NIRMALA COLLEGE OF NURSING

CALICUT -12

COMPARITIVE STUDY TO ASSESS THE DEPRESSION

AMOUNG INSTITUTIONALIZED AND NON-INSTITUTIONALIZED

ELDERLY RESIDING IN SELECTED AREAS OF CALICUT.

Ms .Aleena James
Ms . Amrutha A P
Ms . Anju Kurian
Ms . Ashna Jolly
Ms . Doneetta Joseph
Ms . Hanisha Fathima
Ms.Preethy Baby
Ms Priyanka. A
PROJECT REPORT SUBMITTED IN PARTIAL FULLFILMENT
OF THE REQUIREMENT FOR THE DEGREE OF B.SC
NURSING FROM THE UNIVERSITY OF THRISSUR 2015-2016.

NIRMALA COLLEGE OF NURSING

CALICUT-12

CERTIFICATE

Certified that this is the work of Ms.AleenaJames, Amrutha A P, Ms.Anju

Kurian, Ms.AshnaJolly, Ms. DoneettaJoseph, Ms.Hanisha Fathima,
Ms.Preethy Baby, Ms.Priyanka A of Nirmala College of Nursing , Calicut
submitted in the partial fulfillment of requirement for the degree of B.Sc
nursing from university of Thrissur.

Miss. Boney Baby

Rev. Sr. Clarence

Senior lecturer

Principal

Nirmala College of Nursing

Nirmala College of

Nursing
Calicut

Calicut

NIRMALA COLLEGE OF NURSING

CALICUT -12

COMPARITIVE STUDY TO ASSESS THE DEPRESSION

AMOUNG INSTITUTIONALIZED AND NON-INSTITUTIONALIZED

ELDERLY RESIDING IN SELECTED AREAS OF CALICUT.
Group members,
Ms .Aleena James
Ms . Amrutha A P
Ms . Anju Kurian
Ms . Ashna Jolly
Ms . Doneetta Joseph
Ms . Hanisha Fathima
Ms.Preethy Baby
Ms Priyanka. A
PROJECT REPORT SUBMITTED IN PARTIAL FULLFILMENT
OF THE REQUIREMENT FOR THE DEGREE OF B.SC
NURSING FROM THE UNIVERSITY OF THRISSUR. 2015-2016

Guided by,
Ms. Boney baby ( Msc .Nursing)
Senior Lecturer
Nirmala College Of Nursing

ACKNOWLEDGEMENT
GRATTITUDE IS AN ATTITUDE OF HEART WHICH
CANNOT BE EXPRESS IN WORDS
First and fore most, we thank Almighty God for showering his valuable
blessings and being with me constantly like a guiding light so that we could
complete our task successfully on time.
We express our gratitude to the
management ,Rev.Dr.Sr.MariaFernanda,Director, Rev.Sr.Moly,
Administrator Nirmala Hospital for inspiration and encouragement.
The investigators are extremely thankful to REV.SR.Clarence,Principal
Nirmala college of Nursing,for granting permission to conduct the study.
We take this opportunity to express our sincere thanks and heartfelt gratitude
to our very
Respected teacher and coordinator,
Sr.Rosilitta
Professor& H.O.D
Department of Psychiatric Nursing
Nirmala College of Nursing
for her exemplary guidance, patience, motivation and enthusiasm which helped
us to complete this study to the best of our abilities.
We wish to express our deep sense of gratitude to our guide
Ms.Boney Baby
Senior lecturer Department of Psychiatry
Nirmala College Of Nursing

For her valuable suggestions, encouragement and guidance which helped us a

lot while dealing with the task in various stages.
For her concern and interest expressed regarding the study,
We are deeply indebted to our teachers,
We extend our sincere thanks to Ms.Cimi Thomas , Senior lecturer ,Nirmala
College of Nursing & Mr.Joby K.Jose Proffessor , St. Joseph College Devagiri.
For his expert guidance on the statistical analysis of the data.
Most specially we thank our dear family we owe our success to our parents
&siblings the smooth sail in our endeavor was
the result of their constant support, encouragement, patience and prayers. And
also to our friends, classmates and relatives
for their love, encouragement, moral support and prayers which were of most
importance to us.
We wish to extend our sincere thanks to
Mrs.Josna&Ms.stabia
Librarians of Nirmala Collegefor providing all help in getting this work
completed on time ,for providing all help in getting
this work completed on time. The investigators are greatly indebted to the
director Of Karuna and mercy old age home for providing us an opportunity to
conduct this study in the old age homes. We thank DMO, NGO quarters for
granting us permission to conduct study in selected community in Calicut. We
would like to express our immense gratitude to the inmates of Karuna Old age
Home and Mercy old age home for extending their support and encouragement
during our study.
Finally we thank all the experts from the bottom of my heart, the editor, and
Keerthy Johnson for their valuable contributions and assistance in the successful
completion of this study.

We take this opportunity to express our unconditional obligation and gratitude

to all the elderly and their caregivers who participated in this study, without
whom this research would not have taken shape. We are also grateful for their
overwhelming kind co-operation during the period of the data collection.
Our sincere thanks & gratitude to all those who have directly or indirectly
helped in successful completion of the Project

LIST OF TABLE CONTENTS

Sl. No:
1

Contents
Introduction

Page No:
1

Review of literature

14

Methodology

23

Analysis &

5
6
7

Interpretations

32

Summary &Conclusion

44

Bibliography

53

Appendices

61

LIST OF TABLES
SL.NO
1a

Tables
Frequency

and

percentage

Page No.
distribution

of

35

subjects according to age, sex, living area

,Income ,and educational status .

1b

Frequency

and

percentage

distribution

of

37

subjects according to Religion ,Occupation ,

Disease ,and Marriage.
2a

Range, mean and standard deviation of

depression among institutionalized elderly

39

2b

Range,

39

mean and standard deviation of

depression among non-institutionalized elderly

3a

Association

of

depression

among

institutionalized and non-institutionalized elderly

42

with age, sex, education ,job and income

3b

Association

of

depression

among

institutionalized and non-institutionalized elderly

with religion, disease, living place and living
condition.

43

LIST OF FIGURE

Sl. No:

Figures

Page
No

Conceptual framework based on Roys

13

adaptation
2

Schematic representation of study

26

design.
3

Fig.3.A. percentage of distribution

40

based on religion in institutionalized

elderly.
4

Fig. 3. B. percentage of distribution

based on religion in non-

40

institutionalized elderly.
5

Fig.4.A.Percentage of distribution

41

based on marital status in

institutionalized elderly
6

Fig.4 .B. Percentage of distribution

41

based on marital status in noninstitutionalized elderly.

LIST OF APPENDICES

Sl No:

List of appendices

Page
No:

1.

Appendix A; Information sheet and subject

63

consent
2

Appendix B ;Questionnaire

Appendix C;-Letter seeking permission to conduct

66

pilot study in Mercy old age Home

68

Appendix D;-Letter seeking permission to conduct

69

research study in Karuna old age Home

Appendix E;-Letter seeking permission to conduct
5

study in community area.

Abstract
Background
Aging is a set of process, which contribute to health deterioration and
ultimately to death with the passage of time. In other words any process which
contributes to age related decline in performance, productivity and health is a

70

component of aging process that deserves our attention and intervention.

Though there are multiple western and Indian studies available in two aspects
separately ,but combined studies are not done, therefore the aim of the study
was to compare the depression among institutionalized and non-institutionalized
elderly and also to find out the association of this parameters with the baseline
variables.
Objectives of the study
To assess the depression among the institutionalized elderly in a selected
area Calicut
To assess the depression among the non- institutionalized elderly

in a

selected area Calicut

To compare the depression among the institutionalized and noninstitutionalized elderly in a selected area Calicut
To assess the association between depression and selected demographic
variables
The conceptual frame work adopted for this study was based on Roys
adaptation modal

Methods
This was a comparative study conducted on elderly residing at old age
homes and with the family. A survey approach was used for this study. The
setting of the study was Karuna old age home and selected areas of Calicut. The
sample size was 25 institutionalized elderly and 25 non institutionalized elderly
was selected based on purposive sampling technique.
Data collection instrument consisted of a semi structured questionnaire
schedule for base line variables , Geriatric depression scale to assess the

depression and mini mental status examination

to rule out cognitive

impairments. The data obtained was analyzed in terms of objectives of the study
using descriptive and inferential statistics.
Results
Among the 25institutionalizedelderly most of them (56%)were in the age
group 60-70 years of age. In the current study most (76%)of the
institutionalized were males.Most of the institutionalized elderly(76%) had
Primary level of education. Occupational status revealed that among
institutionalized elderly 100% of them were dependant.. The current study
showed that 36% of the institutionalized were married .Health problems in
institutionalized elderly is 96%.
Among the 25 non-institutionalized elderly most of them (48%) were in
the age group 71-80 years of age. In the current study( 64%) of the non
institutionalized were females. Most of the non institutionalized elderly
(56%)had secondary level of education

.Occupational status revealed that

among non institutionalized elderly (60%) of them were dependent. The current
study show that

(80%) of them were married .Health problems in non

institutionalized elderly is (76%).

It also revealed that the Depression of institutionalized & non institutionalized
elderly is having association with Age, Income ,Living area and occupational
status and also it was significant at 0.001 level.
Interpretation and conclusion
These findings of the study clearly point out that providing enhancing
measures are central to the self esteem. The present study has thrown light on
interventions that would need to be planned to the elderly people to maintain
self-concept and self esteem. From the comparative study it appears that self-

esteem in institutionalized elderly is positively co-related whereas in noninstitutional it is negatively co-related.. Further interventional studies are
needed to motivate the elderly to see the aging positively.
Key words: institutionalized, non institutionalized, depression, elderly.