Faculty of Medicine and Health Sciences, University of Auckland, Auckland, New Zealand; Waitematā District Health Board/Te Whatu Ora Waitematā, Auckland, New Zealand.
Faculty of Medicine and Health Sciences, University of Auckland, Auckland, New Zealand.
J Am Med Dir Assoc. 2024 Nov;25(11):105256. doi: 10.1016/j.jamda.2024.105256. Epub 2024 Sep 11.
Housing quality has significant impact on the wider determinants of health and quality of life (QoL). Retirement villages are considered age-friendly accommodation for community-dwelling older people, offering a variable range of services and supports. We wished to explore the relationship among frailty, QoL, and resilience in older people residing in retirement villages.
Cross-sectional analysis within a longitudinal study.
Residents from 33 retirement villages in Auckland, Aotearoa, New Zealand.
Frailty [using an interRAI-Community Health Assessment-based frailty index FI)], QoL [World Health Organization Quality of Life-Brief Version (WHOQOL-BREF) and WHOQOL-Older Adults Module (WHOQOL-OLD)], and resilience [Brief Resilience Scale (BRS)]. Associations among frailty, QoL, and resilience were examined using regression analysis adjusting for confounders.
Mean (SD): FI 0.2 (0.1) in 479 residents, BRS 3.7 (0.8) in 395 residents, WHOQOL-OLD total score 69.9 (12.2). FI was inversely related to BRS [adjusted mean difference (MD) -0.35; 95% CI -0.43 to -0.26; P < .001] and WHOQOL-OLD (MD, -5.45; 95% CI -6.89 to 4.01; P < .001). FI inverse relationship was seen across all facets of WHOQOL-OLD and all WHOQOL-BREF facets except psychological.
Frailty was inversely related to resilience and multiple domains of QoL in those living in presumed age-friendly and relatively resource-rich environments. Studies exploring causal relationships between these facets could inform interventions necessary to improve QoL and resilience in those living with frailty. Specific multidimensional needs, wishes, and concerns of older people living with frailty needs to be explored in order to potentially intervene on frailty, QoL, and resilience.
住房质量对健康和生活质量（QoL）的更广泛决定因素有重大影响。退休村被认为是适合社区居住的老年人的友好型住所，提供各种不同的服务和支持。我们希望探讨居住在退休村的老年人的脆弱性、QoL 和韧性之间的关系。
纵向研究中的横断面分析。
来自新西兰奥克兰的 33 个退休村的居民。
使用基于 interRAI-社区健康评估的虚弱指数（FI）评估脆弱性[FI]、QoL[世界卫生组织生活质量简要版（WHOQOL-BREF）和世界卫生组织生活质量老年人模块（WHOQOL-OLD）]和韧性[简短韧性量表（BRS）]。使用回归分析调整混杂因素后，检验了虚弱、QoL 和韧性之间的关联。
479 名居民的平均（SD）FI 为 0.2（0.1），395 名居民的 BRS 为 3.7（0.8），WHOQOL-OLD 总分 69.9（12.2）。FI 与 BRS 呈负相关[调整平均差异（MD）-0.35；95%置信区间（CI）-0.43 至-0.26；P <.001]和 WHOQOL-OLD（MD，-5.45；95% CI -6.89 至 4.01；P <.001）。在 WHOQOL-OLD 的所有方面和除心理方面外的所有 WHOQOL-BREF 方面都观察到了 FI 的反比关系。
在生活在假定的友好型和资源相对丰富的环境中的人群中，虚弱与韧性和多个 QoL 领域呈负相关。探索这些方面之间因果关系的研究可以为改善虚弱人群的 QoL 和韧性提供必要的干预措施。需要探讨生活在虚弱中的老年人的具体多维需求、愿望和关注点，以便有可能干预虚弱、QoL 和韧性。
