Journal of Medical Council of Iran
مجله علمی پژوهشی سازمان نظام پزشکی
Volume 42, Issue 2 (2024)
jmciri 2024, 42(2): 38-46 |
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Esmaieli R, Hosseiny R, Goodarzi E, Abbasi M. Autonomy Status in the Elderly Hospitalized in Hospitals Affiliated to Shahid Beheshti University of Medical Sciences. jmciri 2024; 42 (2) :38-46
URL: http://jmciri.ir/article-1-3168-en.html
URL: http://jmciri.ir/article-1-3168-en.html
Department of Medical Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Abstract: (884 Views)
Abstract
Background: With the improvement of the health status and increase in the quality of life, people›s life expectancy has increased and live longer than the past. Increasing life expectancy causes economic, political, and social problems, and on the other hand, the duty of the health system to protect their health is heavy. Considering the promotion of human rights, autonomy is recognized as the basic right of every individual; however change in the current technology can cause a change in the autonomy of the elderly. The present study was carried out with the aim of determining the autonomy status of hospitalized elderly.
Method: The descriptive-analytical study was conducted on 172 elderly people hospitalized in 3 hospitals in Tehran (Labafinejad, Luqman, Modares Hospitals), who met the inclusion criteria. The data collection tool included demographic information questionnaire and autonomy questionnaire in the elderly. The data was analyzed by SPSS version 23.
Results: Only 28.5% of people reported a good privacy situation. The highest score in this area was related to the subject of history of bathing and washing in front of other patients. 71/5% of people had an average view of compliance with informed consent, and personal health care had the highest score in this area. A significant relationship between the autonomy of the elderly with a history of hospitalization (P < 0/0001), the number of beds in the ward (P = 0/01, r = -0/191), the number of beds in each room (P = 0/003, r = -0/225) and the duration of hospitalization in the ward (P = 0/01, r = 0/184) were observed and by reducing the number of beds in the ward and each room, a better autonomy status was reported in the elderly, and with the increase in the duration of hospitalization, the status of autonomy improved.
Conclusion: From the point of view of most of the elderly, the status of autonomy in both dimensions was at an average level, which shows the need for the authorities in the field of treatment to pay more attention in the field of promoting and respecting the ethics and rights of the elderly in treatment environments.
Background: With the improvement of the health status and increase in the quality of life, people›s life expectancy has increased and live longer than the past. Increasing life expectancy causes economic, political, and social problems, and on the other hand, the duty of the health system to protect their health is heavy. Considering the promotion of human rights, autonomy is recognized as the basic right of every individual; however change in the current technology can cause a change in the autonomy of the elderly. The present study was carried out with the aim of determining the autonomy status of hospitalized elderly.
Method: The descriptive-analytical study was conducted on 172 elderly people hospitalized in 3 hospitals in Tehran (Labafinejad, Luqman, Modares Hospitals), who met the inclusion criteria. The data collection tool included demographic information questionnaire and autonomy questionnaire in the elderly. The data was analyzed by SPSS version 23.
Results: Only 28.5% of people reported a good privacy situation. The highest score in this area was related to the subject of history of bathing and washing in front of other patients. 71/5% of people had an average view of compliance with informed consent, and personal health care had the highest score in this area. A significant relationship between the autonomy of the elderly with a history of hospitalization (P < 0/0001), the number of beds in the ward (P = 0/01, r = -0/191), the number of beds in each room (P = 0/003, r = -0/225) and the duration of hospitalization in the ward (P = 0/01, r = 0/184) were observed and by reducing the number of beds in the ward and each room, a better autonomy status was reported in the elderly, and with the increase in the duration of hospitalization, the status of autonomy improved.
Conclusion: From the point of view of most of the elderly, the status of autonomy in both dimensions was at an average level, which shows the need for the authorities in the field of treatment to pay more attention in the field of promoting and respecting the ethics and rights of the elderly in treatment environments.
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