Kehyayan Vahe, Hirdes John P, Tyas Suzanne L, Stolee Paul
School of Public Health & Health Systems,University of Waterloo.
Can J Aging. 2015 Jun;34(2):149-64. doi: 10.1017/S0714980814000579. Epub 2015 Mar 10.
Quality of life (QoL) of long-term care (LTC) facility residents is an important outcome of care. This cross-sectional, descriptive study examined the self-reported QoL of LTC facility residents in Canada using the interRAI Self-Report Nursing Home Quality of Life Survey instrument. A secondary purpose was to test the instrument's psychometric properties. Psychometric testing of the instrument supported its reliability and its convergent and content validity for assessing the residents' QoL. Findings showed that residents rated positively several aspects of their life, such as having privacy during visits (76.9%) and staff's being honest with them (73.6%). Residents gave lower ratings to other aspects such as autonomy, staff-resident bonding, and personal relationships. The findings point to gaps between facility philosophies of care and their translation into a care environment where care is truly resident-directed. Moreover, the findings have potential implications for resident care planning, facility programming, social policy development, and future research.
长期护理（LTC）机构居民的生活质量（QoL）是护理的一项重要成果。这项横断面描述性研究使用 interRAI 自我报告养老院生活质量调查问卷，对加拿大长期护理机构居民自我报告的生活质量进行了调查。第二个目的是测试该问卷的心理测量特性。对该问卷的心理测量测试支持了其可靠性以及在评估居民生活质量方面的收敛效度和内容效度。研究结果表明，居民对其生活的几个方面给予了积极评价，例如探视时有隐私（76.9%）以及工作人员对他们诚实（73.6%）。居民对其他方面的评价较低，如自主性、工作人员与居民的关系以及个人关系。研究结果指出了机构护理理念与将其转化为真正以居民为导向的护理环境之间的差距。此外，研究结果对居民护理规划、机构规划、社会政策制定和未来研究具有潜在影响。
