Gerontološko javnozdravstveni ljetopis Hrvatske 2004. – 2006.

Centar za gerontologiju ZZJZGZ-a - Referentni centar Ministarstva zdravstva i socijalne skrbi Republike Hrvatske za zaštitu zdravlja starijih osoba izradio je statistički godišnjak, pod naslovom „Gerontološko javnozdravstveno-statistički pokazatelji za Hrvatsku 2004- 2006. godina“

Usporedba stanja uhranjenosti među dječjim vrtićkim skupinama u Splitu

AIM: to determine whether there is a difference in the level of nutritional status of children across age groups, which would indicate the need for a change in caloric values of daily menus that are currently the same for all age groups in kindergartens in Split. PARTICIPANTS AND METHODS: The study was conducted during June 2020 in “Grigor Vitez” kindergarten in Split. All parents were asked to voluntarily complete a questionnaire with a guarantee of anonymity. The data on height and weight of children were used to calculate the nutritional indicators: the body mass index (BMI) and the percentile curves of the body mass index (% BMI), defined by gender and age. RESULTS: Data for 128 children aged 3 - 6.99 of the kindergarten "Grigor Vitez" were analyzed. Children in the selected kindergartens did not differ significantly in relation to the level of their nutritional status across age groups (3 – 3.99 years, 4 – 4.99 years, 5 – 5.99 years, 6 – 6.99 years). The highest average percentile was determined (60.30) in the age group of children aged 6.00 - 6.99, which is 12.89 points higher than the average value of the percentile of children aged 3.00 - 3.99 years, while no difference was found by testing (F = 0.936; p = 0.426). CONCLUSION: Only percentile values were compared between kindergarten groups, and so it can be concluded that meals may have appropriate energy values, which should be checked by analyzing the menus, and comparing them with the recommendations.CILJ: je utvrditi postoji li u splitskim dječjim vrtićima razlika u stupnju uhranjenosti djece po dobnim skupinama što bi impliciralo na preinake kcal (kilokalorijskih) vrijednosti dnevnih jelovnika koji su jednaki za sve dobne skupine. ISPITANICI I METODE: Istraživanje se provodilo tijekom lipnja 2020. u Dječjem vrtiću (DV) „Grigor Vitez“ u Splitu na način da su roditelji djece dobrovoljno ispunjavali anketni upitnik uz jamčenu anonimnost. Iz anketnog upitnika korišteni su podaci o visini i težini djeteta za izračun pokazatelja uhranjenosti: indeksa tjelesne mase (ITM) i percentilne krivulje indeksa tjelesne mase (% ITM), definirane prema spolu i uzrastu (u daljnjem tekstu: percentili). REZULTATI: Analizirani su podaci za 128 djece u dobi 3 – 6.99 godina Dječjeg vrtića „Grigor Vitez“. Djeca se prema dobnim skupinama (3 – 3,99 god., 4 – 4,99 god., 5 – 5,99 god., 6 – 6,99 god.) u dječjem vrtiću značajno ne razlikuju po stupnju uhranjenosti. U dobnoj skupini djece od 6,00 – 6,99 godina utvrđen je najveći prosječni percentil (60,30) koji je u odnosu na prosječnu vrijednost percentila djece starosne dobi 3,00 – 3,99 godina veći za 12,89 bodova, dok postojanje razlike testiranjem nije utvrđeno (F = 0,936; p = 0,426). ZAKLJUČAK: Uspoređene su samo percentilne vrijednosti među vrtićkim skupinama te se iz toga može zaključiti da obroci možda imaju odgovarajuće energetske vrijednosti, koje je potrebno provjeriti analizom jelovnika, te usporedbom istih s preporukama

Biološki lijekovi u imunoloških gerijatrijskih bolesnika

U organizaciji CZG ZZJZ Dr. Andrija Š tampar, održana je   14.listopada, 161. Gerontološka tribina na kojoj je prof. dr. sc. Jadranka Morović- Vergles, dr. med., pred 131-im   sudionikom iz timova LOM-e i drugih stručnjaka različitih profila koji skrbe za gerijatrijske osiguranike, održala predavanje o ulozi bioloških lijekova u imunološkim/reumatološkim bolestima

Self-assessed needs of the elderly for the non-institutional care services of gerontological centers in relation to their functional ability

Aim of this paper is to determine whether there is a difference between the expressed need and choice of priorities of the non-institutional care services provided by gerontological centres and the category of their functional independence in the elderly who are on the official waiting list for placement in the decentralized Nursing home Split “Vukovarska”.Methods: The research was conducted in November 2021. The participants were aged 65 and over who were on the official waiting list of the Nursing home Split. The research was conducted via telephone survey with the guaranteed anonymity of the participants. The following questionnaires were used: Questionnaire on sociodemographic characteristics, Questionnaire for self-assessment of elderly persons on the need and choice of offered services of non-institutional care, Barthel index modified according to Shah S., Vanclay F. and Cooper B. (MBI).Results: The study included 182 participants. There was a statistically significant difference between the participants’ stated need and choice of priorities for the offered services of the gerontological centre and the category of functional independence of the participants in relation to offered services: help at home (p<0.001); day stay (p<0.001); programs of continuous physical, mental, work, and cultural and entertainment activities (p<0.001); medical, social and psychological services (p<0.002); technical assistance (p<0.001).Conclusions: This study indicates that the functional independence of the elderly is an important gerontological public health indicator in the planning of non-institutional care for the elderly population

Gerontološko javnozdravstveni ljetopis Hrvatske 2004. – 2006.

Centar za gerontologiju ZZJZGZ-a - Referentni centar Ministarstva zdravstva i socijalne skrbi Republike Hrvatske za zaštitu zdravlja starijih osoba izradio je statistički godišnjak, pod naslovom „Gerontološko javnozdravstveno-statistički pokazatelji za Hrvatsku 2004- 2006. godina“

SAMOPROCIJENJENA KVALITETA ŽIVOTA KORISNIKA KOJI PRIMAJU 2. i 3. STUPANJ SOCIJALNIH USLUGA U DECENTRALIZIRANIM DOMOVIMA ZA STARIJE U GRADU ZAGREBU

The aim was to analyze whether there is signifi cant difference in self-assessment of the examined domains of the quality of life in residents receiving level 2 and level 3 social services in county-owned nursing homes in the City of Zagreb. This analytical cross-sectional survey was conducted successively (2018-2019) in 3 county-owned nursing homes in Zagreb including residents from nursing homes with levels 2 and 3 social services. The Quality of Life Scales for Nursing Home Residents 2001 test was used to examine the self-assessed quality of life in 92 residents aged ≥65, while Barthel Index modifi ed by Shah, Vanclay and Cooper (MBI) was used to assess their functional independence. General sociodemographic variables were used including the level of social services provided. Study results showed that the self-assessed domains of functional competence (Z=5.050), privacy (Z=4.687), meaningful activity (Z=4.632), interpersonal relationships (Z=3.394), autonomy (Z=3.352) and individuality (Z=3.755) (p<0.001 all) were signifi cantly higher among residents receiving level 2 versus level 3 social services. Self-assessed quality of life (N=92) showed the lowest level in the domain of food enjoyment (Me=11.40; IQR=9.02-11.40). In conclusion, difference in the examined domains of self-assessed quality of life between level 2 and level 3 users of social services in nursing homes guides the gerontologic multidisciplinary team in selecting interventions that can contribute to improving the quality of life of the elderly, especially the functionally dependent ones who need help of others in all areas of functioning (level 3 social services). The self-assessed quality of life of residents receiving level 2 and level 3 social services showed the lowest level in the domain of food enjoyment, which indicates the need for interventions in the implementation gerontologic nutritional standards and menus in nursing homes.Cilj je bio analizirati postoji li značajna razlika u samoprocjeni ispitivanih domena kvalitete života korisnika koji primaju drugi stupanj socijalnih usluga naspram korisnika koji primaju treći stupanj socijalnih usluga u decentraliziranim domovima u Gradu Zagrebu. Analitičko presječno istraživanje sukcesivno je provedeno 2018.-2019. godine u tri decentralizirana doma za starije u Gradu Zagrebu uključujući korisnike domova za starije koji primaju 2. i 3. stupanj socijalnih usluga. Pomoću testa Quality of Life Scales for Nursing Home Residents 2001. ispitana je samoprocjena kvalitete života kod 92 korisnika u dobi od ≥65 godina, dok je za procjenu njihove funkcionalne samostalnosti korišten Barthel indeks modifi ciran prema Shah, Vanclay i Cooper (MBI). Korištene su opće sociodemografske varijable uključujući i stupanj socijalnih usluga. Samoprocjena domena funkcionalne sposobnosti (Z=5,050), privatnosti (Z=4,687), smislene aktivnosti (Z=4,632), međuljudskih odnosa (Z=3,394), autonomije (Z=3,352) i individualnosti (Z=3,755) (p<0,001 sve) bila je značajno veća kod korisnika koji primaju 2. stupanj socijalnih usluga u odnosu na korisnike koji primaju 3. stupanj socijalnih usluga. Samoprocijenjena kvalitete života korisnika (N=92) pokazala je najnižu razinu u domeni uživanja u hrani (Me=11,40; IQR=9,02-11,40). Razlika u ispitivanim domenama samoprocijenjene kvalitete života između korisnika 2. i 3. stupnja socijalnih usluga u domovima za starije usmjerava intervencije gerontološkog multidisciplinskog tima koje mogu doprinijeti poboljšanju kvalitete života starijih osoba, i to poglavito za funkcionalno ovisne kojima je potrebna pomoć druge osobe u punom opsegu (3. stupanj socijalnih usluga). Samoprocijenjena kvaliteta života korisnika koji primaju 2. i 3. stupanj socijalnih usluga pokazala je najnižu razinu u domeni uživanja u hrani, što upućuje na potrebu nužnih intervencija u primjeni gerontološko prehrambenih normi i jelovnika domova za starije osobe

Burden of Informal Caregivers of Chronic Respiratory Failure Patients in Croatia

The aim of this study was to determine the level of burden of informal caregivers of chronic respiratory failure patients measured by the Zarit Burden Interview Questionnaire (ZBI) and to identify overburdened informal caregivers who can become hidden patients. We recruited the respondents in two hospitals for lung disease and a home healthcare service in Zagreb during 2020. After they had been identified as primary informal caregivers who provided high intensity informal care for more than six months, they were asked to complete the Croatian version of the ZBI questionnaire and a question­naire on sociodemographic characteristics. We used descriptive methods for statistical analysis in this cross-sectional study. We presented the data in tables as absolute frequencies, percentages and measures of the central tendency, and graphically by using diagrams. The study included 150 informal caregivers. The majority were female, over 50 years of age with high school education. The largest percentage of informal caregivers was retired. The highest scores were given to the statements on worrying about future and patient dependency while the lowest scores were given to the statements on leaving the care to someone else and feelings such as anger or embarrassment caused by the patient. The results of this study show that more than half of informal caregivers of chronic respiratory failure patients are moderately to severely burdened

SAMOPROCIJENJENA KVALITETA ŽIVOTA KORISNIKA KOJI PRIMAJU 2. i 3. STUPANJ SOCIJALNIH USLUGA U DECENTRALIZIRANIM DOMOVIMA ZA STARIJE U GRADU ZAGREBU

The aim was to analyze whether there is signifi cant difference in self-assessment of the examined domains of the quality of life in residents receiving level 2 and level 3 social services in county-owned nursing homes in the City of Zagreb. This analytical cross-sectional survey was conducted successively (2018-2019) in 3 county-owned nursing homes in Zagreb including residents from nursing homes with levels 2 and 3 social services. The Quality of Life Scales for Nursing Home Residents 2001 test was used to examine the self-assessed quality of life in 92 residents aged ≥65, while Barthel Index modifi ed by Shah, Vanclay and Cooper (MBI) was used to assess their functional independence. General sociodemographic variables were used including the level of social services provided. Study results showed that the self-assessed domains of functional competence (Z=5.050), privacy (Z=4.687), meaningful activity (Z=4.632), interpersonal relationships (Z=3.394), autonomy (Z=3.352) and individuality (Z=3.755) (p<0.001 all) were signifi cantly higher among residents receiving level 2 versus level 3 social services. Self-assessed quality of life (N=92) showed the lowest level in the domain of food enjoyment (Me=11.40; IQR=9.02-11.40). In conclusion, difference in the examined domains of self-assessed quality of life between level 2 and level 3 users of social services in nursing homes guides the gerontologic multidisciplinary team in selecting interventions that can contribute to improving the quality of life of the elderly, especially the functionally dependent ones who need help of others in all areas of functioning (level 3 social services). The self-assessed quality of life of residents receiving level 2 and level 3 social services showed the lowest level in the domain of food enjoyment, which indicates the need for interventions in the implementation gerontologic nutritional standards and menus in nursing homes.Cilj je bio analizirati postoji li značajna razlika u samoprocjeni ispitivanih domena kvalitete života korisnika koji primaju drugi stupanj socijalnih usluga naspram korisnika koji primaju treći stupanj socijalnih usluga u decentraliziranim domovima u Gradu Zagrebu. Analitičko presječno istraživanje sukcesivno je provedeno 2018.-2019. godine u tri decentralizirana doma za starije u Gradu Zagrebu uključujući korisnike domova za starije koji primaju 2. i 3. stupanj socijalnih usluga. Pomoću testa Quality of Life Scales for Nursing Home Residents 2001. ispitana je samoprocjena kvalitete života kod 92 korisnika u dobi od ≥65 godina, dok je za procjenu njihove funkcionalne samostalnosti korišten Barthel indeks modifi ciran prema Shah, Vanclay i Cooper (MBI). Korištene su opće sociodemografske varijable uključujući i stupanj socijalnih usluga. Samoprocjena domena funkcionalne sposobnosti (Z=5,050), privatnosti (Z=4,687), smislene aktivnosti (Z=4,632), međuljudskih odnosa (Z=3,394), autonomije (Z=3,352) i individualnosti (Z=3,755) (p<0,001 sve) bila je značajno veća kod korisnika koji primaju 2. stupanj socijalnih usluga u odnosu na korisnike koji primaju 3. stupanj socijalnih usluga. Samoprocijenjena kvalitete života korisnika (N=92) pokazala je najnižu razinu u domeni uživanja u hrani (Me=11,40; IQR=9,02-11,40). Razlika u ispitivanim domenama samoprocijenjene kvalitete života između korisnika 2. i 3. stupnja socijalnih usluga u domovima za starije usmjerava intervencije gerontološkog multidisciplinskog tima koje mogu doprinijeti poboljšanju kvalitete života starijih osoba, i to poglavito za funkcionalno ovisne kojima je potrebna pomoć druge osobe u punom opsegu (3. stupanj socijalnih usluga). Samoprocijenjena kvaliteta života korisnika koji primaju 2. i 3. stupanj socijalnih usluga pokazala je najnižu razinu u domeni uživanja u hrani, što upućuje na potrebu nužnih intervencija u primjeni gerontološko prehrambenih normi i jelovnika domova za starije osobe

POKAZATELJI KVALITETE POVEZANI S GEROPROFILAKSOM U HRVATSKIM DOMOVIMA ZA STARIJE OSOBE

Aim: To determine and compare the values of quality indicators related to geroprophylaxis in Croatian nursing homes in 2017 and 2018, including the incidence of pressure ulcers in the past 90 days, prevalence of malnutrition and obesity, vaccination against infl uenza in the past 12 months, receiving nine or more medications daily, and the presence of elements of the 5Is geriatric syndrome in nursing home residents. Participants and Methods: Data collection was conducted using the Questionnaire on monitoring quality indicators in nursing homes in 160 Croatian nursing homes (county-owned, state and other founders) in 2017 and 2018. Based on the data available, 6 quality indicators related to geroprophylaxis were calculated. Results: We received 66 (40%) completed questionnaires in 2017 and 64 (41%) in 2018. There was no statistically signifi cant difference between the two time points for any of the indicators; the median prevalence of malnutrition was 4.9% (IQ=1.2%-8.2%) in 2017 and 5.0% (IQR=2.3-8.1) in 2018; the prevalence of nursing home residents with a body mass index indicating obesity was 16.7% (IQR=7.2%-33.6%) in 2017 and 10.7% (IQR=5.0%-19.4 %) in 2018; the prevalence of residents receiving nine or more drugs per day was 20.6% (IQR=11.9%-34.4%) in 2017 and 22.1% (IQR=13.8%-36.7%) in 2018; the prevalence of residents with elements of the 5Is geriatric syndrome was 25.4% (IQR=9.7%-49.7%) in 2017 and 27.2% (IQR=10.2%-54.1%) in 2018; the prevalence of residents vaccinated against infl uenza in the last 12 months was 54.1% (IQR=35.8%-76.1%) in 2017 and 62.7% (46.6% -81.7%) in 2018; and the incidence of residents with pressure ulcers developed in the past 90 days was 0.7% (IQR=0%-1.7%) in 2017 and 1.3% (IQR=0.0%-2.3%) in 2018. Conclusion: This study showed that the quality indicators assessed did not result in a statistically signifi cant change in Croatian nursing homes over two years. Our research implies that all quality indicators require gerontologic-public health interventions, demonstrating the importance of applying geroprophylactic measures from the Program of primary, secondary, tertiary and quaternary prevention for the elderly in nursing homes.Cilj: Utvrditi i usporediti vrijednosti pokazatelja kvalitete povezane s geroprofi laksom u hrvatskim domovima za starije osobe u 2017. i 2018. godini uključujući učestalost pojave dekubitusa u posljednjih 90 dana, učestalost pothranjenosti i pretilosti, cijepljenja protiv gripe u posljednjih 12 mjeseci, primanja devet ili više lijekova/dan te zastupljenost elemenata gerijatrijskog sindroma 5N kod korisnika domova za starije osobe. Sudionici i metode: Prikupljanje podataka provedeno je uporabom Upitnika o praćenju pokazatelja kvalitete u domovima za starije osobe u 160 hrvatskih domova za starije osobe (županijskih, državnih i drugih osnivača) u 2017. i 2018. godini. Na temelju dostupnih podataka izračunato je 6 pokazatelja kvalitete koji se odnose na geroprofi laksu. Rezultati: Primili smo 66 (40%) ispunjenih upitnika u 2017. godini i 64 (41%) u 2018. godini. Ni za jedan pokazatelj nije postojala statistički značajna razlika između dviju vremenskih točaka; medijan učestalosti pothranjenosti u 2017. godini bio je 4,9% (IQR=1,2%-8,2%), i 5,0% (IQR=2,3%-8,1%) u 2018. godini; zastupljenost korisnika domova za starije osobe s indeksom tjelesne mase (ITM) koji ukazuje na pretilost bila je 16,7% (IQR=7,2%- 33,6%) u 2017. i 10,7 (IQR=5,0 %-19,4%) u 2018.; zastupljenost broja korisnika koji primaju devet ili više lijekova/dan bila je 20,6% (IQR=11,9%-34,4% ) u 2017. i 22,1 (IQR=13,8%-36,7%) u 2018.; učestalost korisnika s elementima gerijatrijskog sindroma 5N iznosila je 25,4% (IQR=9,7% 49,7%) u 2017. i 27,2% (IQR=10,2%-54,1%) u 2018. godini; učestalost korisnika cijepljenih protiv gripe u posljednjih 12 mjeseci iznosila je 54,1% (IQR=35,8%-76,1%) u 2017. godini i 62,7 % (46,6%-81,7%) u 2018. godini, a incidencija pojave tlačnog vrijeda u korisnika tijekom proteklih 90 dana iznosila je 0,7 (IQR=0%-1,7%) u 2017. godini i 1,3% (IQR=0%-2,3%) u 2018. godini. Zaključak: Ova studija pokazuje da se analizirani pokazatelji kvalitete u hrvatskim domovima za starije osobe nisu statistički značajno mijenjali tijekom dviju godina. Naše istraživanje ukazuje na to da je kod svih pokazatelja kvalitete potrebna gerontološko-javnozdravstvena intervencija, što upućuje na važnost primjene geroprofi laktičkih mjera iz Programa primarne, sekundarne, tercijarne i kvartarne prevencije za osobe starije dobi u domovima za starije