Quality of life of the elderly residents of nursing homes and patients of the Psychogeriatric Day Ward

Magdalena Pawlaczyk, Teresa Gąsior, Michał Michalak, Andrzej Jóźwiak, Ewa Zasadzka, Monika Matecka, Mariola Pawlaczyk

Abstract


Introduction. Due to the prolonged average life span and constantly increasing number of the elderly, research of this population’s quality of life (QoL) is being conducted to assess the spheres requiring improvement.
Aim. To assess and compare the life quality in different domains between residents of nursing homes (NH) and patients of the Psychogeriatric Day Ward (PDW).
Material and Methods. The study encompassed 68 PDW patients and 62 NH residents. The WHOQOL‑BREF questionnaire and a structured interview concerning diseases, different forms of support and activities preferred were used.
Results. Women predominated among the subjects (83%). The elderly aged 75–90 constituted the majority (64.62%). The average assessment of QoL in the whole group amounted to 3.6 points. No significant differences in the assessment of QoL satisfaction and one’s own health satisfaction were observed between PDW patients and NH residents. The participants of both groups assessed the highest QoL in the environment domain and the lowest in the social relationships domain. A relationship between higher QoL in the physical health domain and participation in social forms of spending free time was observed. Relationships between QoL in particular domains and age, marital status and length of stay in NH were found.
Conclusions. Elderly people’s QoL, similarly to their satisfaction with health, were on an average level regardless of the institutional care. The QoL remains in a significant relationship with health. The changing needs of the elderly should be the basis for creating an individual plan of professional support.

Keywords


the elderly; quality of life; institutional care

Full Text:

PDF

References


The 2012 ageing report economic and budgetary projections for the 27 EU member states (2010–2060). http://ec.europa.eu/economy_finance/publications/european_economy/2012/pdf/ee-2012–2_en.pdf, access date: 28.11.2016.

Pędich W. Foreword. In: Mossakowska M, Więcek A, Błędowski P (eds.). Aspekty medyczne, psychologiczne, socjologiczne i ekonomiczne starzenia się ludzi w Polsce. Medical, Psychological, Sociological and Economic Aspects of Aging in Poland. Wydawnictwo Medyczne Termedia, Poznań 2012.

Schipper H, Clinch JJ, Olweny CLM. Quality of life studies: definitions and conceptual issues. In: Spilker B (ed.). Quality of life and pharmacoeconomics in clinical trials. Second ed. Lippincott‑Raven Publishers, Philadelphia 1996; p. 11–23.

WHOQOL Measuring quality of life. The World Health Organization quality of life instruments (The WHOQOL‑100 and the WHOQOL‑BREF; Geneva 1997.

Papuć E. Jakość życia – definicje i sposoby jej ujmowania. Curr Probl Psychiatry. 2011;12(2):141–45.

WHOQOL Group. The World Health Organization quality of life assessment (WHOQOL): Development and general psychometric properties. Soc Sci Med. 1998;46(12):1569–1585.

Zawisza K, Gałaś A, Tobiasz‑Adamczyk B. Walidacja polskiej wersji skali oceny jakości życia WHOQOL‑AGE w populacji osób starszych. Gerontologia Polska. 2016;24:7–16.

Jaracz K: WHOQOL-BREF. Klucz. In: Wołowicka L (ed.). Jakość życia w naukach medycznych. Dział Wydawnictw Uczelnianych Akademii Medycznej im. Karola Marcinkowskiego w Poznaniu, Poznań 2001; p. 276–80.

Waszkiewicz L, Einhorn J, Połtyn‑Zaradna K, Gaweł‑Dąbrowska D, Grabowska B, Zatońska K. Ocena jakości życia Polaków w wieku podeszłym. In: Mossakowska M, Więcek A, Błędowski P. (ed.). Aspekty medyczne, psychologiczne, socjologiczne i ekonomiczne starzenia się ludzi w Polsce. Termedia Wydawnictwo Medyczne, Poznań 2012; p. 549–560.

Kurowska K, Simon J. Wpływ stanu odżywiania na jakość życia osób po 65. roku życia – doniesienia wstępne. Geriatria. 2013;7(4):217–225.

Kurowska K, Kajut A. Samoocena jakości życia osób starszych na przykładzie pensjonariuszy Domu Pomocy Społecznej (DPS). Psychogeriatria Polska. 2011;8(2):55–62.

Zboina B. Jakość życia osób starszych. Stowarzyszenie Nauka, Edukacja, Rozwój, Ostrowiec Św. 2008; p. 178–202.

Głębocka A, Szarzyńska M. Wsparcie społeczne a jakość życia ludzi starszych. Gerontologia Polska. 2005;13(4):255–259.

Bodur S, Dayanir Cinlil D. Using WHOQOL‑BREF to evaluate quality of life among Turkish olders in different residential environments. J Nutr Health Aging. 2009;139(7):652–656.

García EL, Banegas JR, Pérez‑Regadera AG, Cabrera RH, Rodriquez‑Artalejo F. Social network and health‑related quality of life in older adults: a population‑based study in Spain. Qual Life Res. 2005 Mar;14(2):511–520.

Xavier FM, Ferraz MP, Marc N, Escosteguy NU, Moriguchi EH. Elderly people’s definition of quality of life. Rev Bras Psiquiatr. 2003 Mar;25(1):31–39.

Rowiński R, Dąbrowski A. Aktywność fizyczna Polaków w wieku podeszłym. In: Mossakowska M, Więcek A, Błędowski P (eds.). Aspekty medyczne, psychologiczne, socjologiczne i ekonomiczne starzenia się ludzi w Polsce. Termedia Wydawnictwo Medyczne, Poznań 2012; p. 531–548.

Ploeg J, Matthew‑Maich N, Fraser K, Dufour S, McAiney C, Kaasalainen S. Managing multiple chronic conditions in the community: a Canadian qualitative study of the experiences of older adults, family caregivers and healthcare providers. BMC Geriatr. 2017;17(1):40. doi: 10.1186/s12877-017-0431-6.

American Geriatrics Society Expert Panel on the care of older adults with multimorbidity. Guiding principles for the care of older adults with multimorbidity: an approach for clinician. J Am Geriatr Soc. 2012 Oct;60(10):E1–E25. doi: 10.1111/j.1532–5415.2012.04188.x. Epub 2012 Sep 19.

Pitek E. Wielochorobowość u pensjonariuszy domu pomocy społecznej. Piel Zdr Publ. 2012;2(2):95–101.

Bojar I, Bejga P, Woźnica I, Ćwikała S, Owoc A. Wybrane problemy zdrowotne osób powyżej 90. roku życia. Medycyna Ogólna i Nauki o Zdrowiu. 2014;20(4):405–411.

Pinkas J, Gujski M, Humeniuk E, Raczkiewicz D, Bejga P, Owoc A, Bojar I. State of health and quality of life of women at advanced age. Med Sci Monit. 2016;22:3095–3105.

Villarreal AE, Grajales S, Lopez L, Britton GB, Panama Aging Research Initiative. Cognitive impairment, depression, and co‑occurrence of both among the elderly in Panama: Differential associations with multimorbidity and functional limitations. BioMed Research International. 2015;2015:ID 71870.

Song HJ, Meade K, Akobundu U, Sahyoun NR. Depression as a correlate of functional status of community‑dwelling older adults: utilizing a short‑version of 5-item Geriatric Depression Scale as a screening tool. J Nutr Health Aging. 2014;18(8):765–770. doi: 10.1007/s12603-014-0452-1.

Guerra M, Prina AM, Ferri CP, Acosta D, Gallardo S, Huang Y. A comparative cross‑cultural study of the prevalence of late life depression in low and middle income countries. J Affec Disord. 2016 Jan 15;190:362–368. doi: 10.1016/j.jad.2015.09.004.

Brett CE, Gow AJ, Corley J, Pattie A, Starr JM, Deary IJ. Psychosocial factors and health as determinants of quality of life in community‑dwelling older adults. Qual Life Res. 2012 Apr;21(3):505–516. doi: 10.1007/s11136-011-9951-2. Epub 2011 Jun 26.

Coventry PA, Fisher L, Kenning C, Bee P, Bower P. Capacity, responsibility, and motivation: a critical qualitative evaluation of patient and practitioner views about barriers to self‑management in people with multimorbidity. BMC Health Serv. Res 2014 Oct 31;14:536. doi: 10.1186/s12913-014-0536-y.




DOI: http://dx.doi.org/10.20883/jms.2017.206

Refbacks

  • There are currently no refbacks.


Copyright (c) 2017 Journal of Medical Science

Copyright 2016 by Journal of Medical Sciences