Elderly person reaching for help in a hospital.

Lonely No More: How Social Support Can Shorten Hospital Stays for Older Adults

"New research highlights the critical role of living arrangements in the mental healthcare of elderly patients."


As populations age globally, understanding the factors that influence the well-being and healthcare needs of older adults becomes increasingly important. Among these factors, mental health plays a significant role, particularly concerning hospitalization and its impact on elderly individuals. While various elements contribute to the necessity and duration of hospital stays, new research sheds light on a specific, modifiable factor: living arrangements.

A recent study comparing psychiatric hospitalization characteristics in Ireland and Turkey has uncovered a consistent link between living alone and longer hospital stays (LOS) for older adults. This finding emphasizes the profound influence of social support systems on the mental health and recovery of elderly patients, regardless of cultural context.

This article delves into the findings of this international comparison, exploring the socio-demographic factors, reasons for admission, and diagnoses that contribute to hospitalization patterns in older adults. More importantly, it examines the implications of these findings for healthcare providers, policymakers, and families seeking to improve the quality of life and reduce the burden of hospitalization for our aging population.

The Impact of Living Arrangements on Hospital Stays

Elderly person reaching for help in a hospital.

The study, which analyzed data from 356 psychiatric inpatients over 65 years of age in Ireland and Turkey, revealed significant differences in socio-demographics, reasons for admission, and diagnoses between the two countries. However, one factor consistently predicted longer hospital stays: living alone. This suggests that regardless of cultural differences, the absence of consistent social support networks significantly affects the recovery and well-being of older adults requiring psychiatric care.

The researchers used descriptive modalities and logistic regression to analyze admission charts from two different acute psychiatric hospitals (Sligo/Ireland and Istanbul/Turkey), focusing on several key factors:

  • Socio-demographic profiles: Examining differences in age, education, occupation, marital status, and living arrangements.
  • Hospitalization characteristics: Analyzing length of hospital stay (LOS), reasons for admission, and diagnoses.
  • Predictive factors: Assessing which factors predicted longer hospital stays in both countries.
While the study highlighted differences between the two countries—such as patients in Ireland being older and more educated than those in Turkey—the consistent finding was the impact of living arrangements on LOS. In Ireland, living alone was the only significant predictor of longer stays. In Turkey, younger age, in addition to living alone, also contributed to extended hospitalization.

What This Means for Improving Care

The study's findings underscore the importance of addressing social isolation and lack of support among older adults with psychiatric needs. Healthcare providers and policymakers should consider the following:

<ul> <li><b>Enhancing Social Support:</b> Develop and implement programs that provide social support for older adults living alone, such as regular check-ins, community activities, and support groups.</li> <li><b>Improving Access to Community Resources:</b> Increase access to community-based mental health services, including outpatient therapy, day programs, and crisis intervention services.</li> <li><b>Family and Caregiver Support:</b> Provide education and resources to families and caregivers to help them better support older adults with psychiatric needs.</li> <li><b>Telehealth and Remote Monitoring:</b> Utilize telehealth and remote monitoring technologies to provide regular contact and support for older adults living alone.</li> </ul>

By focusing on addressing the social support needs of older adults, healthcare systems can potentially reduce hospital readmissions, improve patient outcomes, and enhance the overall well-being of this vulnerable population. These interventions not only improve patients' lives, but also result in more efficient healthcare resource utilization, leading to better allocation and cost management.

About this Article -

This article was crafted using a human-AI hybrid and collaborative approach. AI assisted our team with initial drafting, research insights, identifying key questions, and image generation. Our human editors guided topic selection, defined the angle, structured the content, ensured factual accuracy and relevance, refined the tone, and conducted thorough editing to deliver helpful, high-quality information.See our About page for more information.

This article is based on research published under:

DOI-LINK: 10.1007/s40520-017-0813-9, Alternate LINK

Title: Socio-Demographic Characteristics And Factors Associated With Hospitalization In Psychiatry Of Old Age Patients: An International Comparison Between Ireland And Turkey

Subject: Geriatrics and Gerontology

Journal: Aging Clinical and Experimental Research

Publisher: Springer Science and Business Media LLC

Authors: Elif Carpar, Geraldine Mccarthy, Dimitrios Adamis, Gizem Donmezler, Ender Cesur, Nurhan Fistikci

Published: 2017-08-14

Everything You Need To Know

1

How do living arrangements affect hospital stays for older adults with psychiatric needs?

New research indicates that living arrangements significantly impact the length of hospital stays for older adults needing psychiatric care. Specifically, the study found that older adults who live alone tend to have longer hospital stays compared to those who have consistent social support.

2

What key factors were considered in the study examining psychiatric hospitalization characteristics in Ireland and Turkey?

The study considered socio-demographic profiles such as age, education, occupation, marital status, and living arrangements. It also looked at hospitalization characteristics like length of hospital stay (LOS), reasons for admission, and diagnoses, using descriptive modalities and logistic regression to analyze admission charts. Predictive factors that contributed to longer hospital stays were also assessed in both countries.

3

What were the main findings of the study regarding the impact of living arrangements on hospital stays in Ireland and Turkey?

The study revealed that living alone consistently predicted longer hospital stays for older adults requiring psychiatric care in both Ireland and Turkey. In Ireland, living alone was the only significant predictor. However, in Turkey, younger age, in addition to living alone, also contributed to extended hospitalization.

4

Why is social support so important for older adults with psychiatric needs, according to the study?

The research highlights the crucial role of social support networks in the mental health and recovery of elderly patients. The absence of consistent social support significantly affects the well-being of older adults requiring psychiatric care, potentially lengthening their hospital stays. Healthcare providers should thus address social isolation and lack of support.

5

What are the broader implications of the study's findings on living arrangements and hospital stays for the care of older adults?

The consistent finding that living alone leads to longer hospital stays suggests that social support is a critical factor in the recovery and well-being of older adults with psychiatric needs. This underscores the importance of healthcare providers, policymakers, and families working together to create supportive environments for the elderly, potentially reducing the burden of hospitalization and improving their quality of life. Future research could explore specific interventions to improve social connection and their effect on reducing hospital stays.

Newsletter Subscribe

Subscribe to get the latest articles and insights directly in your inbox.