Comparison of Comprehensive Health Status and Health-related Quality of Life between Institutionalized Older Adults and Community Dwelling Older Adults

Abstract

Purpose: The aim of this study was to compare the factors of health-related quality of life in older adults according to the type of residency. Methods: A cross-sectional comparative study was conducted. The subjects were 114 institutionalized older adults and 99 community dwelling older adults. Data were collected through face-to-face interviews by nurses using structured questionnaires composed of SF-36 (ver.2) and CGA-SF. Results: The institutionalized older adults had more health problems and experienced lower quality of life compared to community dwelling older adults. Factors influencing health-related quality of life for institutionalized older adults were social support, educational level, and ADL, which explained about 25.7% of the total variance, while thoseof community dwelling older adults were IADL, experiencing fall, and weight loss, which had explanatory power of 31.8%. Conclusion: These results indicate that differentiated nursing strategies according to the type of residency are required to promote health-related quality of life for older adults.

Constipation among Korean older adults in long-term care facilities: A scoping review

“…Institutionalized older adults often suffer from numerous chronic conditions such as dementia, and circulatory, musculoskeletal, and endocrine diseases, which can lead to a decline in physical and cognitive functions and reduced independence in daily living [7]. In addition to this decrease in activity, envi-ronmental changes and social isolation caused by institutional living can increase depression, leading to digestive dysfunction [8], and an increase in the prevalence of constipation in older adults living in institutions. Furthermore, the risk of constipation increases because the cost of meals in LTC settings can make it difficult to consistently provide fruits and dairy products, such as milk, which are high in vitamins and minerals, to meet the recommended intake of essential nutrients [9].…”

Analysis of the Types and Affecting Factors of Older People's Health-related Quality of Life, Using Latent Class Analysis

“…선행연구에서 노인의 삶의 질에 영향을 미치는 요인으로 연 령 [9], 학력 [9], 종교 [10], 가구소득 [9,11], 경제활동여부 [9,11] 가 있었고, 특히 여러 연구에서 높은 순위의 영향요인으로 건강 상태 [9,11,12], 건강행위 [9,11,12], 사회적 지지 [1,10,12], 우울 [1,9,10,12], 주관적 건강인식 [1,12], 일상생활 수행능력 [1]이 확인되었다. 그 외에도 노인의 삶의 질에 대한 구조모형 [11], 메타분석 [10], 독거노인 대 가족동거노인 [9], 시설노인 대 재가 노인 [13]의 비교분석 등이 있고, 잠재계층분석에서는 건강증 진행위 [14], 사회적 활동 [15], 여가활동 [16]…”