Drageset Jorunn, Natvig Gerd Karin, Eide Geir Egil, Clipp Elizabeth C, Bondevik Margareth, Nortvedt Monica W, Nygaard Harald A
Faculty of Health and Social Sciences, Bergen University College, Bergen, Norway.
J Clin Nurs. 2008 May;17(9):1227-36. doi: 10.1111/j.1365-2702.2007.02132.x.
To advance the understanding of health-related quality of life among older nursing home residents by assessing their health-related quality of life and comparing this with norms from the general population.
The study used a two-group cross-sectional comparative design. The samples comprised 227 nursing home residents aged 65-102 years with at least six months' residence and a representative population sample of 1137 Norwegian citizens aged 65-102 years. All nursing home residents had a Clinical Dementia Rating Scale score > or =0.5 and were capable of conversing. The respondents provided demographic information and were surveyed using the SF-36 Health Survey. We used univariate and multivariate linear models to identify possible differences in health-related quality of life between the nursing home residents and the general population, controlled for age, sex, marital status and education.
After adjustment for age, group, sex, marital status and education, the nursing home residents scored significantly higher on bodily pain and on physical and emotional role limitation and significantly lower on the other SF-36 subscales, except social functioning, with the largest differences for physical functioning (mean nursing home 23.2 and mean general population 62.9). The general population scores on all subscales generally increased with increasing education but not among the nursing home residents.
The mean SF-36 scale scores differed markedly between the nursing home residents and the general population, with the nursing home residents generally scoring lower. The association with background variables known to be related to health-related quality of life differed between the groups. Healthcare professionals should increase attention to health-related quality of life among nursing home residents, periodically assess health-related quality of life and consider interventions that may improve health-related quality of life in older institutionalised populations.
This study highlights the role of nurses and other health professionals in ensuring that nursing home residents have opportunities to improve their health-related quality of life.
通过评估老年疗养院居民的健康相关生活质量并将其与普通人群的标准进行比较，增进对这一群体健康相关生活质量的理解。
本研究采用两组横断面比较设计。样本包括227名年龄在65至102岁之间、居住在疗养院至少六个月的居民，以及1137名年龄在65至102岁之间的挪威公民代表性人口样本。所有疗养院居民的临床痴呆评定量表得分≥0.5且能够进行交流。受访者提供了人口统计学信息，并使用SF-36健康调查进行了调查。我们使用单变量和多变量线性模型来确定疗养院居民和普通人群在健康相关生活质量方面的可能差异，并对年龄、性别、婚姻状况和教育程度进行了控制。
在对年龄、组别、性别、婚姻状况和教育程度进行调整后，疗养院居民在身体疼痛、身体和情感角色限制方面得分显著更高，而在其他SF-36子量表上得分显著更低，但社会功能除外，身体功能方面的差异最大（疗养院居民平均分为23.2，普通人群平均分为62.9）。普通人群在所有子量表上的得分通常随着教育程度的提高而增加，但疗养院居民并非如此。
疗养院居民和普通人群的SF-36量表平均得分存在显著差异，疗养院居民得分普遍较低。两组之间与已知与健康相关生活质量相关的背景变量的关联有所不同。医疗保健专业人员应更加关注疗养院居民的健康相关生活质量，定期评估健康相关生活质量，并考虑采取可能改善老年机构化人群健康相关生活质量的干预措施。
本研究强调了护士和其他健康专业人员在确保疗养院居民有机会改善其健康相关生活质量方面的作用。
Zotero 插件