Cologne Center for Ethics, Rights, Economics, and Social Sciences of Health, Albertus Magnus Platz, 50923, Cologne, Germany.
Institute of Sociology und Social Psychology, University of Cologne, Cologne, Germany.
Z Gerontol Geriatr. 2021 Nov;54(Suppl 2):101-107. doi: 10.1007/s00391-021-01981-w. Epub 2021 Oct 8.
An individual's everyday practice in very old age is based on stable dispositions and on the living conditions associated with the person's stage of life. Age-associated changes in living conditions can cause discrepancies between the person's dispositions and actual everyday practice that have consequences for the quality of life.
The aim of this paper is to look more closely at such discrepancies and their associations with living conditions in very old age (long-term care needs, multimorbidity, care tasks) as well as with the feeling of autonomy as an aspect of quality of life.
A cross-sectional analysis was conducted using data from the first wave of the NRW80+-study on the quality of life of people aged 80 years and over. Data on the subjective importance of five areas of everyday practice and on the frequency of translating these dispositions into practice were used. The analysis focuses on the occurrence of large discrepancies that arise if the subjective importance of an everyday practice deviates considerably from the frequency of performing it.
Among the very old population surveyed, solitary activities are considered the most important, and they are carried out most often. Multimorbidity, long-term care needs, and private care responsibilities are significantly associated with the experience of large discrepancies. Finally, very old adults with large discrepancies report feelings of reduced autonomy.
These initial results show that age-associated changes in living conditions can be accompanied by difficulties for very old adults to put their dispositions into practice. Attention should be paid to such discrepancies to avoid negative consequences for quality of life.
个体在非常高龄时的日常实践基于稳定的性格和与人生阶段相关的生活条件。与年龄相关的生活条件的变化可能导致个体的性格与实际日常实践之间存在差异，从而对生活质量产生影响。
本文旨在更深入地研究这些差异及其与非常高龄时的生活条件（长期护理需求、多种疾病、护理任务）以及作为生活质量一个方面的自主感之间的关联。
本研究使用了 NRW80+ 研究第一波关于 80 岁及以上人群生活质量的数据进行了横断面分析。使用了关于日常实践五个领域的主观重要性和将这些性格转化为实践的频率的数据。分析重点关注如果日常实践的主观重要性与执行频率存在显著差异时出现的较大差异的发生情况。
在所调查的非常高龄人群中，孤独活动被认为是最重要的，并且经常进行。多种疾病、长期护理需求和私人护理责任与体验较大差异显著相关。最后，存在较大差异的非常高龄成年人报告自主感降低。
这些初步结果表明，与年龄相关的生活条件变化可能伴随着非常高龄成年人难以将性格付诸实践的困难。应该关注这些差异，以避免对生活质量产生负面影响。
