Effect of nursing interventional Package on osteoporotic risk reduction And quality of life among senior citizens Residing in selected oldage homes

Abstract

newline ABSTRACT newlineBACKGROUND: newlineOsteoporosis is a critical health issue among the elderly, leading to fractures, reduced newlinemobility, and compromised quality of life (QoL). Interventions such as Tai Chi therapy, newlineaerobic exercise, and deep breathing can enhance balance, coordination, cardiovascular newlinehealth, and overall well-being, making them ideal for older adults. newlineOBJECTIVES: newlineThis study aimed to evaluate the effectiveness of a structured Nursing Interventional newlinePackage (NIP) on reducing osteoporosis risk, improving biochemical parameters, and newlineenhancing QoL among senior citizens in selected old age homes in Chennai. newlineMETHODS: newlineA quasi-experimental one-group pre-test post-test design was conducted among 80 newlineelderly individuals aged 65 85 years. The NIP comprised low-intensity aerobic exercises, newlinedeep breathing exercises, and video-assisted Tai Chi therapy. Participants were screened newlineusing the Osteoporosis Risk Assessment Instrument (ORAI), and bone health was newlineassessed via portable ankle Bone Mineral Density (BMD) measurements. Serum calcium newlinelevels were evaluated to monitor biochemical changes, and QoL was assessed using the newlineWHOQOL-BREF, covering physical, psychological, social, and environmental domains. newlineRESULTS: newlineNearly 78 participants analyzed, 32.05% had a moderate osteoporosis risk (ORAI score newline= 20), while 67.95% had a very high risk (ORAI score = 26). Post-intervention analysis newlineshowed a 29.04% improvement in QoL scores across all domains (p = 0.001). Serum newlinecalcium levels increased by 0.71 mg/dL, with 84.62% reaching normal levels postintervention. newlineOsteoporosis prevalence decreased significantly from 44.87% to 23.08%. newlineModerate positive correlations were found between QoL improvement and both BMD (r newline= 0.42, p = 0.001) and serum calcium levels (r = 0.39, p = 0.01). Demographic factors newlinesuch as prior occupation, educational status, length of stay in the old age home, and newlinedietary patterns significantly influenced outcomes (p lt 0.05). Additionally, participant newlinesatisfaction with the intervention was high (96.25%). newlineConclusio