The Frequency of and Contributing Factors to the Psychological Abuse of Older People in Nursing Homes in Turkey

Year 2020, Volume: 10 Issue: 4, 428 - 434, 30.12.2020

Saime Erol , Kamer Gür , Feyza Hellaç Tugba Canbay

https://doi.org/10.33808/marusbed.553271

Abstract

Objective: This study investigated the frequency of the psychological abuse of older people in nursing homes and contributing factors.

Methods: The population for this methodological and descriptive study was 161 elderly individuals living in two nursing homes in Istanbul. The data were collected using Barthel’s Index, the Standardized Mini Mental Test (SMMT) and the Elders’ Psychological Abuse Scale (EPAS). The scale’s reliability was tested using the Kuder–Richardson Formula 20 (KR–20) and test–retest analysis. Its validity was tested using the Content Validity Index (CVI) and concurrent validity. The frequency of abuse is presented using numbers, percentages, and means. The relationship between the independent variables and abuse was evaluated using the t-test and Kruskal–Wallis variance analysis.

Results: The participants’ mean age was 73.5 years (42.2% were older than 80 years); 44.7% were female. The mean scores were 5.57 ± 4.12 on the EPAS and 89.13 ± 17.13 on Barthel’s Index. The KR-20 reliability coefficient for the scale was 0.80. The test–retest reliability was 0.97; p=0.000, and the content validity index was 90%. Of the participants, 14.3% were exposed to psychological abuse. Individuals with high dependency and low levels of income, education and mental capacity were exposed to psychological abuse more frequently (p <0.05).

Conclusion: The Turkish version of the originally English EPAS is reliable and valid.

Keywords

Psychological Abuse, Older People, Nursing Home, Scale

References

• [1] Elder Abuse (2017). World Health Organization. Available from: https://www.who.int/ageing/projects/elder_abuse/en/.
• [2] Yon Y, Mikton CR, Gassoumis ZD, Wilber KH. Elder abuse prevalence in community settings: a systematic review and meta-analysis. Lancet Glob Health, 2017; 5:147-56. doi: 10.1016/S2214-109X(17)30006-2.
• [3] Schofield MJ. Screening for elder abuse: tools and effectiveness. Dong XQ, editors. Elder Abuse. Springer, Cham: 2017.p: 161-199
• [4] Yesil P, Tascı S, Oztunc G. Elder abuse and neglect. JDU Health Sci Inst. 2016; 6(2):128-134.
• [5] Lok N. Elder abuse and neglect in Turkey: a systematic review. Current Approaches in Psychiatry. 2015; (2):149-157. doi:10.5455/cap.20140714124315.
• [6] Kıssal A, Beser A. Identifying and evaluating elder abuse and neglect. TAF Prev Med Bull. 2009; 8(4):357-364
• [7] Akdemir N, Gorgulu U, Cınar FI. Elder abuse and neglect. Journal of Hacettepe University Faculty of Nursing. 2008; 15(1): 68-75.
• [8] Artan T. Financial abuse as a type of elderly abuse among elderly people residing insenior centers. HSP. 2016; 3(1): 8-56. doi:10.17681/hsp.78913.
• [9] Ergin F, Evci-Kiraz ED, Saruhan G, Benli C, Okyay P, Beser E. Prevalence and risk factors of elder abuse and neglect in a western city of Turkey: a community based study. Bulletin of the Transilvania University of Brasov. Medical Sciences. Series VI, 2012; 5 (54): 33-50.
• [10] Boldy D, Horner B, Crouchley K, Davey M. Addressing elder abuse: WesternAustralian case study. Australasian Journal on Ageing, 2005; 24(1):3-8.doi: 10.1111/j.1741-6612.2005.00058.x
• [11] Sooryanarayana R, Choo WY, Hairi NN. A review on the prevalence and measurement of elder abuse in the community. Trauma, Violence, & Abuse. 2013; 14(4), 316-325. doi:10.1177/1524838013495963.
• [12] Yon Y, Ramiro-Gonzalez M, Mikton CR, Huber M, Sethi D. The prevalence of elder abuse in institutional settings: a systematic review and meta-analysis. European Journal of Public Health. 2018; 29(1), 58-67. doi:10.1093/eurpub/cky093.
• [13] Lachs MS, Pillemer KA. Elder abuse. New England Journal of Medicine. 2015;373(20), 1947-1956. doi/full/10.1056/NEJMra1404688.
• [14] Gülen M, Aktürk A, Acehan S, Seğmen MS, Açıkalın A, Bilen A. Elder abuse and neglect. Archives Medical Review Journal. 2013; 22(3), 393-407.
• [15] Acharya K, Dhungana GP, Neupane MS, Adhikari S, Neupane HC, Aryal B. Psychological Abuse and Its Correlates among Elderly Peoples of Saudhiyar Village, Dang, Nepal. International Journal of Pharmaceutical & Biological Archives. 2012; 3(6):1377-1382.
• [16] Garre‐Olmo J, Planas‐Pujol X, López‐Pousa S, Juvinyà D, Vilà A, Vilalta Franch J.Frailty and Dependence in Girona Study Group. Prevalence and risk factors of suspected elder abuse subtypes in people aged 75 and older. Journal of the American Geriatrics Society. 2009; 57(5), 815-822.
• [17] Wang JJ, Tseng HF, Chen KM. Development and testing ofscreening indicators for psychological abuse of older people. Archives of Psychiatric Nursing. 2007; 21(1), 40-47.http://dx.doi.org/10.1016/j.apnu.2006.09.004.
• [18] Cohen M. Screening tools for the identification of elder abuse. JCOM. 2011;18 (6):261-70.
• [19] Kalaycı I, Yazıcı OS, Ozkul M, Kupeli A. Perceptions of the elderly in elderly abuse. Turkish Journal of Geriatrics. 2016; 19 (4):232-37.
• [20] Wang JJ, Lin JN, Lee FP. Psychologically abusive behavior by those caring for the elderly in a domestic context. Geriatric nursing. 2006 27(5), 284- 291.http://dx.doi.org/10.1016/j.gerinurse.2006.08.016.
• [21] Corbi G, Grattagliano I, Ivshina E, Ferrara N, Cipriano AS, Campobasso CP. Elderly abuse: risk factors and nursing role. Internal and emergency medicine. 2015; 10(3):297-303. doi:10.1007/s11739-014-1126-z.
• [22] Hirst SP, Penney T, McNeill S, Boscart VM, Podnieks E, Sinha SK. Best-practice guideline on the prevention of abuse and neglect of older adults. Canadian Journal on Aging/La Revue canadienne du vieillissement. 2016; 35(2): 242-260.https://doi.org/10.1017/S0714980816000209.
• [23] Gungen C, Ertan E, Yasar R, Engin F. Reliability and validity of the standardized mini mental state examination in the diagnosis of mild dementia in Turkish population. Turkish Journal of Psychiatry/Türk Psikiyatri Dergisi. 2002; 13(4): 273 281. [24] Kucukdeveci AA, Yavuzer G, Tennant A, Suldur N, Sonel B, Arasil T. Adaptation of the modified Barthel Index for use in physical medicine and rehabilitation in Turkey.Scand J Rehab Med. 2000; 32: 87–92.
• [25] Sousa VD, Rojjanasrirat W. Translation, adaptation and validation of instruments or scales for use in cross‐cultural health care research: a clear and user‐friendly guideline. Journal of evaluation in clinical practice, 2011;17(2): 268-274. doi:10.1111/j.1365-2753.2010.01434.x
• [26] Esin MN. Data collection methods and tools & Reliability and validity of data collection tools. . Erdoğan S, Nahçivan N, Esin MN. editors. Research in Nursing: Process, Application and Critical. Nobel Tıp Kitapevi, İstanbul. 2014; p:217-230.
• [27] Wang XM, Brisbin S, Loo T, Straus S. Elder abuse: an approach to identification,assessment and intervention. CMAJ. 2015; 187(8): 575-581. doi:10.1503/cmaj.141329
• [28] Phelan A, Treacy MP. A Review of Elder Abuse Screening Tools. NCPOP, School of Nursing, Midwifery and Health Systems, University College DublinUniversity College Dublin. 2011; 6-17.
• [29] Wangmo T, Nordström K, Kressig RW.Preventing elder abuse and neglect in geriatric institutions: Solutions from nursing care providers. Geriatr Nurs. 2017; 38(5): 385-392. Doi: 10.1016/j.gerinurse.2016.12.016