scholarly journals Socio-Demographic, Clinical and Psychological Profile of Frailty Patients Living in the Home Environment and Nursing Homes: A Cross-Sectional Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Marta Muszalik ◽  
Agnieszka Kotarba ◽  
Ewa Borowiak ◽  
Grażyna Puto ◽  
Mateusz Cybulski ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Nursing Homes ◽  
Community Dwelling ◽  
World Health ◽  
Study Group ◽  
Psychological Profile ◽  
Frailty Syndrome ◽  
World Health Organization Quality

Introduction: Frailty syndrome, as a physiological syndrome, is characterized by a gradual decline in physiological reserve and a lowered resistance to stress-inducing factors, leading to an increased risk of adverse outcomes. It is significantly connected with dependence on care and frequent hospitalizations.Objectives: The aim of the study was to describe socio-demographic, clinical and psychological profile of frailty older adults living in their own homes and to nursing homes.Methods: The study was conducted with 180 patients who were over 60 years of age, the mean (±SD) was 74.1 (±8.8) years. Among the subjects, 90 individuals were community-dwelling older adults. The survey used a list of socio-demographic questions, as well as the following scales: Mini-Mental State Examination (MMSE), Geriatric Depression Scale (GDS), SHARE-FI, and The World Health Organization Quality of Life (WHOQOL-Bref).Results: Pre-frailty was confirmed in 49 (27.2%) patients, and frailty syndrome was noticed in 47 patients (26.1%). The prevalence of frailty syndrome in the study group was related to: place of living (p < 0.001), age (p < 0.001), widowhood (p < 0.001), a poor economic situation (p < 0.001), basic education level (p < 0.001), living alone (p < 0.001), longer duration of illness (p < 0.001), comorbidities (p < 0.001), more medications taken (p < 0.001), deterioration of hearing (p = 0.003), impairment of cognitive functions (p < 0.001), depression (p < 0.001), and decreased quality of life (p < 0.001).Discussion: A lot of socio-demographic and medical factors, particularly cognitive and mental functioning were connected with the prevalence and progression of frailty syndrome in the study group. Quality of life was significantly dependent on the presence of frailty syndrome, both in homes and in nursing homes.

scholarly journals Associations of Falls with Quality of Life and Correlated Factors in Community-Dwelling Older Adults: A Two-Wave Cohort Study

2021 ◽  
Author(s):  
Yih-Jian Tsai ◽  
Wen-Jung Sun ◽  
Yi-Ching Yang ◽  
Pesus Chou ◽  
Jung-Der Wang
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Fear Of Falling ◽  
Short Form ◽  
Community Dwelling ◽  
World Health ◽  
Life Questionnaire ◽  
World Health Organization Quality ◽  
Prevention Interventions

Abstract Background Falls contribute to disability and burden of care among older adults. Studies of fall-related impacts on quality of life (QOL) are warranted for future prevention interventions. Methods Fall-related data were collected from adults aged 70 years and above using questionnaire interviews in the 1996 and 1999 surveys at Hunei community in southern Taiwan. Their QOL was measured using the Short Form 36 Health Survey (SF-36) and World Health Organization Quality of Life questionnaire (WHOQOL-BREF) in the 1999 follow-up only. The bilateral relationship among fall category, selected covariates (i.e., age, sex, number of difficulties in performing activities of daily living (ADLs) or instrumental ADLs, number of comorbidities, Geriatric Depression Scale (GDS) scores, Mini-Mental Stated Examination (MMSE) scores, fear of falling, and Physical Activity Scale for the Elderly (PASE) scores), and mean QOL scores were investigated. Hierarchical linear regression models were tested to examine the associations between fall frequency and QOL with sequential entry of explanatory variables. The final models were established by substituting fall category for fall frequency. Results Fall category was significantly associated with physical-related subscale scores, except body pain. Almost every QOL score revealed a negative association with the number of comorbidities, GDS scores, and fear of falling; however, a positive association with MMSE and PASE scores was observed. Conclusions Future prevention interventions should target common risk factors of both QOL and falls among older people, including control of comorbidities, depressive symptoms, cognitive impairment, and inactivity.

scholarly journals Prevalence and Characterization of Specific Phobia Disorder in People over 65 Years Old in a Madrid Community Sample (Spain) and its Relationship to Quality of Life

2020 ◽  
Vol 17 (6) ◽  
pp. 1915 ◽  
Author(s):  
Berta Ausín ◽  
Manuel Muñoz ◽  
Miguel Ángel Castellanos ◽  
Sara García
Keyword(s):  
Quality Of Life ◽  
Age Of Onset ◽  
Community Sample ◽  
Age At Onset ◽  
Specific Phobia ◽  
Community Dwelling ◽  
World Health ◽  
World Health Organization Quality ◽  
Level Of Functioning

The prevalence of anxiety disorders over the last year among seniors ranged from 3.6% to 17.2%. The most prevalent disorders are specific phobias. Data are needed concerning the consequences of specific phobia disorder on the level of functioning and quality of life of older people, the age of onset of specific phobia disorder, and the duration of episodes. In total, 555 community-dwelling people aged between 65 and 84 years who lived in Madrid (Spain) were assessed (Composite International Diagnostic Interview for people over 65 years (CIDI65+), WHO Disability Assessment Schedule (WHODAS II), Health of the Nation Outcome Scales for Older Adults (HoNOS65+), World Health Organization Quality of Life Brief (WHOQOL-BREF). Prevalence rates and odds ratio, t-tests, binary logistic regression, and point-biserial correlations were calculated. A total of 12.07% of the sample suffered a specific phobia disorder over the last year. The average age at onset of the specific phobia was 38.78 (sd = 21.61) years. The mean duration of the phobia was approximately 20 (sd = 20) years. A significant effect of the specific phobia was found for the current levels of functioning and quality of life: WHOQOL-BREF total score (p < 0.05), WHODAS II overall score (p < 0.01), and HoNOS65+ total score (p < 0.001). Having specific phobia disorder decreased the level of functioning and negatively affected the quality of life. These data suggest the need for primary healthcare professionals to include the detection of specific phobia disorders in their protocols because people do not receive treatment for this problem, and they might carry it throughout their lives.

scholarly journals Quality of life in older adults receiving hemodialysis: a qualitative study

2019 ◽  
Vol 29 (3) ◽  
pp. 655-663 ◽  
Author(s):  
Rasheeda K. Hall ◽  
Michael P. Cary ◽  
Tiffany R. Washington ◽  
Cathleen S. Colón-Emeric
Keyword(s):  
Quality Of Life ◽  
Social Support ◽  
Older Adults ◽  
Qualitative Study ◽  
Symptom Control ◽  
Well Being ◽  
World Health ◽  
World Health Organization Quality ◽  
Frailty Status

Abstract Purpose Patient priorities for quality of life change with age. We conducted a qualitative study to identify quality of life themes of importance to older adults receiving dialysis and the extent to which these are represented in existing quality of life instruments. Methods We conducted semi-structured interviews with 12 adults aged ≥ 75 years receiving hemodialysis to elicit participant perspectives on what matters most to them in life. We used framework analysis methodology to process interview transcripts (coding, charting, and mapping), identify major themes, and compare these themes by participant frailty status. We examined for representation of our study’s subthemes in the Kidney Disease Quality of Life (KDQOL-36) and the World Health Organization Quality of Life for Older Adults (WHOQOL-OLD) instruments. Results Among the 12 participants, average age was 81 (4.2) years, 7 African-American, 6 women, and 6 met frailty criteria. We identified two major quality of life themes: (1) having physical well-being (subthemes: being able to do things independently, having symptom control, maintaining physical health, and being alive) and (2) having social support (subthemes: having practical social support, emotional social support, and socialization). Perspectives on the subthemes often varied by frailty status. For example, being alive meant surviving from day-to-day for frail participants, but included a desire for new life experiences for non-frail participants. The majority of the subthemes did not correspond with domains in the KDQOL-36 and WHOQOL-OLD instruments. Conclusion Novel instruments are likely needed to elicit the dominant themes of having physical well-being and having social support identified by older adults receiving dialysis.

scholarly journals Cut-off point for WHOQOL-bref as a measure of quality of life of older adults

2014 ◽  
Vol 48 (3) ◽  
pp. 390-397 ◽  
Author(s):  
Patrícia Aparecida Barbosa Silva ◽  
Sônia Maria Soares ◽  
Joseph Fabiano Guimarães Santos ◽  
Líliam Barbosa Silva
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Roc Curve ◽  
Characteristic Curve ◽  
Perceived Quality ◽  
World Health ◽  
Southeastern Brazil ◽  
World Health Organization Quality ◽  
Perceived Quality Of Life

OBJECTIVE To propose a cut-off for the World Health Organization Quality of Life-Bref (WHOQOL-bref) as a predictor of quality of life in older adults. METHODS Cross-sectional study with 391 older adults registered in the Northwest Health District in Belo Horizonte, MG, Southeastern Brazil, between October 8, 2010 and May 23, 2011. The older adults’ quality of life was measured using the WHOQOL-bref. The analysis was rationalized by outlining two extreme and simultaneous groups according to perceived quality of life and satisfaction with health (quality of life good/satisfactory – good or very good self-reported quality of life and being satisfied or very satisfied with health – G5; and poor/very poor quality of life – poor or very poor self-reported quality of life and feeling dissatisfied or very dissatisfied with health – G6). A Receiver-Operating Characteristic curve (ROC) was created to assess the diagnostic ability of different cut-off points of the WHOQOL-bref. RESULTS ROC curve analysis indicated a critical value 60 as the optimal cut-off point for assessing perceived quality of life and satisfaction with health. The area under the curve was 0.758, with a sensitivity of 76.8% and specificity of 63.8% for a cut-off of ≥ 60 for overall quality of life (G5) and sensitivity 95.0% and specificity of 54.4% for a cut-off of < 60 for overall quality of life (G6). CONCLUSIONS Diagnostic interpretation of the ROC curve revealed that cut-off < 60 for overall quality of life obtained excellent sensitivity and negative predictive value for tracking older adults with probable worse quality of life and dissatisfied with health.

Levels of depressive symptoms may modify the relationship between the WHOQOL-BREF and its determining factors in community-dwelling older adults

2015 ◽  
Vol 28 (4) ◽  
pp. 591-601 ◽  
Author(s):  
Yu-Chen Chang ◽  
Wen-Chen Ouyang ◽  
Mei-Chun Lu ◽  
Jung-Der Wang ◽  
Susan C. Hu
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Depressive Symptoms ◽  
Early Recognition ◽  
Depression Scale ◽  
Community Dwelling ◽  
World Health ◽  
Community Dwelling Older Adults ◽  
Different Levels

ABSTRACTBackground:Depression is closely associated with quality of life (QOL) in older adults. Being elderly and exhibiting mild depressive symptoms may not lead to a depression diagnosis, but these attributes are clinically important. However, the extent to which these factors influence QOL and its determinants in older adults remains unclear.Methods:Questionnaires were administered to people aged 65 years or older at community senior centers in Taiwan to collect socio-demographic information and to assess results from the brief version of the World Health Organization's Quality of Life instrument (WHOQOL-BREF), Modified Barthel Index (MBI), 15-item Geriatric Depression Scale (GDS), and Mini-Mental State Examination (MMSE). Levels of depressive symptoms were classified as no depressive symptoms (NDS), lower level of depressive symptoms (LLDS), and higher level of depressive symptoms (HLDS), corresponding to GDS = 0, 1≦GDS≦5, and GDS>5, respectively. Multiple linear regression analyses were conducted to assess associations between the WHOQOL-BREF and its covariates for different levels of depressive symptoms.Results:A total of 454 older adults participated. The GDS and MBI scores significantly affected the WHOQOL-BREF physical and psychological domain scores in the LLDS group. Gender influenced the WHOQOL-BREF scores in the NDS group, and increased age demonstrated protective effects on the three domains in the HLDS group. Moreover, the association between the WHOQOL-BREF and its covariates varied for different levels of depressive symptoms.Conclusions:Treatment for depressive symptoms is of high priority, and early recognition of and appropriate intervention for mild depressive symptoms may improve community-dwelling older adults’ QOLs.

Social isolation undermines quality of life in older adults

2019 ◽  
Vol 32 (11) ◽  
pp. 1283-1292
Author(s):  
Karla Moreno-Tamayo ◽  
Betty Manrique-Espinoza ◽  
Eliseo Ramírez-García ◽  
Sergio Sánchez-García
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Social Isolation ◽  
Well Being ◽  
World Health ◽  
Regression Analyses ◽  
World Health Organization Quality ◽  
Global Quality Of Life ◽  
Health Factors

ABSTRACTObjective:Several studies have documented associations between social isolation and poor physical health or well-being. However, little is known of the importance of social support among older adults on specific topics about their quality of life. The purpose of the present study was to determine the relationship between social isolation and quality of life among older adults.Design:A cross-sectional study.Setting:Mexico City.Participants:1,252 subjects aged ≥ 60 years living at home.Measurements:We used the Abbreviated Version of the Lubben Social Network Scale (LSNS-6) to assess social isolation and the World Health Organization Quality of Life Instrument-Older Adults Module (WHOQOL-Old) to assess quality of life. Socio-demographic and health factors were collected through face-to-face interviews. A series of linear regression analyses were used to investigate relationship between social isolation and quality of life. The statistical models were controlled for socio-demographic and health factors.Results:A total of 750 women (60%) and 502 men (40%) participated in the study. According to their LSNS-6 scores, 426 participants (34.0%) were classified into the highest group of isolation (range 0-10 points). Older adults with higher scores of social isolation exhibited lower quality of life. Regression analyses indicated that social isolation correlated with lower levels of global quality of life, autonomy, intimacy, and past, present, and future activities.Conclusions:Coping with life from a socially isolated situation entails serious difficulties concerning quality of life. Interventions that foster environments where older adults can forge social bonds might improve their quality of life.

scholarly journals RELAÇÕES SOCIAIS E DIMENSÕES ÍNTIMAS DE IDOSOS AFETADOS POR HANSENÍASE

2015 ◽  
Vol 20 (4) ◽  
Author(s):  
Lucian Da Silva Viana ◽  
Maria Isis Freire de Aguiar ◽  
Italo Rodolfo Silva ◽  
Nair Portela Silva Coutinho ◽  
Dorlene Maria Cardoso de Aquino
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
World Health Organization ◽  
World Health ◽  
World Health Organization Quality ◽  
Organization Quality ◽  
Health Organization

Objetivou-se avaliar relações sociais e íntimas de pessoas idosas com hanseníase. Abordagem quantitativa, com 60 idosos em dois Programas de Controle da Hanseníase, em uma capital do nordeste brasileiro, utilizando o Domínio das Relações Sociais do World Health Organization Quality of Life – bref e a faceta Intimidade do World Health Organization Quality of Life – older adults, com análise estatística descritiva. A coleta de dados ocorreu entre dezembro de 2012 e junho de 2013. No Domínio das Relações Sociais, a satisfação foi de 85% nas relações pessoais, 78,3% no suporte social e 60% em atividade sexual. Na Faceta Intimidade, os idosos apresentaram menor satisfação. As Relações Sociais dos idosos com hanseníase apresentou alto escore devido à rede de apoio social, trazendo expressiva satisfação e se refletindo na sua qualidade de vida. Conclui-se sobre a importância da Enfermagem articular estratégias de práticas educativas e de cuidados à pessoa idosa e com hanseníase.

Assessment of the psychometric performance of the WHOQOL-BREF instrument in a sample of Brazilian older adults

2006 ◽  
Vol 19 (4) ◽  
pp. 635-646 ◽  
Author(s):  
Eduardo Chachamovich ◽  
Clarissa Trentini ◽  
Marcelo P. Fleck
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Discriminant Validity ◽  
Community Dwelling ◽  
World Health ◽  
Short Version ◽  
Elderly Adults ◽  
Cross Sectional ◽  
Psychometric Performance

Background: There has been increasing interest in the measurement of quality of life in cross-sectional investigations and in the assessment of intervention outcomes in elderly adults. Several instruments used in this measurement have not yet been adequately tested.Objective: To describe the psychometric properties of the World Health Organization's Quality of Life Instrument–Short Version (WHOQOL-BREF) in a sample of Brazilian elderly.Method: A total of 424 elderly adults selected through convenience sampling completed the instruments WHOQOL-BREF, the Beck Depression Inventory (BDI), the Beck Hopelessness Scale (BHS) and a sociodemographic data form. Discriminant validity, concurrent validity, criterion validity and internal consistency were analyzed.Results: The sample comprised predominantly women (64.2%), community-dwelling subjects (84.4%) and subjects who consider themselves healthy (67.5%). All domains in the instrument showed the ability to discriminate levels of depressive symptoms and hopelessness, as well as different perceptions of health status. The correlation coefficients among the domains and the BDI and BHS scores were statistically significant. The reliability coefficients present scores ranging from 0.614 to 0.925.Conclusion: The WHOQOL-BREF instrument shows suitable psychometric performance in a sample of Brazilian older adults, becoming a useful alternative in the measurement of quality of life in this population.

scholarly journals Fatores associados com a qualidade de vida de homens idosos

2013 ◽  
Vol 47 (3) ◽  
pp. 678-685 ◽  
Author(s):  
Darlene Mara dos Santos Tavares ◽  
Flavia Aparecida Dias ◽  
Nilce Maria de Freitas Santos ◽  
anderlei José Haas ◽  
Sybelle de Castro Sousa Miranzi
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Life Assessment ◽  
World Health ◽  
Quality Of Life Assessment ◽  
World Health Organization Quality ◽  
Older Americans ◽  
Organization Quality ◽  
Health Organization

Inquérito domiciliário, transversal e analítico que objetivou descrever as características sociodemográficas, de saúde e a qualidade de vida de homens idosos e verificar os fatores socioeconômicos e de saúde associados à qualidade de vida. Participaram 804 homens idosos. Os dados foram coletados pelos instrumentos: Older Americans Resources and Services(OARS), World Health Organization Quality of Life - Bref (WHOQOL-BREF) e Health Organization Quality of Life Assessment for Older Adults(WHOQOL-OLD). Foram realizados análise descritiva, teste t-Student, correlação de Pearson e regressão linear múltipla (p <0,05). Predominaram idosos com 60├ 70 anos, casados, 4├ 8 anos de estudo e renda de um salário mínimo. Os menores escores de qualidade de vida foram no domínio físico e na faceta autonomia e estiveram associados a ausência de companheira e de escolaridade, baixa renda, maior número de morbidades e incapacidade funcional. A incapacidade funcional foi o que mais influenciou a qualidade de vida, excetuando-se o domínio físico e a faceta intimidade.

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