Journal of Mazandaran University of Medical Sciences
مجله دانشگاه علوم پزشکی مازندران
J Mazandaran Univ Med Sci
Medical Sciences
http://jmums.mazums.ac.ir
1
admin
1735-9260
1735-9279
fa
jalali
1401
5
1
gregorian
2022
8
1
32
211
online
1
fulltext
fa
مقایسه سوءرفتار و عوامل مرتبط با آن در سالمندان شهری و روستایی
Comparing Elder Abuse and Related Factors between Urban and Rural Elderly
پرستاری
nursing
گزارش کوتاه
Brief Report
<span style="font-size:12pt"><span style="line-height:90%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="FA" style="line-height:90%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.1pt">سابقه</span></span></span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.1pt"> و هدف:</span></span></span></span> <span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black">در سراسر جهان، از هر شش سالمند، یک نفر نوعی از سوءرفتار را تجربه کرده است. لذا این پژوهش با هدف تعیین مقایسه سوءرفتار و عوامل مرتبط با آن در سالمندان شهری و روستایی مراجعهکننده به مراکز بهداشتی شهرستان قائم شهر (1399) انجام شد.</span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:#0e101a"></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:90%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.1pt">مواد و روش</span></span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.1pt"></span></span></span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.1pt">ها:</span></span></span></span> <span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.1pt">در این مطالعه توصیفی- تحلیلی، 250 سالمند با روش تصادفی سیستماتیک انتخاب شدند. جمع</span></span></span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar""><span style="letter-spacing:-.1pt"></span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.1pt">آوری</span></span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black"> دادهها با </span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar"">پرسشنامههای بررسی سوء رفتاربا سالمنددر خانواده، بررسی وضعیت شناخت(</span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%">AMT</span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar"">)، بررسی وضعیت افسردگی(</span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%">GDS</span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar"">)، ارزیابی فعالیت</span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar""></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar"">های روزمره زندگی ابزاری سالمندان (</span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%">IADL</span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar"">)و<span style="color:black"> جمعیتشناختی- طبی انجام شده است. تجزیه و تحلیل داده</span></span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar""></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black">ها با استفاده از نرم</span></span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar""></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black">افزار </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black">SPSS</span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black"> نسخه 22،آزمون</span></span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar""></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black">های آمار توصیفی، آزمون تی مستقل و تحلیل واریانس یکطرفه صورت گرفت.</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:90%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.2pt">یافته</span></span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.2pt"></span></span></span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.2pt">ها:</span></span></span></span> <span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black">میانگین سنی سالمندان 8/57</span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"Cambria","serif""><span style="color:black">±</span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black">69/10 سال بوده است که 58/8 درصد از شرکت کنندگان، زن بودند.60 درصد از سالمندان شهری و 64/8 درصد از سالمندان روستایی حداقل یکی از انواع سوءرفتار را تجربه کرده بودند. در هر دو جامعه، بیش</span></span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar""></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black">ترین میزان سوءرفتار مربوط به سوءرفتار روان</span></span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar""></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black">شناختی و کم</span></span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar""></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black">ترین میزان سوءرفتار مربوط به طردشدگی بود. همچنین بین عوامل جنسیت، تحصیلات، درآمد، وضعیت بیماری، تعداد داروی مصرفی، بی اختیاری ادرار، همراهان زندگی، تعداد فرزندان و شغل با سوءرفتار ارتباط معناداری وجود داشت (0/05</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black"><</span></span></span> <span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black">P</span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black">).</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:90%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.2pt">استنتاج:</span></span></span></span> <span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black">با توجه به میزان بالای سوءرفتار نسبت به سالمندان بایستی آگاهی بخشی نسبت به آن در سالمندان و مراقبین آن</span></span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar""></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black">ها انجام گیرد و با طراحی مداخلات مناسب از عواقب این پدیده جلوگیری گردد.</span></span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.2pt"></span></span></span></span></span></span></span></span></span></span></span><br>
<span dir="LTR"></span>
<strong> </strong><span style="font-size:12pt"><span style="line-height:150%"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:10.0pt"><span style="line-height:150%"><span style="font-family:"Arial","sans-serif""><span style="letter-spacing:-.2pt">Background and purpose:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="line-height:150%">Around the world, about one in six older people has experienced some form of abuse. This study aimed at comparing the rate of abuse and related factors in urban and rural senior people attending health centers in Ghaemshahr, 2020.</span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:150%"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:10.0pt"><span style="line-height:150%"><span style="font-family:"Arial","sans-serif"">Materials and methods:</span></span></span></b><b> </b><span style="font-size:10.0pt"><span style="line-height:150%">In this descriptive-analytical study, 250 older people were selected by<b> </b><span style="letter-spacing:-.1pt">systematic random sampling. Data were collected using Domestic Elder Abuse Questionnaire, Abbreviated</span> Mental Test (AMT), Geriatric Depression Scale (GDS), Assessment of Daily Activities of Instrumental Activity of Daily Livening (IADL), and Demographic-Medical Questionnare. Data were analyzed in SPSS V22 applying descriptive statistics tests, independent t-test, and one-way analysis of variance</span></span><span style="font-size:10.0pt"><span style="line-height:150%"><span style="font-family:"Arial","sans-serif"">.</span></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:150%"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:10.0pt"><span style="line-height:150%"><span style="font-family:"Arial","sans-serif"">Results:</span></span></span></b><b> </b><span style="font-size:10.0pt"><span style="line-height:150%">The mean age of participants was 69.10±8.57 years of whom 58.8% were women. At least one type of abuse was experienced by 60% of elder people in urban areas and 64.8% of the seniors living in rural regions. Psychological abuse was found to be more prevalent in both groups while rejection was the least common form of abuse. Findings revealed significant associations between elder abuse and gender, education, income, disease status, number of drugs used, urinary incontinence, life companions, number of children, and occupation (P<0.05).</span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:150%"><span style="vertical-align:top"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:10.0pt"><span style="line-height:150%"><span style="font-family:"Arial","sans-serif"">Conclusion:</span></span></span></b> <span style="font-size:10.0pt"><span style="line-height:150%"><span style="letter-spacing:-.2pt">High rate of elder abuse calls for alerting aged people and their caregivers. Appropriate </span></span></span><span style="font-size:10.0pt"><span style="line-height:150%">interventions can also help in preventing the consequences of this problem.</span></span><i><span style="font-size:10.0pt"><span style="line-height:150%"></span></span></i></span></span></span></span><br>
سوء رفتار, شهری, روستایی , سالمندان
abuse, urban, rural, aged
75
81
http://jmums.mazums.ac.ir/browse.php?a_code=A-10-15324-1&slc_lang=fa&sid=1
Samira
Najafi Moghadam
سمیرا
نجفی مقدم
samiranajafi6261n@gmail.com
1003194753284600146704
1003194753284600146704
No
MSc Student in Geriatric Nursing, Nasibeh Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
دانشجوی کارشناسی ارشد، پرستاری سالمندی، دانشکده پرستاری- مامایی نسیبه، دانشگاه علوم پزشکی مازندران، ساری، ایران
Zohre
Taraghi
زهره
ترقی
ztarair@yahoo.com
1003194753284600146705
1003194753284600146705
No
Associate Professor, Department of Geriatric Nursing, Nasibeh Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
دانشیار، گروه پرستاری سالمندی، دانشکده پرستاری-مامایی نسیبه، دانشگاه علوم پزشکی مازندران، ساری، ایران
Reza Ali
Mohammadpour
رضاعلی
محمدپور
mohammadpour2002@yahoo.com
1003194753284600146706
1003194753284600146706
No
Professor, Department of Biostatistics and Epidemiology, Faculty of Health, Mazandaran University of Medical Sciences, Sari, Iran
استاد، گروه آمار زیستی، دانشکده بهداشت، دانشگاه علوم پزشکی مازندران، ساری، ایران
Ehteram Sadat
Ilali
احترام السادات
ایلالی
Paradis2082000@yahoo.com
1003194753284600146703
1003194753284600146703
Yes
Associate Professor, Department of Geriatric Nursing, Nasibeh Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
دانشیار، گروه پرستاری سالمندی، دانشکده پرستاری-مامایی نسیبه، دانشگاه علوم پزشکی مازندران، ساری، ایران