Assessment of quality of life in the oldest-olds living in nursing homes and at home

Urciuoli, O.; Buono, Marirosa Dello; Padoani, W.; Leo, Diego De

doi:10.1016/s0167-4943(98)80074-5

Cited by 11 publications

(18 citation statements)

References 10 publications

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“…They found that whereas the RCH elders considered ‘having their individual needs met’ as the most important condition, the community‐dwelling counterpart stressed the importance of meeting the needs of family members. However, Urciuoli et al. (1998) did not detect such difference when they compared the perception of QoL between the oldest old people living in nursing home with those dwelling in the community.…”

Section: Resultsmentioning

confidence: 92%

Quality of life of older people in residential care home: a literature review

Lee¹,

Kwong

2009

J of Nursing and Healthcare

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Aim. To integrate the research evidence on quality of life of older people living in a residential care home setting. Background. Residential care is provided for older people who are unable to live in their own home due to various health and social reasons. A number of studies have been published that have focused on diverse quality of life issues of residential care home elders. Consolidating the evidence from these studies may provide insights into enhancing quality of life of this particular group of older people. Design. A literature review of research evidence on quality of life issues among residential care home elders. Method. A systematic search of the literature published between 1994–January 2008 was undertaken to identify research evidence on quality of life of older people living in residential care home. Information about the study design, research objectives, study setting, sample characteristics, and key findings were extracted for comparison and integration. Three aspects about quality of life of the residential care home elders were identified: views of residential care home elders on quality of life, factors affecting quality of life of residential care home elders and methods to improve quality of life in residential care home elders. Results. Eighteen publications were identified. Older people perceived their ability to maintain independence, autonomy and individuality as the most important criteria for determining quality of life. Interventions designed to improve quality of life of older people living in residential facilities corresponded to these criteria. A range of interventions including a walking program, mental stimulation and environmental modification were proposed and evaluated to improve quality of life of residential care home elders. Among these interventions, environmental modification that targeted at improving the residential care homes and quality of services appears to be promising. Conclusion. Quality of life in residential care home elders is a complex issue that may be determined by the elders’ independence, individuality and autonomy, and influenced by quality of residential care and facilities. Environmental modification appears to be a way to improve the quality of life of residential care home elders. Relevance to clinical practice. The knowledge of understanding quality of life of residential care home elders provides insights into the implementation of appropriate residential care services. Programs that aim to de‐institutionalise the residential care home settings are important to the enhancement of residential care services.

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Section: Resultsmentioning

confidence: 92%

Quality of life of older people in residential care home: a literature review

Lee¹,

Kwong

2009

J of Nursing and Healthcare

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“…Considering the raised institutionalization rates, nursing homes should provide good quality of life for their residents [9]. In this sense, studies [10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25] sought to understand if lives in homes for the aged may influence the elderly's QoL. Thereby, worse QoL was observed in elderly residents of long-term care institutions, in comparison with community-dwelling individuals [11, 13, 16-19, 22, 23, 25].…”

Section: Introductionmentioning

confidence: 99%

Does the institutionalization influence elderly’s quality of life? A systematic review and meta–analysis

et al. 2020

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Background: Institutionalization is a global phenomenon and its impact on elderly's quality of life (QoL) is under discussion. This systematic review and meta-analysis evaluated the influence of the institutionalization on elderly's QoL. Methods: Searches were performed in Medline, Scopus, Web of Science, Lilacs, Cochrane Library and SIGLE by two independent reviewers up to May 2019. The eligibility criteria were based on PECO strategy, considering observational studies in elderly (P), which were (E) or not (C) institutionalized to identify differences in their QoL (O). For qualitative synthesis, data were extracted and risk of bias was evaluated through a validated guideline. Meta-analysis was based on Mean Difference (MD) and Standard Mean Difference (SMD) calculation (p ≤ 0.05). The evidence was quality-tested using Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. Results: The initial search identified 3841 articles. Duplicates were removed, titles and abstracts were read and eligibility criteria were applied, remaining 16 sixteen cross-sectional studies that were included for data extraction and qualitative synthesis. Out of 16 articles, 14 evaluated the Health-Related Quality of Life, using Leipad (n = 2), WHOQOL-BREF and/or OLD (n = 8), SF-36 or RAND-36 (n = 4) questionnaires, and two assessed the Oral Health-Related Quality of Life, through GOHAI questionnaire. One eligible article was considered as low risk of bias. In the meta-analysis, 12 studies were included. Leipad questionnaire did not show differences on elderly's QoL (MD 0.11 [− 0.10, 0.32] I 2 = 76%). Differences on elderly's QoL were detected through WHOQOL-BREF (SMD-0.70 [CI95%: − 0.94, − 0.47] I 2 = 93%), WHOQOL-OLD (SMD-1.13 [− 1.47, − 0.80] I 2 = 91%) and SF-36/RAND-36 (MD-5.97 [CI95%: − 11.29, − 0.64] I 2 = 90%). All studies had very low or low certainty of evidence, since the study design influenced evidence classification, and show high heterogeneity. Conclusion: Although the institutionalization influences negatively the elderly's QoL, further well-designed studies are needed to confirm this evidence.

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“…How to preserve the physical function of elderly people living in communities is an important question, and numerous studies have reported on this topic. Programs of assistance and prevention of d i s a b i l i t i e s h a v e b e e n p r o v i d e d b y l o c a l governments, and the achievements of those programs have been reported [9][10][11][12][13][14] . However, previous have studies often focused on ability to move as an indicator of decline in physical function, and rarely attended to other physical functions [15][16][17] .…”

Section: Discussionmentioning

confidence: 99%

“…In helping individuals lead lives in their own homes, not only the ability to move but also the ability to go upstairs and downstairs and other abilities are related to daily living. Previous studies on maintenance of physical function have often focused on the ability to move, and attention has rarely been paid to other physical functions [9][10][11][12][13][14] .…”

Section: Introductionmentioning

confidence: 99%

Maintenance of Physical Function and Related Factors for Community Dwelling Elderly: A Nine-Year Follow-up Study

et al. 2009

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Abstract. [Purpose] This study was aimed to explore factors related to functional decline of community dwelling elderly from the aspect of activities of daily living in a nine-year follow-up study.[Subjects] The subjects were 141 males and 151 females living in a farming village neighboring a large city in the Chubu District of Japan.[Methods] We investigated the age, sex, and presence/absence of illness, social interaction, and exercise habits of each subject. The baseline study was conducted in 1996 with a follow-up in 2005. The chi-square test and multiple logistic regression analysis was used to examine the relationships of independence in physical function with age, sex, and presence/absence of illness, social interaction, and habitual exercise. Analyses were performed using the computer program SAS.[Results] The results of the present study indicate that decline of physical function was related with decline of ability to step up and down.[Conclusion] It seems advisable to provide an intensive program for individuals when they begin to have difficulty stepping up and down (the group at risk). However, the validity of the program identified by the authors has not yet been tested. At the same time, it would be desirable to implement a program prepared on the basis of these findings and evaluate its effectiveness.

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Assessment of quality of life in the oldest-olds living in nursing homes and at home

Cited by 11 publications

References 10 publications

Quality of life of older people in residential care home: a literature review

Quality of life of older people in residential care home: a literature review

Does the institutionalization influence elderly’s quality of life? A systematic review and meta–analysis

Maintenance of Physical Function and Related Factors for Community Dwelling Elderly: A Nine-Year Follow-up Study

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