Determinants of health‐related quality of life in institutionalised older persons in northern Sydney

Sitoh, Yih Yiow; Lau, Tse Chiang; Zochling, Jane; Schwarz, J. M.; Chen, J. S.; March, Lyn; Cumming, Robert G.; Lord, Stephen R.; Sambrook, Philip N.; Cameron, Ian D.

doi:10.1111/j.1445-5994.2004.00742.x

Cited by 26 publications

(28 citation statements)

References 21 publications

(19 reference statements)

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“…This finding is in accordance with a large epidemiologic study in US nursing homes reporting that patients with UI experienced lower quality of life in the domains of dignity, autonomy and mood [23], and a study in Australian nursing homes and hostels showing that loss of dignity and independence caused by UI was strongly associated with quality of life [24]. An interview-study with older female residents residing in nursing homes with UI in Canada indicated that they felt regression to childhood and embarrassment, which led to loss of control, dignity, independence, and decision-making power [25].…”

Section: Discussionsupporting

confidence: 90%

Residents’ perceptions of their own sadness - a qualitative study in Norwegian nursing homes

2015

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BackgroundMood symptoms are highly prevalent among frail old people residing in nursing homes. Systematic diagnostics of depression is scarce, and treatment is not always in accordance with best evidence. The distinction between non-pathological sadness and depression may be challenging, and we know little of the older peoples’ perspectives. The aim of this qualitative interview study was to explore residents’ perceptions of their own sadness.MethodsWe performed individual, semi-structured interviews with twelve older people residing in nursing homes with no dementia. The interview guide comprised questions on what made the informants sad and what prevented sadness. We recorded, transcribed verbatim and analysed the interviews using systematic text condensation.ResultsThe interviews revealed three main themes. I. Decay and loss of agency. The informants perceived their sadness to be caused by loss of health and functional ability, reliance on long-term care, dysfunctional technical aids and poor care. II. Loneliness in the middle of the crowd. Loss of family and friends, and lack of conversations with staff members and fellow patients were also sources of sadness. III. Relating and identity. The informants kept sadness at bay through: acceptance and re-orientation to their current life situation, maintaining narratives about their identity and belonging, and religiosity.ConclusionsNursing home nurses and doctors should identify and respond to sadness that is a rational response to manageable causes. Further, identifying and supporting residents’ resources and coping strategies is a salutogenetic approach that may alleviate sadness.

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Section: Discussionsupporting

confidence: 90%

Residents’ perceptions of their own sadness - a qualitative study in Norwegian nursing homes

2015

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“…A study reported that up to 94% of nursing home residents spend their time sitting or lying down, in spite of the fact that some of them are capable of independent activities such as walking [30]. Studies have suggested that greater dependency due to physical and mental impairment among institutionalised older people is inversely related to health-related QoL [16,31,32]. …”

Section: Introductionmentioning

confidence: 99%

Physical Performance and Quality of Life of Nursing-Home Residents with Mild and Moderate Dementia

Telenius

Engedal

Bergland

2013

IJERPH

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Introduction: The aims of this study were to describe the quality of life (QoL) of nursing-home residents with dementia and their balance, mobility, muscle strength and daily life activity, as well as to examine the associations between QoL and levels of balance, mobility, muscle strength and daily life activity. Methods: The study is cross sectional, and 170 nursing-home residents with dementia were included. Tests: “The quality of life in late-stage dementia scale” (QUALID), Berg Balance Scale, comfortable walking speed, maximum walking speed, 30-s sit-to-stand, Barthel Index, Clinical Dementia Rating Scale, the Clock Drawing Test and the Mini-Mental State Examination (MMSE) were used. Results: Our study showed that nursing-home residents with dementia are a heterogeneous group regarding registrations of QUALID and physical function measures. The scores on the QUALID ranged from 11 to 41 points. Higher scores on the 30-s sit-to-stand and Berg Balance Scale were associated with a better QUALID. For comfortable, as well as maximum, walking speed there was a trend towards better QUALID results for those participants with higher walking speed. Conclusions: Good muscle strength and balance were the most important physical performance variables significantly associated with a good QUALID score.

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“…Exploring the domains and degrees of functioning and well-being that are affected by the frailty of elders will help clinicians to understand the impact of frailty on functional status and well-being. Previous studies have investigated the impact of frailty on HRQOL, and findings have been reported for community-dwelling elders referred to an outpatient geriatric service [13], patients with heart failure [14], older adults with cardiometabolic risk factors [15], institutionalized older persons [16] or older Mexican Americans [17]. Although the effect of frailty had been examined in community-dwelling older adults in the Netherlands [18] or in Mexican Americans [17], this line of study has never been conducted in Chinese.…”

Section: Introductionmentioning

confidence: 99%

Reduced Health-Related Quality of Life in Elders with Frailty: A Cross-Sectional Study of Community-Dwelling Elders in Taiwan

et al. 2011

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PurposeExploring the domains and degrees of health-related quality of life (HRQOL) that are affected by the frailty of elders will help clinicians understand the impact of frailty. This association has not been investigated in community-dwelling elders. Therefore, we examined the domains and degree of HRQOL of elders with frailty in the community in Taiwan.MethodsA total of 933 subjects aged 65 years and over were recruited in 2009 from a metropolitan city in Taiwan. Using an adoption of the Fried criteria, frailty was defined by five components: shrinking, weakness, poor endurance and energy, slowness, and low physical activity level. HRQOL was assessed by the short form 36 (SF-36). The multiple linear regression model was used to test the independent effects of frailty on HRQOL.ResultsAfter multivariate adjustment, elders without frailty reported significantly better health than did the pre-frail and frail elders on all scales, and the pre-frail elders reported better health than did the frail elders for all scales except the scales of role limitation due to physical and emotional problems and the Mental Component Summary (MCS). The significantly negative differences between frail and robust elders ranged from 3.58 points for the MCS to 22.92 points for the physical functioning scale. The magnitude of the effects of frail components was largest for poor endurance and energy, and next was for slowness. The percentages of the variations of these 10 scales explained by all factors in the models ranged from 11.1% (scale of role limitation due to emotional problems) to 49.1% (scale of bodily pain).ConclusionsOur study demonstrates that the disabilities in physical health inherent in frailty are linked to a reduction in HRQOL. Such an association between clinical measures and a generic measure of the HRQOL may offer clinicians new information to understand frailty and to conceptualize it within the broader context of disability.

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Determinants of health‐related quality of life in institutionalised older persons in northern Sydney

Cited by 26 publications

References 21 publications

Residents’ perceptions of their own sadness - a qualitative study in Norwegian nursing homes

Residents’ perceptions of their own sadness - a qualitative study in Norwegian nursing homes

Physical Performance and Quality of Life of Nursing-Home Residents with Mild and Moderate Dementia

Reduced Health-Related Quality of Life in Elders with Frailty: A Cross-Sectional Study of Community-Dwelling Elders in Taiwan

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