الفهرس 
AbstractOnly 14 pages are availabe for public view
 |  | from | 179 |  |  |
| | | from | 179 | | |
Abstract
Aging population is growing rapidly. Differences in healthy aging are greatly influenced by health-related behaviors and social determinants. However, poor health is not an inevitable consequence of aging. The increasing number of elderly people and their need for interventions because of chronic disease, injury or frailty constitutes a major challenge to healthcare systems. Elderly people live either independently in the community or in long-term care facilities, and their satisfaction is of major importance. Thus, it is important to evaluate the satisfaction with nursing home service both from residents and families’ viewpoints.
The aim of this study is to measure the satisfaction of elderly geriatric home residents and their families with the services provided by geriatric homes in Beni Suef city. The study was carried out in two geriatric homes in Beni-Suef governorate using an analytic cross-sectional design. It included two groups, namely elderly home residents (n=87) and their family caregivers (n=87) recruited by convenience sampling. Two interview questionnaire forms were used to collect data, one for the elderly and another for the family caregiver. They included a satisfaction tool and the Healthqual scale to assess the quality of services provided. Data collection lasted from February to September 2020.
The main study findings were as following.
Elderly persons whose median age was 66 years, 54% males with no formal education, and 29.9% currently married.
Most elderly 82.8% had chronic diseases, mostly hypertension 55.6% and diabetes 50.0%.
The median number of medications per person was 3.0, and the most common side effect was affection of equilibrium.
Only 33.3% of elderly had normal sleep, and 13.8% exercised regularly.
Most family caregivers were spouses/children 46.0%. Their age ranged between 22 and 69 years, with 54% males, 43.7% having university education.
Most elderly and caregivers had high satisfaction with the services provided, 81.6% and 82.8% respectively, with no statistically significant difference.
Elderly’s total expectations were slightly lower 66.7% in comparison with caregivers 73.6%, but with no statistically significant difference.
Satisfaction was exceeding expectation in nearly half more elderly 50.6% in comparison with caregivers 49.4%.
In paired analysis, the expectations scores were significantly higher among caregivers.
Significantly more elderly with high satisfaction and expectations were in Dar Ahalina (B) and had sufficient income.
Significantly more caregivers with high satisfaction were with Dar Ahalina (B) and elderly having sufficient income and were married.
Significantly more caregivers with high expectations were residing in urban areas and with elderly sufficient income and were younger than 50 years old.
Elderly’s total scores of expectations and satisfaction had a significant strong positive correlation (r=0.734).
The total scores of caregivers’ expectations and satisfaction had a significant strong positive correlation (r=0.746).
Significant strong positive correlations were found between elderly’s and caregivers’ satisfaction and expectations scores.
In multivariate analysis:
o Being in geriatric home B and sufficient income were positive predictors of elderly’ expectation score.
o Being in geriatric home B, having urban residence, and the expectation score were positive predictors of elderly’ satisfaction score, while the number of medications was a negative predictor.
o Elderly’s income and disability were positive predictors of family caregivers’ expectation score, while their number of diseases as well as caregivers’ age and female gender were negative predictors.
o Being the spouse/children, caregiver’s expectations score, and elderly’s satisfaction score were positive predictors of caregivers’ satisfaction score, while elderly’s incontinence was a negative predictor.
In conclusion, most elderly and caregivers have high satisfaction with the services provided, with expectations being slightly lower. The scores of expectations and satisfaction are positively correlated for both elderly and caregivers. They are mainly influenced by the geriatric home type, as well as their personal characteristics.
The study recommends periodic assessment of elderly residents and family caregivers’ expectations and satisfaction with the services, and the results to be used in the identification of areas of inadequacy and actions taken for improvement. Community health and gerontology nurses should be trained in conducting such surveys. The areas of recreation activities need prompt action from geriatric homes administration. A national plan to improve the provision of health services in the centers providing elderly care is needed. Further research is proposed to investigate the effectiveness of interventions aimed at improvement based on the identified needs in ameliorating elderly residents and their family caregiversion ameli’.