An Effectiveness of Need-Based Intervention on Level of Depression, Family Support, Quality of Life among elderly clients with depression in selected Rural Population.(video)
INTRODUCTION :
Ageing is a universal process and it affects every individual, family, community
and society. It is a normal, progressive and irreversible process. Ageing is generally
defined as a process of decline in the functional capacity of an individual that results
from structural changes, with advancement of age. It should be seen in the perspective
not merely a matter of accumulating years but also a process of "adding life to years, not
years to life", following the World Health Day theme in 2012 “Good health adds life to
years”.
The old age experiences many life stressors that can affect the level of depression
such as loneliness, unemployment, poor financial support, chronic health problems, poor
health status and poor functional capacity. A major component of the burden of illness
for the elderly derives from prevalent chronic disabling conditions that often accompany
ageing. This can be prevented or delayed, not only by medical but also by social,
economic and environmental interventions.
AIM :
To assess the effectiveness of Need-based intervention on the level of depression,
Family support, Activities of Daily Living, Quality of life among elderly clients with
depression in a selected rural population.
OBJECTIVES :
The objectives of the study were:
1. To assess the pre and post test level of depression with associated factors Family
support, Activities of daily living, Quality of life among elderly clients with
depression in experimental and control group.
2. To assess the effectiveness of Need- based intervention on level of depression
with associated factors Family support, Activities of daily living, Quality of life
among elderly clients with depression within and between experimental and
control group.
3. To correlate between the level of depression with associated factors Family
support, Activities of daily living, Quality of life among elderly clients with
depression in the experimental group.
4. To associate the mean difference score on the level of depression with associated
factors Family support, Activities of daily living, Quality of life of elderly clients
with depression with their selected demographic variables in experimental group.
METHODOLOGY :
The research design for the proposed research adopted for the present study was
experimental design. The experimental group (intervention group) was compared with a
control group of Depression on the same base line .The control group was exposed to the
routine care intervention and namely the outcome variable was exposed to Need- based
intervention by using randomization among the mild, moderate and severe depression.
The severe cases were referred to Psychiatrist.
RESULT :
The findings of the study revealed that the overall the post test mean score of
level of depression was 9.28 and11.56 with standard deviation of2.06 and 1.40. The
calculated ‘t’ value was t=11.58 which showed a high statistical significance at p<0.001
between experimental and control group respectively, Family Support was 54.18 and
28.04 with standard deviation of 17.11and 8.60. The calculated ‘t’ value was t= 17.62
which showed a high statistical significance at p<0.001 between experimental and
control group respectively, Activities of Daily Living was 4.41and 1.91 with standard
deviation of 1.56.and 0.63. The calculated ‘t’ value was t=18.80 which showed a high
statistical significance at p<0.001 between experimental and control group respectively,
Quality of Life was 51.09 and 36.30 with standard deviation of 4.54 and 6.15. The
calculated ‘t’ value was t=24.47which showed a high statistical significance at p<0.001
between experimental and control group respectively. Hence the study concluded that the
effectiveness of Need-based intervention had significant improvement in Family support,
Activities of daily living and Quality of life score of elderly clients in the experimental
group.
CONCLUSION :
Old age experience many life stressors that can affect the level of depression such
as loneliness, unemployment, poor financial support, chronic health problems, poor
health status and poor functional capacity. Elderly persons with depression are more
likely to experience poor Family support, lesser functioning on Activities of daily living,
and poorer Quality of life than normal people.
The findings of the study revealed that elderly are vulnerable and prone to
depression. The major focus is on the Need-based intervention in the reduction of level
of depression with improvement in Family support, Activities of daily living, Quality of
life score of elderly clients in the experimental group and was found effective. Hence,
Need-based intervention can be used as an interventional tool to reduce the level of
depression and it also improves the Family support, Activities of daily living, Quality of
life among elderly.
The findings of the study will be incorporated in the Wellness Clinic Program of
Omayal Achi Community Centre which not only addresses the physical health of the
elderly, but also the mental health