Beni-Suef University, National Institute of Longevity Elderly SciencesNILES journal for Geriatric and Gerontology2636-32243Geriatric nursing20201201Effect of Nursing Interventions on the Physical Performance Self-Efficacy among Community Dwelling Older Adults in the Pre-Frail Stage11816006810.21608/niles.2020.160068ENAbeer Abd El-RahmanMohamedDepartment of Gerontological Nursing- Faculty of Nursing- Alexandria University, Alexandria, Egypt0000-0003-2417-3419Nagwa Abdel-FattahIbrahimDepartment of Gerontological Nursing- Faculty of Nursing- Alexandria University, Alexandria, EgyptYahia Moh’d MahmoudAL-HelihDepartment of Community Health Nursing Faculty of Nursing- Middle East University- Jordan,EmanShoukrDepartment of Gerontological Nursing- Faculty of Nursing- Alexandria University, Alexandria, Egypthttps://orcid.org/00Journal Article20201130<strong>Background</strong>: Prefrailty prevalence increases with age, and can lead to negative healthcare outcomes<strong>. </strong>Prefrailty prevention and management are very important actions to prolong independence in older adults. Self‑efficacy is one of the psychological factors that are the most reliable predictors of older adults' initiation and uptake of physical activity. Gerontological nurses play a crucial role in the early identification of older adults with pre-frailty and tailoring preventive and rehabilitative multicomponent exercise interventions which are considered a key factor in decreasing, preventing, or even reverse decline associated with prefrailty. <strong>Aim of the study</strong>: To determine the effect of nursing intervention on the physical performance self-efficacy among community dwelling older adults in the pre-frail stage. <strong>Settings</strong>: El-Waffa club for older adults which affiliated to the Ministry of Social Solidarity, in Alexandria, Egypt. <strong>Subjects</strong>: Forty pre-frail community dwelling older adults were included in this study. <strong>Tools: </strong>Six tools were used to collect data ;Frailty Index for Elders,Short Physical Performance Battery, Socio-demographic and Clinical Data of Community-dwelling Elders, Barthel Index, Instrumental Activities of Daily Living, and Exercise Self-efficacy Scale. <strong>Results</strong>: statistically significant differences were found in the studied older adults’ pre-frailty status, physical performance, and their self-efficacy after the implementation of the study intervention as (P= 0.000 for all of these variables). <strong>Conclusion</strong>: physical performance self-efficacy and prefrailty status of all studied pre-frail community dwelling older adults improved after the implementation of the multicomponent exercise program. <strong>Recommendations</strong>: Prefrailty screening should be performed for all community dwelling older adults. The multicomponent exercise program can be safely and effectively incorporated into standard nursing practice in caring for pre-frail community dwelling older adults.https://niles.journals.ekb.eg/article_160068_71eb3ddf39d5fb7d21ad069abd39cdcc.pdfBeni-Suef University, National Institute of Longevity Elderly SciencesNILES journal for Geriatric and Gerontology2636-32243Geriatric nursing20201201Food preparation methods among older adults at Qena city: impact of nutritional educational intervention192816007010.21608/niles.2020.160070ENNadia Omar EmamAbdelnasserDepartment of Gerontological Nursing, South Valley University, Egypt.0000-0003-1701-919XHoda DiabFahmyDepartment of Community Health Nursing, Faculty of Nursing, Assuit University, EgyptMohamed KamalAlsayedDepartment of Food Science & Technology, Faculty of Agriculture, Assiut University, Egypt.Asmaa KamalHassanDepartment of Community Health Nursing, Faculty of Nursing, Assuit University, EgyptHuiJunChihDepartment of Epidemiology and Biostatistics, School of Public Health, Curtin University, AustraliaJournal Article20201130<strong>Background</strong>: The common preparation methods of usual food types in Egypt are boiling, grilling, frying, or raw and the most used one is frying method. So, It is an inevitable to improve older adults’ nutritional habits especially the food preparation method. <strong>Aim</strong>: this study aimed to improve older adults' nutritional habits in form of food preparation methods. <strong>Method</strong>: The study followed a quasi-experimental research design. This study was conducted in the elderly club at Qena city, Egypt. A convenient sample of 106 older adults from total hundred fifty (150) members of the elderly club who fulfilled the inclusions criteria was randomly assigned to experimental or control group. The experimental group received the health education program and the control group didn't receive the health education program. <strong>Results</strong>: Within the intervention group, the preparation method has been significantly changed from frying to boiling or grilling most of food after telling the participants that the healthy method is boiling and / grilling. <strong>Conclusion</strong>: The results of the study confirm that there were improvements of older adults' nutritional habits in form of food preparation methods.https://niles.journals.ekb.eg/article_160070_868dbf30c20ca7060739ec612770fbd3.pdfBeni-Suef University, National Institute of Longevity Elderly SciencesNILES journal for Geriatric and Gerontology2636-32243Geriatric nursing20201201Impact Of Educational Program About Nutrition That Enhances The Immunity Among Older Adults At Qena City, Egypt294116007110.21608/niles.2020.160071ENNadia Omar EmamAbdelnasserDepartment of Gerontological Nursing, South Valley University, Egypt.0000-0003-1701-919XHoda Diab FahmyIbrahimDepartment of Community Health Nursing, Faculty of Nursing, Assuit University, EgyptHuiJunChihDepartment of Epidemiology and Biostatistics, School of Public Health, Curtin University, AustraliaAsmaa KamalHassanDepartment of Community Health Nursing, Faculty of Nursing, Assuit University, EgyptMohamed Kamal AlsayedYoussefDepartment of Food Science & Technology, Faculty of Agriculture, Assiut University, Egypt.Journal Article20201201<strong>Background</strong>: Immunity age related changes make elderly riskier for infectious diseases. Consequently, it increases morbidity, irreversible frailty and dependency. Diet is recognized to modulate immune functions in several modes and to affect host resistance to infections.<br /><strong>Objective: </strong>The study aimed to improve the knowledge of older adults about the nutritional elements and its sources that support and increase the immune response.<br /><strong>Research design:</strong> Quasi experimental research design.<br /><strong>Setting:</strong> The study was conducted at an elderly club at Qena city, Egypt.<br /><strong>Subjects</strong>: A convenient sample of 106 older adults from an elderly club was randomly assigned equally into either the intervention group or the control group.<br /><strong>Method</strong>: The educational sessions were implemented over five weeks. Knowledge on nutritional elements were measured at baseline, immediately after the intervention and three months later.<br /><strong>Results</strong>: Immediately after the intervention, the percentage of elderly with ‘good’ knowledge increased from 0% to 90% in the intervention group (p=0.001). While this dropped to 46% at follow up, percentage of elderly in the intervention group with ‘fair’ knowledge was high at 48%. Age-related cognitive ability might have contributed to this difference.<br /><strong>Conclusion</strong>: The nursing intervention improved knowledge and nutritional habits of the elderly.https://niles.journals.ekb.eg/article_160071_d5680e39b2d47f7855fb807438348e73.pdfBeni-Suef University, National Institute of Longevity Elderly SciencesNILES journal for Geriatric and Gerontology2636-32243Geriatric nursing20201201Effect of Mobile- Based Educational Program through Bluetooth and WhatsApp. Application on the Oral Health Values, Dental Literacy, and Oral Self-Efficacy among Older Adults.426417638810.21608/niles.2020.176388ENMarwa Ibrahim MahfouzKhalilDepartment of Gerontological Nursing, Faculty of Nursing, Alexandria University, Egypt.Dina MetwallySorourDepartment of Gerontological Nursing, Faculty of Nursing, Alexandria University, EgyptEnas Fouad SayedMousaDepartment of Geriatric Medicine, Faculty of Medicine, Helwan University, Egypt0000-0001-8836-6709Reem SaidShaalaDepartment of Geriatric Medicine, Faculty of Medicine, Alexandria University, EgyptJournal Article20201001<strong>Background:</strong> With the advent of preventive dentistry and an expanded array of treatment options, the possibility of maintaining oral health throughout the life span has increased. This interdependence between oral health and general well-being further validates the need to explore factors related to the improvement of the oral health status of community-dwelled older adults. Essential to the process of enhancing the oral health status of this segment is the exploration of the numerous variables which must be considered in the development of mobile-based educational program. Thus, the adequate assessment of the health values, literacy, and perception related to the performance of oral hygiene is of upmost importance. Only then effective elder-specific oral interventions could be developed and implemented. <strong>Aim:</strong> The purpose of this quasi-experimental study was to measure the effect of mobile- based educational program through Bluetooth and WhatsApp Application on the oral health values, dental literacy, and oral self-efficacy among older adults.<strong>Setting:</strong> The study was conducted in El-Wafaa club of elderly persons affiliated to the Ministry of Social Solidarity. <strong>Subjects:</strong> A 67- participant, own smart phones, able to download and deal with related software applications, and capable of reading sent messages were operationalized using four specified tools. <strong>Tools:</strong> These were (1) Developed Demographic and Oral Health Profile for the Older Adults Structured Interview Schedule, (2) Health Literacy in Dentistry Scale (HeLD- short form), (3) Oral Health Values Scale (OHVS), and (4) Geriatric Self- Efficacy Scale for Oral Health (GSEOH). <strong>Results:</strong> Initially revealed that the higher prevalence of mouth health problems was related to tooth decay (64.2%) and tooth plaque (62.7%). Oral health problems had mostly a negative impact on satisfaction with fluids drinking and mouth appearance (40.3% each). There was a highly statistical positive significant improvement in the older adults’ oral-related literacy, values, and efficacy post-program than before. A strong positive significant correlation was proved between the studied variables along the whole implementing periods. Oral health literacy was a predicting / independent factor for both Self- Efficacy and values in each period of interventions. <strong>Conclusion:</strong> The proposed program succeeded in improving the main studied variables’ subscales with different degrees as represented by the mean percent scores, immediately after application that decreased at a 3- week follow up of mobile-based oral care implementation but still significant compared with the pre- intervention period. <strong>Recommendations:</strong> Digital or e-health interventions to prevent or rectify oral problems of older adults should be wide-ranging and multi-faceted to be conducted via the social networks and invest in mobile health clinics. Design a preventive program to target older adults living in Egypt, through increasing access and minimize barriers to treatment for elderly with low financial standard and collecting systematic data on oral health status as well as general medical conditions to be monitored and included in national oral health promotion plans for older adults.https://niles.journals.ekb.eg/article_176388_070f41d017abb0febd059a26668f0f12.pdfBeni-Suef University, National Institute of Longevity Elderly SciencesNILES journal for Geriatric and Gerontology2636-32243Geriatric nursing20201201Effectiveness of In-person Tele-support Management on Perceived Burden, Health-promoting Practices, and Sense of Coherence among Caregivers of Older Adults with Parkinson’s Disease659318297510.21608/niles.2020.182975ENMarwa Ibrahim MahfouzKhalilDepartment of Gerontological Nursing, Faculty of Nursing, Alexandria University, Egypt.Dina MetwallySorourDepartment of Gerontological Nursing, Faculty of Nursing, Alexandria University, Egypt.Reem SaidShaalaDepartment of Internal Medicine, Geriatric Unit, Faculty of Medicine, Alexandria University, EgyptEnas Fouad SayedMousaDepartment of Geriatric Medicine, Faculty of Medicine, Helwan University, Egypt0000-0001-8836-6709Journal Article20201025https://niles.journals.ekb.eg/article_182975_8a7eee2c1b8c6639994cebb3297e57ff.pdfBeni-Suef University, National Institute of Longevity Elderly SciencesNILES journal for Geriatric and Gerontology2636-32243Geriatric nursing20201201Factors associated with Peritraumatic Distress among Community Dwelling Older adults during COVID-199410624157510.21608/niles.2020.241575ENTayser BauomeiFahmeiFaculty of Nursing, Modern university for Technology and Information, Cairo, Egypt.Josphen YoussefGaiedFaculty of Nursing, Alexandria University, Alexandria, Egypt.0000000208870292Journal Article20201103<strong>Background: </strong>Peritraumatic distress is a negative psychological experience among older adults during COVID-19.<strong> Aim of study</strong>: The study aimed to identify factors associated with peritraumatic distress among community dwelling older adults during covid-19. <strong>Subjects and methods</strong>: A descriptive design was used to achieve the aim of the current study. The study subjects were selected from outpatient clinic of Shark El-Madina hospital in Alexandria, Egypt. Convenient sample of one hundred older adults were included in the study aged 60 years and above and had normal cognitive function. Three tools were used in the current study as follows, Socio-demographic and Clinical Data of Community Dwelling Older Adults Structured Interview Schedule, Short Portable Mental Status Questionnaire (SPMSQ) and The Covid-19 Peritraumatic Distress Index (CPDI) PDI. <strong>Results</strong>: More than half (60.0%) of community dwelling older adults experienced mild/ moderate distress and more than one quarete (31.0%) of them experienced sever peritrumatric distress during covid-19. The main factors associated with peritraumatic distress were age and level of education. <strong>Conclusion and recommendations</strong>: Peritrumatic distress is common among community dwelling older adults during COVID -19 and there are a significantly associated factors with developing it. Careful assessment and appropriate plan should be conducted among community dwelling older adults to prevent develop of peritraumatic distress.https://niles.journals.ekb.eg/article_241575_7a39adebc62203f63d2c360b66f3326f.pdf