Population aging is now an increasing trend in a large part of the world. In most developed countries, the population has been ageing for many decades, while in developing countries population ageing has taken place relatively recently (United Nations Population Fund, 2012). The number of people who turn 60 each year worldwide is nearly 58 million, equivalent to almost two persons every second (United Nations Population Fund, 2012). In 2012, people aged 60 or over represent almost 11.5 per cent of total global population of 7 billion. It is estimated that the proportion is projected to nearly double to 22 per cent by 2050 (UNDESA Population Division, 2010). By 2050, for the first time there will be more older people than children under 15 (UNDESA Population Division, 2010). In 2000, there were already more people aged 60 or over than children under 5 (United Nations Population Fund, 2012).
Meiho University Graduate Institute of Health Care Thesis HOME CARE NEEDS AMONG ELDERLY IN DISTRICT 12, HO CHI MINH CITY Graduate student： Supervisor: Professor.Chiung – Man Wu January 2016 HOME CARE NEEDS AMONG ELDERLY IN DISTRICT 12, HO CHI MINH CITY Graduate student: XXXXXXXX Supervisor: Dr XXXXXXX Meiho University Graduate Institute of Healthcare Thesis A thesis submitted to the Graduate Institute of Health Care of Meiho University In partial fulfillment of the requirement for the degree of Master of Health Care January2016 Abstract Background: Home care need for elderly is now increasing all over the world However, this type of service is still under development in Vietnam Additionally, few Vietnamese studies investigated home care needs in a comprehensive approach Objective: The aim of the study was to identify five aspects of home care needs among elderly, including ADLs, IADLs, psychological, health care and health information needs,and related factors Methods: A cross-sectional study was carried out to answer the research phenomena during 12 July to 12 November, 2015 Three hundred and nine of 29,930older adults living in the district 12 of Ho Chi Minh City were randomly chosen and completed interviews with astructured questionnaire, including five sub-scales The validity was tested by content validity and Cronbach’s alpha levels for internal consistent reliabilities were from 0.75 to 0.87 Results: Female was predominant (58.9%) in this study Nearly half of study population (47.9%) participants aged from 60 to 69 and 33.66% aged from 70 to 79 Almost elderly lived with relatives in their house (94.5%) The mean score of ADLs was 5.72 ± 1.07 (0-6) and 5.16 ± 2.33 (0-8) for IADLs.The i mean Affect Balance score was 6.23 ± 0.31 (0-10).Only 17.48% had home health care needs, whereas there were 88.67% participants had needs of information about health care issues Factors that had strong association with home care needs included age, gender, allowance, living arrangement and number of comorbidities (p< 0.05) Conclusion: The results showed that elderly in district 12 had low ADLs, low psychological needs, low health care needs, but high health information needs and IADLs needs The study also contributed to literature about factors those had potential impacts on home care needs in elderly population These factors included age, gender, allowance, living arrangement and number of comorbidities ii Acknowledgement I would like to send my special thanks to Professor Chiung-Man Wu, my supervisor, who had spent lots of time and patience to instruct me to carry out this thesis Without her, I could not complete my studying In addition, I would like to thank all professors at Nursing Department in Meiho University had provided useful and precious advices to me I also acknowledged helpful supports by officers in Post-graduate Office in Nguyen Tat Thanh University Another thank was sent to The Director Board of General Hospital District 12, who facilitated me to access and interview all participants in the study I also would like to thank all participants for their help in providing valuable information Finally, I would like to tell that I love my family due to their endless supports from the beginning to the end of my studying iii Contents Pages Abstract i Acknowledgement iii List of Tables vi List of Figures vii Chapter 1: Introduction 1.1 Statement of the Problem 1.2 Problem: Background and Significance 12 1.3 Aim of this research .15 1.4 Research questions 16 1.5 Chapter summary 16 Chapter 2: Literature Review 18 2.1 Introduction 18 2.2 Aged population worldwide 18 2.3 The aging population in Vietnam 23 2.4 Home care 38 2.5 Home care needs 45 Chapter 3: Conceptual Framework 54 3.1 The study framework .54 3.2 Definitions of terms 55 Chapter 4: Material and Methods 58 4.1 Study Design 58 4.2 Sampling and Setting .58 iv 4.3 Research Instruments .60 4.4 Research Progress 67 4.5 Data Analysis 71 4.6 Ethical Consideration .71 Chapter Results 73 5.1 Demographic profile of participants 73 5.2 Home care needs 75 5.3 The relationships between home care needs and demographic profile of participants 81 5.3 Summary 90 Chapter Discussion 93 6.1 Discussing the significance results of findings 93 6.2 The principal research findings 111 6.3 Contributions and implications 113 6.4 Limitations 115 6.5 Recommendations for further research 116 6.6 Conclusion 116 References 118 Appendix 137 Appendix 152 v List of Tables Page Table 4.1 The results of reliability analysis of ADLs, IADLs and ABS 70 Table 5.1 Demographic profile of participants 74 Table 5.2 ADL scores and ADLs needs among participants 76 Table 5.3 IADL scores and IADLs needs among participants 77 Table 5.4 Psychological needs among participants 78 Table 5.5 Health care needs among participants Table 5.6 Health information needs among participants 79 80 Table 5.7 Relationship between ADL score and demographic profile of participants 82 Table 5.8 Relationship between IADL score and demographic profile of participants 84 Table 5.9 Relationship between affect balance score and demographic profile of participants 85 Table 5.10 Relationship between health care needs and demographic profile of participants 87 Table 5.11 Relationship between health information needs and demographic profile of participants vi 89