Nursing Care Interventions According to Integrative Nursing and Omaha System in Elderly Women Feeling Loneliness

NCT03695133 | Completed

• 1 other identifier: 001
• Study Type: interventional
• Target: 55
• Locations: 1 country
• Sites: 1

Brief Summary

Objectives: The present study investigates the effects of nursing care interventions on the physical, psychological, social and spiritual health of the elderly women with high level of loneliness according to the principles of integrative nursing and Omaha System. Methods: This study protocol describes a randomised controlled trial with to parallel group design. After the level of loneliness of elderly women will be determined by the Loneliness Scale for the Elderly in the Family Health Center, women with high levels of loneliness will be randomly assigned to the intervention and control group. Nursing care interventions consisting of group-based (sightseeing, picnics, theater, cinema) and individual according to Integrative Nursing and Omaha System. Elderly women who feel loneliness will continue for 12 weeks. Pre-tests and post-tests will be completed during home visits made by the researchers. Discussion: This study will provide evidence regarding the effectiveness of nursing care interventions that include the comprehensive (physical, psychological, social and spiritual) evaluation of their health, and contribute to provide care in terms of Integrative Nursing and Omaha System.

Conditions

Loneliness

Keywords

loneliness; elderly; integrative nursing; omaha system

Outcome Measures

Primary Outcomes (1)

• Loneliness Scale for the Elderly

  The loneliness scale for the elderly was developed to determine the sense of loneliness. The two subscales in the scale are: emotional and social loneliness subscales. There are 11 items in the binary Likert type scale. Minumum and maximum scores are 0 and 22 points, respectively. The total score is obtained by collecting the scores from the subscales. Loneliness can be divided into four levels according to the score. "0-4 scores" do not feel loneliness, "5-14 scores" acceptable loneliness, "15-18 scores" feeling very loneliness and "19-22 scores" feeling very lonely. Levels increase the level of loneliness.

  12 weeks

Secondary Outcomes (6)

• International Physical Activity Questionnaire

  12 weeks

• Health Status Perception Scale

  12 weeks

• Social Inclusion Scale

  12 weeks

• Multidimensional Scale of Perceived Social Support

  12 weeks

• Well-being Index

  12 weeks

Study Arms (2)

intervention group

EXPERIMENTAL

1. Group-based interventions Group-based interventions include physical activity, sightseeing, picnics, theater, cinema, group educations. 2. Individual interventions Individual interventions include interventions in the Omaha System Nursing Interventions Scheme that is specific to health problems of elderly women.

Behavioral: Group-based interventions

control group

NO INTERVENTION

The control group will not take any intervention, the post-tests will be collected at the end of 12 weeks.

Interventions

Group-based interventions BEHAVIORAL

1. Group-based interventions Elderly women will have a walk for physical activity for 12 weeks, three days a week. It is planned that each of the sightseeing, picnic, theater and cinema activities will be done twice. The topics that elderly women need most for group educations will be determined. Group educations will be held once every four weeks approximately three hours. 2. Individual interventions After the pre-tests are applied to the women in the intervention group, the home environment and the individual's health problems will be assessed, interventions will be implemented and the results will be evaluated during home visits at online. During the home visit to the elderly women and twelve-week intervention period, each woman will meet four times and initiatives will be implemented.

Also known as: individual interventions

intervention group

Eligibility Criteria

• Age: 65 Years+
• Gender Eligibility Details: to feel very lonely and very lonely according to the Loneliness Scale for the Elderly
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)

You may qualify if:

• to be independent according to the Katz Daily Activities Activity Scale;
• no problem in physical activity with the suggestion of the doctor in Family Health Center;
• living alone or with family;
• good cognitive state (place, time and person orientation) with the suggestion of the doctor; - the willingness to participate in the study

You may not qualify if:

• to live in any elderly care center or nursing home;
• to be semi-dependent and dependent according to the Katz Daily Activities Activity Scale
• to have a psychiatric disorder.

Sponsors & Collaborators

• Akdeniz University: lead

Study Sites (1)

Akdeniz University

Antalya, 07058, Turkey (Türkiye)

Location

Related Publications (1)

• Ilgaz A, Gozum S. Effectiveness of INOSEL program consisting of Integrative Nursing and Omaha System for older women feeling loneliness: a randomised controlled trial. Aging Clin Exp Res. 2023 Nov;35(11):2769-2781. doi: 10.1007/s40520-023-02559-9. Epub 2023 Sep 28.

  PMID: 37759148 DERIVED

Study Officials

• Ayşegül ILGAZ

  Research Assistant

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Assistant

Study Record Dates

• First Submitted: October 2, 2018
• First Posted: October 3, 2018
• Study Start: January 1, 2018
• Primary Completion: February 28, 2018
• Study Completion: May 15, 2018
• Last Updated: May 10, 2022

Record last verified: 2022-05

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL
• Time Frame: one year

Locations

TU (1)