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Sökning: swepub > Umeå universitet > Mälardalens högskola > Lundman Berit

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1.
  • von Heideken Wågert, Petra, et al. (författare)
  • Morale in the oldest old : the Umeå 85+ study
  • 2005
  • Ingår i: Age and Ageing. - 0002-0729. ; 34:3, s. 249-255
  • Tidskriftsartikel (refereegranskat)abstract
    • OBJECTIVE: to describe morale among the oldest old, and to investigate       which social, functional and medical factors are associated with morale in       this population. DESIGN: a cross-sectional study. SETTING: a       population-based study in the municipality of Umea, a city in Northern       Sweden. SUBJECTS: half of the 85-year-old population, and the total       population of 90-year-olds and > or = 95-year-olds (95-103) were asked to       participate (n = 319) and 238 were interviewed. METHODS: structured       interviews and assessments during home visits, interviews with relatives       and caregivers and review of medical charts. The 17-item Philadelphia       Geriatric Center Morale Scale (PGCMS) was used to measure morale.       Participants were assessed with the Barthel Activities of Daily Living       (ADL) Index, Geriatric Depression Scale (GDS-15), Mini-Mental State       Examination (MMSE), Mini Nutritional Assessment (MNA), and a symptom       questionnaire. Multiple regression analyses were conducted to find       independent factors to explain the variation in the PGCMS score. RESULTS:       eighty-four per cent (n = 199) of those interviewed answered the PGCMS.       Three-quarters had middle range or high morale. GDS score, type of       housing, previous stroke, loneliness and number of symptoms, adjusted for       age group and sex, explained 49.3% of the variance of total PGCMS score.       CONCLUSIONS: a large proportion of the oldest old had high morale. The       most important factors for high morale were the absence of depressive       symptoms, living in ordinary housing, having previously had a stroke and       yet still living in ordinary housing, not feeling lonely and low number of       symptoms. The PGCMS seems applicable in the evaluation of morale among the       oldest old.
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2.
  • von Heideken Wågert, Petra, et al. (författare)
  • Health status in the oldest old : Age and sex differences in the Umeå 85+ Study.
  • 2006
  • Ingår i: Aging Clinical and Experimental Research. - 1594-0667. ; 18:2, s. 116-126
  • Tidskriftsartikel (refereegranskat)abstract
    • BACKGROUND AND AIMS: With an increasing population aged 85 years and over, the aim of this study was to describe health status and living conditions in the oldest old and to estimate age and sex differences in a Northern European population. METHODS: A population-based cross-sectional study, The Umeå 85+ Study, was carried out in the municipality of Umeå in northern Sweden. Out of 319 eligible participants aged 85, 90 and 95 years and over, 253 participated. Structured interviews and assessments were conducted with the participants in their homes, and data were also collected from relatives, caregivers and medical charts. Cognition was screened with the Mini-Mental State Examination (MMSE), depressive symptoms with the Geriatric Depression Scale-15 (GDS-15) and nutritional status with the Mini Nutritional Assessment (MNA). Activities of daily living (ADL) were assessed applying the Staircase of ADL (including Katz' Index of ADL) and morale with the Philadelphia Geriatric Center Morale Scale (PGCMS). Participants also rated their own health. RESULTS: Over half of the participants had hypertension, one out of four was depressed, and the same proportion had had a hip fracture; the mean number of drugs taken was 6.4+/-4.0. Younger participants had lower rates of diagnoses and prescribed drugs, and were less dependent in ADL and other functional variables; men had lower rates of diagnoses and reported symptoms. The majority of participants rated their general health and morale as good. CONCLUSIONS: There were large variations in social, medical and functional variables within and between age and sex groups. This northern population of the oldest old seems to have a very high prevalence of hypertension, depression, hip fractures, and many prescribed drugs.
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