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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
Primary Hlth Care Ctr Valdemarsvik, Valdemarsvik, Region Of Oster, Sweden;Linkoping Univ, Dept Social & Welf Studies, Norrkoping, Sweden.
Linkoping Univ, Management Dept, Linkoping, Region Of Oster, Sweden;Linkoping Univ, Dept Med & Hlth Sci, Linkoping, Sweden.
Linkoping Univ, Dept Med & Hlth Sci, Linkoping, Sweden;Linkoping Univ, Res & Dev Unit, Linkoping, Region Of Oster, Sweden.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences. Linköping Univ, Dept Social & Welf Studies, Norrköping, Sweden.ORCID iD: 0000-0002-9360-8570
2019 (English)In: Primary Health Care Research and Development, ISSN 1463-4236, E-ISSN 1477-1128, Vol. 20, article id 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 UNIV PRESS , 2019. Vol. 20, article id e88
Keywords [en]
cross-sectional study, lifestyle, preventive clinic visit, primary health care, self-rated health, 75-year-old persons
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-390295DOI: 10.1017/S1463423619000136ISI: 000473468500001OAI: oai:DiVA.org:uu-390295DiVA, id: diva2:1348845
Available from: 2019-09-05 Created: 2019-09-05 Last updated: 2019-09-05Bibliographically approved

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