The 75-year-old persons' self-reported health conditions: a knowledge base in the field of preventive home visits.

2012 
Aims and objectives To describe and analyse 75-year-old persons′ health conditions and how they were associated with socio-demographic status and sense of coherence to produce a knowledge base for district nurse's preventive home visits. Background Action plans are needed to promote health and to prevent diseases amongst older people. One action plan is preventive home visits to 75-year-old persons by the district nurse. Though the district nurse has a broad knowledge in the field of preventive health work, preventive home visits to 75-year-old persons was a new responsibility. Although aging and older persons health have been investigated in many varied studies, it was difficult to find a comprehensive view, in general and from a district nursing perspective, of 75-year olds' health conditions. Design Cross-sectional. Methods In total 583, 75-year-olds (74%) answered a questionnaire regarding health and well-being, health problems, health behaviour and sense of coherence. Results Most 75-year-old persons reported their health as good or very good, but they also reported health problems such as: pain, sleeping problems, memory failure, fatigue, poor understanding of their own health and illnesses, problems with elimination patterns and underweight and overweight. 75-year-old persons living alone, those with elementary school education and women reported worse health and well-being than other groups. Conclusion This study contributes to the knowledge about health issues that concern persons of 75 years of age. It gives a suggestion as to what the district nurses should be aware of when performing preventive home visits. Relevance to clinical practice This study raises the importance of preventive health work regarding 75-year-old persons. It suggests how to educate district nurses in how to perform preventive home visits to older persons.
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