Volume 16, Issue 3 (June 2022)                   Qom Univ Med Sci J 2022, 16(3): 212-223 | Back to browse issues page

Ethics code: IR.SHAHED.REC.1399.120


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1- Department of Nursing, Faculty of Nursing and Midwifery, Shahed University, Tehran, Iran
2- Department of Nursing, Faculty of Nursing and Midwifery, Shahed University, Tehran, Iran , norouzadeh@shahed.ac.ir
Abstract:   (462 Views)
Background and Objectives: One of the most important concerns of the families of hospitalized elderly patients is their comfort. Considering the importance of comfort in the elderly and its psychological and physical effects on their families, this study aims to investigate the relationship between the elderly patients’ comfort and the stress, anxiety and depression of their families.
Methods: This is a descriptive correlational study on 136 elderly people admitted to public and private hospitals in Sari, Iran and their families who were selected by a convenience sampling method. Data collection instruments were the 21-item depression anxiety stress scale and the hospice comfort questionnaire. The correlation between the components of comfort, stress, anxiety and depression was analyzed by Pearson correlation test. Linear regression analysis was used to predict the comfort level of the elderly based on the stress level of their family members. Statistical calculations were performed in SPSS software, version 24.
Results: The mean±SD age of the family group was 39.42±8.72 years and 88 (50.9%) were female. Family members aged >50 and females had higher depression, anxiety and stress (P <0.001). The highest score of comfort in the elderly was related to the sociocultural domain (58.9 ±12), while the lowest score was related to the psychospiritual domain (35.8±15.5). Pearson correlation test results showed the significant and negative relationship of physical and psychospiritual domains of comfort with depression, anxiety and stress in the families (P<0.05). The linear regression model showed that the comfort of the hospitalized elderly could explain the stress of the family members (P<0.001).
Conclusion: The comfort of the hospitalized elderly patients is related to anxiety, depression and stress of their families. Therefore, simultaneous attention should be paid to the comfort of the elderly and the psychological state of their families in the hospital.
Keywords: Elderly, Comfort, Anxiety, Family
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Type of Study: Original Article | Subject: پرستاری-جراحی-ویژه-کودکان
Received: 2022/05/10 | Accepted: 2022/05/28 | Published: 2022/07/1

References
1. Kolcaba KY, Kolcaba RJ. An analysis of the concept of comfort. J Adv Nurs . 1991; 16(11):1301-10.[DOI:10.1111/j.1365-2648.1991.tb01558.x] [PMID] [DOI:10.1111/j.1365-2648.1991.tb01558.x]
2. Schulz R, Eden J, National Academies of Sciences E, Medicine. Family caregiving roles and impacts. Families caring for an aging America: National Academies Press (US); 2016. [DOI:10.17226/23606] [DOI:10.17226/23606]
3. Wensley C, Botti M, McKillop A, Merry AF. A framework of comfort for practice: An integrative review identifying the multiple influences on patients' experience of comfort in healthcare settings. Int J Qual Health Care. 2017; 29(2):151-62. [DOI:10.1093/intqhc/mzw158] [PMID] [DOI:10.1093/intqhc/mzw158]
4. Desbiens NA, Mueller-Rizner N, Virnig B, Lynn J. Stress in caregivers of hospitalized oldest-old patients. J Gerontol A Biol Sci Med Sci. 2001; 56(4):M231-M5. [DOI:10.1093/gerona/56.4.M231] [PMID] [DOI:10.1093/gerona/56.4.M231]
5. Zarurati M, Pishgooie SAH, Farsi Z, Karbaschi K. The Effect of Music Therapy on Comfort Level and Some Vital Signs of Patients Undergoing Hemodialysismodialysis. MCS. Military Caring Sciences Journal. 2017;3(4):221-32. [DOI:10.18869/acadpub.mcs.3.4.221] [DOI:10.18869/acadpub.mcs.3.4.221]
6. Navidian A, Sarhadi M, Kykhaie A, Kykhah R. Psychological reactions of family members of patients hospitalized in critical care and general units compared with general population. IJN. 2014; 26(86):16-28. [Link]
7. Zohari S, Khatouni S, Alavi M, Yaghmai F. Problems of main caregivers of Alzheimer patients referring to Alzheimer Association in Tehran. Adv Nurs Midwifery. 2006; 16(53):64-72. [Link]
8. Sabeghi H, Nasiri A, Zarei M, Tabar AK, Golbaf D. [Respecting for human dignity in elders caring in perspective of nurses and elderly patients (Persian)]. Med Ethics J. 2015; 9(32):45-70. [Link]
9. Verhaeghe S, Defloor T, Van Zuuren F, Duijnstee M, Grypdonck M. The needs and experiences of family members of adult patients in an intensive care unit: a review of the literature. J clin nurs. 2005; 14(4):501-9. [DOI:10.1111/j.1365-2702.2004.01081.x] [PMID] [DOI:10.1111/j.1365-2702.2004.01081.x]
10. Heravi-Karimooi M, Rejeh N, Foroughan M, Ebadi A. [Designing and determining psychometric properties of the elder neglect checklist (Persian)]. Salmand: Iranian J Ageing. 2013; 8(3):25-34. [link]
11. Naderi Z, Gholamzadeh S, Zarshenas L, Ebadi A. Hospitalized elder abuse in Iran: a qualitative study. BMC geriatrics. 2019; 19(1):1-13. [DOI:10.1186/s12877-019-1331-8] [PMID] [PMCID] [DOI:10.1186/s12877-019-1331-8]
12. Sahebi A, Asghari MJ, Salari RS. [Validation of depression anxiety and stress scale (DASS-21) for an Iranian population (Persian)]. Evol psychol. 2005; 4: 299-312. [Link]
13. Safavi Bayat Z, Ashketorab T. Correlation between health status and comfort In HIV/AIDS patients referred To Imam Khomeini hospital In 1391. J Shahid Beheshti Sch Nurs Midwifery. 2015; 24(87): 55-62. [Link]
14. Gholipour B, Bigli S, Dibaji Forooshani ZS, Safavi Bayat Z, Montazer B, Gachkar L, et al. Effect of Telenursing Education on the Comfort of Patients With COVID-19 in Home Quarantine. J Fam Med. 2021; 1(1):102. [link]
15. Kim Eh, Kim Kh. The meaning of "comfort" to elderly individuals living in long-term care hospitals. Appl Nurs Res. 2017; 100(35):59-63. [DOI:10.1016/j.apnr.2017.02.001] [PMID] [DOI:10.1016/j.apnr.2017.02.001]
16. Mehta KK. Stress among family caregivers of older persons in Singapore. J Cross Cult Gerontol. 2005; 20(4):319-34. [DOI:10.1007/s10823-006-9009-z] [PMID] [DOI:10.1007/s10823-006-9009-z]
17. Tamdee D, Tamdee P, Greiner C, Boonchiang W, Okamoto N, Isowa T. Conditions of caring for the elderly and family caregiver stress in Chiang Mai, Thailand. J Health Res. 2018; 33(2):138-150. [DOI:10.1108/JHR-07-2018-0053] [DOI:10.1108/JHR-07-2018-0053]

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