54761Nanyang Technological University, Singapore.
7831University of South Florida, FL USA.
J Aging Health. 2020 Dec;32(10):1475-1485. doi: 10.1177/0898264320935297. Epub 2020 Jul 3.
We examined whether older adults' health and well-being during their final year of life predicts end-of-life (EOL) quality of life (QOL) and quality of care (QOC). Using data from deceased participants ( = 1125) in the 2011-2015 National Health and Aging Trends Study, we performed latent class analysis to identify profiles of health and well-being, and we examined the association between these classes and EOL QOL and QOC. Four classes were identified: healthy/happy (20%), frail/happy (37%), cognitively impaired/moderately distressed (27%), and highly impaired/highly distressed (16%). Persons in the highly impaired/highly distressed class showed a poorer QOL at the EOL, whereas those in the healthy/happy class reported a lower level of QOC at the EOL. The benefits of maintaining health and well-being often carry forward to EOL. Older adults with high impairment and distress merit greater attention such as assuring care and advance care plans.
我们研究了老年人在生命最后一年的健康和幸福状况是否能预测生命末期（EOL）的生活质量（QOL）和护理质量（QOC）。使用来自 2011-2015 年国家健康老龄化趋势研究中已故参与者的数据（n=1125），我们进行了潜在类别分析以确定健康和幸福状况的特征，并研究了这些类别与 EOL QOL 和 QOC 之间的关联。确定了四个类别：健康/快乐（20%）、虚弱/快乐（37%）、认知障碍/中度困扰（27%）和高度受损/高度困扰（16%）。高度受损/高度困扰类别的人在生命末期的 QOL 较差，而健康/快乐的人在生命末期报告的 QOC 水平较低。保持健康和幸福的益处通常会延续到生命末期。高度受损和困扰的老年人需要更多关注，例如确保护理和预先制定护理计划。
