly people with diabetes

Methods : The present study is a review article based on the data collected from the systematic search of resources

in the Google scholar, SID, Magiran, Medline, Irandoc web sites during the period 2017-2010, from related literature

publications and library studies. extracted

Results : Studies show that the quality of life decreases with aging in the elderly, and diabetics have the lowest

quality of life compared to those without chronic disease

Conclusion : Quality of life is the ultimate goal in providing various social and welfare services to different age

groups including the elderly. Evaluating the quality of life of the elderly with diabetes, is important in order to be

able to plan appropriately to improve their quality of life. Since quality of life in this period can be threatened by

various factors, it is recommended that plans be made to improve these factors and the medical and health services

in the diabetic elderly population

Keywords : : Quality of Life, Elderly, Diabetes


Count: 17

Abstract ID: 82



THE STUDY AMOUNT OF ANXIETY AND DEPRESSION AMONG ELDERLY

DIABETIC PATIENTS

Submission Author: Masumeh Bastami

Masumeh Bastami1, Mehrdad mostaghaci2, firuzeh Hatami Rad 3, Alireza Bastami4

1. MSC of Geriatric Nursing, Department of Nursing,University of Nursing and Midwifery, Ilam University of Medical Sciences,

Ilam, Iran 2. Occupational Medicine Specialist. educational development center Isfahan University . Iran. 3. MSC OF Science In Nursing Clinical Supervisor of the Nursing Shohada ashayer , Khorrramabad. Iran. 4. MSc , Medical Surgical Nursing of University of Social Welfare & Rehabilitation Sciences , Tehran, Iran.

Background and Aim : Diabetes is the most common endocrine disease in the world, its prevalence10_20% increases with

age. Psychological disorders such as depression and anxiety are some of the most important complications of diabetes which

also are common in elderly people.Therefore, understanding the psychological characteristics of the elderly population can be

a background to improve the quality of considered group life. So the aim of this study was to investigate the prevalence of

anxiety and depression among elderly diabetic patients.

Methods : This study is a descriptive cross-sectional study which was performed on 50 elderly women& men diabetic patients

in shohadaieh Ashayer hospital in Khoramabad city. They were selected usingEasy and non-random sampling. The instrument

for data collection was questionnaire consist of three parts: Patients' demographic characteristic, anxiety 20 items eshpylberger

questionnaire and anxiety of elderlies questionnaire (geriatric depression scale (GDS)). Data was analysied using SPSS 18

software and analysis such as independent t-test, ANOVA, Seheffe post test and Pearson correlation coefficient. In this study,

a statistically significant level of P <0/05 was considered.

Results : The mean age of participants was 66.7 ± 5.4. 49% and gender (50%) were male and 50% female .The results showed

that there were significant relationships between depression with age (p=0.0001), duration of diabetes (p=0.0001) and number

of hospitalizations (p=0/0001), sex (p=0.031) and education level (p=0.003), employment (p=0/0001) and type of treatments

(p=0.0001). In addition there were significant relationships between anxiety with age (p=0.044), duration of diabetes (p=0.002),

number of hospitalizations (p=0.0001), type of diabetes (p=0.04) and employment (p=0.011). But between anxiety, depression

and other demographic factors, there was no statistically significant relationship.

Conclusion : :The results showed that with increasing age, duration of diabet, number of hospitalizations, job loss, depression

and anxiety in elderly patients with diabetes increase. Therefore, due to increasing numbers of elderly people in the world and

the prevalence of chronic diseases such as diabetes, particular attention to this group and psychiatric examinations for early

detection and treatment of depression and anxiety in these patients is suggested.

Keywords : Anxiety, depression, elderly,diabetes


Count: 18

Abstract ID: 125

subject: : - Hot topics in Aging & Geriatrics


ELDERLY IS A SERIOUS CHALLENGE TO THE HEALTH SYSTEM IN IRAN

Submission Author: Maliheh Dadgarmoghaddam

Maliheh Dadgarmoghaddam1

1. Assistant professor of communityMedicine, Community Medicine department, Faculty of Medicine, Mashhad university of

medical sciencese,Mashhad,Iran

Background and Aim : The world is rapidly aging, aging is a well-known process known as population transfer,

With death and fertility rates falling in that population, life expectancy increases and the age structure of the

population changes from the young group to the elderly group. The phenomenon of increasing elderly population is

one of the most important economic, social and health challenges of the 21st century. Demographic transition

(population aging) has occurred in developed countries over the past 100 years. But these changes will take place in

developing countries within 25 years, where the advancement of medical technology and the availability of

contraceptive methods and the increase in the educational level and economic status of women have contributed to

this demographic transition. Accordingly, poorer communities have less time to plan for population aging. If the

population's aging population grows the same way, in about 1410, an aging bombardment will occur in our country,

in which between 25% and 30% of the population will be at the age of 50 or older. The effect of aging population

has been studied in several studies, and one of the most important aspects that should be considered in the health

sector is the cost of care for the elderly, which can include the cost of outpatient treatments, hospitalization,

medication, diagnostic tests, and preservative care. Increasing health care costs is a serious challenge that now

requires serious planning in the health field.


Count: 19

Abstract ID: 85



SOCIAL AFFAIRS STATUS AND DISEASE BURDEN OF OLDER PEOPLE

ATTENDING TO ELDERLY CENTERS OF TEHRAN

Submission Author: Ali Darvishpoor Kakhki

Ali Darvishpoor Kakhki1, Zhila Abedsaeedi2

1. Shahid Beheshti University of Medical Sciences, Tehran, Iran. 2. Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Background and Aim : Aging is a natural experience which is usually accompanied by a variety of problems. This

study was conducted to describe social affairs status and diseases of the older people in Tehran.

Methods : This descriptive study was conducted on 740 older people over the age of 60 in 20 elderly centers located

in five regions of Tehran in 2016. Self-report socio-demographic and disease rate questionnaires were used for data

collection. Data were analyzed with SPSS software.

Results : 63.6% of older people were male and 77.5% married with a mean age of 69.76 (±7.5). 29% of older people

lived alone and mostly in their own home with 85.7%. 59% had elementary education and 70% used pension as their

income source. 66% had low monthly income. 83% reported at least a chronic disease. 88.5% had annual physician

referrals and 35.9% were hospitalized in the last year. 92.3% and 64.1% had basic treatment insurance and

complementary insurance. 83% had low satisfaction of their treatment insurance.

Conclusion : Results revealed a need to decrease disease burden and reform pension programs and health care

services for older people in Iran. Tailored and targeted strategies are inevitable to improve their social and health

status in Iran.

Keywords : Social Status, Health Status, Older People


Count: 20

Abstract ID: 86



SPIRITUAL WELL-BEING IN IRANIAN OLDER PEOPLE

Submission Author: Ali Darvishpoor Kakhki

Ali Darvishpoor Kakhki1, Zhila Abedsaeedi2

1. Shahid Beheshti University of Medical Sciences, Tehran, Iran. 2. Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Background and Aim : The world’s elderly population is the fastest growing age group. This study was conducted

to understand and gain deeper insight into older people’s lived experiences of spiritual well-being in Iran.

Methods : A qualitative research design based on van Manens phenomenological methodology was developed. In-

depth open-ended interviews were used to collect the data from 16 older people selected based on purposeful

sampling. The van Manens methodology was used for analysis of verbatim transcripts.

Results : Three themes belief in God, hope, and comfort of soul emerged illustrating the phenomenon of spiritual

well-being. Belief in God included subthemes of health as honoring God, awareness of health honor, sickness as

self-awareness of health, thankfulness for God and super identity, and harmony of internal and external

environments. Hope included subthemes of being feel that lead to identity for older people and finally give them

beautiful mind. Comfort of soul has internal and external aspect that is important for interaction with others and

active aging of older people.

Conclusion : Spiritual well-being is a main domain of health in Iranian older people. The close connection between

spiritual well-being and religious beliefs must be considered in order to promote the health of older people.

Keywords : Phenomenology, Lived experiences, Spiritual well-being, Older people


Count: 21

Abstract ID: 79

subject: : - Dementia, including Alzheimer Disease & Other Neurodegenerative Disorders


MAPPING THE SCIENTIFIC COLLABORATION OF IRANIAN RESEARCHERS

IN INTERNATIONAL STUDIES ON ALZHEIMER'S DISEASE

Submission Author: Azar Darvishpour

Zohreh Salmalian1, Milad Hassanpour2, Aboozar Ramezani3, Azar Darvishpour4

1. Master of Health Education, Department of Nursing, School of Nursing, Midwifery and Paramedicine, Guilan University of

Medical Sciences, Rasht, Iran 2. Student Research Committee, School of Nursing, Midwifery and Paramedicine, Guilan University of Medical Sciences, Rasht,

Iran 3. Ph.D. Student in Library and Information Science Medicine, Tehran medical sciences University, Tehran, Iran 4. Assistant Professor, Department of Nursing, School of Nursing, Midwifery and Paramedicine, Guilan University of Medical

Sciences, Rasht, Iran

Background and Aim : Due to the increasing elderly population, increased prevalence of Alzheimer's disease is a

major health concern in the world. Obtaining knowledge on research in this field can help managers in designing

educational and supportive interventions. Today, to better identify the status of researchers' participation, the graphic

design of scientific collaboration in a scientific field is used. The purpose of this study was to determine the co-

authorship network of Iranian researchers in the field of Alzheimer's disease in terms of the co-authorship frequency

of Iranian researchers and the distribution of co-authorship among other universities and countries.

Methods : This descriptive and cross-sectional study was conducted using scientometric method to illustrate the

international cooperation of universities and researchers with bibliographic descriptive information and citations

from Web of Sciences, PubMed and Scopus databases. To search for articles, full-text studies were published in

English during the period from 1997 to July 2018 and the word "Alzheimer's disease" was in the title, abstract, and

its keywords, were considered. The data was analyzed using HistCite 12.03.1 and VOSviewer 1.6.5 software.

Results : Over the past 20 years, 137 articles in international journals indexing in Web of Sciences, 219 articles in

PubMed and 1104 articles in Scopus have been published related to Alzheimer's disease in Iran. In writing these

articles, respectively 587, 834 and 3011 authors cooperated. The number of articles in this field has increased in two

decades in three databases, especially in 2017. Based on the findings, a collaborative map of researchers in this field

was illustrated on all three databases, and the patterns drawn from the authorship frequency of at least 5 articles in

the two Web of Sciences and PubMed databases showed that they had collaborated in four clusters. Researchers

from Tehran University of Medical Sciences have had the most cooperation with other universities in Iran. These

researchers have had the most cooperation with the United States, Britain, Australia, and Malaysia countries in this

field of research.


Conclusion : Given the status of Alzheimer's disease research in the country, the quantitative and qualitative level

of research in this area should be improved. The results of this research can help novice researchers to identify

experienced experts. It is recommended that health policy makers support the identified researchers in four clusters

in the country to carry out research in this area.

Keywords : Alzheimer Disease, Aging, Bibliometric, scientific products, Scientific Collaboration Map,

Scientometrics.


Count: 22

Abstract ID: 87



CORRELATION OF TEA CONSUMPTION PATTERN WITH SOME OF THE

MOST COMMON CHRONIC AND NON-COMMUNICABLE DISEASES IN THE

ELDERLY LIVING IN THE SELECTED VILLAGES OF EAST GILAN

Submission Author: Azar Darvishpour

Zohreh Salmalian1, Aboozar Ramezani2, Azar Darvishpour3

1. Master of Health Education, Department of Nursing, School of Nursing, Midwifery and Paramedicine, Guilan University of

Medical Sciences, Rasht, Iran 2. Ph.D. Student in Library and Information Science Medicine, Tehran medical sciences University, Tehran, Iran 3. Assistant Professor, Department of Nursing, School of Nursing, Midwifery and Paramedicine, Guilan University of Medical

Sciences, Rasht, Iran

Background and Aim : Elderly is associated with a gradual decrease in physical activity and an increase in chronic

diseases. Chronic diseases are increasing in many of low and middle income countries. Inappropriate and unhealthy

lifestyle is responsible for the occurrence of many types of chronic diseases. Nutrition Improvement can prevent or

reduce these problems to a large extent. Tea, as the second most popular and high consumption after water, can have

a significant effect on the health of people if consumed properly. The aim of this study was to determine the

correlation of tea consumption pattern with some common diseases (cardiovascular disease, diabetes,

hyperlipidemia) in the elderly living in the selected villages of East of Gilan as the eldest province of the country.

Methods : This cross-sectional analytical study was conducted on 202 elderly living in Lahijan and Langrood

villages in the spring of 2018. The study population included males and women over 60 years of age living in the

village that had criteria for entering the study. The cluster sampling was carried out and the samples were selected

after the cluster identification. The instrument in this research was a researcher-made questionnaire that its validity

was assessed by face and content validity and the reliability was estimated to be 0.85 by Cronbach's alpha. Data were

analyzed using descriptive statistical methods and Pearson correlation using SPSS version 19 software.

Results : The results showed that the majority of the elderly (56.9%) were women and in the age range of 74-60

years (80.7%). The mean and standard deviation of the age was 68.75 ± 7. The minimum age of the subjects was 60

and at most 93 years. Also, finding related to the correlation between age, sex and some of the most common chronic

and non-communicable diseases (cardiovascular disease, diabetes, hyperlipidemia) revealed that, there was

significantly correlation between the gender and hyperlipidemia (p> 0.05). The highest prevalence was related to

cardiovascular disease (39.1%), then diabetes (with a prevalence of 24.3%), and ultimately hyperlipidemia (with an

incidence of 17.3%). The findings regarding tea drinking patterns showed that the majority of subjects (89.1%) only

drank black tea. The majority (69.8%) made tea with teapots, and drank with cup (84.2%). In terms of frequent of

tea drinking per day, the majority (39.6%) did it three times. The majority (54.5%) drank one cup per day and


consumed with sugar (56.4%). In terms of tea color, the majority (49%) used light (low color) tea. The findings also

showed that there is a significant correlation between diabetes mellitus and daily tea intake (r = -0.196, p = 0.005).

Also, there is a significant correlation between duration time of tea consumption after making and diabetes mellitus

(r = 0.153, p = 0.029) and also cardiovascular disease (r = 0.152, p = 0.030).

Conclusion : The results of this study can be considered by the managers in order to provide a framework for

improving the nutritional behavior of tea drinking, and through educational planning they can promote the health of

the elderly.

Keywords : tea, elderly, chronic and noncommunicable diseases


Count: 23

Abstract ID: 94



ELDERLY LIFESTYLE STUDY IN YAZD IN 1395

Submission Author: ALI Dehghani ahmadabad

ALI Dehghani ahmadabad1

1. Department of Elderly Health, Faculty of Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

Background and Aim : Considering the increasing number of elderly people and considering that aging with them

causes problems and limitations in physical and mental performance of a person, these restrictions can endanger their

health and quality of life. Currently, 27.7% Of the population of the country is elderly and according to the United

Nations information center, the Iranian elderly population will reach 26% of the total population by 2050. Therefore,

addressing the problems of this community can be considered as a priority for researchers and providing a good

lifestyle to reduce problems is one of the appropriate strategies. This research was conducted to evaluate the lifestyle

of the elderly in Yazd in 1395.

Methods : This is a descriptive-analytic study that was carried out in the first half of 1395 in Yazd. The study

population consisted of 150 elderly people in Yazd who were randomly selected through cluster sampling. Data were

collected using a standard elite lifestyle questionnaire approved for its validity and reliability by referring to House

doors were collected. Data were analyzed using SPSS 18 and statistical analyzes.

Results : Demographically, the mean age of participants was 71.22 ± 5.33. 63% of the elderly were women. The

height of the lifestyle score was 211 and the mean score of this study was 179.18 ± 16.02. In this study we found a

significant relationship between lifestyle and education, income, illness, support system such as insurance, life There

was a significant correlation between age, type of occupation, number of children and lifestyle. There was no

significant relationship between sex and lifestyle (P≤0.05).

Conclusion : It can be concluded that lifestyle score among middle-aged people is low. Therefore, it is recommended

that elderly mentor planners with appropriate interventions and programs to improve lifestyle of the elderly,

especially elderly patients, only, low income and without support insurance Who have a lower education.

Keywords : Elderly, lifestyle, health


Count: 24

Abstract ID: 95



THE STUDY OF SPIRITUAL WELL-BEING IN THE ELDERLY OF YAZD

MOSQUE IN 1395

Submission Author: ALI Dehghani ahmadabad

ALI Dehghani ahmadabad1

1. Department of Elderly Health, Faculty of Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

Background and Aim : By improving and improving the health and economic indicators in the society, we will see

a rise in life expectancy and, consequently, an increase in the number of elderly people, as the phenomenon of aging

and population growth are now one of the most important challenges for society and healthcare system providers. It

is posing. This demographic group is considered as a vulnerable group in the community, which must be given

special attention in order to maintain and improve their health and quality of life. In order to achieve these goals, it

is necessary to consider the health status of the elderly in all four dimensions of health, since any defect in one aspect

of health can affect other aspects and lower quality of life. One dimension that plays an important role in the overall

health of the elderly is then mental health, which, of course, is because this dimension is subjective and is less visible,

therefore, it is neglected and less considered. The existence of religious beliefs and beliefs To attend the mosques

and places of worship and to bring their rites there. Considering the importance of spiritual well-being in the elderly,

we turned to Check out spiritual well-being in a group of elderly people in Yazd, who were forced to attend mosques.

Methods : This cross-sectional descriptive-analytic study was conducted on 100 elderly people in Yazd city. Samples

were selected through the available method from 30 surface mosques in Yazd. The selection of mosques was done

through simple random sampling among 86 city mosques in the city. The data collection tool was a two-part

questionnaire. In the first part, the demographic information of the samples was used and in the second part, the

instruments of the spirituality of paltzin and Ellison were used. Data were collected and analyzed using independent

t-test, ANOVA, correlation coefficient and multivariate regression analysis.

Results : The collected data from the samples showed that the average spiritual health score of the elderly was 36.9

± 3.86, which is acceptable. There was a significant relationship between variables related to marriage and

abstraction, level of education, indigenousness, sex, loneliness at home with average spiritual well-being. On the

other hand, there was no meaningful relationship between the frequent attendance at Mosad, the duration of the

mosque, the time of the mosque, the new mosque, or the old days of the mosque.

Conclusion : : The results of this study showed that attending mosques and daily prayers makes the elderly a kind

of psychological support for religious sources and somehow hears a sense of self-confidence and calmness in some

way with a supersonic power. It is recommended that we encourage the elderly to attend leisure time and daily


prayers in the congregation as well as in religious ceremonies held in these mosques. Families in this process have

an encouraging role in encouraging and encouraging the elderly to attend these centers.

Keywords : Elderly, lifestyle, health


Count: 25

Abstract ID: 67



EVALUATION THE RELATIONSHIP BETWEEN DEPRESSION IN THE

ELDERLY WITH DEMOGRAPHIC VARIABLES IN QAZVIN

Submission Author: Leila Dehghankatr

Leila Dehghankatr1, Azam GHorbani2, Leili Yekefallah3

1. Instructor of Nursing, Department of Community Health Nursing, School of Nursing & Midwifery, Qazvin University of

Medical Sciences, Qazvin, Iran 2. Instructor of Nursing ,Metabolic Diseases Research Center and School of Nursing & Midwifery , Qazvin University of Medical

Sciences, Qazvin, Iran 3. 3. Assistant Professor, PhD of nursing, Faculty of Nursing, School of Nursing & Midwifery, Qazvin University of Medical

Sciences, Qazvin, Iran

Background and Aim : Elderly age is associated with various physical and mental disorders, which the most

common psychiatric disorder is depression, which can have important effects on quality of life, functional status,

utilization of medical services and mortality and disability. The aim of this study was to investigate the relationship

between depression and demographic variables of the elderly.

Methods : This analytical descriptive study was conducted on 400 elderly people in Qazvin through stratified

sampling. Demographic questionnaire and standard depression questionnaire were used to collect data. Data were

analyzed by using SPSS 19 software, descriptive and analytical statistics.

Results : The results showed that there was a significant relationship between age (p =0.002), economic status (p

=0.003) and life status (p =0.05) with depression in elderly people so that elderly people aged 60-65 years had the

highest risk of severe depression, and independent elderly and living with a spouse were at a lower risk of depression

Conclusion : Considering the factors affecting depression in elderly people, it is necessary to use essential

interventions, such as holding workshops on depression and referring to the elderly for cultural placement and

creating the essential grounds for health promotion.

Keywords : elderly, depression, demographic variables


Count: 26

Abstract ID: 69



THE DETERMINANT FACTORS OF ELDERLY SLEEP QUALITY IN QAZVIN

Submission Author: Leila Dehghankatr

Leila Dehghankatr1, Azam GHorbani2, Leili Yekefallah3

1. Instructor of Nursing, Department of Community Health Nursing, School of Nursing & Midwifery, Qazvin University of

Medical Sciences, Qazvin, Iran 2. Instructor of Nursing ,Metabolic Diseases Research Center and School of Nursing & Midwifery , Qazvin University of Medical

Sciences, Qazvin, Iran 3. 3. Assistant Professor, PhD of nursing, Faculty of Nursing, School of Nursing & Midwifery, Qazvin University of Medical

Sciences, Qazvin, Iran

Background and Aim : Elderly causes many physiological changes in humans. One of the problems of elderly

people is sleep disturbance. On the other hand, different factors affect the quality of sleep of elderly people.

Therefore, this study was conducted to investigate the determinant factors of elderly sleep quality.

Methods : In this descriptive cross-sectional study, 400 elderly people in Qazvin were selected by stratified

sampling. The data collection tools were the demographic questionnaire and Pittsburgh standard sleep quality

questionnaire. Data were analyzed by SPSS 19 software, descriptive and inferential statistics.

Results : The results showed that 20% of the elderly had a good sleep quality. The majority of the elderly were 60-

65 years old (51.5%) and married (71.5%), and the majority lived with their spouses. The results also showed that

there was a significant relationship between sex (P = 0.05) and economic status (P = 0.03) and the status of patients

with the sleep quality (P = 0/000).

Conclusion : Considering the factors affecting the quality of sleep in elderly people, proper interventions in this field

should be carried out in order to improve the quality of their sleep, which is one of the basic human needs.

Keywords : Elderly, Sleep quality, determinants factors


Count: 27

Abstract ID: 17



DIETARY AND PLASMA ANTIOXIDANTS IN MILD IMPAIRED AND NORMAL

COGNITIVE ELDERS: A CASE-CONTROL STUDY

Submission Author: Neda Dolatkhah

Neda Dolatkhah1

1. Aging Research Institute, Physical Medicine and Rehabilitation Research Center, Faculty of Medicine, Tabriz University of

Medical Sciences, Tabriz, I.R.Iran

Background and Aim : Background: Antioxidants are considered an important component in neurodegenerative

disease management since they can protect cells from oxidative damage. Objectives: The aim of this study is to

evaluate the intake and serum level of selected antioxidants in subjects possessing mild cognitive impairment (MCI)

compared with a cognitively intact control.

Methods : Materials and methods: This retrospective case-control study was conducted in Tabriz from December

2016 to August 2017. A total of 45 patients with MCI as a case group and another 45 healthy subjects matched for

age and sex were recruited for the control group. After completing the Mini-Mental State Examination (MMSE-12)

questionnaire, the MCI cases were identified using the modified Peterson standard. Using a semi-quantitative food

frequency questionnaire (FFQ), the common dietary intakes during the previous year were recorded and blood

samples were collected.

Results : Results: Of the 90 subjects in this study, 61% were men and 39% were women, with an average age of

68.8 ± 5.5 years. There was no significant differences between the two groups with respect to dietary intakes of

Vitamin C, beta-carotene, and lycopene (p=0.079, p=0.413, and p=0.455, respectively). The results of the studied

parameters showed that serum beta-carotene and lycopene (p=0.004 and p=0.044, respectively) in healthy subjects

were significantly higher than those in elderly people with MCI. There was a significant correlation between Vitamin

C dietary intakes and plasma level and cognitive scores in MMSE-12 (r = 0.231, p= 0.028 and r=0.224, p=0.033,

respectively) and also between plasma level of lycopene and cognitive scores(r=0.388, p=0.000)

Conclusion : Conclusion: The subjects with MCI had a significantly lower plasma level of lycopene and beta-

carotene antioxidants compared to healthy subjects and there was a positive correlation between plasma level of

Vitamin C and lycopene and also Vitamin C dietary intakes and scores in the MMSE-12 test.

Keywords : Mild Cognitive Impairment (MCI), Vitamin C, Lycopene, Beta-carotene


Count: 28

Abstract ID: 111

subject: : - Rehabilitation & Palliative Care


INVESTIGATING THE RELATIONSHIP BETWEEN EXERCISE AND MOTOR

DISORDERS IN ELDERLY

Submission Author: Hossein Eidizade

Hossein Eidizade1, Fatemeh ahmadi2, Abdossaleh Zar3

1. MSc Student,Department of Sport Science, School of Literature and Humanities, Semnan University, Semnan, Iran 2. PHD student , Department of Exercise Physiology, Faculty of Physical Education and Sport Science, Shahid Chamran University

of Ahvaz, Ahvaz, Iran 3. Department of Sport Science, School of Literature and Humanities, Jahrom University, Jahrom, Iran

Background and Aim : One of the most important stages of human life is the stage of aging. Elderly is associated with a

reduction in muscle mass, neuromuscular function, strength, endurance, and also the motor range of the joint. Imbalance and

motor disorders are the most common etiologies of aging, due to arthritis, flatulence, and natural changes in the body due to

aging. The problems that cause the elderly to fall include the use of multiple drugs, cognitive deficits, motor defects, lower

limb problems, chronic illnesses, poor balance, low body mass index, low physical activity, functional defects, and visual

problems. For this reason, the factor of balance and rehabilitation in this age group is considered by researchers. Since exercise

and physical activity can have a positive effect on motor disorders in the elderly and improve their lifestyle, the purpose of this

study was to investigate the relationship between exercise and motor disorders in the elderly.

Methods : The present study is a library method based on articles in valid databases using the keyword such as exercise, aging,

and motor disorders.

Results : According to the results, types of exercise and physical activity can be useful in improving motor disorders. Aerobic

exercise (such as walking, swimming, tennis) is one of the ways to treat motor disorders. Strength training and other endurance

exercises help strengthen muscles and bones, and improve performance and balance. Pilates exercises or other exercises that

improve flexibility help reduce pain and dryness. Neurofeedback exercises are also effective in improving elderly balance. The

use of a comprehensive combined exercise program in water, due to its low risk profile by providing conditions for challenging

the muscular nervous system, can be an effective way of improving balance and subsequently reducing the risk of falling into

the elderly. Exercise can be effective in increasing motor functionality, improving motor status, helping to increase walking

balance, improving muscle strength, and improving elasticity in the elderly.

Conclusion : Considering the positive effects of exercise and physical activity on the improvement of motor disorders in the

elderly and raising the quality of life and improving the balance, it should be noted that the elderly, exercise and physical

activity are included in their daily schedule and the necessary knowledge of the effects of exercise in Old age is given to them

through the media.

Keywords : exercise, aging, motor disorders


Count: 29

Abstract ID: 143



THEEFFECTSANDPOTENTIALMECHANISMSOFFOLICACIDONCOGNITIVEF

UNCTION: A COMPREHENSIVE REVIEW

Submission Author: Seyede athena Enderami

Seyede athena Enderami1, Mehran Zarghami2, Hadi Darvishi-Khezri3

1. Department of Psychiatry, School of Medicine, Mazandaran University of Medical Sciences, Sari, Mazandaran, Iran 2. Department of Psychiatry, School of Medicine and Psychiatry and Behavioral Sciences Research Center, Addiction Institute,

Mazandaran University of Medical Sciences, Sari, Mazandaran, Iran 3. Student Research Committee, Thalassemia Research Center, Hemoglobinopathy Institute, Mazandaran University of Medical

Sciences, Sari, Mazandaran, Iran

Background and Aim : Cognitive impairment and dementia are major neurocognitive disorders that cause a

noticeable decline in cognitive abilities, including memory and thinking skills. The effectiveness of using folic acid

as an adjuvant for management of neurocognitive disordersisnotwell-

known.Thispaperexplainstheroleoffolicacid,includingitsusefulness,effectiveness,adversesideeffects, and active

mechanisms on cognitive functions of the elderly. In the current study, we reviewed clinical and experimental studies

investigatingtheuseoffolicacidpriortoNovember2017,usingPubMed,ISIWebofKnowledge,ScienceDirect,Scopus,Ov

id, and Cochrane Library databases. A total of 142 articles were retrieved by electronic search. Based on the preset

inclusion and exclusion criteria, a total of 36 articles were retrieved for full text analysis. According to data obtained

from the review, it seems that folic acid supplementation may improve cognitive function by decreasing

homocysteine (Hcy), vascular care, attenuating inflammatory status, modification of cerebral folic acid deficiency,

and antioxidant responses. Specifically, people with high levels of Hcy have a better response to folic acid

supplementation, which may arise from low serum folate concentration.

Methods : Evidence acquisition

Results : There is an insufficient number of reported studies to identify the clinically important treatment effects of

folic acid on cognitive dysfunction. Studies showed that long-term folic acid supplementation reduces the rate of

cognitive decline in older

Conclusion : There is an inadequate number of studies regarding the effect of folic acid in the prevention cognitive

decline and improvement of cognitive function, and its role is still not completely clear. It seems that folic acid

supplementation could improve cognitive function by decreasing Hcy, vascular care, attenuating inflammatory

status, modification of cerebral folic acid deficiency, and antioxidant responses, especially in subjects with elevated

serum Hcy levels. Moreover, the optimal dose of folic acid required to possible improvement in cognitive function

is currently unknown. We recommend further studies involving large numbers of patients for longer durations of


follow-up to clarify the exact dose of folic acid as an adjuvant in the treatment of cognitive dysfunction and different

types of dementia and in the prevention of cognitive impairment in elderly. In addition, further robust clinical trials

are needed to understand whether this treatment can reverse, slow, or prevent conversion from cognitive dysfunction

to dementia. A dose of 4 mg/kg/day folic acid has ameliorated cognitive dysfunction in animal studies [8]. However,

although the administration of folic acid in very high doses has been well-tolerated, using folic acid in high doses

has not been justified, and the dose of this supplement in human studies has been 0.8–10 mg/day [26, 32, 40].

Monitoring folate blood/CSF levels for normalising and maintaining normal serum/CSF levels, or prevention from

folate toxicity in the clinical trials may be necessary.

Keywords : Folicacid .Neurocognitivedisorder .Cognitivedysfunction .Cognitiveimpairment .Cognitiveperformance

.Mental disorders .Dementia


Count: 30

Abstract ID: 137



THE EFFECT OF INHALATION AROMATHERAPY WITH LAVENDER ON

SLEEP QUALITY OF THE ELDERLY IN NURSING CARE HOMES: A

RANDOMIZED CLINICAL TRIAL

Submission Author: Leila Fahimzade

Leila Fahimzade1

1. MSC Student of Nursing, Nursing and Midwifery Faculty, Birjand University of Medical Sciences, Birjand, Iran

Background and Aim : Nurses who take care of elderly people have witnessed sleep disorders as one of the most

common problems in these geriatric patients. As a major non-pharmaceutical method, aromatherapy is considered as

a holistic nursing intervention. The purpose of this study was to investigate the effect of lavender aromatherapy on

sleep quality of elderly people in nursing care homes.

Methods : This study conducted “randomized controlled field trial” on 50 elderly people in the nursing care home

of Zabol County. The representatives were selected with the help of available sampling method and randomly divided

into 2 experimental and control groups. The participants of the experimental group were exposed to lavender essential

oil for 7 nights from 10 pm to 6 am. However, placebo (water) was used in the control group. The PSQI questionnaire

was completed before and after the intervention by both groups. The data was analyzed using the SPSS software and

the statistical tests of chi-square, Fisher exact test, Independent t-test, and paired t-test. This study was a randomized

controlled field trial, with the purpose of determining the effect of aromatherapy on sleep quality of elderly people

in nursing care homes in the eastern region of Iran (Zabol County) in 2016.

Results : There wasnosignificant difference between experimental and control groups as far as themeanscore of sleep

quality at the beginning was concerned. However, a notable distinction between the 2 (experimental- 6.483.33 and

control- 9.843.76) groups was found in the end. The comparison of sleep mean scores before and after the

intervention showed that there was a statistically significant relationship in terms of delay in falling sleep, sleep

disorders, and impaired daily functioning. The comparison of sleep mean score change between the experimental

and control groups observed delays in falling sleep, sleep duration, sleep disorders, taking sleep medications, and

impaired daily functioning (P < 0.05).

Conclusion : Lavender aromatherapy had a positive impact on improving the sleep quality of elderly people and

may be used as a non-invasive, easy, and low-cost method.

Keywords : Lavender, Aromatherapy, Nursing Care Home, Sleep Quality, Elderly


Count: 31

Abstract ID: 3



POSITIVE EXPERIENCES OF CAREGIVING IN FAMILY CAREGIVERS OF

OLDER ADULTS WITH DEMENTIA IN IRAN: A CONTENT ANALYSIS STUDY

Submission Author: Akram Farhadi

Akram Farhadi1, Mahshid Foroughan2, Maryam Noroozian3, Farahnaz Mohammadi4, Leila Sadeghmoghadam5,

Shima Nazari6

1. 1- Department of Nursing, School of Nursing and Midwifery, Bushehr university of medical sciences, Bushehr, Iran. 2. 3- Iranian Research Centre on Ageing, Department of nursing, University of Social Welfare & Rehabilitation, Tehran, IR Iran 3. 2- Memory and Behavioral Neurology Department, Tehran University of Medical Sciences (TUMS), Tehran, IR Iran 4. 3- Iranian Research Centre on Ageing, Department of nursing, University of Social Welfare & Rehabilitation, Tehran, IR Iran 5. 6- Department of Nursing, School of Nursing and Midwifery, Gonabad University of Medical Sciences, Gonabad, Iran 6. Department of Nursing, Tehran University of medical sciences, Tehran, Iran.

Background and Aim : The growing trend of aging population and age-related diseases, such as dementia, increases

the importance of paying attention to the Field of care issues. One of the notable issues in this area is the positive

appraisal of caregivers of their cares, so current study conducted with the aim of explaining the positive experiences

of family caregivers of elderly patients with dementia in Iran.

Methods : This qualitative study conducted through conventional content analysis approach. Twelve family

caregivers of elderly with dementia were selected through purposeful sampling method from among those attending

Memory Clinic of Yadman and Alzheimer's Association of Iran located in Tehran. and participated in semi-structured

interviews. Maximum variation sampling was used to select participants from diverse backgrounds in terms of age,

gender, education and others socio-economic status. Data analysis was performed simultaneously with data

collection.

Results : Data analysis led to the emergence of three main categories including satisfaction with care, personal

growth and caregiving gains along with nine subcategories

Conclusion : According to the results of this study, the appraisal of family caregivers of their cares also covers many

positive dimensions. In order to achieve better results of the interventions, all-round attention to these dimensions is

recommended for all policy makers and health care professionals in the field of family caregivers. Researchers and

health policy-makers in the Middle Eastern countries can use these findings to be more familiar with the concept of

Positive aspects of caregiving appraisal in family caregivers of older adults with dementia.

Keywords : Elderly, Dementia, Caregiving appraisal, Family caregiving, content analysis


Count: 32

Abstract ID: 116



DEVELOPMENT OF AN ALGORITHM TO MANAGE AND PREVENT

OSTEOPOROSIS IN LONG TERM CARE AND INPATIENT GERIATRIC

POPULATION

Submission Author: Faranak Firoozi

Faranak Firoozi1, Faranak Firoozi, DPharm, DESS, PhD2, Andréanne Moreau, MD, CCMF (SPA) 3

1. Institut Universitaire de Gériatrie de Montréal, Montreal, Qc, Canada 2. Institut Universitaire de Gériatrie de Montréal, Montreal, Qc, Canada

Background and Aim : In geriatric population, prevention and treatment of osteoporosis are generally a medical

concern. However, the choice of proper strategy is usually difficult considering the presence of several co morbidities

in this population including dysphagia, chronic renal failure and cognitive impairment. Also, we noticed the lack of

common consensus in clinical practice between different physicians in different settings or even in the same care

facility. Furthermore, the lack of routine treatment reassessment has been noted in our institution and as a result

treatment by bisphosphonate could continue for long time without any clear indication.

Methods : To develop our local algorithm, we gathered recommendations from Osteoporoses Canada, and from the

« Regroupements des unités de courtes durées gériatriques et des services hospitaliers de gériatrie de Québec » for

osteoporosis management in short and long term geriatric facility cares. KDIGO Clinical practice Guideline for

treatment of chronic kidney disease-Mineral and bone disorder and the Uptodate® section on Overview of the

management of osteoporosis in postmenopausal women have also been consulted. In Institut de Gériatrie, we have

about 110 short term and 284 long term beds currently. The median age of our patient in long term care is 85 yrs old

and the great number of the residents has more than 3 co morbidities. The cognitive impairment and dysphagie are

serious obstacle to use biphosphonate po in this population. We have developed an algorithm to provide an easy

approach to select patients who need to receive osteoporosis prevention and treatment in our facilities. To develop

the algorithm, we took in consideration the characteristics of our patients in short and long term care. The final

version of algorithm has been reviewed by 2 pharmacists of Institute and Rheumatologist expert in osteoporosis (in

progress).

Results : The algorithm has been developed on double-sided format in one page in order to be easy to use for medical

team in every admission. The medical team will be instructed and advised how to use the decision making algorithm

for each patient on her/his admission. Additionally, pharmacist of long term care will review and evaluate the

indication of biphosphonate for all patients with the help of decision making algorithm.


Conclusion : The algorithm of decision making will be applied in Institut Universitaire de Gériatrie de Montréal and

its long term geriatric facilities from Autumn 2018. The evaluation of its efficacy and the satisfactory of medical

team will be evaluated afterward.

Keywords : Osteoporosis, Geriatric, renal failure, dysphagia, Prolia®, Biphosphonate


Count: 33

Abstract ID: 70



SURVEY OF NUTRITIONAL STATUS AND LIFESTYLE IN THE ELDERLY

PEOPLE IN FARIMAN CITY IN YEAR 1396

Submission Author: Toktam Forghani

Toktam Forghani1, Ghasem Khaleghi2, Samaneh Sabouri3, Tahereh Khakpoor Fadaki4, Maryam Pourzanjani5

1. public health practitioner BSc, Fariman Health Office, Mashhad University of Medical Sciences,Iran 2. MD, Fariman Health Office, Mashhad University of Medical sciences, Fariman, Iran 3. statistical analyzer , Mashhad University of Medical Sciences,Iran 4. public health practitioner BSc, Fariman Health Office, Mashhad University of Medical Sciences,Iran 5. Ms.C of Midwifery, Fariman Health Office, Mashhad University of Medical sciences, Fariman, Iran

Background and Aim : Today, the aging of population is rising all over the world, and the illnesses and problems

arising from this evolutionary stage can greatly affect the quality of life of elderly people. Health professionals

consider lifestyle as one of the most important factors affecting health.this study was conducted to determine the

nutritional status and lifestyle of elderly people in Fariman city in 1396.

Methods : In this descriptive cross-sectional study, from population of elderly people (over 60 years of age) recorded

in the household electronic file (SINA) 390 people were selected by proportional cluster sampling to the volume of

each cluster at the level of health centers . Data were analyzed by descriptive and analytical tests using SPSS software

Results : Of the total sample, 42% are urban residents and 58% are rural. The average age of the sample was 72

years (sd = 8.8). 70% were married .15% of the subjects had a disease Diabetes and 53% have hypertension. In the

blood glucose test, 81% of the sample population had normal blood glucose and 10% had a blood glucose level of

125-100% and 9% had a high blood sugar level of 126. Also, the results of cholesterol test showed that 18% of the

sample had cholesterol above 200.22% Of subjects were skinny, 49% had normal body mass index, 15% had

overweight, and 14% were obese. 83% of vitamin D supplements, while 8% have tobacco use. 2% had a history of

fall and 9% felt insecure. 91% of the subjects had no symptoms in screening colon cancer and 7% had constipation.

98% had no significant symptoms in the breast examination and 1% had screened for breast mass. 55% of the subjects

had digestive problems, 27% had depression and 18% had hyperthyroidism and hypothyroidism. The score of

nutrition rating based on the answers given on the basis of the checklist is 33%, 61% of the average and 6% of the

points are undesirable. In the whole of the elderly week, the score of the nutrition pattern without training was 28 %,

56% and 16% respectively. Chi-square test showed a significant correlation between BMI and cholesterol levels and

also the level of glucose (P <0.05). The results of chi-square test showed that there was no significant difference

between the sample regimen and the community regarding the pattern of nutrition score. Also, the results of Chi-

square test showed a significant correlation between residence and diabetes (P <0.05), while 19% of the inhabitants

of the city had diabetes, this was 11% in the rural population


Conclusion : The results show that the BMI of the sample tested has a direct effect on the level of cholesterol and

glucose, both of which are risk factors for cardiovascular disease. The prevalence of diabetes in the urban community

has also been higher. Regarding the fact that the development of aging changes occurs before years of age, proper

nutrition plays a vital role throughout the whole life, and with the improvement of nutrition along with social

activities, the problems of this era can be greatly reduced.

Keywords : Body mass index, elderly, lifestyle, Fariman


Count: 34

Abstract ID: 105



THE IMPACT OF CONVENTIONAL AND SPIRITUAL REMINISCENCE IN A

GROUP MANNER BY SENIORS ON THEIR CONFIDENCE IN NURSING

HOMES

Submission Author: Zahra Ghazavi

Zahra Ghazavi1, Ayoob Faridi2, Jahangir Maghsoudi 3, 3Habibollah Hosseini 4

1. Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences,

Isfahan, Iran 2. Nursing, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran 3. Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences,

Isfahan, Iran 4. Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences,

Isfahan, Iran

Background and Aim : Due to the growing elderly population, identifying the risk factors and proper planning to enhance the

confidence of this segment of society seems essential. This study aimed to determine the efficacy of conventional and spiritual

reminiscence in a group form on self-esteem by seniors in nursing homes in Isfahan was done in 2015

Methods : This study was a randomized, double and three-stage group. In this study, 64 elderly people living in nursing homes

in Isfahan randomly selected and randomly assigned to two experimental and control groups were replaced. The two

experimental and control groups dedicated to the Rosenberg Self-Esteem Scale (RSES) responded. Then the researcher under

the experimental group for 8 sessions (2 sessions per week for 4 weeks) to normal and spiritual reminiscence to the group's

practices. Immediately after the intervention and one month after both experimental and control groups dedicated to the

Rosenberg Self-Esteem Scale (RSES) responded. Data were analyzed using SPSS software version 18. Results: ANOVA

showed that average scores of confidence in the stages before, immediately after and one month after the intervention groups

were significantly different (p<0.05). Scheffe analysis showed that mean scores of confident seniors groups before, immediately

after and one month after intervention significantly different (p<0.05). Conclusion

Results : The results of reminiscence and spiritual importance of the elderly in the conventional group approved. More

interaction with peers and discuss with them and to share memories by the elderly could be useful in increasing their self-

confidence.

Conclusion : According to the survey results, the use of conventional and spiritual reminiscence program to enhance the

confidence of the elderly is recommended.

Keywords : Typical reminiscence, spiritual reminiscence, the elderly, confidence, Isfahan


Count: 35

Abstract ID: 15



THE PREDICTORS OF SOCIAL SUPPORT LEVEL AMONG TEHRANIAN

OLDER PEOPLE

Submission Author: Hanieh Gholamnejad

Hanieh Gholamnejad1, ali darvishpoor kakhki2

1. shahid beheshti university of medical science

Background and Aim : Social support is one of the most important aspects of older peolpe life that shows the

measure of love, support, and respect of family members, friends, and others to them. The present study was

conducted to determine the predictors of social support among older people in Tehran.

Methods : the descriptive- exploratory study with Cluster sampling method was performed on 400 older people who

referred to different parks in five areas of Tehran in 2017. To collect data, demographic information questionnaire,

and social support questionnaire based on Canadian community health survey were used after approving their validity

and reliability. Data analyses were carried out using SPSS v.20 software, statistical-analytical test, independent T-

test, Pearson correlation, and regression analysis.

Results : The mean age and social support score of older people were 69.1±7 and 75.33±20.5, respectively. Multiple

linear regression analysis showed life companions (β=3.41), marital status (β2.47), and housing status (β=-2.87) as

predictive variables of older people social support among other variables.

Conclusion : married older people or those who live with their family and children or have personal house compared

to other older people have more social support. It seems that increasing the support from the older people caregivers,

training specialist, and family counseling for the older people and those around them can be effective in increasing

emotional support.

Keywords : social support, older people.


Count: 36

Abstract ID: 52



THE EFFECT OF SELF-CARE EDUCATION ON THE ELDERLY’S HEALTH

Submission Author: Somayeh Gholizadeh

Somayeh Gholizadeh1, parand pourghane2, Fatemeh Mansuri3

1. MSc in Nursing Elderly, Guilan University of Medical Sciences, Rasht, Iran 2. BSN, MSN, PhD in Nursing Education(Cardiac Rehabilitation) Head of Department of Nursing Assistant Professor Faculty of

Guilan university of Medical Sciences, Rasht, Iran 3. MSc in Nursing Elderly, Guilan University of Medical Sciences, Rasht, Iran

Background and Aim : Health promoting behaviors become becoming more important by aging. Among the health

determining factors, self-care and health promoting behaviors are known as the most important means of preventing

diseases, especially chronic diseases. The most important self-care and health promoting behaviors include healthy

nutrition behaviors, physical activity, stress management, interpersonal communication, spiritual growth and health

responsibility. This study is conducted to determine the effect of self-care on the health of the elderly and its

discussion.

Methods : This study is a review of the published articles (2018-2000) on self-care in the elderly. According to the

research question: "How does self-care education affect the health of the elderly?” a search is carried out on valid

databases of iranmedex, google scholar, sid, pubmed, web of science, scopus to identify self-care studies and its

effects on the control of various diseases and the health of the elderly. The studies, analyses and results were

extracted.

Results : The results show the positive effect of different types of mental and physical self-care on various aspects

of elderly’s life. Physical self-care increases the ability of a person to perform daily tasks independent of others,

reduces the physical burden significantly, helps to improve the elderly's treatment, shortens the length of elderly’s

admission, reduces activity limits, increases role play and, consequently, enhances their quality of life. In addition,

the results indicate improved self-care for the elderly with cerebral stroke. Psychological self-care plays an important

role in mental health and quality of life in hemodialysis patients, mental and spiritual health of women and the quality

of life of patients with GVHD (Graft Versus host Disease) and has positive effects on patients with cancer, AIDS

and heart disease.

Conclusion : Considering the effect of self-care on improving the quality of life, maintaining and increasing the

health level as well as the effects on self-esteem and the value of this honorable group in society, it is essential to

consider self-care education in the vulnerable group's care program.

Keywords : Education, Self-care, Health, Elderly, Review


Count: 37

Abstract ID: 81



FACTORS INFLUENCING FEELINGS OF BURDEN AMONG FAMILY

CAREGIVERS LOOKING AFTER ELDERLY WITH ALZHEIMER'S

Submission Author: Fateme Golestan

Fateme Golestan1, Sakineh ramezanli2, Neda poornoruz3

1. Msc of critical care nursing, School of Nursing and Midwifery, Jahrom University of Medical Sciences, Jahrom, Iran 2. Msc of medical-surgical nursing, School of Nursing and Midwifery, Jahrom University of Medical Sciences, Jahrom, Iran 3. Msc of medical-surgical nursing, School of Nursing and Midwifery, Jahrom University of Medical Sciences, Jahrom, Iran

Background and Aim : Studies on the elderly population confirm the global epidemic of Alzheimer’s. Iran is also

facing this crisis. Alzheimer’s is a threating situation for the family and community in different dimensions. Families

are forced to take care of their patients so they are faced a lot of problems. The purpose of this study was to investigate

the factors affecting burden in family caregivers of these patients

Methods : The current study is a review article. To examine factors influencing feelings of burden among family

caregivers looking after elderly with Alzheimer's, all article between 2010-2018 were searched in databases of google

scholar, pubmed and scopus with keywords of “burden”, “family caregivers”, “elderly with Alzheimer's”. The

Iranian databases of IranMedex and SID were also searched with equivalent Persian keywords. Only full text articles

were examined

Results : According to the result of the most studies, family caregivers of elderly with Alzheimer's experience a high

level of burden. In this regard, financial burden, insufficient resources, social and medical services, lack of family

members' cooperation were the most mentioned factors influencing Caregivers’ Burden among Family caregivers of

Elderly with Alzheimer's.

Conclusion : Recognition of factors influencing caregivers’ burden among family caregivers of elderly with

Alzheimer's can provide early support to prevent this event and this is an important issue Because the family plays

an important role in taking care of their patients

Keywords : elderly, Alzheimer, family caregivers, burden


Count: 38

Abstract ID: 120



WHAT IS A KEY STEP IN FALLING PROCESS IN OLDER PEOPLE? A

QUALITATIVE STUDY IN AN IRANIAN CONTEXT

Submission Author: Shahrzad Habibi

Shahrzad Habibi1, Shahrzad Habibi ghahfarrokhi2, ahmad ali akbari kamrani3, , hamid reza khankeh4

1. - 2. MD, PhD in gerontology, Department of social medicine, shahrekord university of medical sciences ,shahrekord, Iran 3. MD,Associate professor , Iranian Research Center on Ageing, University of Social Welfare and Rehabilitation Sciences(USWR),

Tehran 4. PhD, Associate professor, Department of Health in Emergency and Disaster and Department of Nursing, University of Social

Welfare and Rehabilitation Sciences(USWR), Tehran, Iran Department of Clinical Science and Education, Karolinska Institute,

Stockholm, Sweden

Background and Aim : Falls in elderly people occur commonly and may result in significant morbidity and

mortality in older individuals. Prevention of falls is quite possible. The important point is to know and use

interventions appropriate to each context. The aim of this study was to explore the facilitators and barriers of the

process of falling in elderly people in an Iranian context.

Methods : A grounded theory data analysis method (constant comparative analysis) was recruited using semi-

structured interviews with15 older persons and 7 formal and informal caregivers.

Results : According to the experiences of the participants of the current study, the main situation was “response to

ageing” and eight major concepts related to this situation have been explored. In reaction to ageing, older persons

show three main responses including maladaptive, corrective adaptation and unsuccessful or disruptive adaptation.

Other related concepts include physical and mental condition, learning on aging, fall consequences, fatalism in falls,

lifestyle, social factors related to falling, environmental factors, and restrictive care.

Conclusion : Responses to ageing had the most important role in shaping the process of falls. Therefore, the type of

interventions that lead people to response appropriately to aging may be an effective factor in preventing falls in

elderly people. it is also necessary to explore the process of fall in each context.

Keywords : : fall, older people, adaptation to ageing


Count: 39

Abstract ID: 109



THE WAYS OF IMPROVING MEMORY TO PREVENT ALZHEIMER'S IN

ELDERLY: REVIEW ARTICLE

Submission Author: Lida Hasanzadeh

Lida Hasanzadeh1

1. Student research committee, Shiraz university of medical sciences, Shiraz, Iran

Background and Aim : Nowadays, due to the relative increase in the population of elderly, the problems concerning

their health is important. Alzheimer's is one of the most common cognitive disorders progressively in older people

is currently one of the major health problems in the world. the main characteristic of these diseases reduce the

memory that is to be followed by other cognitive aspects including the intellect, a remember, analysis and

centralization sees damage and daily life of these people is highly disturbed. In this review article intend to examine

ways to improve memory and prevent Alzheimer's in elderly.

Methods : use the keywords of "improve", memory " ،"prevent," "Alzheimer's", " Ageing " Search for electronic

resources PubMed , Google scholar , SID between 2008_2018. The result of this study were 371 articles.after studing

the title and abstracts of articles ،29 studies have been used to write this article.

Results : A variety of methods to improve memory function in the elderly to prevent Alzheimer's, including listening

to the radio and television news and explain to their friends, daily effort to learn a new topic, read a book or

newspaper, express memories of the past at a gathering of friends And families, looking at old photo albums and

recalling the name of the people and memories of the past, writing memoirs, boobs with friends and acquaintances,

intellectual games such as chess, solving the table, note down the phone number for relatives and friends that they

are likely to forget who is there, having a notebook and calendar with themselves in everywhere, having a Notepad

on the side of the phone to write messages in phone calls, put in the sight of medicines in order to avoid forgetting

the drug, listen music, favorite old books Out of everyday happenings, duplicated content entered in memory in the

form of daily before bedtime, do aerobic exercise, stay away from alcoholic ingredients. Improving the memory

function involves the normal behavioral repair techniques ،which can help elderly people improve memory function

and prevent alzheimer's disease.

Conclusion : According to the results of the mentioned,.can use these ways to improve memory to help the elderly

prevent alzheimer's.

Keywords : improve, memory, prevent, Alzheimer's, aging.


Count: 40

Abstract ID: 118



EDUCATIONAL INTERVENTIONS FOR THE CARE OF THE HEARING LOSS

OF ELDERLY


Lida Hasanzadeh1


Background and Aim : Nowadays, due to the relative increase in the population of elderly, the problems concerning

their health is important. 15 percent of elderly from 65 to 74 years and 50 percent of the elderly 74 years, are faced

with the problem of hearing. this problem due to age-related changes in the middle ear and the inner building. Since

the hearing loss has lack of pain and invisible ،is not able to detect it ،in the The result of the elder care is essential.

Methods : In the training sessions _ therapy ،we want group of elder to sit on the Chair ،we want elder health and

left themselve with ears and then at a distance of 60 cm while he is out of sight their elder party have bent so that our

mouth in line with older, right ear a few numbers at the end of exhalation and say we want to repeat that the elder,

this test is for checking the hearing loss ،we use older hearing so if you need the training necessary to provide ear

care .

Results : A variety of methods to care for elderly hearing loss through training there including the refrain from going

to luminous and loud place, listen to refrain from manipulating the out crime, refrain from plungue bodies like a

bunch of glasses, PIN, head of pen ،ear cleaner in the ear, refrain from dipping and washing it in the ear duct brush

with shampoo during bathing, refrain from taking medication without prescription, in a conversation the elder look

at the lips and most carefully, and if you ask people who are not overlook of your talk ،They repeated when talking

with the elderly, clearer and the slow speed with elder.

Conclusion : Hearing care is a safe, low-cost interventions and useful. According to the results of the mentioned the

effectiveness of these training techniques, can be used to help in caring for the elderly.

Keywords : Educational interventions, care, hearing loss, elderly.


Count: 41

Abstract ID: 119



THE IMPACT OF EXERCISE ON IMPROVING THE STATUS OF THE MEMORY

OF ELDERLY ALZHEIMER'S PATIENTS: A REVIEW ARTICLE


Lida Hasanzadeh1


Background and Aim : Human memory naturally decreases after 60 years of age .Alzheimer's is one of the most

commonly diagnosed dementia diseases in elderly with prevalence over the next few decades. Alzheimer's causes

cognitive impairments that lead to a decrease in the quality of life and the loss of individual autonomy in everyday

life activities . exercise plays a major role for people with intellectual deterioration so that they protect the brain from

aging to prevent memory impairment. in this study, we're going to review the role of the exercise on the memory

function of elderly people with Alzheimer's disease

Methods : use the keywords of "exercise",improving "," memory "," elderly "," Alzheimer's "to search for electronic

resources PubMed , Google scholar , SID was used between 2008 to 2018. A total of 226 articles were the result of

this search. After studying the title and abstracts of articles ،15 studies have been used to write this article.

Results : A variety of methods to improve the situation of elderly patients with Alzheimer's memory through

exercising including riding a bike, doing aerobic exercises, exercise fitness, walking, continuous and regular physical

activity, weight training, swimming, aerobics, water sports, tennis, football, volleyball sitting. with the help of MRI

Imaging. That was shown ،Exercise can increase the rate of brain blood flow in memory centers and the deterioration

of the brain and reduce the precipitating of certain proteins that are important symptoms of Alzheimer's disease and

is highly effective in improving the memory function of elderly people with Alzheimer's disease.

Conclusion : According to the results of the mentioned the effectiveness of sports activities, can be used to improve

memory in the elderly with Alzheimer's.

Keywords : Exercise, improving, memory, elderly, alzheimer's


Count: 42

Abstract ID: 59



HIGH SERUM CHOLESTEROL LEVELS AS A RISK FACTOR FOR

ALZHEIMER'S DISEASE: A SYSTEMATIC REVIEW

Submission Author: Hadiseh Hashemi yusefabad

Hadiseh Hashemi yusefabad1, Reza Sohrabi Kabi2

1. Health Research Institute, Diabetes Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran 2. Bachelor of nutrition Science, Student research Committee, Yasuj University Medical Science, Yasuj, Iran.

Background and Aim : Alzheimer's disease (AD), the main form of dementia, is a disease with complex origin.

Although Alzheimer's disease usually diagnosed in late-life, the early stages of AD begin in adulthood. In order to

prevent and to minimize the progression of the AD, it is necessary to identify its modifiable risk factors.

Methods : In this systematic review, published English-language articles from 2005 to 2018 from databases and

authoritative scientific sites, Pubmed Medline, Embase and the google scholar search engine were reviewed. The

keywords: serum cholesterol levels, Alzheimer, and dementia were used. Descriptive and analytical articles were

used in this study.

Results : Risk factors of cardiovascular disease (increased plasma cholesterol concentration and low HDL plasma

concentrations) were identified as risk factors for Alzheimer's disease. In vitro studies have shown that cholesterol

plays an important role in the development of Alzheimer's by producing beta-amyloid in the brain. Studies have

shown that high total cholesterol in midlife is associated with an increased risk of the AD, while the reduction in

total cholesterol in later-life is likely to be a risk factor for cognitive impairment. Apo-£ 4 genotype is a risk factor

for Alzheimer's in all populations, and the mechanism through which its effect is applied is also unknown. Gene

mutations are responsible for only 5 percent of Alzheimer's around the world. Therefore, other risk factors such as

cardiovascular disease, lifestyle and environmental factors play an important role in AD progression. Animal studies

have shown that long-term dietary intervention with docosahexaenoic acid (DHA) inhibits the progression of the

AD, by improving vascular health and reducing the amount of beta-amyloid. The balanced intake of unsaturated fatty

acids in midlife has a protective effect, while saturated fatty acids may increase the risk of the AD. Statins

(atorvastatin) in addition to preventing coronary heart disease, can also prevent Alzheimer's by reducing intracellular

cholesterol levels.

Conclusion : This study revealed a potential association between dietary fat, peripheral cholesterol, and Alzheimer's.

Therefore, the use of healthy lifestyle approaches can be effective in preventing or minimizing Alzheimer's progress.

Keywords : serum cholesterol levels, Alzheimer, dementia


Count: 43

Abstract ID: 29



EVALUATING THE VIEWPOINTS OF ELDERLY PEOPLE WITH

HYPERTENSION IN NURSES' SUPPORTIVE CARE

Submission Author: Firuzeh Hatamirad

Firuzeh Hatamirad1, Bastami Masoumeh2, Hatamirad Mehrangiz3, Mirzavandiani Faranak4, Amini Fard Faranak5

1. Msc of Science in Nursing Education, Clinical Supervisor, medical education Center Shohada ashayer. Khorramabad. Iran 2. MSc, Department of Nursing, University of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran 3. MSc Student. Department of Nursing, University of Nursing and Midwifery, khorramabad University of Medical Sciences,

khorramabad, Iran 4. Nursing expert, Clinical Supervisor, medical education Center Shohada ashayer. Khorramabad. Iran 5. Nursing expert, Clinical Supervisor, medical education Center Shohada ashayer. Khorramabad. Iran

Background and Aim : Hypertension is one of the most common circulatory disorders and is one of the most

important chronic diseases in developed and developing countries, especially in the elderly. Patient support is one of

the intrinsic elements of professional ethics in nursing and an integral part of nurses' efforts to protect the interests

of patients, especially the elderly, and promote their well-being, which helps to protect patient's rights. Since support

care affects the lifestyle and survival of the elderly, the present study aimed to determine the viewpoints of

hypertensive elderly people about supportive care of nurses.

Methods : This descriptive cross-sectional study was carried out in 1396. Sampling was done as a census and

included 100 elderly people with hypertension(Male and female) admitted to general education hospitals of Shohada

Ashayer in Khorramabad who have criteria for entering the study(Age range of 90-60 years old, hypertension, lack

of physical disabilities and motor problems or mental and cognitive impairment). Data were collected using a

questionnaire consisting of three sections (demographic data, clinical variables and supportive care). Validity of the

questionnaire was calculated using content validity and reliability of the questionnaire using Cronbach's alpha

coefficient (70%). Data were analyzed by SPSS software version 16 using descriptive statistics and Pearson

correlation coefficient at significant level (p <0.05).

Results : The results of the data analysis showed that the highest frequency (50%) belonged to the aged 60-69 years

old. Most of the samples were women, married, and settled in the city. The incidence of hypertension was 51% in

elders 5-9 years, and 86% used pills to treat the disease.

Conclusion : 56.6% of the elderly report favorable emotional support for nurses, which includes accepting and

respecting the patient. Regarding the dimension of physical support, 51.2% of the elderly reported moderate physical

support. 58.6% of the elderly evaluated nurses' information support averaging. Also, 63.6% of the elderly reported

average nursing care support. According to the results of this study, support for elderly people with hypertension is


considered as part of nursing skills And the periodic training of nurses focusing on the teaching of ethical concepts

would probably be helpful in preparing them to play their role as a supporter of the patient. In addition, the attention

of nursing managers seems to be necessary to promote the supportive role of nurses in these patients.

Keywords : Elderly, hypertension, supportive care, nurses.


Count: 44

Abstract ID: 90



EVALUATING THE EFFECT OF DASH DIETARY FOR ELDERLY

HYPERTENSION

Submission Author: Firuzeh Hatamirad

Firuzeh Hatamirad1, Hatamirad Mehrangiz2, Heydari Heshmatolah3, khalilifard javad4, Hatamirad Firuzeh5

1. MSc Student. School of nursing and midwifery, Lorestan university of medical sciences, Khorramabad, Iran. 2. Assistant professor,School of nursing and midwifery, Lorestan university of medical sciences, Khorramabad, Iran. 3. Ph.D. Pharmacy, Faculty of Pharmacy Lorestan university of medical sciences, Khorramabad, Iran. 4. Msc of Science in Nursing Education, Clinical Supervisor, medical education Center Shohada ashayer. Khorramabad. Iran.

Background and Aim : The elderly population is increasing day by day. So it is essential to attend to the health

status of this age group for their health promotion and disease prevention.Hypertension is a major, modifiable risk

factor for cardiovascular and kidney disease and premature mortality that is improved by the DASH (Dietary

Approaches to Stop Hypertension)diet. This study was conducted to determine the effect of Diet diet on controlling

blood pressure in elderly population with hypertension.

Methods : In this study, a comprehensive and in-depth narrative review was carried out by searching the data bases

of SCOPUS, PUBMED, PROQUEST, SCIENCE DIRECT, ISC, IRANDOC, MAGIRAN with the key words of

DASH Diet, aging, blood pressure in the period of January 2010- December 2017 that evaluated compliance with

DASH diet.

Results : The literature review revealed that Considering the beneficial effects of the DASH diet on the risk of

hypertension, heart failure, and coronary artery disease, understanding the barriers to adhering to this diet in public

health is important. The use of the DASH diet depends on economic and geographical factors. The results showed

that low-fat pork along with DASH food pattern can help to lower BP in adults with high blood pressure. Studies

show that healthy nutrition depends on the nutritional knowledge and knowledge about nutrients, cooking, the length

of time spent preparing food, and the nutritional behaviors of family, friends and colleagues. The DASH diet pattern

has been reported as one of the recommended regimens for managing high blood pressure elders.

Conclusion : The wool of this study showed that Dash diet is recommended as a good diet for lowering blood

pressure and improving cardiovascular health. The use of the DASH regimen as a preventive measure of chronic

illness, including hypertension, can also play a role in promoting public health in future dietary strategies. DASH

Dietary pattern is considered as one of the recommended diets and good diet plans for managing patients with

hypertension over the years, with its benefits for inflammatory disorders, diabetes and insulin resistance.

Keywords : DASH Dietary, Elderly, Hypertension


Count: 45

Abstract ID: 25



SELF-CARE PERFORMANCE EVALUATION AND ITS RELATIONSHIP WITH

PERCEIVED SELF-EFFICACY IN ELDERLY PATIENTS WITH TYPE 2

DIABETES

Submission Author: Soghra Hejazi

Soghra Hejazi1, Nooshin Peyman2

1. Master of Health Education and promotion, Provincial Health Center, Mashhad University of Medical Sciences, Mashhad, Iran. 2. 2. Associate Professor, PhD, Department of Health Education and Health Promotion, School of Health, Social Determinants of

Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

Background and Aim : Diabetes is one of the most common chronic metabolic diseases. Self-care and Self-efficacy

are a core element of health and the treatment of patients with chronic diseases, including diabetes. Self-efficacy is

necessary to promote self-care behaviors in diabetic patients. The purpose of this study was to determine the

relationship between self-efficacy and self-efficacy in elderly patients with type 2 diabetes.

Methods : This cross-sectional study was carried out on 200 patients referring to the Shahid Qodsi Diabetes Center

of Mashhad. The samples were selected by randomly convenience sampling method. Status of self-care behaviors

and self-efficacy in patients was assessed by standardized questionnaire (DMSES) and (CIDS). The data were

analyzed using the ANOVA, independent t-test, linear regression and correlation coefficient at SPSS software.

Results : According to the results, the mean score of self-care (55.3±9.9) and self-efficacy (48.8±8.9) was calculated.

Based on the correlation, significant and positive relationship between self-efficacy and self-care scores (r=0.49 ،

p<0.001) was observed.

Conclusion : Since the results of this study showed that self-care and self-efficacy in patients there is a significant

correlation, Therefore, self-efficacy is one of the most important prerequisites for self-care behaviors and it is

essential to consider these concepts in designing interventions to control and manage illness in the elderly with

diabetes.

Keywords : Self-efficacy, self-care, type 2 diabetes, elderly


Count: 46

Abstract ID: 7



PHYSICAL EXERCISE IMPROVES COGNITION IN OLDER ADULTS WITH

AND WITHOUT COGNITIVE IMPAIRMENTS.

Submission Author: Mahnaz Hejazi Shirmard

Mahnaz Hejazi Shirmard1, Alireza Naeimi Shirmard2

1. PhD Candidate of Occupational Therapy, Iran University of Medical Sciences, School of Rehabilitation Sciences, Occupational

Therapy Department 2. MSc Student of Human Ecology, Shahid Sadoughi University of Medical Sciences, Faculty of Public Health

Background and Aim : Aging is associated with declines in certain cognitive skills and lower levels of physical activity.

Consistent evidence has been accumulated that regular exercise training can improve muscle strength, aerobic capacity, and

balance and thereby reduce physical frailty. An increasing body of studies has suggested that lifestyle factors such as regular

physical exercise have a significant impact on how well people age. Emerging research suggests that physical exercise is

associated with a lower risk for the age-related cognitive decline and dementia and also can improve cognition (e.g., memory,

attention, executive functions), however the underlying mechanisms in which physical activity impacts the rate and prevalence

of cognitive decline have not been well defined. The aim of this literature review was to provide an overview of important

findings in this domain.

Methods : A comprehensive literature search on articles and book chapters was carried out. Six bibliographic databases, three

Iranian (SID, Iran Doc, Magiran) and three international (Science Direct, Scopus, Cochrane), without time limitation, were

searched. Multiple combinations of keywords were used. Two researchers reviewed the title and abstracts independently.

Selection Criteria were both qualitative and quantitative studies which appeared to assess the effectiveness of physical exercise

for older adults. At the next stage, full texts were reviewed.

Results : Through three refining steps, 27 articles and books out of 165 records were found to be related to the present study.

Conclusion : Exercise may enhance cognition indirectly by improving health conditions (stress, sleep) and reducing chronic

diseases (coronary heart diseases) that impact neurocognitive functions. Several studies using structural and functional brain

imaging, or electrophysiological measures of brain activity, also suggest that physical exercise induces transient and permanent

changes at the structural and functional levels in the aging brain. Neuroimaging studies indicate that higher levels of

cardiovascular fitness are associated with larger volumes of specific brain regions including the hippocampus, an important

region for learning and memory. This effect may be attributable, in part, to neurogenesis possibly mediated by increases in

vascularization, elevated levels of neurotrophins and growth factors, and/or improved neuronal survival in the aging brain.

Moreover, neurotransmitter systems also seem to be modulated through exercise.

Keywords : Exercise, Cognition, Older adults


Count: 47

Abstract ID: 144



THE ASSOCIATION BETWEEN SOCIAL SUPPORT AND HAPPINESS AMONG

ELDERLY IN IRAN.

Submission Author: Milad Heydari ara

Milad Heydari ara1

1. Hamadan University of Medical Sciences

Background and Aim : Elderly people's life is affected by multiple factors including social support, which is of the

utmost importance. This study aimed to explore the association between social support and happiness as well as the

impact of types of social support on happiness among elders.

Methods : This descriptive and analytical study was carried out on 411 elderly men and women referred to the

retirement, cultural, and rehabilitation centers in Hamadan, west of Iran. Participants were selected by a multi-stage

random sampling method. The research instrument included a questionnaire consisting of three parts: demographic

information, the Oxford Argyle Happiness Inventory, and a Questionnaire derived from Social Support Theory. The

questionnaire was completed through a self-report study. The collected data were analyzed using Pearson correlation

coefficients, multiple linear regression, independent t-tests, and one-way analysis of variance in IBM SPSS Software

ver. 22.0.

Results : The mean for happiness was reported as 41.17±15.2. The values given for social support were 29.40±11.95

and for its dimensions were 7.53±3.89 and 13.70±4.90 for informational support and emotional support, respectively.

Moreover, the mean value for appraisal support was 3.48±2.37 and was 4.70±2.56 for instrumental support. Multiple

linear regression analysis revealed that social support and demographic variables could account for approximately

25% (R2 =0.25) of changes in the variable of happiness.

Conclusion : High social support could increase happiness among elders. The quality and quantity of social support

can be taken into account as proper determinants and predictors of happiness among elders.

Keywords : Aged; Happiness; Retirement; Social Support


Count: 48

Abstract ID: 102



THE SURVEY ON THE PHYSICAL AND PSYCHOLOGICAL HEALTH OF THE

ELDERLY AND ITS EFFECTIVE FACTORS IN TORBAT HEYDARIEH

Submission Author: Zohreh Hoseini

Zohreh Hoseini1

1. Torbat Heydarieh University of Medical Sciences , Torbat Heydarieh, Iran

Background and Aim : Population aging is the greatest human achievement, one of the main challenges in the

health sector. Elderly people Are at risk for many diseases such as heart disease, cardiovascular disease,

osteoarthritis, diabetes, high blood pressure and .... also dementia and depression in the elderly is a common mental

disorder. Aging is considered The second reason for the loss of life years with disability (DALY. In IRAN surveys

and statistical indicators suggest that growth accelerated aging .that is expected in the country in 1410, 25 to 30

percent of the population will be aged over 60 years . Studies show that 15 to 25 percent of people over age 65 will

suffer from psychiatric disorders such as depression, changes in sleep patterns, feelings of loneliness and social

isolation.then The awareness of mental health and related factors, can be designed for health promotion interventions

Methods : this study was cross-sectional and descriptive - analytical. 400 number of Elderly population that lived in

68 villagesthat so have sanitation and health records selected randomely . Assessment tools, questionnaires, GHQ-

and demographic questionnaire are completed by trained personnel in the villages for 6 months . Data were analyzed

with SPSS software version 12. Frequency tables are used to describe and analyze the dataare accomplished by

ANOVA , t-tests and Pierson correlations.

Results : From total of 400 elderlies, 56 percent are female and 44 percentare male. 66.5 percent of menare farmers

and 96 percent of women were housewives. Elderly patients, mean age of elderly people was 71.33±7.6. , 86.8% of

elderlies had mental disorders 59% of the elderly,had somatization disorder, 69.3%suffer of social dysfunction, 20%

had a depressive disorder and 48.5% had anxiety disorder .46.5% of cases had a BMI greater than 25. The percentage

of seniors with diabetes and high blood pressure was 31%and 19/5% of high blood pressure in elderly patientswas

accompanied with heart disease, also Between sleep, Body Mass Index and common complaints of depression and

anxiety symptoms, there was a statistically significant relationship. Somatization disorder and anxiety disorders were

more frequent in elderly patients with diabetes and hypertension.

Conclusion : Many variables can affect the mental health of the elderly. Health care workers should facilitate the

fields of life through educational programs and also provide periodic review of mental state to maintain and upgrade

them to be active and health.

Keywords : mental health, geriatrics, Torbat


Count: 49

Abstract ID: 57



REVIEW ARTICLE OF SINGLE VS. DUAL TASK BALANCE TRAINING ON

POSTURAL CONTROL PERFORMANCE IN PLDER ADULTS

Submission Author: Parisa Izadkhah

Parisa Izadkhah1, Mojgan Moghadam2

1. Arman-shayan physiotherapy clinic 2. Arman-shayan physiotherapy clinic

Background and Aim : Poor balance performance in dual-task conditions in the elderly is associated with the

increase in risk of falling (down). This study aims at the effects of dual- and single-task training on postural control

performance in elderly.

Methods : 526 articles have been studied and searched through with the following keywords on some websites like

Science, Google Scholar, PubMed, IranDoc, and Direct from 2000

Results : In general, studies in this case mostly show that the training of each individual parts of a dual-task separately

in order to improve the balance performance cannot be effective. Improving a moving or positional performance by

doing exercises, cannot necessarily be equal to the improvement of individual ability in combining a skill with an

unrelated cognitive activity.

Conclusion : each individual parts of a dual-task separately in order to improve the balance performance cannot be

effective.

Keywords : dual-task single-task balance training postural control performance


Count: 50

Abstract ID: 42

subject: : - Geriatric Pharmacology & Polypharmacy


PREDICTORS OF MEDICATION ADHERENCE IN OLDER ADULTS WITH

HIGH BLOOD PRESSURE- AN INTEGRATIVE REVIEW OF THE LITERATURE

Submission Author: Mehdi Jafari oori

Mehdi Jafari oori1, Farahnaz Mohammadi Shahbolaghi2, Kian Norozi3, Masoud Fallahi- Khoshnab4, Abbas Ebadi5

1. PhD nursing candidate, Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran, Email:

[email protected], Tel:09141973745 2. Associate Professor of Iranian Research Center on Aging , Nursing Department, University of Social Welfare and Rehabilitation

Sciences, Tehran, Iran corresponding author 3. Associate Professor, Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran 4. Professor, Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran 5. Professor, Behavioral Sciences Research Center, Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, IR Iran

Background and Aim : Background and Aim: Medication adherence (MA) is the most important factor in

controlling the elderly's blood pressure. Various factors can affect the MA in older adults. Since identifying these

factors can be important in increasing the MA and controlling blood pressure in older adults, the purpose of this

review is to identify and classify MA predictors in older adults with high blood pressure based on the ecological

approach.

Methods : Methods: An integrative review of the literature based on theoretical and empirical studies was completed.

Data source comprised: Medline (including PubMed and Ovid), ISI, Embase, Google scholar, and internal databases

such as Magiran, Google, SID, and internal magazines. Primary English and Persian language studies were collected

from 1940 to 2018. The steps of study included: (a) problem identification, (b) literature review and extracting

studies, (c) appraising study quality, (d) gathering data, (e) data analysis using the directed content analysis, (f)

concluding.

Results : Findings: 36 articles were analyzed. The predictors were classified in the categories of personal,

interpersonal, organizational and social according to the ecological model. Personal level comparing with other

levels, had the most predictors of MA. The most important predictors of MA were age, sex, number of diseases,

polypharmacy, side effects of medication, medication belief, lifestyle habits (smoking, alcohol drinking, exercising),

Knowledge of blood pressure and medication, level of education, employment status, income, social and economic

status, social support, ethnicity and race, culture, time of visit, follow up of treatment , counseling satisfaction, quality

of life, Place of residence, depression, anxiety, Behavioral habit, forgetfulness and medication taking reminders.

Conclusion : Conclusion: The findings of this study showed that MA behavior in high blood pressure older adults

is a multi-faceted phenomenon with many influential factors in individual, interpersonal, organizational and social


levels. Although they are non-interfering with MA predictors such as age or sex. But most of them are controllable.

Therefore, in order to increase MA and further control of blood pressure in the elderly, identifying and controlling

these factors is critical and important.

Keywords : Key words: high blood pressure, older adults, Medication adherence, predictors, ecological approach,

integrative review of the literature


Count: 51

Abstract ID: 43



PREDICTORS OF MEDICATION ADHERENCE IN IRANIAN HYPERTENSIVE

OLDER ADULTS: A DIRECTED CONTENT ANALYSIS





Sciences, Tehran, Iran corresponding author. 3. Associate Professor, Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran 4. Professor, Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran 5. Professor, Behavioral Sciences Research Center, Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, IR Iran

Background and Aim : Background: Despite recent advances in the prevention, diagnosis and treatment of high

blood pressure (HBP), the silent killer continues to its great health and economic burden. Since the world and also

Iranian population is aging and because prevalence of HBP is rising in this period, so the disease has become an

epidemic in the world. Medication non-adherence is known as a most important cause of uncontrolled blood pressure.

To increase Medication adherence (MA), identifying the affecting factors is essential. However, no previous study

has been conducted to assess predictors of MA in older adults with HBP in Iran. Therefore, the aim of this qualitative

study is to identify predictors of MA in Iranian elderly people with HBP.

Methods : Methodology: a qualitative study using directed content analysis was carried out to in public and private

health centers in Tehran (Iran) to achieve a deeper understanding of the perception and experience of participants

related to the factors influencing MA of older hypertensive patients. Participants included elderly, elderly families,

doctors, nurses and technical staff of pharmacies. Targeted sampling was conducted to select the participants and the

sampling continued until data saturation. A semi-structured interview was used to collect the data and each interview

lasted for 45 to 60 minutes. Data were analyzed using directed content analysis, constant comparative analysis, and

MAXQDA (Ver 10) software.

Results : Results: From 21 interviews, 1500 first level codes were extracted regardless of their overlap, which was

reduced to 854 after the merger. After forming the matrix of data analysis, MA predictors were categorized at the

levels of Microsystem, Mesosystem, Exosystem and Macrosystem. Behavioral, psychological, knowledge, disease

and drug in the microcosm level, Patient –health care providers relationship and Patient - Family and Friends

relationship in the Mesosystem level, Organizational status and supervision and follow up in the Exosystem level,

and Social, health policies, economic, and cultural in the Macrosystem level were categorized


Conclusion : Conclusion: This study showed that MA in older hypertensive adults is a complex and multifaceted

phenomenon. MA predictors of in older hypertensive adults have been categorized to four dimensions of ecological

model. Therefore, health managers and policy makers in controlling blood pressure should have a comprehensive

and exhaustive view of controlling all factors in MA of hypertension drugs.

Keywords : Key words: high blood pressure, older adults, Medication adherence, predictors, ecological approach,

content analysis


Count: 52

Abstract ID: 44



MEDICATION ADHERENCE MODELS IN OLDER ADULTS WITH HIGH

BLOOD PRESSURE: AN INTEGRATIVE REVIEW OF THE LITERATURE





Sciences, Tehran, Iran corresponding author 3. Associate Professor, Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran 4. Professor, Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran 5. Professor, Behavioral Sciences Research Center, Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, IR Iran

Background and Aim : Background and Aim: Medication adherence (MA) is the most common cause of

uncontrolled blood pressure. Despite the importance of MA in controlling the disease, 30-93% of patients do not

take their antihypertensive medications properly. To improve patient adherence, it is recommended to use an

appropriate theoretical framework to determine MA predictors and guide future studies.

Methods : Methods: An integrative review of the literature based on theoretical and empirical studies was completed.

Data source comprised: Medline (including PubMed and Ovid), ISI, Embase, Google scholar, and internal databases

such as Magiran, Google, SID, and internal magazines. Primary articles related to the models of MA in older people

with high blood pressure (HBP) were investigated by two researchers separately between the 1940s and early

2018.The steps of study included: (a) problem identification, (b) literature review and extracting studies, (c)

appraising study quality, (d) gathering data, (e) data analysis, (f) concluding.

Results : Results: Most of the models and theories used in the field of MA of hypertensive patients were: Behavioral

learning theory, Motivational interviewing theory, Health belief model, Protection motivation theory, Social

cognitive theory, Information-behavior-skill model, Self-regulation model, Leventhal’s common sense model,

Stages of Change (Trans theoretical) Model (TTM) and MA designed model by Murray et al, Johnson, Chen and

Yen, and Krousel-Wood. Most of these models are based on the general public health promotion models and are not

specifically designed to predict MA. Also most of them focus on personal factors, while the MA behavior moreover

of personal, is related to families, health systems and society. Most of these models relate to conditions that a person

notice a significant health hazard for him/her, while hypertension disease is silence without sign and symptom. So

the patient does not feel any threat and does not take their prescriptive medications properly


Conclusion : Conclusion: Despite the importance of the role of a MA model in the comprehensive understanding of

the factors influencing MA and their prioritization, there has not designed a comprehensive model for predicting MA

in the elderly with HBP. The findings of this study indicate that in the field of MA in older adults with HBP,

developing or designing of a comprehensive conceptual model of MA is necessary.

Keywords : Key words: high blood pressure, older adults, Medication adherence, Medication adherence model,

integrative review of the literature


Count: 53

Abstract ID: 115



THE ROLE OF NURSE IN ELDERLY REHAB AFTER STROKE

Submission Author: Elahe Jahan

mahsa sharifi nodehi1, elahe jahan2

1. Nurse – Midwifery Department, Semnan Branch, Islamic Azad University, Semnan, Iran 2. Nurse – Midwifery Department, Semnan Branch, Islamic Azad University, Semnan, Iran

Background and Aim : The stroke disease is one of the important causes of death in developed countries that lead

to various nervous defects and are the most common causes of nerve disease. the importance of applying

rehabilitation efforts to reduce complications arising from this disease is a review aimed at investigating the role of

nurse in the rehabilitation of elderly patients with stroke.

Methods : This study is a review article. We gather articles in Internet by search engines snch as google and yahoo

and we used Medical data bases such as: Pubmed ,Scopus, Elsevier, Google scholar and Iranmedex by keywords:

elderly, Aged, stroke, rehabilitation, nurses, and a systematic review were selected from 2008 onwards.

Results : One of the goals of nursing care is to focus on long-term care and rehabilitation of patients, and one of the

primary and important goals for the rehabilitation of patients with stroke is to reduce the incidence of these patients.

Studies that included the criteria for entering this study generally agreed on the role of the nurse in rehab and

increasing the quality of life of these patients.

Conclusion : The results of this review article show the effectiveness of nurses' rehabilitation in elderly people with

stroke.

Keywords : nurse, rehabilitation, stroke, elderly.


Count: 54

Abstract ID: 66



CONTINUOUS CARE MODEL IN THE ELDERLY

Submission Author: Mahsa Kamali

Mahsa Kamali1, Mohammad Ali Heidari Gorji2

1. 1Msc, Geriatric Nursing, Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran 2. PhD, Associate Professor, Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran

(Corresponding Author)

Background and Aim : Statistical surveys in Iran indicate that the elderly,s population is increasing. With people

age, changes occur in the elderly, resulting in chronic conditions. In hence the care needs of these individuals are

changing and in turn affect nursing performance in providing care. The use of models, especially in nursing, provides

better care for patients and ultimately helps develop the body of professional nursing knowledge. Therefore, the

purpose of this article is to introduce a Continuous Care model for the elderly

Methods : Review of articles was undertaken using the international Persian and English databases such as Magiran,

Google Scholar, Pubmed, Science Direct, Scopus and SID with the keywords of the Continuous Care Model and the

elderly in the article title and review of the research samples. 51 related articles have been extracted, which has been

reduced to 8 papers according to the purpose of the study, based on the implementation of the model in the elderly.

Results : The findings of this study showed that this model was developed by Ahmadi in 2001 in relation to chronic

coronary patients with the aim of accepting and enhancing insight and proper function for effective care and control

of disease and drug side effects & quality of life of the patients has been designed and evaluated. In addition to

implementing different situations in the elderly, such as sleeping quality of elderly and hemodialysis patients, factors

related to quality of life and quality of life of patients with heart failure, under angioplasty and after open heart

surgery & self-care in diabetic patients has been taken and positive results have been reported.

Conclusion : The literature review suggests that this model, as a dynamic model referring to chronic and continuous

care, has the potential to conduct in different conditions due to the changing and chronic needs of the elderly and

researchers can use this model in other caring situation & reports findings

Keywords : Continuous Care Model, Nursing Model, Elderly


Count: 55

Abstract ID: 18



THE ASSESSMENT OF ADAPTATION RATE OF POSTMENOPAUSAL WOMEN

WITH CHANGES IN THIS PERIOD ACCORDING TO QUADRUPLE ASPECTS

OF ROY’S ADAPTATION MODEL

Submission Author: Leila Karimi

Leila Karimi1, somaye makvandi2, mitra mahdavian3

1. Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran 2. department of midwifery, faculty of nursing and midwifery, Ahvaz branch, Islamic azad university, Ahvaz, Iran 3. department of midwifery, Bojnourd branch, Islamic azad university,Bojnourd, Iran

Background and Aim : Due to rising life expectancy, Women spend one third of their life in the menopause period.

Although menopause is a physiological process, it is necessary to adapt to physical and psychosocial changes.

Appropriate Adaptation with this period can reduce the problems of this group of women. One of the applied patterns

for adaptation in nursing is Roy’s adaptation model. The purpose of the present research was to assessment of

adaptation rate of postmenopausal women according to quadruple aspects of physiologic, self-perception, role

playing and independence/dependence based on Roy’s adaptation model.

Methods : This research was a Descriptive Correlation study was conducted by cluster sampling method among 500

postmenopausal women in Tehran, Islamic Republic of Iran in 2017. Data was collected using the multi-part

validated questionnaire in various dimensions. Data analysis was done using SPSS 18 software.

Results : Postmenopausal women had moderate adaptation in self-care activities and health behaviors and protection

from risk factors and dependence / independence. In the dimension of self-concept and role play, the adaptation was

weak. There were significant relationships between quadruple aspects of physiologic, self-perception, role playing

and independence/dependence and education level, economic level, health level, the number of children, the number

of menopausal years, menopausal symptoms, and the existence of the spouse (p

Conclusion : Roy’s adaptation model, as an effective and low-cost intervention, can increase the adaptability of

postmenopausal women to changes, especially in terms of self-concept and role play. Therefore, the use of this model

in this period is suggested.

Keywords : Roy adaptation model; Quality of Life; Menopause; Climacteric


Count: 56

Abstract ID: 107



GERIATRIC PREVENTIVE CARE

Submission Author: Mohammad Khalkhali

Mohammad Khalkhali1

1. Social Security Organization

Background and Aim : Preventive medicine is the fundamental part of healthcare system especially in geriatrics,

which diseases are more severe with more serious adverse events and probably more costly. Understanding

preventive services which are recommended for older adults have a key important effect on their diseases’ and

healthcare cost.

Methods : We did a thorough search in scientific databases and summarized preventive services in four topics:

Screening, Counseling, Immunizations and Chemoprophylaxis.

Results : Providing well-organized guidelines for health care providers regarding geriatrics preventive medicine in

four categories.

Conclusion : Physicians provide preventive care and beneficial information that help older population maintain

physical independence.

Keywords : Preventive care, Geriatrics, Physician guide


Count: 57

Abstract ID: 130



NEED FOR GERIATRIC DENTISTRY TRAINING PROGRAMS IN IRAN

Submission Author: Mina Khayamzadeh

Mina Khayamzadeh1

1. assistance proffessor dental faculty tehran university of medical science

Background and Aim : Geriatric dentistry is the delivery of dental care to older adults involving diagnosis

prevention, management and treatment of problems associated with age related diseases.The mouth is referred to as

a mirror of overall health, reinforcing that oral health is an integral part of general health. In the elderly population

poor oral health has been considered a risk factor for general health problems. Older adults are more susceptible to

oral conditions or diseases due to an increase in chronic conditions and physical/mental disabilities. Thus, the elderly

form a distinct group in terms of provision of care.

Methods : Aged populations with multiple chronic diseases come up with their unique needs and require specific

attention to be challenged by the health systems. Todays, aged population in world is increasing. We can see this

increasing in population as well.

Results : At present, dental education in Iran consists of a six-year continuous program, which offers a D.D.S degree.

The importance of the geriatric dental education in under- and postgraduate and continuing education programs was

first proposed as early as the 1980s and 1990s. An updated comprehensive guideline was published in 1989 in the

United States. In the United States, all dental schools mandate teaching courses for geriatric dentistry, and a

considerable percentage of these schools provide clinical and field practical courses or geriatric clinic within their

faculties. Currently, there are neither theoretical nor practical geriatric dentistry courses in either undergraduate or

postgraduate levels in Iran. In addition, a continuous medical education program with gerietric dentistry content is

lacking

Conclusion : So it is need to speak about importance of teaching geriatric dentistry.

Keywords : geriatric dentistry


Count: 58

Abstract ID: 124



EFFECT OF SLEEP HYGIENE EDUCATION ON SOME CLINICAL DISORDERS

OF THE ELDERLY WOMEN WITH SLEEP DISORDER IN BIRJAND

Submission Author: Huriye Khodabakhshi

Huriye Khodabakhshi1, ParisaTaheri Tanjani2, Koorosh Etemad3, Maryam Mohammadi4

1. 1. MSc of Elderly Health, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran. 2. 2. Geriatric Medicine, Department of Internal Medicine, Clinical Research Development Unit, Ayatollah Taleghani Hospital,

Shahid Beheshti University of Medical Sciences, Tehran, Iran. 3. 3. Assistant Professor Environmental and Occupational Hazards Control Research Center, Department Epidemiology, Shahid

Beheshti University of Medical Sciences, Tehran, Iran. 4. 4. Assistant Professor of Health education and promotion, School of Public Health,Shahid Beheshti University of Medical

Sciences, Tehran, Iran

Background and Aim : The prevalence of insomnia in the elderly population is %50-70. sleep deprivation can disrupt various

organs and exacerbate the clinical signs of Comorbidities even in the short term. The primary strategy for treating insomnia in

an elderly population should include hygiene recommendations. the aim of this study was to determine the effect of Sleep

Hygiene education on Some Clinical Disorders of the elderly women with insomnia in Birjand.

Methods : This is a clinical trial study. A sample of 84 women aged who were included in the study were entered by systematic

random sampling. At first, the Insomnia Severity Index (ISI) questionnaire was completed for participants; if the person had

insomnia based on the questionnaire score, The checklist were completed for clinical disorders including: Lower back pain or

muscle pain, chest pain, constipation, daily fatigue, daily sleepiness, digestive problems. the number of days and severity of

each disorders measured at the past two weeks. participants in the intervention group received sleep hygiene education. Both

groups Re-evaluated four weeks later using the questionnaire. Data were analyzed by SPSS 21 and analyzed using Mann-

Whitney test and Wilcoxon test.

Results : There was significant difference between the mean score severe insomnia in intervention and control groups after the

intervention (P <0.001) the severity of back pain, muscle pain (P <0.001), severity of constipation (P <0.05) and fatigue (P

<0.001) were decreased in the intervention group after the intervention. As well as, based on the Wilcoxon test, the average

changes in the number of days with digestive problems (P <0.05) and its severity (P <0.05) in the intervention group was

significantly different (P <0.05) This difference indicates that the average number of days and severity of digestive problems

were lower in the intervention group.

Conclusion : : The results of this study showed that sleep Hygiene education, in addition to improving the severity of insomnia

in elderly people, can be effective on Clinical Disorders Because sleep hygiene recommendations is wide. Therefore, this

method can be used as cost-effective, convenient, reliable and safe intervention in health centers and Geriatrics.

Keywords : ,Insomnia, elderly, sleep disorder, sleep hygiene, Education


Count: 59

Abstract ID: 28



: MANAGEMENT STRUCTURE IN THE NURSING HOMES: AN

ETHNOGRAPHIC STUDY

Submission Author: Sedigheh Khodabandeh sharki

Sedigheh Khodabandeh sharki1, Farokh Abazari2, Nahid Dehghan Nayeri3, Batool Pouraboli 4

1. Nursing Research Center, Razi Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran. 2. Assistant professor, Department of Community Health, Nursing Research Center, Kerman University of Medical Sciences,

Kerman, Iran 3. - Professor , School of Nursing and Midwifery, Care Research Center , Department of Nursing Management, Tehran University

of Medical Sciences, Tehran, Iran . 4. Professor , School of Nursing and Midwifery, Care Research Center , Department of Nursing Management, Tehran University of

Medical Sciences, Tehran, Iran . E-mail: [email protected]

Background and Aim : : Increased population of oledr people in recent years has increased the need for more

nursing homes. Care and support of elderly people is an important issue for the health system of the country.

Identifying management culture in the nursing homes can provide a comprehensive view of the care. Proper

management structure can be effective in providing good care in the nursing homes. So the aim of this study is to

determine whether the management structure meets the needs of the elderly people?

Methods : The present study was conducted with a focused ethnographic approach based on the spradly (1980)

twelve-step approach in two different men and women nursing homes in Kerman province for years between April

2015 to August 2016. In order to collect the data, the researcher worked about 420 hours. The data was collected

through fieldwork, collaborative observation, formal and informal interviews, and documentation reviews. The

participants included 27 staff, including 2 nurses, 4 rehabilitation members ( a physiotherapist, a social worker, a

psychologist and an occupational therapist), all of whom were woman with a bachelor's degree, two managers with

a master's degree, 18 nursing assistants (AINs) with average work experience of six to seven years and age range

between 24 and 35(high school undergraduates to the bachelor degree) were selected. Only seven residents with no

cognitive disease with an average residency of six months to five years participated in this study (9 women and 9

men) with a range of 24-35 years of age, and a degree from under diploma to a bachelor's degree, as well as 10 older

people. In the analysis of data based on the analysis of the territory by taxonomy analysis, the analysis of the

components of the culture and discoveries within the cultural foundations was used. Lincoln and Guba methods were

used for scientific accuracy and validation of data

Results : : After analyzing the data, the results emerged in the form of third cultural themes that included 11 sub-

items. The results of the research showed that the management structure and the lack of evaluation of the care causes

problems for older people. First, "Defective human resources system" includes two sub-themes: "The ineffectiveness


of quality and quantity of caregivers”, and “the challenges of the rehabilitation team”. Second, the busy world of

caregivers includes four sub-items of physical and emotional exhaustion of caregivers, poor empowerment in

training, reluctance to learn while there is a need for empowerment, and lack of care and lack of care”. Third, "limited

assessment of its outcome ''. With five sub-subdivisions: "demonstration minting", "monitoring, missing link in the

health system", "change in care monitoring", "failure to implement older people health monitoring program".

Conclusion : Nursing homes require major changes in management. Providing the necessary infrastructure for the

good care of the elderly is essential. Providing services in older people nursing homes is not an effective indicator

of effective care. As a result, solving the problem of aging is not the responsibility of only one organization and

institution, and there is a need for support from both governmental and non-governmental organizations.

Governments will be able to meet these obligations by integrating the facilities of state institutions with the assistance

of international organizations, non-governmental organizations and private sectors, and most importantly, the

participation of the elderly and their families.

Keywords : Management Structure, Nursing Homes, Ethnography


Count: 60

Abstract ID: 126



SPIRITUAL HEALTH IN IRANIAN ELDERLY : A CONCEPT ANALYSIS WITH

WALKER AND AVANT’S APPROACH

Submission Author: Maryam Khoshbakht Pishkhani

Maryam Khoshbakht Pishkhani1, Farahnaz Mohammadi Shahboulaghi2, Hamidreza Khankeh3, Asghar Dalvandi4

1. Ph.D Candidate, Department of Nursing, University of Social welfare and Rehabilitation Sciences, Tehran, Iran 2. Associate Professor , Iranian Research Center on Aging , Nursing Department, University of Social Welfare and Rehabilitation

Sciences, Tehran, Iran. [email protected] 3. Professor , Emergency and disaster Health research center, University of Social Welfare and Rehabilitation Sciences , Tehran,

Iran. Affiliated Professor at Department of Clinical Science and Education ,Karolinska Institute 4. Associate Professor, Department of Nursing, University of Social welfare and Rehabilitation Sciences, Tehran, Iran

Background and Aim : Spiritual health is one of the important dimensions of health in humans, which links the

coordination between the individual forces and, ultimately, their overall health. There are Many challenges about

this concept in older people. The aim of this study is analyzing the concept of spiritual health in the elderly

Methods : This Study was done by using Walker Avant approach with Searching and analyzing the studies, using

the keyword, elderly people, elderly person, Spirituality, Spiritual health, Spiritual well- being, Elderly, older adult,

geriatric. After reviewing the literature with Inclusion criteria Persian and English Language and between 1996-

2016, the 32 articles related to the concept Analysed.

Results : Spiritual health is the Dynamic concept and it is a multi-dimensional concept in older people's view. Some

of the spiritual health attitudes in the elderly were the love of power, balanced mentally, with respect to the afterlife,

antecedents were having abilities, faith, trust, and commitment to ethics and consequences, nearness to God, peace,

higher quality of life and providing social support to others

Conclusion : The Conceptual Definition of Spiritual health can help the health team for a better understanding of

this concept and conduct surveys, interventions, and evaluation of health promotion efforts to help the elderly.

Keywords : spiritual health, Spirituality, the elderly, concept analysis, Walker and Avant


Count: 61

Abstract ID: 51



EVALUATION OF THE EFFECT OF ROSEMARY OINTMENT ON

COMPRESSION WOUND OF STAGE ONE IN PATIENTS ADMITTED TO ICU

WARDS OF ALI IBN ABI TALIB HOSPITAL IN RAFSANJAN, IN 1397

Submission Author: Fatemeh Khoshoei parizi

Fatemeh Khoshoei parizi1, Shahin Heidari2, Tabandeh Sadeghi 3

1. Graduate Student,of geriatric Nursing , faculty of Nursing and Midwifery, Rafsanjan University of Medical Sciences, Rafsanjan,

Iran 2. Geriatric Care Research Center, Faculty of Nursing and Midwifery, Rafsanjan University of Medical Sciences,Rafsanjan,Iran

Email; [email protected] 3. Assistant Professor, Faculty Member of Pediatric , Faculty of Nursing and Midwifery, Rafsanjan University of Medical Sciences,

Rafsanjan, Iran

Background and Aim : Pressure ulcer is one of the most important and challenging issues in health care centers.

This study was designed to determine the effect of rosemary ointment on grade one pressure ulcer in the patients

hospitalized in ICU sections of the Ali ibn Abi Talib hospital in Rafsanjan.

Methods : In this single-blind clinical trial 40 patients were randomly divided into control and intervention groups

based on age and body mass index. In the intervention group for three days, once a day, the rosemary ointment was

rubbed at the site of the pressure ulcer stage one. The control group received routine care. The data were collected

using a PUSH (Pressure ulcer scale for healing) questionnaire and analyzed by SPSS 22 software using chi square

test, paired t-test and Fisher exact test.

Results : The mean age of subjects was 70 ± 1.55 years. Most of the patients (%57.5) were female. From the wound

site, the highest frequency was related to sacrum and iliac (%40). One fourth of the patients used supplemental

medication. The results showed that there was no significant difference between the groups in terms of gender, age,

location and type of disease. The results of the t-test showed that the mean PUSH score was significantly decreased

in the intervention group three days later (T =3. 212 , P = 0.005). In other words, rosemary ointment has accelerated

wound healing. But no change was observed in the control group (T =1.616 , P = 0.123).

Conclusion : Using rosemary ointment can accelerate the process of first stage squamous wound healing and can

therefore be used as a low-grade and available treatment in patients with stage 1 ulcer.

Keywords : Pressure ulcer, Rosemary ointment, ICU wards, geriatric patients


Count: 62

Abstract ID: 46



TRANSLATION AND PSYCHOMETRIC PROPERTIES OF THE PERSIAN

LANGUAGE PERSON- CENTERED CLIMATE QUESTIONNAIRE – PATIENT

VERSION (PCQ-P)

Submission Author: Faeze Kobraei Abkenar

Faeze Kobraei Abkenar1, Parand Pourghane2, Fateme Jafarzadeh Kenarsari3, Zahra Atrkar roushan4, David

Edvardsson5

1. Department of nursing, School of nursing , Midwifery and paramedicine, Guilan University of Medical Sciences, Rasht, Iran 2. Department of nursing, School of nursing , Midwifery and paramedicine, Guilan University of Medical Sciences, Rasht, Iran 3. Department of midwifery ,School of Nursing and MidWifery, Guilan University of Medical Sciences, Rasht, Iran 4. Department of community medicine, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran 5. Department of nursing, School of Nursing and MidWifery,La Trob University,Melburn,Australia

Background and Aim : Person-centered care (PCC) is considered a valuable approach for the improvement of care

quality for older people. It takes as its starting point the respect for the dignity of people needing care. Considering

the importance of providing this care approach and the necessity of having a valid, reliable and objective tool for

evaluating it in healthcare settings, this study aimed at translating, cultural adaptation and validation of the Farsi

version of the PCQ-P questionnaire in older people hospitalized in the East Guilan hospitals from 2017-2018.

Methods : This methodologic research was carried out in two stages. In the first stage, the original version of the

questionnaire with 17 items was translated from English to Farsi after obtaining permissions from the copy-right

holder using the Forward-Backward standard translation method. In the second step, the psychometric properties of

the questionnaire were evaluated using formal (qualitative and quantitative) validity, content validity (qualitative and

quantitative), construct validity (exploratory factor analysis), internal consistency, and stability methods. Samples in

the stages of face validity (n=20), content validity (n=200) and stability (n=26), and in total were 246 older people

aged 60 years and over. They were hospitalized in hospitals affiliated with Guilan University of Medical Sciences in

the east of the province. They were selected using the convenience sampling method based on inclusion criteria. Data

was analyzed via the SPSS v.21 software.

Results : From the original questionnaire with 17 items, based on the impact score of 1.5, the content validity ratio

higher than 0.56, the content validity index higher than 0.79 and the correlation coefficient between items higher

than 0.3, 14 items remained. The results of exploratory factor analysis by main component analysis and varimax

rotation led to retaining 14 items. Taking into account the special value of each component, the two factors of

"climate of safety " and "climate of hospitality " were extracted, which total explained 57.242% of the total variance.

The internal consistency of the whole tool was calculated using the calculation of the Cronbach's alpha coefficient


and was reported as 0.907 and for each factor was 0.89 and 0.83, respectively. The reliability of the questionnaire

was confirmed by calculating the inter-group correlation coefficient, that was reported as 0.972.

Conclusion : : The Farsi version of the PCQ-P questionnaire with 14 questions had an appropriate validity and

reliability for assessing the person-centered care climate from the perspective of older patients. It can be used in

future studies and in other nursing care settings.

Keywords : translation, psychometric, person-centered care, questionnaire, older patients, hospital.


Count: 63

Abstract ID: 33



MINI NUTRITIONAL ASSESSMENT AND ITS CORRELATION WITH ELDERLY

NURSING HOME RESIDENTS IN KHORRAMABAD, IRAN

Submission Author: Mahnaz Mardani

Mahnaz Mardani1, Maryam Rezapour2

1. 1. Department of Health and Nutrition, Nutritional Health Research Center, Lorestan University of Medical Sciences,

Khorramabad, Iran. 2. 2. Deputy of Food and Drugs, Lorestan University of Medical Sciences, Khorramabad, Iran.

Background and Aim : Elderly nursing homes residents are at an increased risk of malnutrition due to a variety of

factors. We aimed at investigating the prevalence of malnutrition and its correlation with elderly subjects using Mini

Nutritional Assessment (MNA) questionnaire.

Methods : This cross-sectional study was conducted on elderly individuals (N=56; female=28) dwelling in the

Sedigh Nursing Home in Khorramabad, Iran, in 2015. Nutritional status was assessed using MNA, which consisted

of anthropometric measurements, global assessment, dietary questionnaire and subjective assessment.

Results : The participants’ mean age was 74.86 (SD=±11.82) years. The mean MNA-score of the subjects was 19.46

(SD=±3.23). The prevalence of malnutrition and at risk of malnutrition were 20% and 70%, respectively. No

significant difference (P>0.05) was observed between male and female, age subgroups, marital status, education

levels and different cut-off points of the Body Mass Index (BMI), Mid-Arm Circumferences (MACs) and Calf

Circumferences (CCs) regarding the nutritional status of subjects. Malnutrition and risk of malnutrition were

observed significantly and more frequently in elderly who had weight loss greater than 3 kg, took more than three

prescription drugs per day and had low/moderate protein intake (P<0.05). The MNA-score was independently

associated with age, weight, BMI, MACs, CCs and food intake during last 3 months (P<0.05).

Conclusion : According to high prevalence of malnutrition and risk of malnutrition among the subjects, proper

nutritional interventions are required. Longitudinal studies on elderly and primary prevention by lifestyle

interventions according to the culture and habits of the region are recommended.

Keywords : Mini nutritional assessment, Elderly, Malnutrition, Nursing home


Count: 64

Abstract ID: 100



EFFECT OF THERMOTHERAPY ON MIXED URINARY INCONTINENCE

BASED ON PERSIAN MEDICINE: A CASE REPORT

Submission Author: Nematollah Masoudi

Nematollah Masoudi1, Zahra Niktabe2, Malihe Tabarrai3

1. Baqiyatallah University of Medical Sciences, Tehran, Iran 2. Department of Persian Medicine, School of Persian Medicine, Tehran University of Medical Sciences, Tehran, Iran. 3. Department of Persian Medicine, School of Persian Medicine, Tehran University of Medical Sciences, Tehran, Iran

Background and Aim : Involuntary urination called urinary incontinence, is a worldwide major health problem

with enormous negative consequences. Three large categories in women urinary incontinence are: stress urinary

incontinence, urge urinary incontinence and mixed urinary incontinence. The diseases mechanism is seen as the

muscle dysfunction of the bladder’s wall and sphincter. In Iranian Traditional Medicine literature, women urinary

incontinence has two main reasons: cold and wet- temperament affecting the bladder muscle dysfunction, and

relaxation of bladder sphincter. Both conditions occur due to cold-nature and humidity.

Methods : We present a 53-years-old woman with chronic mixed urinary incontinence that has shown an acceptable

response to simple topical heating treatments designed on the basis of Iranian Traditional Medicine to eliminate the

mentioned cold and wet temperament based on relative questionnaire

Results : After 4 weeks thermotherapy, score of disease severity improved significant.

Conclusion : In follow of patient after 6 weeks the effect of treatment was indelible.

Keywords : Female urinary incontinence; Iranian Traditional Medicine; Persian Medicine; Salas-albool; Saussurea

costus


Count: 65

Abstract ID: 99



EFFICACY OF SAUSSUREA COSTUS (QOST) OIL AS AN IRANIAN

TRADITIONAL MEDICINE PRODUCT ON FEMALE URINARY

INCONTINENCE; DOUBLE BLINDED RANDOMIZED CLINICAL TRIAL

Submission Author: Nematollah Masoudi

Nematollah Masoudi1, Zahra Niktabe2, Malihe Tabarrai3

1. Baqiyatallah University of Medical Sciences, Tehran, Iran 2. Department of Persian Medicine, School of Persian Medicine, Tehran University of Medical Sciences, Tehran, Iran. 3. Department of Persian Medicine, School of Persian Medicine, Tehran University of Medical Sciences, Tehran, Iran

Background and Aim : Urinary incontinence is a public complaint that causes discomfort, embarrassment and costs.

Also, there are some limitations and insufficiencies of drug therapy and surgical complications. This study has

compared the effect ofSaussurea costus (qost) oil as an Iranian traditional medicine product and other contemporary

medicine treatment methods on female urinary incontinence.

Methods : A parallel double blinded placebo-controlled study was conducted. Thirty to 70 years old women with

urinary incontinence were allocated in placebo and intervention groups, 41 patients in each group.Intervention and

placebo groups received qost oil and placebo, respectively by local application twice daily below the navel without

massage. The results were evaluated with valid questionnaires (ICIQ-SF and I-QOL). For evaluation, Chi-square

test, independent-sample t-test and repeated measure analysis of variance were used.

Results : A significant decrease in mean scores of the questionnaires during the study was noted in the qost group

compared to the placebo group (p<0.001). Before the intervention, thirty one patients in the placebo group and 33

patients in the qost group had mixed urinary incontinence (p=0.794). Urge symptom s(nocturia, urine frequency and

urgency to urination) were completely discontinued in 25 patients in the qost group (78.1%) and 7 patients in the

placebo group (22.6%) (p<0.001).

Conclusion : The results suggested the oil to be effective in treatment of urinary inconsistence.

Keywords : Female urinary incontinence; Iranian Traditional Medicine; Persian Medicine; Salas-albool; Saussurea

costus


Count: 66

Abstract ID: 71



MALNUTRITION IN AGING: AN OFTEN OVERLOOKED CONCEPT

Submission Author: Melika Metanati

Melika Metanati1

1. Department of Nutrition, Science and Research Branch, Islamic Azad University, Tehran, Iran

Background and Aim : Population aging has faced the medical society and health system with a new phenomenon

in recent decades. People once labeled as "old" are now considered middle-aged. According to WHO statistics,

between 2000 and 2050, the proportion of the world's population over 60 years will double from about 11% to 22%

which guarantees an increase from 605 million to 2 billion over the same period. Low and middle-income countries

will experience the most dramatic demographic change. Aging brings out a whole new level of complications:

Neurologic and physiologic alternations e.g. changes in body composition as in sarcopenia, malabsorption, renal and

cardiac dysfunction hasten as functionality declines, setting the stage for a poorer quality of life. Frailty – a predictive

of adverse outcomes in elderly- is characterized by four syndromes: protein-energy malnutrition (PEM), impaired

physiological function, depression and cognitive impairment. PEM is one of the most prevalent yet overlooked issues

which accelerates loss of muscle mass and progression of sarcopenia. Sarcopenia as a result of PEM often is

augmented by the nutritional deficiencies induced by overly restrictive diets that are forced upon the elderly as

"therapeutic diets". According to the "New Dining Practice Standards", these diets are neither well-accepted nor

efficient. The purpose of this essay is to inform the caregivers in different settings about the importance of a healthy

and balanced diet in aging. In this essay, dietary goals, nutrition screening and assessment tools and optimal weight

targets for minimizing the risk of PEM is discussed.

Methods : Google Scholar, ScienceDirect and Pubmed search engines were explored for papers published within

the past 10 years.

Results : Many older adults are at risk of malnutrition. Among those hospitalized, 40% to 60% are malnourished or

at risk for malnutrition, 40% to 85% of nursing home residents have malnutrition, and 20% to 60% of home care

patients are malnourished. Many community-residing older persons consume fewer than 1000 kcal/day, an amount

not adequate to maintain good nutrition.

Conclusion : Since PEM symptoms are often attributed to other conditions, a close physical examination and psycho-

social evaluations are warranted. Dietary interventions to address PEM should be individualized to accommodate a

variety of energy-nutrient-dense foods as small, frequent meals, to emphasize on food as the first choice to meet

micronutrient needs rather than supplements and to liberalize the diet based on patient's underlying conditions, will

and values. The outcomes are more favorable when dietary interventions are accompanied with physical exercise if

possible. Caregivers should be aware that despite the widely perceived perception, the elderly need more calories


and macronutrients than a normal adult to compensate for the declining absorption and utilization in the aging body

and educate patients and their families about it. Consequently, diet therapy should be incorporated into care strategies

to maximize cost-effectiveness.

Keywords : Aging, Malnutrition, Diet, Nutrition Assessment


Count: 67

Abstract ID: 39



EFFECT OF SELF - MANAGEMENT PROGRAM ON KNEE PAIN AMONG

OLDER ADULT WITH OSTEOARTHRITIS REFERRED TO ORTHOPEDIC

CLINICS IN 1393

Submission Author: Niloufar Mirzaei

Niloufar Mirzaei1, farahnaz Mohammadi Shahboulaghi2, kian Nourozi3, akbar Biglarian4

1. MSc of Nursing, Nursing Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran 2. Associate Professor of Social Determinant of Health Research Center , Nursing Department, University of Social Welfare and

Rehabilitation Sciences, Tehran, Iran 3. Assistant Professor, Nursing Department, University of Social Welfare and Rehabilitation Sciences, Tehran Iran. 4. Associate Professor Statistics, Statistics Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

Background and Aim : The chronic diseases such as knee osteoarthritis due to their progressive nature often influence all

aspects of elders lives and make them decompensated. The most common symptom of this disease is pain that restricts the

mobility of the sick. This study aims to evaluate the effect of self - management program on knee pain in older adults with

osteoarthritis referred to Khoram abad orthopedic clinic in 1393.

Methods : This research was a quasi-experimental two group before and after study conducted on 80 knee osteoarthritic people

selected with convenience sampling method and randomly assigned to intervention (44) and control (44) groups. At first, the

knee pain intensities were measured using visual analog scale. Then, the intervention group was offered the four week self-

management program consisting of four 70 minute consultation sessions, teaching handout and telephone follow-ups. The

intervention group practiced the selfmanagement program about one month at their homes. Finally, the pain intensity in two

groups were reassessed and compared. The collected data were analyzed using the SPSS version 18 software using x2 and

independent T-test

Results : The results showed that the mean intensity of pain had no significant difference in two groups before the intervention

but after intervention, the intensity rate of pain was significantly reduced in intervention group compared to control group

(p<0/05). Also, findings indicated that there was a significant improvement in the mean intensity of pain after self-management

program participation of intervention group (from 7/12±2/09 to 5/43±1/83; p<0/05), but the difference between the mean

intensity of pain before and after intervention in the control group was not statistically significant

(6/68±1/92)to(6/34±2/01)p>0/05)

Conclusion : The results showed that the self-management plan caused symptomatic improvement and pain relief in the old

people suffering from knee osteoarthritis. With a suitable diet and using pain relief methods along with exercise, this program

increases the tolerance for exercise and mobility and relieving knee discomfort and pain.

Keywords : Osteoarthritis of knee, pain, self-management


Count: 68

Abstract ID: 104



THE EFFECT OF BMI ON MOTOR DISABILITY IN ELDERLY WOMEN

Submission Author: Azar Moezy

Azar Moezy1, Ali Mazagerinezhad2

1. Associate Professor, Sports Medicine Department, Minimally Invasive Surgery Research Center, Iran University of Medical

Sciences. Tehran, Iran. 2. Associate Professor, Sports Medicine Department, Minimally Invasive Surgery Research Center, Iran University of Medical

Sciences. Tehran, Iran.

Background and Aim : The health and mobility of elderly people, especially women, is of great importance. High

BMI is one of the most effective factors that can increase the biomechanical stresses on motor systems, which

sometimes leads to functional disabilities. The purpose of this study was to evaluate the effect of BMI on the

musculoskeletal pain, the motor disability and the difficulty of Activities of Daily Living (ADL) in elderly women.

Methods : A cross-sectional study was conducted on 140 elderly women in the two groups; high (> 25)and

normal(between 18.5-24.9) BMI with seventy women in each group. Musculoskeletal pain, pain intensity, the

difficulty of five ADL and the motor disability using Orebro Musculoskeletal Pain Questionnaire (OMPQ) were

evaluated in both groups. Independent sample T-test and Pearson correlation test were used respectively to compare

the variables between the two groups and determine the correlation between the variables.

Results : The prevalence of chronic musculoskeletal pain was 57% in the high BMI group and 13% in the normal

BMI group. Moreover, Ther were significant differences between the two groups in BMI (P =0.001), musculoskeletal

pain history (P=0.001), the motor disability (P =0.001) and the difficulty of ADL (P =0.001). Also, there were

positive correlations between high BMI and musculoskeletal pain (r = 0.83), the motor disability (r = 0.79) and the

difficulty in ADL (r = 0.63).

Conclusion : The findings of this study support the fact that high BMI was significantly associated with

musculoskeletal pain, increasing ADL difficulty and an enhanced motor disability.

Keywords : Elderly Women, BMI, Motor Disability, Musculoskeletal Pain.


Count: 69

Abstract ID: 133



THE IMPORTANCE OF SUPPORTIVE PSYCHOTHERAPY IN ADAPTING TO

THE PHYSICAL AND MENTAL CHANGES OF THE AGING STAGE

Submission Author: Sara Moghaddam

Sara Moghaddam1, sakineh ramezanli2

1. Msc of nursing, Faculty of Nursing, Jahrom University of Medical Sciences, Jahrom, Iran 2. Msc of nursing, Faculty of Nursing, Jahrom University of Medical Sciences, Jahrom, Iran

Background and Aim : Elderly is not a disease, it is a stage in the life cycle. The main key to mental health in old age is

physical health, but physical and mental health is a two-way relationship. Elderly people with physical illnesses cannot function

properly and many of their activities are limited, they may even be unable to cope with disease, lose their life expectancy and

become depressed. In addition to physical problems, the elderly experience psychological stress and psychiatric disorders

during diagnosis, treatment and disease period.

Methods : This article is designed based on systematic review of national studies in recent 20 years ago by using library

resources and databases available with key words such as psychological factors, supportive psychotherapy, chronic disease and

elderly. Studies published in non-Persian languages, case report and letters were excluded and about 30 articles and books were

selected as resources.

Results : Elderly, although not sick, but on average, more than 70% of elderly people over 75 years old suffer from several

chronic diseases, and cardio-pulmonary diseases, blood pressure, diabetes, cancer, stroke, urinary incontinence, loss of vision

and hearing, pain musculoskeletal, and ... in this period is abundantly found which causes mental disorders such as depression,

anger and guilty, anxiety, sleep and appetite disorders, personality change, addiction, denial of disease, and so on. Elderly

people respond differently to aging changes based on differences in personality, attitudes and lifestyle and if they can adapt

themselves to the physical, mental and social problems of aging through targeted counseling services, they have accepted the

reality of their age and have adapted effectively. In this regard, informing family and community about elderly's issues,

promoting elderly's quality of life, providing educational, medical and rehabilitation services based on healthy living Index,

prediction of health insurance, participation elderly in social programs, institutionalization sporting and recreational activities

for elderly, and ... are frequently recommended.

Conclusion : Regarding the growth of aging population and the increase of chronic diseases and the role of psychological

factors in elderly life, supportive psychotherapy is considered as one of the most effective methods of adaptation to the physical

and mental illness of this stage. Therefore, it is suggested that along with all medical and traditional therapies, empowering the

elderly using self-care patterns and family-based support to improve adaptability and promote healthy lifestyles for informed,

healthy and active elderly people.

Keywords : Elderly, Psychological factors, Supportive psychotherapy, chronic disease, coping skills


Count: 70

Abstract ID: 22



COGNITIVE RESERVE AND MEMORY FUNCTIONS IN HEALTHY OLDER

ADULTS

Submission Author: Neda Mohammad

Neda Mohammad1, Tara Rezapour2, Ehsan Abdekhodaie3, Atieh Sadat Mottaghi Ghamsari4, Hadi Bahrami Ehsan5,

Javd Hatami6

1. Department of Psychology, University of Tehran, Tehran, Iran 2. Translational Neuroscience Program, Institute for Cognitive Science Studies, Tehran, Iran 3. Department of Psychology, University of Tehran, Tehran, Iran 4. Department of Psychology, University of Tehran, Tehran, Iran 5. Department of Psychology, University of Tehran, Tehran, Iran 6. Department of Psychology, University of Tehran, Tehran, Iran

Background and Aim : To investigate the association between different measures of cognitive reserve including

bilingualism, mental activities, type of education (continuous versus dispersed), age, educational level and memory

functions in a healthy aging sample.

Methods : 415 subjects aged between 50–85 years participated in this cross-sectional study and assessed using ten

subtests from the Psychology Experimental Building Language (PEBL) Test battery measuring semantic and

episodic memory. Socio-demographic characteristics (e.g., bilingualism, mental activities and education related

variables) were collected from a questioner designed by the research team.

Results : Dispersed type of educational training throughout life, educational level, doing particular mental activities

(including reading, writing, doing calculation, playing crosswords and mind teasers, watching documentary, web

searching and social networking) as well as educational level are positively associated with performance in different

measures of memory (semantic and episodic) in older adults. We haven’t found any significant relationship between

bilingualism and memory functions.

Conclusion : These results suggest the protective role of educational level, type of education, regular mental

activities on memory functions in elderly population.

Keywords : Cognitive reserve, Education, Bilingualism, Mental activities, Aging, Memory


Count: 71

Abstract ID: 123



DETECTION OF DEPRESSION AND ITS RELATED FACTORS IN THE

ELDERLY COVERED BY HEALTH CENTER NO.2 OF MASHHAD

Submission Author: Omolbanin Mohsenpour

Omolbanin Mohsenpour1, Azam Jamshidi Anbaran2, Roghayeh Khoshhal3, Vahideh Saravani4

1. Master of Midwifery, Health center no2, Mashhad University of Medical Science 2. Bachelor of Midwifery, Health center no2, Mashhad University of Medical Science 3. Bachelor of Midwifery, Health center no2, Mashhad University of Medical Science 4. Bachelor of Midwifery, Health center no2, Mashhad University of Medical Science

Background and Aim : In Iran, the elderly population is estimated to be 8.2%. Due to the high population density

of the elderly, attention to their problems is felt more. The most common psychiatric disorder among the elderly is

depression. The purpose of this study was to determine the status of depression and its related factors in the elderly

in Mashhad in 1396.

Methods : This is a descriptive study on 8005 elderly people living in Mashhad, Mashhad, Iran.

Results : A total of 8005 elderly patients were provided with comprehensive health care centers and a psychological

depression assessment questionnaire was completed. Of these, 4,705 elderly patients were visited by the doctor; in

the final assessment, 6.9% were depressed, 3.5% had mild depression, 1.7% had moderate depression and 0.06% had

severe depression. The survey also found that 11.9% of the elderly had a deceased wife(Husband), 7.2% had lived

alone, 3.4% were illiterate, 11.3% were covered by charity and support organizations.

Conclusion : By 2050, the population of Iran's elderly will be more than 26 million, or 23% of the total population.

Among various illnesses of this era, mental disorders, especially depression, are especially important. Depending on

the burden of depression, prevention, reduction of factors and its treatment, it can improve the quality of life and

bring about a healthier seniority.

Keywords : Elder, Aging, Depression, Mental Disorder


Count: 72

Abstract ID: 139



EVALUATION OF NUTRITIONAL STATUS OF ELDERLY COVERED BY

HEALTH CENTER NO.2 OF MASHHAD.

Submission Author: Omolbanin Mohsenpour

Omolbanin Mohsenpour1, Maryam Mirseyedi Anbaran2, marziyeh Shariat Ghorghi3, Zahra Abolhasani4

1. Master of Midwifery, Health center no2, Mashhad University of Medical Science 2. Bachelor of Midwifery, Health center no2, Mashhad University of Medical Science 3. Bachelor of Public Health, Health center no2, Mashhad University of Medical Science 4. Bachelor of Midwifery, Health center no2, Mashhad University of Medical Science

Background and Aim : Today, with the development of various sciences, death rates have fallen and life expectancy

is rising and the world's population progresses to aging. Nutrition, on the other hand, is one of the major determinants

of the prevention of chronic diseases of old age. The purpose of this study was to determine the nutritional status of

the elderly covered by Health Center No.2 of Mashhad.

Methods : This descriptive study was conducted on 8005 elderly people referred to comprehensive health centers

covered by Health Center No.2 of Mashhad in 1396.

Results : 52.2% of the elderly had an abnormal body mass index (11.5% lean, 20.5% obese and 20.2% overweight).

In a survey of nutritional status, in 43% of the elderly, dairy consumption was favorable, in 31.8% Vegetables and

38.7% of them consumed fruits at optimum levels. In the past year, 46.24% of the elderly had blood lipid tests and

50.3% had a fasting blood glucose test. 22.2% of the elderly were suffering from diabetes, 44% had hypertension,

and 14% of the elderly were suffering from both diseases.

Conclusion : The results of this study indicate a relatively high prevalence of nutritional disorder in the elderly and

inadequate nutritional groups such as fruits and vegetables and dairy products in the elderly. Therefore, the necessity

of designing appropriate strategies to support and educate the nutrition of the elderly with the aim of improving and

improving their diet with the help of various organs and organizations seems necessary.

Keywords : Elderly, Nutrition, Nutrition Disorders, aging


Count: 73

Abstract ID: 24



RELATIONSHIP BETWEEN OLDER PEOPLE AND OLDER GENERATIONS

Submission Author: Yaser Mousavi

Yaser Mousavi1

1. assistant professor of Zanjan University of Medical Sciences

Background and Aim : In today’s aging societies, elderly people often have difficulties to find people to

communicate with. To address this loneliness of the elderly, it has been suggested to create more opportunities for

children and elderly people to engage in various shared activities together The study takes a cross-cultural, cross-

generational approach, comparing intergenerational solidarity, conflict and ambivalence across different age groups

Methods : The study takes a cross-cultural, cross-generational approach

Results : The goal of thS project is to learn how families and service systems may support autonomy and delay

dependency in old age, in order to promote quality of life among the elderly and their caregivers, and improve the

basis for policy and planning. The project will: - study the balance between family care and service systems and its

relation to the quality of life of the elderly, - study variations in family norms and transfers (intergenerational

solidarity) across age groups within various countries, and - study how individuals and families cope when at risk of

dependency (intergenerational ambivalence).

Conclusion : There were positive trends in mental health and social aspects of the outcomes such as positive changes

in attitudes towards older people shown as better mutual understanding, decreased stereotyping of older people, and

more respect for them. Better psychological outcomes were found, including reduced anxiety and an improved sense

of self-worth. The intergenerational programmes in non-kin relationships also promoted better family relationships

Keywords : Mental health; Older people; Children,Intergeneration Communication


Count: 74

Abstract ID: 138



THE RELATIONSHIP BETWEEN A HEALTHY LIFESTYLE AND QUALITY OF

LIFE IN ELDERLY

Submission Author: Mahmoud Movahedi

Mahmoud Movahedi1, Feryal khamseh2

1. Instructor, Department of Psychiatry and Behavioral Sciences Research Center School of Nursing, Baqiyatallah University of

Medical Sciences. Tehran, Iran 2. Instructor, Department of Psychological Nursing, Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran

Background and Aim : Elderly people are one of the growing social groups in today's societies that according to

the age pyramid of the country are increasingly important and any decision-making and planning in relation to this

group, requires accurate knowledge based on objective and scientific observations of their problems. The aim of this

study was to investigate the relationship between healthy lifestyle and quality of life in the elderly.

Methods : In this study, correlation, lifestyle and quality of life of 160 elderly people referring to daily centers in

rural neighborhoods were selected by random sampling was investigated. Data were collected through two

questionnaires: Healthy Life Style in the Elderly and Quality of Life Questionnaire (SF-8). For data analysis was

used , SPSS software (Rev. 19) and Spearman correlation coefficient tests, independent t-test, Mann-Whitney ,

Kruskal Wallis, One-Way Variance Analysis.

Results : There was a significant correlation between the total score of quality of life with lifestyle and its dimensions

(p <0.001). Among the dimensions of lifestyle, mental health had the highest correlation and nutritional behavior

with the least correlation with quality of life.

Conclusion : Appropriate quality of life and having a healthy lifestyle in the elderly is one of the essential factors

that can improve and improve health and reduce costs and economic savings.

Keywords : lifestyle, quality of life, elderly


Count: 75

Abstract ID: 80



COMPARISON OF THE EFFECTS OF ATTENTION REHABILITATION AND

MEMORY REHABILITATION PROGRAMS ON COGNITIVE FUNCTIONS IN

PATIENTS WITH ALZHEIMER'S DISEASE

Submission Author: Leila Nategh

Leila Nategh1, Mostafa Almasi2

1. Institute for Cognitive Sciences Studies, Tehran, Iran 2. Department of Neurology, Iran University of Medical Sciences, Tehran, Iran

Background and Aim : according to global statistics, the world's population will be aging, and by 2050, out of one

in four person, will be over sixty years old (UN statistics, 2015). In studies about the prevalence of dementia,

Alzheimer's is among 60-80% of all types of dementia; with half of them exclusively suffering from Alzheimer's,

and the other half also show strong evidence of individual infections to other types of dementia. (World Alzheimer

Report 2015). In Alzheimer's disease, impaired recall recent conversations, names or events are often of clinical

signs. The first cognitive impairment in Alzheimer's disease seems to be the disruption in episodic memory. Given

the significant impact of cognitive rehabilitation in improving the cognitive functions of people with dementia in the

review studies, efforts to improve the cognitive status of this group of seniors is very important. Based on studies,

the proposed goal of a rehabilitation protocol to improve cognitive impairment, especially memory improvement in

people with Alzheimer's dementia, is the underlying goal of this study. In this study, two major functional

impairments studied in patients with Alzheimer's disease. More impact of each of the protocols of attention or

memory, would it suggest this form of intervention. By comparing the attention and memory rehabilitation protocols,

the level of cognitive function changes in people with Alzheimer's dementia will be studied. In a nutshell, this

protocol will be prepared as a cognitive rehabilitation package.

Methods : Two groups of eight to ten individuals from Alzheimer's patients are considered as available sampling.

The precondition for the intervention of Alzheimer's consent is attending rehabilitation sessions and committing to

cognitive rehabilitation exercises. If they agree with these situations, the patients signed consent letters at the

beginning of the study and their claims their satisfaction with attendance at sessions and doing rehabilitation

protocols. After receiving the consent letters, the clients will be undergoing cognitive rehabilitation during the five-

week courses, in the form of ten fifty to sixty-five sessions. At the beginning of the study, Addenbrooke's cognitive

examination-C, (Persian version, 2008) will take from both groups. Then, in the first group, attention rehabilitation

protocol, and in the second group, the memory rehabilitation protocol will implement.

Results : After the sessions, the two groups will be re-evaluated by the Addenbrooke's cognitive examination. Then,

changes in the test score of each member will be measured. After the final evaluation stage, the result of the observed


changes in the cognitive assessment score is calculated. Once completed, the data will enter into the statistical

program and will analyze.

Conclusion : Comparative results from the impact of these two rehabilitation protocols can be helpful for future

treatments. Rehabilitation therapists can apply the proper protocol to their patients, depending on which protocol has

a more positive impact on the elderly's cognitive functions.

Keywords : Alzheimer's Disease, Cognitive Rehabilitation, Dementia, Attention Training, Memory Impairment,

Memory Rehabilitation, Cognitive Impairment


Count: 76

Abstract ID: 77



THE EFFECT OF HIGH BLOOD PRESSURE ON THE QUALITY OF LIFE OF

ELDERLY PEOPLE IN FASA

Submission Author: Ebrahim Nazari far

Mostafa Bijani1, Elahe Ghazanfari shabankare 2, Ebrahim Nazari far3

1. Ph.D student in nursing education, Shiraz University of Medical Sciences 2. nursing student Fasa University of Medical Sciences - Fasa, Iran 3. Masters student in Old age health, Department of Health education and aging education of Shiraz University of Medical

Sciences, Public Health College

Background and Aim : Quality of life in the elderly is affected by various factors. One of the common chronic

diseases in the elderly is hypertension, which in the absence of treatment leads to heart failure and stroke, which can

greatly affect the quality of life. . The purpose of this study was to investigate the effects of high blood pressure on

the quality of life of the elderly

Methods : This is a descriptive and analytical study. A total of 200 elderly patients were selected based on the goal

and the quality of life of patients in four physical, mental, social and environmental fields was assessed using the

WHOQOL-BREF questionnaire

Results : According to the findings, 120 (60%) of the patients were male and 80 (40%) were female. The age range

was 60-85 and the mean age was 68.07. The results of the study showed that there is a significant relationship between

age, level of education and marriage variables with four areas of quality of life (P <0.05). The score of life was also

low in all four dimensions.

Conclusion : The findings showed that high blood pressure can affect the quality of life of elderly people in physical,

psychological, social and environmental settings. Therefore, it is necessary to improve the quality of life of the elderly

by taking preventive measures or treatment during this complication and raising awareness.

Keywords : Seniors, Quality of life, High blood pressure


Count: 77

Abstract ID: 14



RELATIONSHIP BETWEEN DEPRESSIVE AND COGNITIVE DISORDERS IN

ELDERLY

Submission Author: Monir Nobahar

Monir Nobahar1, Arsalani N2, Ghorbani R3, Kia NS 4, Etemadi M 5

1. Associated Professor, Nursing Care Research Center and Social Determinants of Health Research Center, Semnan University of

Medical Sciences, Semnan, Iran. - Faculty of Nursing and Midwifery, Semnan University of Medical Sciences, Semnan, Iran. 2. Assistant professor, Iranian Research Center on Aging, Department of Nursing, University of Social Welfare and Rehabilitation

Sciences, Tehran, Iran. 3. Professor, Social Determinants of Health Research Center, Department of Epidemiology and Biostatistics, Faculty of Medicine,

Semnan University of Medical Sciences, Semnan, Iran. 4. Medical Doctors, Social Determinants of Health Research Center, Department of Epidemiology and Biostatistics, Faculty of

Medicine, Semnan University of Medical Sciences, Semnan, Iran. 5. General Physician, Semnan University of Medical Sciences, Semnan, Iran

Background and Aim : Cognitive impairment in elderly, without formal diagnosis of dementia, rather than cognitive

impairment, is more diagnosed with symptoms of depression. The relationship between cognitive impairment and

depression has been reported in various references. Due to the limited study in this field, the aim of this study was to

determine the relationship between depression and cognitive impairment in the elderly in Semnan.

Methods : In this cross-sectional study, 260 elderly people aged 60-80 years old living in Semnan were selected by

multi-stage method and examined for depression and cognitive impairment. The data collection tool were

demographic questionnaire, Mini-Mental State Examination (MMSE) and Geriatric Depression Scale (GDS).

Results : In 57.1% of the elderly, 70-60 years old and 54.9% of elderly people aged 80-71 years had a degree of

depression. In 49% of the elderly, 70-60 years old and 61.1% of elderly people aged 80-71 years had a degree of

cognitive impairment. There was a significant correlation between depression and cognitive impairment (p <0.001).

Conclusion : In the elderly, the risk of cognitive impairment is common. Depression is associated with cognitive

function. Monitoring the status of the elderly can help prevent depression and possibly cognitive impairment.

Keywords : Elderly, depression, cognitive impairment


Count: 78

Abstract ID: 113



INVESTIGATING THE RELATIONSHIP BETWEEN FEAR OF FALLING, KNEE

JOINT PROPRIOCEPTION AND PHYSICAL ACTIVITY LEVEL WITH

FULLERTON ADVANCED BALANCE TEST IN ELDERLY

Submission Author: Ali Asghar Norasteh

Ali Asghar Norasteh1, Hamed Zarei 2, Pour Mahmoodian P.3

1. Proff.at university of guilan,Ph.d P.T. 2. Msc. Ph.Ed university of guilan 3. PhD Student in Physical Education& sport sciences,University of Guilan

Background and Aim : The current study aims to investigate the relationship between fear of falling, knee joint

proprioception, and physical activity level in elderly with the Fullerton Advanced Balance test.

Methods : This study was a correlational research and 57 healthy elderly men were selected through available

sampling method in Rasht city in 2016. Data has been gathered by using Fullerton Advanced Balance test (FAB) for

measuring balance, a questionnaire for measuring physical activity level, Fall Efficacy Scale - International (FES-I)

for measuring the fear of falling. Maximum isometric force muscle group in lower limb was measured by using Hand

Dynamometer device, and muscle range of motion and knee-joint proprioception by using electro-goniometer device.

The data were analyzed using descriptive and analytic statistics by spss version 16 software.

Results : Results revealed a negative meaningful correlation between fear of falling and error of knee joint

proprioception using Fullerton Advanced Balance test (P≤ 0.001). Moreover, the findings presented a positive,

meaningful correlation between physical activity level, hamstring muscular power and Quadriceps muscle, Knee

flexion and extension range of motion, plantar flexion and dorsiflexion of ankle by using Fullerton Advanced Balance

test (P≤0.001).

Conclusion : Fullerton Advanced Balance test is a favorable clinical instrument which bears a high correlation with

the factors of imbalance such as fear of falling, proprioception, muscular power, and range of motion. Nevertheless,

more study and research is required to investigate the relationship between the psychoanalytical characteristics of

Fullerton Advanced Balance scale and the effective variables in the balance and falling of the elderly.

Keywords : Elderly, Advanced scale Fullerton, Fear of falling, Physical activity level, Proprioception.


Count: 79

Abstract ID: 38



DIGNITY IN OLDER PEOPLE

Submission Author: Azadeh Nouri

Azadeh Nouri1, Roghayeh Esmaeili2

1. M.Sc Student of Geriatric Nursing, Department of Surgery, School of Nursing and Midwifery, Shahid Beheshti University of

Medical Sciences, Tehran, Iran 2. Assistant Professor, Ph.D, Department of Surgery, School of Nursing and Midwifery University Shahid Beheshti University,

Tehran, Iran

Background and Aim : With aging, preserving the dignity of our seniors as they succumb to aging has turned into

an important concept in life. This concept was primarily formed in communication with others and guarantees

personal health. Given the importance of this issue, this study examines the attributes of dignity in older people.

Methods : This study is a type of systematic review. A comprehensive search in databases such as SID, Iranmedex,

Magiran, Pubmed, Science Direct, Scopus, Ovid, Google Scholar was performed using the keywords of Dignity,

Dignified care, Aged, Older people, Senior Citizen, Pensionary, Retired, Elderly from 2006 to 2016.

Results : After searching the databases, screening and qualitative assessments of studies were performed on 4 articles

during the systematic review. Based on the findings, seven major concepts (respect, privacy, independence, social

and family relationships, pain management, integrity, participation in self-care) and three sub concepts (social

participation, unique treatment, and value) were identified which are indicative of the dignity of the elderly.

Conclusion : One of the important demands of the elderly is the need for dignity. This concept is very complex and

is influenced by a wide variety of features. As one of the care providers to the client, nurses need to be aware of the

dignity of the elderly. Improving the status of the elderly requires the provision of living conditions along with

dignity, respect, and reverence for them.

Keywords : Systematic Review, Dignity, Elderly


Count: 80

Abstract ID: 93



DETERMINING THE PREDICTORS OF SLEEP DISORDER AMONG ELDERLY

PEOPLE LIVING NURSING HOMES OF AHVAZ IN 2017 (ORIGINAL ARTICLE)

Submission Author: Shahab Papi

Shahab Papi1

1. Iranian research center of aging, university of social welfare and rehabilitation sciences. Tehran, Iran.

Background and Aim : Sleep quality is an important indicator in many geriatric diseases. As people age, changes

happen in the quality and structure of sleep, which lead to sleep disorders and complications. The aim of this study

was to determine the predictors of sleep disorder in elderly people living in senior care homes.

Methods : This correlational study was carried out on a sample of 130 elderly residents of senior care homes in the

city of Ahvaz. Pittsburgh’s sleep quality questionnaire, general health questionnaire (12 questions form), knee pain

questionnaire, social support questionnaire, and demographic characteristic checklist were used to collect the data.

Data were analyzed using stepwise linear regression analysis through SPSS software.

Results : In this study, 33/8% (n=44) of participants were men and 66/2% (n=86) were women. The mean (±SD)

age of subjects was 68±7/8 years. In total, 13.8% of the samples had low level of sleep disorder, 81.5% had moderate

level of sleep disorder and 4.6% had severe level of sleep disorder. Based on the fitted regression model (P < 0.001,

F = 7.24) it was found that, multiple disease (β = 0.200), perceived social support (β = -0.266), joint stiffness

(β=0.259) and knee pain (β = 0.244) were the effective and significant predictors of sleep disorder in the elderly

people, and explained 18.9% of the changes in this variable.

Conclusion : According to the Perceived social support, joint stiffness, knee pain, and multiple diseases only

explained 18.9% of sleep disorder in the elderly population. further studies are needed to identify other factors

affecting sleep disorders.

Keywords : Elderly, Nursing home, Sleep disorder, Co-morbidity, Social support.


Count: 81

Abstract ID: 63



ABUSE OF PEOPLES WITH ALZHEIMER'S DISEASE BY FAMILY

CAREGIVERS

Submission Author: Afsaneh Pourmollamirza

Elham navab1, Afsaneh pourmollamirza2

1. Assistant Professor, Tehran University Of Medical Sciences 2. Master student of geratric nursing, Tehran University Of Medical Sciences

Background and Aim : Aim: To review the abuse of peoples with Alzheimer'S disease by family caregivers

background: Today, the population of people with Alzheimer's disease is increasing and caring for these people plays

an important role in the quality of life of these people. Family caregivers in these people are the most important

source of maintenance for these people.

Methods : This review study was done with the method of gathering data by targeted research among scientific data

bases PubMed, Science direct, Pro Quest, Ovid, Elsevier, Google scholar, and with the key words such as Alzheimer,

family caregivers, abuse from 2009 to 2015 , for to access to internal and external English-printed studies. Also

search in SID, Irandoc, Iranmedex, Google scholar data base, the key words are Alzheimer, family caregiver, abuse

without any time limits into account Persian studies

Results : Caring for people with Alzheimer's creates specific challenges for caregivers. These people play a more

important role in providing care for affected people, health and treatment needs, as well as their care hours, than

other chronic diseases. As a result, caregivers have an increased burden of mental health problems such as depression,

reduced quality of life, and increased anxiety, stress and anxiety. These can lead to abusive behaviors over people

with Alzheimer's.

Conclusion : According to studies reported, 47% of people with dementia are abused by families, 88.5% of mental

abuse, 19.7% of physical abuse and 29.5% of them are negligence. . That care abuser behaviors are caused by

Alzheimer's and Alzheimer's patients.

Keywords : alzheime,caregiver,abuse


Count: 82

Abstract ID: 122



THE ROLE OF FUN PHYSICAL ACTIVITY IN DECREASING DEPRESSION IN

ELDERLY

Submission Author: Neda Pournorooz

Neda Pournorooz1, arefeh kalavani2, sakineh ramezanli3

1. Jahrom University of Medical Sciences, Jahrom, Iran 2. Jahrom University of Medical Sciences, Jahrom, Iran 3. Jahrom University of Medical Sciences, Jahrom, Iran

Background and Aim : The aim of this research, finding simple and low cost solutions that benefit for preventing

depression in elderly. Cognitive disorder, depression and reduced physical function are increased in the elderly.

Factors such as low income and living alone or without a spouse is an important role in increasing depression in

elderly.

Methods : Article abstracts were systematically searched from PubMed, Elsevier, Scopus, PsycINFO databases and

related English articles were reviewed from 1992 to 2017 with keywords such as Elderly, fun physical activity,

depression, mobility. According to the determined criteria,s, 16 article of the 35 articles were selected in this study

and the relationship between normal physical activity and fun physical activity and decreasing depression were

summarized and compared.

Results : The studies showed that funny and regular physical activity in older people is an important role in

maintaining health and having a good life and reduce depression and prevention of old age complications.

Conclusion : According to research fun physical activity can increase life expectancy, improve mood and cognitive

disorder and general health in elderly. So it is suggested to include these activities in an old age home and retirement

center programs.

Keywords : Depression, Elderly, Fun physical activity.

100 | G M C O N G R E S S . I R

Count: 83

Abstract ID: 64



SLEEP DISORDER IN ELDERLY PEOPLE: A POPULATION BASED SURVEY IN

SHIRAZ, IRAN

Submission Author: Tayebe Rahmani

Tayebe Rahmani1, Behnam Honarvar12, Tayebe.rahmani3, Elahe Khaksar4, Fatemeh Jafari5, Farzane.Bahadori6

1. . Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran 2. .Msc, Department of Healthy Aging, Faculty of Health, Shiraz University of Medical Sciences,Shiraz,Iran 3. .Msc, Department of Biostatistics and Epidemiology, School of Health, Shahid Sadoughi University of Medical Sciences, Yazd,

Iran 4. Msc, Department of Epidemiology, School of Health, , Shiraz University of Medical Sciences,Shiraz,Iran 5. Msc, Department of Healthy Aging, Faculty of Health, Shiraz University of Medical Sciences,Shiraz,Iran

Background and Aim : Elderly (more than 60 years) population of the world will be nearly doubled from 12% in

2012 to 22% in 2050.According to World Health Organization (WHO) report the estimated population of elderly

will have overtaken one billion by 2020.Iran also faced to increase in elderly population as in the years 2010 and

2016, 8.2% and 10.1% of the population of Iran consisted of old adults, respectively. This study was aimed to

evaluate sleep disturbance in the Shiraz elderly people

Methods : This 1.5 years population based screening survey was conducted in 2016-2017 and 412 elderly adults

were selected through a multistage cluster sampling method and filling Pittsburgh questionnaire by face to face

interview the QOS of elderly people was assessed. Data were analysed in IBM SPSS 25 statistic.

Results : Mean age of participants was 68.1±6.2 years. Interviewees consisted of 216(52.4%) females and

196(47.6%) males. 55.2% of participants had sleep problems including 46.6% with moderate to 8.3% with serious

and 0.3 % with very serious sleep problems. 245(59.4%) stated that their night sleep’s duration was less than 6 hours,

while 94(22.8%) did not have any daytime sleep or nap. 337(81.8%), 64(15.5%), 61(14.8%), 60(14.6%), 42(10.2%)

and 30(7.3%) reported that used to watch TV, drink a kind of drink, use medical drugs, listen to music, reading

newspaper and use mobiles in 0.5 to 1 hour before their night sleep respectively

Conclusion : This study showed that more than half of elderlies in our region suffer from sleep problems which can

affect all aspects of their life. Therefore, prevention and/ or care about sleep problems should be integrated in primary

health care system and sleep health training is essential for this population.

Keywords : elderly,sleep,shiraz

101 | G M C O N G R E S S . I R

Count: 84

Abstract ID: 98



VIOLENCE AGAINST IN OLDER WOMEN IN SHIRAZ


Tayebe Rahmani1, Behnam Honarvar2, Tayebe Rahmani fard3, Farzane bahadorri4, Elahe Khaksar25, Zahra Gheibi 6

1. Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran 2. Msc, Department of Healthy Aging, Faculty of Health, Shiraz University of Medical Sciences,Shiraz,Iran 3. Msc, Department of Healthy Aging, Faculty of Health, Shiraz University of Medical Sciences,Shiraz,Iran 4. Msc, Department of Biostatistics and Epidemiology, School of Health, Shahid Sadoughi University of Medical Sciences, Yazd,

Iran 5. Msc, Department of Bio statistics and Epidemiology, University of Medical Sciences, Shiraz , Iran

Background and Aim : The elderly are among the vulnerable groups in the community. In the study of people over

the age of 65, the phenomenon of elder abuse is a challenging topic. There for, the study of older women is important.

The purpose of this study was to investigate the prevalence of violence and its related factors in elderly women in

Shiraz.

Methods : In this descriptive-analytical study, a multi-stage cluster sampling was used that elderly women were

studied under the supervision of health centers in Shiraz. Measuring the amount of violence by using a standard

researcher. The dimensions of violence included neglect, emotional violence, physical violence, financial violence,

respect for personal and sexual rights. Data were analyzed using SPSS software version 22.

Results : In this study, 216 elderly women with an average age of 63.7±5.9 were studied. The mean total score of

violence was 40.7± 10.7. The most significant dimensions of violence in the neglected section were the highest (50%)

problem of the elderly, the lack cooperation of others with them in preparing food and baths, and subsequently

(50/40%), the lack cooperation of others with them in the purchase was reported. In the emotional field (% 16/3),

ignoring the tasks of the elderly, (% 15/3), the most cited were the screaming on them. Also, in sexual matters (5.6%),

they had expressed a sense of sexual assault by verbal means.

Conclusion : The study's findings showed that violence among older women was moderate but experienced almost

all forms of violence. The greatest violence that elderly women are suffering from is the lack of cooperation and

ignoring them. Meanwhile, the disease that causes them to fall is the main cause of the experience of violence in

them

Keywords : Elderly,Violence, against

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Count: 85

Abstract ID: 117



QUALITY OF LIFE IN ELDERLY, A NEGLECTED AND MISSED LINK ISSUE IN

PRIMARY HEALTH CARE SYSTEM: A POPULATION BASED STUDY IN

SHIRAZ, IRAN


Tayebe Rahmani1, Behnam Honarvar2, Maryam Azadegan3, Tayebe.Rahmani4, Elahe Khaksar25,

Farzane.Bahadori6, Zahra Gheibi 7

1. Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran 2. . Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran 3. Msc, Department of Healthy Aging, Faculty of Health, Shiraz University of Medical Sciences,Shiraz,Iran 4. Msc, Department of Biostatistics and Epidemiology, School of Health, Shahid Sadoughi University of Medical Sciences, Yazd,

Iran 5. Msc, Department of Healthy Aging, Faculty of Health, Shiraz University of Medical Sciences,Shiraz,Iran 6. Msc, Department of Bio statistics and Epidemiology, University of Medical Sciences, Shiraz , Iran

Background and Aim : Elderly population of the world will be nearly doubled in 2050. Iran’s population will also

include a more than 30% of elderly groups in 2050. On the other hand quality of life (QOL) has attracted more

attention than before. Therefore this study was conducted to assess the (QOL) in elderly people who are under

coverage of Integrated Geriatric Care Program by public health centers.

Methods : This population based analytic cross-sectional study was conducted through a multi stage sampling.(

LIPAD) questionnaire as a standard tool for assessment the QOL of elderly people was filled for each participant by

a face to face interview. Data were analyzed in SPSS

Results : A total of 412 elderly by mean of age 68.12 ± 6.24 years and female to male ratio 1.1 were studied. The

mean of total QOL score of all participants was 70.2 ± 10.5 (of total score 93). All seven core components of QOL;

Physical Functioning , Depression and Anxiety, Cognitive Functioning, Self-Care, Social Functioning, Life

Satisfaction and Sexual functioning were correlated in order to the total score of this components. Similarly all five

components of QOL; Perceived Personality, Anger, Self-steam, Social desirability and Trust in God were correlated

to the total score of moderator parts of QOL respectively. also showed that gender, level of education, occupational

status of elderly and his/her spouse, age at the 1st marriage and being the main decision maker about family financial

affairs were correlated significantly with the total score of QOL. Moreover, Multiple Linear Regression revealed that

illiterate elderly (β =-3.94), elderly who were not the main decision makers about family financial affairs (β =-2.99)

and female elderly (β=-2.74) had a lower QOL.

103 | G M C O N G R E S S . I R

Conclusion : This study remarked that the QOL of elderly people living in Shiraz is higher than average. Moreover,

policy making and interventions toward improvement of QOL in elderly population, especially through raising their

level of literacy and giving a more autonomy role to them in decision making about financial affairs of their family

is recommended.

Keywords : Elderly, Quality of life, LEIPAD, Shiraz, Iran

104 | G M C O N G R E S S . I R

Count: 86

Abstract ID: 19



EVALUATING LIFESTYLE CONDITION OF THE ELDERLY PEOPLE WHO

ARE CARED IN FAJR-E OMID CENTER OF FERDOWS

Submission Author: Abolfazl Rajabi

Abolfazl Rajabi1, Atefeh Rezaiean First2, Mohammad Ali Namvar3

1. Student Bachelor of Nursing, Islamic Azad University, Ferdows Branch; Member of Student Research Committee; Ferdows;

South Khorasan: Iran 2. Master of Science in Nursing, Islamic Azad University, Ferdows Unit 3. Master of Nursing, Nursing Nursing, Islamic Azad University, Ferdows Unit,

Background and Aim : Considering a healthy lifestyle in aging period has an important role. Ageing population of

Iran is increasing. Therefore, identifying effective factors to improve their lifestyles is one of the issues in healthcare

system programming. So, evaluating the lifestyles of elderly to educate them about preventing diseases and

improving their quality of life and health status is important. Therefore, we aimed to evaluate the lifestyles of who

are cared in Fajr-e Omid Center of Ferdows.

Methods : This evaluation, is a descriptive analytic study which was performed in 2017 and sampling method was

random, the sample size was calculated 40, using Morgan determining sample size formula. Data was gathered using

“evaluation of healthy lifestyle in Iranian elderly” questionnaire and was analyzed by using SPSS 21 and descriptive

statistics, Pearson correlation coefficient, T test, analysis of variance and covariance was down.

Results : The average score of lifestyle was 33.154± 58.7 which indicates a desirable lifestyle, and it did not show

any statistically significant differences between genders (p value < 0.05). The findings show that there is a

statistically significant relationship between age and prevention fields (p<0.001), exercising and entertainment

(p<0.001), stress (p=0.04) and social relationships (p=0.001).

Conclusion : The results show that the elderly of Ferdows City have an average lifestyle status and it’s necessary to

educate them about methods of healthy lifestyle more seriously.

Keywords : Healthy lifestyle, elderly, descriptive-analytic study, health improvement.

105 | G M C O N G R E S S . I R

Count: 87

Abstract ID: 89



RISK FACTORS OF DEATH ANXIETY ON THE ELDERLY

Submission Author: Sakineh Ramezanli

Sakineh Ramezanli1, fatemeh golestan2, sara moghaddam3, neda pournorooz4

1. Msc of nursing, Faculty of Nursing, Jahrom University of Medical Sciences, Jahrom, Iran 2. Msc of nursing, Faculty of Nursing, Jahrom University of Medical Sciences, Jahrom, Iran 3. Msc of nursing, Faculty of Nursing, Jahrom University of Medical Sciences, Jahrom, Iran 4. Msc of nursing, Faculty of Nursing, Jahrom University of Medical Sciences, Jahrom, Iran

Background and Aim : The relevant risk factors of death anxiety among the elderly must be identified in order to

design an appropriate interventional program to prevent death anxiety among them. Therefore, this study tried to

have a comprehensive look to identify death anxiety risk factors among the elderly through systematic reviewing of

original researches in this area.

Methods : By searching in Google Scholar keywords such as“such as Elderly or Older, Old, Aged, in combination

with Risk factor, Affective, etiology, predictor, determinant death anxiety”, cross-sectional studies which were

published in Elsevier, science direct, external and internal valid scientific sites (mostly specific and related to

addiction) without limitation, were chosen .These cross-sectional studies had greater sample size and more citations

than the others and finally 26 articles (15 internal, 11 external) were evaluated and used.

Results : The results showed that several factors such as: factors of demographic characteristics, lifestyle,

psychological and physiological variables were predicted death anxiety in the elderly. The results of interventional

studies were indicated in the reducing death anxiety: regular physical activity and appropriate diet were Reduced the

level of death anxiety.

Conclusion : The results of this study show increased social interaction, adherence to religion and marriage can

decrease death anxiety and improve the mental health of the elderly, especially elderly women.

Keywords : death anxiety, elderly, mental health

106 | G M C O N G R E S S . I R

Count: 88

Abstract ID: 58



THE EFFECT OF HOME-BASED CARDIAC REHABILITATION PROGRAM ON

LIFESTYLE AND QUALITY OF LIFE OF OLDER ADULTS WITH

MYOCARDIAL INFRACTION

Submission Author: Fereshte Rezaie

Fereshte Rezaie1, Arezu Ghanbarlu2, Farahnaz Mohammadi Shahboulaghi3, Mohamad Ali Hosseini4, Akbar

Biglarian5

1. PhD student of Gerontology in University of Social Welfare and Rehabilitation Sciences , Tehran, Iran. 2. M.Sc. of Geriatric Nursing, University of Social Welfare and Rehabilitation Sciences. Tehran, Iran 3. Associate Professor of Iranian Research Center on Aging , Nursing Department, University of Social Welfare and Rehabilitation

Sciences, Tehran, Iran 4. Associate Professor, Department of Rehabilitation Management, University of Social Welfare and Rehabilitation Sciences,

Tehran, Iran 5. Associate Professor, Department of Biostatistics, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

Background and Aim : One of the most common coroner vessel diseases is heart attack that severely affected to

life style and quality of life of patients. The present research was accomplishing to determine the impact of home-

based cardiac rehabilitation on life style and the quality of life in older adults with Myocardial Infraction.

Methods : In the experimental study,80 elderly patients who suffering from heart attack and referred to Madani

clinic, Cardiac Ward, in 2014. These patients were assigned to the two groups of experimental and control based on

inclusion criteria and simple randomization blocks. Experimental group received home base cardiac rehabilitation.

During this period, all the patients were followed on the telephone. The information collected with demographic and

healthy life style questionnaire and MacNew questionnaire specialized for patients with heart diseases. The scores

on life style and the quality of life in the patients obtained before and one months and a half and then three months

after the intervention and compared. Analysis of the data was done by T-test and ANOVA

Results : The research finding indicate the Improvement in quality of life and life style for experimental group after

three months. The comparison of the average scores of the quality of life after three months between experimental

group (139.83± 19.67) and control group (123.7± 16.33) showed a significant difference (p>0/05) though before the

intervention and one month and a half after the intervention, no significant difference was observed. Comparing the

average scores of life style after three months showed a significant difference between the experimental (87/6 ±

94/152) and the control (05 /11± 82/113) groups (05/0>P), though no difference was observed before the intervention

and one month and a half after the intervention.

107 | G M C O N G R E S S . I R

Conclusion : The study showed using home based cardiac rehabilitation program have positive effect on life style

and quality of life for older adult with heart attacks and such programs help elders to become more independent in

future.

Keywords : Home based cardiac rehabilitation, heart attack, older adult, life style, quality of life

108 | G M C O N G R E S S . I R

Count: 89

Abstract ID: 106



BIOMECHANICAL RISK FACTORS WITHIN DAILY OCCUPATIONS FOR

SHOULDER OSTEOARTHRITIS IN ELDERS

Submission Author: Hamid Reza Rostami

Hamid Reza Rostami1

1. Occupational Therapy Department, School of Rehabilitation Sciences, Isfahan University of Medical Sciences, Isfahan, Iran.

Background and Aim : Aging in the modern society is conjoined with different diseases such as osteoarthritis (OA)

which causes reduced occupational abilities for people and burden of financial and societal problems on society.

Occupational risk factors are one of the probable risk factors for shoulder OA. Considering lack of literature, aim of

the present study was to investigate probable biomechanical risk factors within daily occupations for shoulder OA

in elders.

Methods : In a cross-sectional, descriptive study, a convenient sample of 30 patients with glenohumeral OA (mean

age= 67 years; range= 56-80 years) were evaluated. Patients with or without shoulder arthroplasty and without any

neurological disorders participated into study after signing informed consent. Participants filled out demographic,

biomechanical, and job analysis questionnaires with specific enquiries about a wide range of biomechanical and

occupational situations.

Results : Biomechanical factors with highest common distribution among patients were working with hands above

shoulder level particularly combined with griping and grasping tools, lifting weights heavier than 20 kilograms,

carrying weights on one shoulder, using shoulders in a repetitive way, and stretching arms down to reach below knee

especially in internal rotation. Factors with modest distribution among patients were works including a lot of stress,

monotonous tasks, and lack of enough rest between tasks.

Conclusion : This study has shown that some aspects of physical activities and working conditions under which the

patients were working during years are probable risk factors for occurrence of shoulder OA. As a pilot study, we

found some probable biomechanical factors for shoulder OA; so, future studies considering biomechanical factors

and ways for reducing these factors and modifying work conditions are warranted.

Keywords : Shoulder Osteoarthritis, Elders, Occupation, Work.

109 | G M C O N G R E S S . I R

Count: 90

Abstract ID: 34



EVALUATION OF CULTURAL ADAPTATION, VALIDITY AND RELIABILITY

OF THE QUESTIONNAIRE OF GERIATRIC LOCOMOTIVE FUNCTION SCALE

- 25 QUESTIONS IN IRANIAN ELDRLY

Submission Author: Nasim Sadeghi mahali

Nasim Sadeghi mahali1, Mohammad Ali Hosseini2, Mehdi Rahgozar3, Kian Norouzi Tabrizi4

1. Graduate Nursing Student, Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran 2. Associate Professor, Department of Rehabilitation, Faculty Member of University of Social Welfare and Rehabilitation Sciences,

Tehran, Iran 3. Associate Professor, Department of Biomedical and Computer Sciences, Faculty Member of University of Social Welfare and

Rehabilitation Sciences, Tehran, Iran 4. Associate Professor, Department of Nursing, Faculty Member of University of Social Welfare and Rehabilitation Sciences,

Tehran, Iran

Background and Aim : Introduction: The term of Locomotive syndrome refers to conditions under which elders may soon

require nursing care because of problems of the locomotive organs. the purpose of study be to evaluate the cultural adaptation,

validity and reliability of the 25-question Geriatric Locomotive Function (GLFS-25), for early manifestation of locomotive

syndrome.

Methods : The present research is a methodological. The translation and cultural adaptation of GLFS-25 carried out by standard

method of translating and equivalent, the International Quality of Life Assessment model. Face validity, Content validity,

construct validity, criterion validity, internal-consistency reliability and reproducibility by test-retest reliability examined by

psychometric analysis. To determine the sensitivity, specificity and cutoff point of the tool, the ROC curve used.

Results : Study 1 analyzed 250 Iranian elderly ≥60 years old. Results of analysis factor for construct analysis showed that the

construct structure consisted of 4 factors (pain, ability of daily activities and quality of life, social relationships, mental-

psychological). For the association between the GLFS-25 and European Quality of Life Scale-5 Dimensions (EQ-5D) and VAS,

Pearson׳s correlation coefficient was 0.858 and -0.722, Respectively (P = 0.01). as for Internal consistency confirmed by

Cronbach׳s α reliability coefficient of 0.932. the test-retest correlation coefficient was equal to 0.96. In study 2, 70 individuals

analyzed and the best sensitivity and specificity for the cut point evaluated at point 16.

Conclusion : The Persian version of GLFS-25 offers as reliable and valid tool, for detecting locomotive syndrome in Iranian

elderly population.

Keywords : Locomotive syndrome, Psychometric, GLFS-25, elderly, Iran

110 | G M C O N G R E S S . I R

Count: 91

Abstract ID: 36



THE RELATIONSHIP BETWEEN LOCOMOTIVE SYNDROME AND QUALITY

OF LIFE AMONG RESIDENT ELDERS IN QAEMSHAHR COUNTY

Submission Author: Nasim Sadeghi mahali

Nasim Sadeghi mahali1, Mohammad Ali Hosseini2, Kian Norouzi Tabrizi3

1. Graduate Student Iranian research center On Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. 2. 2Associate Professor, Department of Rehabilitation, Faculty Member of University of Social Welfare and Rehabilitation

Sciences, Tehran, Iran 3. 3Associate Professor, Iranian research center On Aging University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

Background and Aim : : locomotive system Diseases during aging are causes of disability. Locomotive syndrome

is a condition where the elderly depends on nursing care for self-care or will be at risk near future. This syndrome

leads to impairment in daily functioning and self-care, loss of autonomy, dependence and movement constraints. The

aim of this study was to investigate the association between locomotive syndrome and quality of life in the

Qaemshahr elderly.

Methods : This study is a single study design, and from the thesis by available sampling. This study was performed

on 120 Iranian elders on 2017. Data collection was done using demographic questionnaire, Geriatric Locomotive

Function scale questionnaire (GLFS-25) and European quality of life questionnaire (EQ-5D). Data were analyzed

using SPSS V23, t-test, chi-square and R-correlation coefficient.

Results : According to the results, there was a positive correlation between the scores of the GLFS25 and EQ-5D

questionnaires and a negative correlation with the visual level of the level of health (P = 0.01). Also, level of Quality

of life in two groups with locomotive syndrome and without locomotive syndrome were significantly different (P =

0.01)

Conclusion : There is a direct relationship between locomotive syndrome and the low levels of quality of life among

study elders. Identification and timely intervention of locomotive syndrome can lead to increased quality of life,

reduced costs of treatment, and economic and psychological burden on the community.

Keywords : Locomotive syndrome, Quality of life, Elderly.

111 | G M C O N G R E S S . I R

Count: 92

Abstract ID: 8



THE RELATIONSHIP BETWEEN THE PERCEPTION OF AGING AND

ELDERLY GENERAL HEALTH IN CITY OF GONABAD IN 2018

Submission Author: Leila Sadeghmoghadam

Leila Sadeghmoghadam1, Mahdieh shamsi sani,2, Habib Shareinia3, ali delshad4

1. Department of nursing, Faculty of nursing,& Social Development and Health Promotion Research center , Gonabad University of

Medical Sciences 2. Bachelor of Public Health Student, Student Research Committee, Gonabad University of Medical Sciences 3. Department of nursing, Faculty of nursing,& Social Development and Health Promotion Research center , Gonabad University of

Medical Sciences 4. Department of nursing, Faculty of nursing,& Social Development and Health Promotion Research center , Gonabad University of

Medical Sciences

Background and Aim : Due to the increasing the population of the elderly people, trying to solve their problems

including psychological problems is necessary. General health is an important matter in old age. The measurement

of the perception of the aging and related factors can be an indicator for predicting the condition of physical and

physiological health of the person. The following research is done with the purpose of determining the relationship

between perceptions of aging and other demographic factors related with the general health in Gonabad city elderly

residents.

Methods : This analytical descriptive study was conducted on 270 elderly residents of Gonabad, who were selected

by stratified random sampling. Research tools were a standard demographic questionnaire, Goldberg general health

and Barker’s Brief aging perceptions questionnaire. Data were collected by interview of respondents and

questionnaire in clinics. Data analysis was carried out in SPSS 20 using descriptive statistic and Pearson’s test and

independent t-test.

Results : Respondents had a mean age of 68.48 ± 7.83 years, 49.6% of respondents were men and 50.4% were

women. The total general health score was 14.62 ± 5.85.The total score of perception of aging was 56.22 ± 5.96 with

the highest score of 12± 2.36 in positive consequences. Pearson’s test results have shown that there is no specific

connection between the general health and perception of the aging.(p>0.05)

Conclusion : Age and the perception of aging are good predictors of general health. The authors recommend doing

studies about the most of the effective factors on elderly general health in Iran and development of a comprehensive

care plan to reduce inappropriate general health condition among Iranian elderly.

Keywords : perception of aging, general health, elderly

112 | G M C O N G R E S S . I R

Count: 93

Abstract ID: 97



DEPRESSION IN ELDERLY: CROSS SECTIONAL STUDY IN TABRIZ, IRAN

Submission Author: Siros Samei Sis

Siros Samei Sis1, Akbar Azizi Zeinalhajlou2, Saeed Dastgiri3, Hossein Matlabi4, Mohammad Hasan Sahebihagh5,

Zahra Parsian6, Reza Naghdi7

1. Aging Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran 2. Aging Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran 3. 1. Health Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, Iran 4. 3. Department of Health Education and Promotion, Tabriz University of Medical Sciences, Tabriz, Iran 5. 1. Health Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, Iran 6. Emergency Medicine Research Team, Tabriz University of Medical Science 7. Tabriz University of Medical Sciences, Tabriz, Iran

Background and Aim : Depression is a major public health problem and the most common mental disorder among older

people making them impotent, degrades their quality of life, and simultaneously increases their mortality. The aim of this study

was to determine the prevalence of depression and its affecting factors among elderly in northwest of Iran.

Methods : This descriptive cross-sectional study included samples from Tabriz population, North-West of Iran, who were 60

years or older. A total of 1060 Participants (512 men and 548 women) were randomly selected based on Probability Proportional

to Size (PPS) sampling method. Data collection was conducted in the households of the participants. Depression, perceived

social support, socioeconomic status (SES), and life satisfaction were assessed respectively using the Hospital Anxiety and

Depression Scale (HADS), Multidimensional Scale of Perceived Social Support (MSPSS), Socioeconomic Status

Questionnaire for Urban Households (SES Iran), and the Satisfaction with Life Scale (SWLS).

Results : Depression is highly prevalent among Iranian elderly and more than 77.0% of the people are suffering from different

levels of depression. In a univariate analysis, prevalence of depression was significantly higher in women (85.0% vs. 70.0%,

p<0.001). Among included variables in ordinal regression analysis, being female, higher age, lower levels of physical activity,

perceived social support, and life satisfaction are associated with severity of depression.

Conclusion : Regarding the high prevalence of depression among Iranian elderly people and the great and significant role of

social factors in elderly depression and due to the urgent fact that Iran is facing with rapid aging of population in coming

decades, it is vital to address aged people mental disorders and consider related social factors as a high priority standpoint.

Keywords : depression, elderly, socioeconomic status, perceived social support, Tabriz

113 | G M C O N G R E S S . I R

Count: 94

Abstract ID: 49



CHARACTERISTICS OF AN ELDERLY-FRIENDLY EMEGRGENCY

DEPARTMENT AND ASSESSMENT OF THE EMERGENCY DEPARTMENTS OF

THE HOSPITALS AFFILIATED TO SHAHID BEHESHTI UNIVERSITY OF

MEDICAL SCIENCES BASED ON THESE FACTORS

Submission Author: Akbar Shafiee

Akbar Shafiee1, Mohammadreza Sohrabi2, Hossein Alimohammadi3, Zahra Hajihashemi4

1. Shahid Beheshti University of Medical Sciences 2. Shahid Beheshti University of Medical Sciences 3. Shahid Beheshti University of Medical Sciences 4. Shahid BeheshtiUniversity of Medical Sciences

Background and Aim : Due to the rising number of the elderly people in the world as well as Iran and rapid increase

in the presentation of the elderly people to the emergency departments, this study was designed to determine the

characteristics of an elderly-friendly emergency department and assessment of the general hospitals affiliated to

Shahid Beheshti University of Medical Sciences based on these factors.

Methods : This study was performed in 3 phases. Phase 1: Performing a systematic review to recognize the

characteristics of an elderly-friendly emergency department; Phase 2: Expert panel to decide about the importance

of the characteristics derived from phase 1; and Phase 3: assessment of the general hospitals affiliated to Shahid

Beheshti University of Medical Sciences based on these factors.

Results : In the first phase, 73 articles were reviewed and accordingly several characteristics on the triage and initial

assessment of the patients, emergency care and management, time management, unmet needs, discharge and follow-

up, staff and physical environment of the emergency department were recognized. Based on these characteristics, 64

questions were designed which 267 experts, including physicians and nurses working in the emergency departments

in 11 hospitals in Tehran responded to them. All questions were mentioned as 'must be' or 'better to be' characteristics

for an elderly friendly emergency department. In the third phase, 6 general hospitals were evaluated and the results

showed that only 25% of these characteristics are present in the emergency department of these hospitals and there

is a great weakness in the management, staff education and physical environment of the emergency departments.

Conclusion : Currently, the emergency departments are not elderly-friendly and theses characteristics should be

implemented in the emergency departments of Iran.

Keywords : Elderly; Emergency Department; Geriatric emergency Department

114 | G M C O N G R E S S . I R

Count: 95

Abstract ID: 141



CLINICAL FUNCTION OF SWALLOWING IN ELDERLY

Submission Author: Saba Shahabi

Saba Shahabi1, ali tahooneh2, Jalal Bakhtiyari 3

1. BSc of Speech Therapy 2. BSc of Speech Therapy 3. Phd of Speech Therapy , Faculty Member of Semnan University of Medical Sciences

Background and Aim : Swallowing, as the first stage of gastrointestinal tract, plays an important role in human

nutrition and \ health. Any disruption and alteration in swallowing can cause malnutrition, dehydration, aspiration-

induced lung infections, changes in one’s quality of life and even death. In addition to various neurological diseases

or head and neck cancers, aging also causes changes due to physiological and structural changes in this function and

leads to swallowing disorder. Among more than half of seniors, Swallowing disorder or decreased oral absorption

can lead to malnutrition and dehydration, as well as asphyxiation and, in some cases, lung infections. However,

unfortunately, less attention is paid to swallowing disorder as one of the main causes of nutritional and respiratory

problems in the elderly. Therefore, the purpose of this study is to compare the function of ingestion between the

elderly and young people.

Methods : In this cross-sectional comparative study, 40 elderly with the mean age of 75.52±9.39 (all >65) and 40

young adults with a mean age of 25.9±5.52 (all >20) were compared selected for the experiment. Both groups did

not have any history of neurological disorders effective on swallowing, respiratory system diseases, or head and neck

surgery. They were also free of drug abuse and history of radiotherapy. Subjects were informed about the purpose

of the study and signed a written consent form before the experiment.. The demographic information and Mann

Assessment of Swallowing Ability (MASA) of both groups were considered. For curtesy, those with swallowing

problems were referred to complimentary therapies. Thereafter, the collected data was analyzed using SPSS 19.

Independent t-tests with the significance level of 0.05 were employed to evaluate our hypothesis.

Results : In this study, 80 male and female elderly and younger were examined by MASA test. 55% of the people

were women and 45% of people were men. The average of swallowing function for the elderly and young group

were 193.075 ± 9.39 and 200 ±0.00, respectively. Statistical analysis proved that there is a significant difference

between the means of MASA scores of two groups (p-value <0.00). Therefore, there is a significant relationship

between age and MASA scores, which validate our hypothesis.

Conclusion : Swallowing is one of the vital functions of humans which is associated with digestion and respiration.

Changes in the neuromuscular system caused by aging also affect swallowing, which is a complex neuromuscular

115 | G M C O N G R E S S . I R

function. Therefore, health care providers and people working in the field of aging need to pay special attention to

assessment and treatment of the swallowing function.

Keywords : aging , swallowing , swallowing disorder , MASA

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Count: 96

Abstract ID: 131



STUDY OF SOCIO-DEMOGRAPHIC PREDICTORS OF NUTRITIONAL

LITERACY AMONG THE ELDERLY ATTENDING IN HEALTH CENTERS OF

SHAHID BEHESHTI UNIVERSITY OF MEDICAL SCIENCES IN 2017-2018

Submission Author: Fateme Sharifnia

Fateme Sharifnia1, Mohtasham Ghaffari2, Ali Ramezankhani3, Sakineh Rakhshanderou4

1. MSc of Elderly Health Student 2. Associate Professor of Health Education & Health Promotion 3. 3 Professor of Health Education & Health Promotion, 4. Assistant Professor of Health Education & Health Promotion

Background and Aim : Access, awareness and understanding of nutrition information in the elderly are important

health determinants that require a high level of nutritional literacy. Therefore, the present study examines nutritional

literacy predictors in elderly Attending in health centers of Shahid Beheshti University of Medical Sciences.

Methods : In this descriptive-analytic study, 270 elderly (60 years old and older) were randomly selected using

cluster sampling from health centers in Shahid Beheshti University of Medical Sciences in Tehran. NLS nutritional

literacy supplements were used to collect data. The validity of this tool was determined by the method of translation,

formal, content and structure validity, and its reliability was determined by the method of stability and internal

consistency. Finally, the data were analyzed by SPSS software version 16, independent t-test, ANOVA, Kendall

correlation and multiple regression.

Results : The mean (SD) age of the elderly participants (5/581) was estimated to be 66/98. In the presence of

accompanying variables including age and economic status, there is a significant relationship between education and

nutritional literacy (p <0.001). The results of regression analysis by stepwise analysis indicated that the strongest

predictor of education was that, with increasing education level, 0.54 unit of nutritional literacy unit would increase.

Also, the variables of education, sex and economic status in the regression model have been able to cover 48% of

nutrition literacy. (R = 0/478).

Conclusion : The health literacy score decreases with increasing age, gender, lower education, lower education of

spouse, non-employed people and poor economic status. The level of education was the strongest predictor of

nutritional literacy.

Keywords : nutritional Literacy, Demographic variables, Old Age.

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Count: 97

Abstract ID: 132



IMPORTANT FACTORS IN THE HEALTH LITERACY OF THE ELDERLY

ATTENDING IN HEALTH CENTERS OF SHAHID BEHESHTI UNIVERSITY OF

MEDICAL SCIENCES IN 2017-2018

Submission Author: Fateme Sharifnia

Fateme Sharifnia1, Mohtasham Ghaffari2, Ali Ramezankhani3, Sakineh Rakhshanderou4

1. MSc of Elderly Health Student 2. Associate Professor of Health Education & Health Promotion 3. Professor of Health Education & Health Promotion 4. Assistant Professor of Health Education & Health Promotion

Background and Aim : Elderly people, as one of the most important groups at high risk, need to have a high level

of health literacy for having a high level of health. The aim of this study was to investigate the predictors of health

literacy in elderly in the elderly referred to health centers of Shahid Beheshti University of Medical Sciences.

Methods : In this descriptive-analytic study, 270 elderly (60 years UP) were Selected and reviewed from cluster

random sampling from health centers in Shahid Beheshti University of Medical Sciences in Tehran. To collect data,

a short form of the S-TOHFLA standard questionnaire was used to measure health literacy. Data were analyzed by

SPSS software version 16, independent t-test, ANOVA, Kendall correlation and multiple regression.

Results : The mean (SD) age of the elderly participants (5/581) was estimated to be 66/98. Findings showed there is

a significant relationship in the presence of variables including age, economic status and occupation there is a

significant relationship between education and health literacy (p <0.001). The strongest predictor is education,so that

with an increeas in the level of education, increeas individual health literacy of 408 the unit . Also, variables such as

education, age, economic status and occupation in the regression model have been able to cover 45% of health

literacy. (R square = 0.447).

Conclusion : The results of this study showed demographic variables have a significant effect on the health literacy

score. Education was also the strongest predictor of health literacy. Therefore, these people need to have simple,

understandable information and more time to communicate and understand health information in order to obtain,

process and understand basic health information for proper decision making. In this regard, health workers, health

care providers and doctors should pay attention to this.

Keywords : Health Literacy, Demographic variables, Old Age.

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Count: 98

Abstract ID: 56



THE IDEA OF IMPLEMENTING OF THE PLAN "CARE OF THE ELDERLY" IN

THE CONSOLIDATION OF SOLIDARITY AND CORRELATION AMONG

GENERATIONS: A LUGGAGE FOR THE ENDOWMENTS OF THE HEREAFTER

Submission Author: Sabeteh Shirmohammadi fard

Sabeteh Shirmohammadi fard1, Dr. Akram Sanagu2, Dr. Leyla Jouybari3

1. The Master Student of Geriatric nursing, Student Researches Committee 2. Associate Professor of Nursing Researches Center, Golestan University of Medical Sciences 3. Associate Professor of Nursing Researches Center, Golestan University of Medical Sciences

Background and Aim : The growth of the aging population in the country, requires novel and new policies disposition and

programs in this field. It seems that the implementation of the plans taken from the religion and the religious beliefs of the

people, not only does it increase the spiritual health of the people, but its implementation will solve the problems of society in

a healthy, true and simple way. This plan not only reduces the cost of health insurance and care of the elderly, but it also

strengthens the solidarity and correlation among generations that is less visible in other costly and complex projects such as

home for the aging and nursing homes. The purpose of this study is to provide a new idea "Care of the Elderly" luggage for the

Endowments of the Hereafter.

Methods : This study is presented as an idea report.

Results : Idea Report: "luggage bank for the Endowments of the Hereafter" Is through the care of the elderly. The philosophy

of this idea is taken from religious orders. The process of implementing this idea is in five stages: Identify the needy elderly,

Select the responsible person, program execution, Evaluation, Feedback. The implementation Priority of this plan is among the

family, friends and elderly neighbors. Nursing care for the elderly is responsible for leading this project. Elderly needs are

identified and categorized. And on the basis of the ability and interest of the volunteers, they each take responsibility for the

needs of the elderly. Conditions of the elderly, 60 years and older and need help. The people of the store luggage of the hereafter,

Age 7 years and older, they must have physical and mental health and have good communication skills that are full of love and

interest to congener elderly. Services required for the elderly can have a wide range. include the need to talk together to eliminate

loneliness, primary needs up to care and therapeutic needs.

Conclusion : The basis and religious philosophy of having this plan and volunteering it can lead to the problem of aging in

Iran, and, on the other hand, helping to congener requires the spiritual growth of individuals that can not only be a luggage for

the people of the hereafter, but can also lead to People have a sense of security for their aging period.

Keywords : Idea, Care of the Elderly, luggage for the Endowments of the Hereafter, Spiritual care

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Count: 99

Abstract ID: 73



EFFECTIVE FACTORS IN THE HEALTH OF THE ELDERLY

Submission Author: Sabeteh Shirmohammadi fard

Sabeteh Shirmohammadi fard1, Dr. Akram Sanagu2, Dr. Leyla Jouybari3

1. The Master Student of Geriatric nursing, Student Researches Committee 2. Associate Professor of Nursing Researches Center, Golestan University of Medical Sciences 3. Associate Professor of Nursing Researches Center, Golestan University of Medical Sciences

Background and Aim : Changes in health status are more chronic and progressive with increasing age than

reversible, studying the health status of the elderly in order to improve their health and identify the factors affecting

health and planning for care is essential. The aim of this study was to determine the factors affecting health in elderly

age.

Methods : In this study, a common overview of the databases in both English and Persian language, SCOPUS,

PUBMED, IRANDOC and Google Scholar, with keywords "Health and Elderly" without any limitation, was

searched. Finally, 23 articles were included in the study.

Results : The factors affecting the health of the elderly in the six main demographic groups (age, sex, education

level, income, social security), social variables (family function and caregivers), biological variables (chronic

diseases, drug use, cigarette, alcohol), mental variables (Alzheimer's disease, depression), functional variables

(conduct daily activities of life, walking speed, energy levels), and age-related syndromes (fall, urinary incontinence)

are placed.

Conclusion : The results of this study showed that many factors affect the health of the elderly. Which has a more

mental aspect than other age groups. For this reason, the study of the health status of the elderly should not be limited

to the study of physical health, and also it is necessary to pay attention to the psychological, family, social, economic

and functional spheres.

Keywords : Health, Elderly, Review overview

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Count: 100

Abstract ID: 75



THE EFFECT OF TREATMENT METHODS IN PATIENTS WITH ALZHEIMER'S

DISEASE

Submission Author: Fatemeh Taghlili

Fatemeh Taghlili1, Fatemeh mohammadi2, Zahra mohammadi3, Fatemeh Taghlil4, Mahdi gorgin5, Mohammad

gorgin6

1. - 2. Master of nursing (internal _ surgical), department of nursing and midwifery 3. Bachelor of nursing , department of nursing and midwifery 4. Bachelor of nursing , department of nursing and midwifery 5. Nursing bachelor student , nursing department 6. Nursing bachelor student, nursing department

Background and Aim : Elderly is a sensitive period of life. Attention to the issues and needs of this stage is a social

necessity. Alzheimer's disease is of the most among the degenerative diseases of the elderly that it is a common

causes of dementia. Therefore, due to the importance of this issue, the present study aimed to investigate various

methods of Alzheimer's treatment and its effect on the recovery process.

Methods : This study is a review of published and available internal and external resources without time limitations

in databases PubMed, Iran medex, SID, and Scopus was performed. Among the numerous articles obtained, 30

articles were selected by elderly, Alzheimer, Alzheimer's treatment.

Results : Alzheimer's is one of the most fundamental challenges to the health system. Alzheimer's patients have

difficulty meeting their needs because of cognitive and behavioral disorders most of these patients are responsible

for their caregivers. Alzheimer's reduces patient self-esteem and causes depression and isolation. Anxiety among

them and the exhaustion and frustration of family members. The main treatment for Alzheimer's patients is

pharmacologically. Acetylcholine booster such as Tacrine, Donepezil, Rivastigmine, Galantamine are used to

treatment to moderate Alzheimer's Approaches is essential.For having lots of disadvantages, as Hepatotoxicity or

cholinergic problems, Tacrine has less indication. By considering Serotonin's effective role in recognition of

memory, rainforce of Serotonin should be designate as a potential aim. Concurrent use of Serotonin's prohibitives

and Acetylcholinesterase's prohibitives could refine daily activities and operations of the people who suffer from

Alzheimer's diseases. Risperidone and Olanzapine both are effective in reducing harshness and instability of such

diseases. But for having some complications such as cva - cerebrovascular accidents, they shouldn't be used for

Alzheimer's diseases in regular period of time. Using botanical medicines like Salvia officinalis and Lemon balm are

really effective in recovery. Drugs have successful impressions in cure of cognitive difficulties, memory and control

and subtraction of violence and instability in such illnesses. But noticing other cure approaches is necessary, because

121 | G M C O N G R E S S . I R

of accompany complications of drugs. Nowadays, music therapy as one of the most commonly used therapies in

Alzheimer's patients reduces the amount of anxiety in them. Music has a positive impact on creation and recognition

.music therapy by improving memory reduces the symptoms of Alzheimer's disease and by activating the right side

of the brain increases learning and information preservation.

Conclusion : according to the findings Alzheimer's disorder is growing alarmingly , so it's better to prevent

Alzheimer's being infected with exercise and physical activity by increasing the consumption of fruits and vegetables

individuals with positive family history . In the event of an infection, Alzheimer's patients and their caregivers can

be increased through educational interventions. It is also necessary to choose the treatment methods with the least

negative effects and the most effective in order to improve the quality of life of these patients.

Keywords : Elderly, Alzheimer, Alzheimer's treatment

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Count: 101

Abstract ID: 11



THE ROLE OF SEX, SOCIOECONOMIC STATUS, AND EMOTIONAL SUPPORT

IN PREDICTING AGEING PERCEPTION AMONG OLDER ADULTS

Submission Author: Ameneh Yaghoobzadeh

Ameneh Yaghoobzadeh1, Hamid Sharif Nia2, Saeed Pahlevan Sharif3

1. PhD Student in Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences 2. Ph.D. Assistant Professor, School of Nursing and Midwifery Amol, Mazandaran University of Medical Sciences, Sari, Iran 3. Ph.D. Senior Lecturer, Taylor’s University Malaysia, Taylor’s Business School, Subang Jaya, Malaysia

Background and Aim : Self-perception is found to be a central predictive factor in experiencing successful aging.

The aim of this study was to explore the role of sex, socioeconomic status, and emotional support in elders` ageing

perception

Methods : A cross-sectional design was used with 300 older aged participants recruited from 23 clinics and health

centers in Qazvin, Iran. Data was collected questions to elicit demographic information and Barker`s aging

perception questionnaire

Results : Exploratory multiple linear regression showed that the level of emotional support (?: -12.10; CI95: -20.72

to -3.48), socioeconomic status (?: 2.84; CI95: 0.25 to 5.43), and women (?: -4.34; CI95: -6.91 to -1.77) were

associated with aging perception among elders. Educational level and marital status did not significantly contribute

to the variance.

Conclusion : Findings revealed that ageing perception was related to individual differences as well as social and

emotional factors. Researchers, health care professionals, and elders may benefit from thinking about old age as an

inevitable life stage.

Keywords : Aging perception, Socioeconomic Status, Emotional Support, Older, Sex, Elder

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Count: 102

Abstract ID: 13



CROSS-CULTURAL ADAPTATION AND PSYCHOMETRIC EVALUATION OF

THE HERTH HOPE INDEX (HHI) WITHIN A SAMPLE OF IRANIAN OLDER

PEOPLES

Submission Author: Ameneh Yaghoobzadeh

Ameneh Yaghoobzadeh1, Hamid Sharif Nia2, Fon Sim Ong3, Andrew Soundy4, Saeed Pahlevan Sharif5, Amir

Hossein Goudarzian6

1. PhD Student in Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences 2. Ph.D. Assistant Professor, School of Nursing and Midwifery Amol, Mazandaran University of Medical Sciences, Sari, Iran 3. Professor of Marketing, University of Nottingham Malaysia Campus, Jalan Broga, 43500, Selangor, Malaysia 4. Department of Physiotherapy, School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Edgbaston,

Birmingham, England 5. Ph.D. Senior Lecturer, Taylor’s University Malaysia, Taylor’s Business School, Subang Jaya, Malaysia 6. . BSc of Nursing, Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran

Background and Aim : There is a need to better understand the measurement of hope within a variety of cross-

cultural contexts and different older people population. The objective of this study was to examine the psychometric

characteristics of the Persian version of the Herth Hope Index (HHI-Persian).

Methods : This methodological study was done on a sample of 500 Iranian older people during December 2015 and

April 2016 in Qazvin, Iran. The HHI was forward translated from English into Persian and back translated to English.

Psychometric properties of the HHI-Persian were evaluated using face, content and construct validity. The construct

validity of the instrument was tested using exploratory and confirmatory factor analysis. Reliability was also

assessed.

Results : Construct validity of the scale showed two factors with eigenvalues greater than one accounted for 49.22

% of the variance. The Cronbach’s alpha, Theta, McDonald, and construct reliability were greater than .70 that

showed good reliability of the index.

Conclusion : The HHI-Persian is a short, reliable, and valid assessment scale of hope in older peoples` population.

Further research is suggested to give more insights to understand possible factorial solution and subscales in different

cultures and contexts.

Keywords : Herth Hope Index, Psychometrics, Hope, Older People, Iran

124 | G M C O N G R E S S . I R

Count: 103

Abstract ID: 142



THE COMPARISON BETWEEN THE EFFECTS OF VIRTUAL REALITY

TRAINING AND TRADITIONAL BALANCE TRAINING ON BALANCE OF THE

ELDERLY

Submission Author: Saeed Yousefi babadi

Saeed Yousefi babadi1, Hassan Daneshmandi2

1. MSc Student in Sport Injuries & Corrective Exercises, Faculty of Physical Education and Sport Sciences, University of guilan,

Rasht, Iran 2. Professor, Department of Sport Injuries & Corrective Exercises, Faculty of Physical Education and Sport Sciences, University of

guilan, Rasht, Iran

Background and Aim : Background: The aging population is growing in the world, and the reduction in physical

function caused by this is an important issue that, particularly, causes a disorder of balance and an increased risk of

falling. However, does not exist enough evidence to compare the effect of new exercises called virtual reality

(exergame) and traditional balance exercises on the elderly.

Methods : The present study was conducted on 36 the elderly (men and women) who living in old people's home.

Subjects were randomly divided into three groups: An intervention group (n=12) who performed virtual reality

training (VR), another intervention group (n=12) who received traditional balance training, and a control group

(N=12) who did not receive any intervention. Exercises in intervention groups during were performed for 9 weeks,

3 sessions per week, for an hour and One day in between. To assess the subjects' balance, the balance tests were used

on one leg stance with open and closed eyes, Functional reach test, Timed up and go Test, and Fullerton Advance

Balance Scale. Data analysis was done using paired t-test and two-way covariance analysis by SPSS software version

24 at the significant level (P = 0.05).

Results : In both groups (virtual reality, traditional balance), one leg stance with open and closed eyes, Functional

reach test, Timed up and go Test, and Fullerton Advance Balance significantly improved (P˂0.05), After

intervention, changes in both groups were similar (P> 0.05), which indicates that none of the two methods of training

(virtual reality and traditional balance) was superior.

Conclusion : Similar improvements was observed in virtual reality training and traditional balance training on the

balance of the elderly (men and women) who living in old people's home. Given the results, virtual reality training

can be a safe and enjoyable substitute for elderly populations that the desire to achieve a uniform training programs

at home and elderly centers with the possibility have not balance improvement.

Keywords : virtual reality training, traditional balance training, balance, the elderly

125 | G M C O N G R E S S . I R

The frequency of psychological symptoms in the elderly of Tehran and the comparison between men and women

Farideh Hajihoseini1, Mahshid Froughan2, Behroze Dolatshahi3

1 MSc Clinical Psychology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

2 Psychiatrist, Psychiatric Fellowship for the Elderly. Professor of Elderly Research Center and Senior Education Group, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

3 Ph.D., Clinical Psychology, Associate Professor, Department of Clinical Psychology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

Abstract

Background and Objectives: Since the high prevalence of mental disorders in the elderly, this study aimed to investigate the frequency of symptoms of psychological disorders in the elderly and compare it between elderly women and men living in Tehran.

Methodology: This is a descriptive-analytic study. 400 people aged 60 years and more were selected by multi-stage cluster sampling from Tehran's general traffic centers.The participants were evaluated using a battery consisted of demographic information, Symptom Checklist-25, short cognitive aging by short face-to-face interview. The collected data were analyzed by Spearman correlation coefficient, chi-square and Mann-Whitney U test, using SPSS version 23.

Findings: The Mental Health Survey showed that 66 persent were suspected to have mental disorders. The most common psychiatric symptoms were paranoid, somatization, compulsive obsession, interpersonal sensitivity and anxiety, respectively. Comparison of mental health domains between the men and women showed that women achieve higher proportions of the mental health scores.(P< 0/004)

Conclusion: The findings indicate the widespread need of the elderly, especially women, for mental health services due to various symptoms of psychiatric disorders. Therefore, it is suggested that more attention be paid to the design and implementation of educational and therapeutic protocols for mental health promotion for the elderly, especially women.

Keywords: symptoms of psychological disorders, prevalence, elderly.

126 | G M C O N G R E S S . I R

Stressful life events in the elderly of Tehran and comparison in men and women

Farideh Hajihoseini4, Mahshid Froughan5, Behroze Dolatshahi6

1 MSc Clinical Psychology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

2 Psychiatrist, Psychiatric Fellowship for the Elderly. Professor of Elderly Research Center and Senior Education Group, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

3 Ph.D., Clinical Psychology, Associate Professor, Department of Clinical Psychology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

Abstract Background and Objectives: the later life period has many challenges that could potentially lead to psychological problems among the elderly. The aim of this study is to identify the stress of life and compare it between elderly women and men living in Tehran. Methodology: This is a descriptive-analytic study. 400 people aged 60 years and more were selected by multi-stage cluster sampling from Tehran's general traffic centers.The participants were evaluated using a battery consisted of demographic information, measuring aging stressors , short cognitive aging by short face-to-face interview. The collected data were analyzed by Spearman correlation coefficient, chi-square and Mann-Whitney U test, using SPSS version 23. Findings: The followings were the most stressful life events in the elderly of Tehran city, respectively: the children’s marriage; children leaving home; the new member join of the family; medical expenses; changing of the person in charge of the family; the death of the relatives; the death of the peers; the children’s financial expectation; decrease in social relations; and, the changes in appearances. Comparison of stres areas between the men and women showed that women achieve higher proportions of stress scores in all domains.(P< 0/004) Conclusion: The findings indicate the widespread need of the elderly, especially women, for mental health services Because of the probability of experiencing more pressure on stress during this period. Therefore, it is suggested that more attention be paid to the design and implementation of educational and therapeutic protocols for stress management for seniors, especially women. Keywords stress: stress, life events, elderly

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