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Self-rated health, lifestyle habits and risk assessment in 75-year-old persons attending preventive clinic visits with a nurse in primary health care: a cross-sectional study
Linköping University, Department of Social and Welfare Studies. Linköping University, Faculty of Medicine and Health Sciences. Primary Hlth Care Ctr Valdemarsvik, Sweden.
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in West Östergötland, Research & Development Unit in Local Health Care.
Linköping University, Department of Social and Welfare Studies, Division of Nursing Science. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Operations management Region Östergötland, Research and Development Unit.
Linköping University, Department of Social and Welfare Studies, Division of Nursing Science. Linköping University, Faculty of Medicine and Health Sciences. Uppsala Univ, Sweden.
2019 (English)In: Primary Health Care Research and Development, ISSN 1463-4236, E-ISSN 1477-1128, Vol. 20, article id UNSP e88Article in journal (Refereed) Published
Abstract [en]

Aim:

To describe self-rated health in relation to lifestyle and illnesses and to identify risk factors for ill health such as pressure ulcers, falls and malnutrition among 75-year-old participants in a new clinical routine involving health assessment followed by tailored one-to-one health promotion at preventive clinic visits to a nurse at primary health care centres (PHCC).

Background:

There is a rapidly growing ageing population worldwide. It is central to health policy to promote active and healthy ageing. Preventive clinic visits to a nurse in primary health care were introduced as a new clinical intervention in a region in Sweden to improve the quality of health for the older adults.

Design:

A quantitative cross-sectional population-based study.

Methods:

The sample consisted of 306 individuals in six primary health care centres in Sweden aged 75 years who attended preventive clinic visits to a nurse. Data were collected from March 2014 to May 2015 during structured conversations with a nurse based on self-administered questionnaires, clinical examinations, risk assessments and after the clinic visit existing register data were collected by the researcher.

Findings:

Participants experienced good self-rated health despite being overweight and having chronic illnesses. Daily exercise such as walking and housework was more common than aerobic physical training. The majority had no problems with mobility but reported anxiety, pain and discomfort and had increased risk of falls.

Conclusion:

It is important to encourage the older adults to live actively and independently for as long as possible. The healthy older adults may benefit from the clinical intervention described here to support the individual’s ability to maintain control over their health. Such supportive assessments might help the healthy older adult to achieve active ageing, reducing morbidity and preventing functional decline.

Place, publisher, year, edition, pages
Cambridge University Press, 2019. Vol. 20, article id UNSP e88
Keywords [en]
cross-sectional study; lifestyle; preventive clinic visit; primary health care; self-rated health; 75-year-old persons
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:liu:diva-159008DOI: 10.1017/S1463423619000136ISI: 000473468500001OAI: oai:DiVA.org:liu-159008DiVA, id: diva2:1338104
Note

Funding Agencies|Department of Social and Welfare Studies (ISV), Linkoping University; Primary Health Care Centre Valdemarsvik, Region of Ostergotland; Research and Development Unit in Local Health Care, Region of Ostergotland; Geriatric Fund, Uppsala

Available from: 2019-07-19 Created: 2019-07-19 Last updated: 2019-11-11Bibliographically approved

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Linderholm, MaritTörnvall, EvaYngman Uhlin, PiaHjelm, Katarina
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