Faculty of Education, Health and Social Work, University College Ghent, Valentin Vaerwyckweg 1, 9000 Ghent, Belgium.
Faculty of Education, Health and Social Work, University College Ghent, Valentin Vaerwyckweg 1, 9000 Ghent, Belgium; Faculty of Psychology and Educational Sciences, Vrije Universiteit Brussel, Pleinlaan 2, 1050 Brussel, Belgium.
Arch Gerontol Geriatr. 2019 Nov-Dec;85:103915. doi: 10.1016/j.archger.2019.103915. Epub 2019 Jul 20.
Advanced age is often associated with frailty, which in turn is associated with low quality of life. This study explores to what extent multidimensional frailty is associated with multidimensional quality of life.
A cross-sectional survey study was conducted in a sample of 336 Flemish older people aging in place. Data were collected between 2014 and 2016 using two multidimensional self-reporting instruments; the Comprehensive Frailty Assessment Instrument to assess frailty and the World Health Organization Quality of Life Instrument-Short Version to assess quality of life. Bivariate analyses were used to explore the relationship between quality of life, associated factors of quality of life and frailty.
The mean age of the respondents was 74.9 years and 71.7% were woman. An inverse correlation was found between frailty and quality of life (r = -.683) and the corresponding subdomains. Nevertheless, some respondents perceived their quality of life as high, although they were defined as mild to high frail. Further analysis indicated that neither socio-demographic factors nor being ill contributed to quality of life.
Psychological frailty contributed the most to quality of life. However, the results indicate that frailty does not inevitably leads to a lower quality of life and that other factors, besides frailty, play an important role in determining quality of life. Knowledge about these factors and their mutual relationship can help policymakers and services in providing client-centered care to increase or maintain the quality of life of people aging in place.
高龄通常与衰弱相关，而衰弱又与生活质量低下相关。本研究旨在探讨多维衰弱与多维生活质量之间的关联程度。
本研究采用横断面调查方法，选取了 336 名居住在原地的 Flemish 老年人作为研究对象。于 2014 年至 2016 年期间使用两种多维自我报告工具收集数据：全面衰弱评估工具评估衰弱，世界卫生组织生活质量量表-短版评估生活质量。使用双变量分析探讨生活质量、生活质量的相关因素与衰弱之间的关系。
受访者的平均年龄为 74.9 岁，71.7%为女性。衰弱与生活质量（r=-.683）及其相应的子领域呈负相关。然而，一些受访者尽管被定义为轻度至高度衰弱，但他们仍认为自己的生活质量较高。进一步的分析表明，社会人口统计学因素或患病均与生活质量无关。
心理衰弱对生活质量的影响最大。然而，研究结果表明，衰弱并不一定会导致生活质量降低，而且除了衰弱之外，其他因素在决定生活质量方面也起着重要作用。了解这些因素及其相互关系有助于政策制定者和服务提供者为居住在原地的老年人提供以客户为中心的护理，以提高或维持其生活质量。
