Quality of life and symptoms among older people living at home

被引:106
作者
Hellström, Y
Persson, G
Hallberg, IR
机构
[1] Lund Univ, Dept Nursing, Unit Caring Sci, SE-22100 Lund, Sweden
[2] Blekinge Inst Technol, Sch Hlth Sci, Karlskrona, Sweden
[3] Kristianstad Univ, Dept Hlth Sci, Kristianstad, Sweden
[4] Lund Univ, Swedish Inst Hlth Sci, Vardal Inst, Lund, Sweden
关键词
older people; help; quality of life; living at home; symptoms; nursing;
D O I
10.1111/j.1365-2648.2004.03247.x
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Aim. This paper reports a study comparing the socio-demographic data, quality of life (QoL) and symptoms of older people living at home with and without help. Background. Despite growing numbers of older people worldwide, little is know about the differences between older people receiving help to live at home and those not receiving this, especially as regards QoL and symptoms. Not only symptoms but also dependency on others per se may reduce older people's QoL. From a nursing perspective, knowledge about such issues is important because the impact of symptoms may be reducible, even when diseases cannot be cured. Method. A postal questionnaire was sent to an age-stratified random sample of 1866 people aged 75 years or over. Of the respondents (n = 1248) 448 received help and 793 did not. Results. The group receiving help had a significantly higher age, more women, more people widowed and living alone, more children, a higher number of self-reported diseases and symptoms, greater inability to remain alone at home and lower QoL. Loneliness, depressed mood and abdominal pain were significantly related to low QoL in both groups. Living alone, not being able to remain alone at home without help, and fatigue were also predictive of low QoL among those receiving help, and number of diseases and sleep problems in those without. Conclusion. Receiving help with daily living seems to be significantly related to low QoL and goes along with a high number of symptoms that need to be considered in nursing care. Through regular visits, systematic assessment and intervention, especially focusing on older people's symptoms, nurses may contribute to improved QoL for this section of the population.
引用
收藏
页码:584 / 593
页数:10
相关论文
共 46 条
[1]  
Al-Windi A, 1999, SCAND J PRIM HEALTH, V17, P201
[2]  
[Anonymous], 1989, RES METHODS ED
[3]   SOCIAL NETWORKS, HEALTH, AND EMOTIONAL WELL-BEING AMONG THE OLDEST IN LONDON [J].
BOWLING, A ;
BROWNE, PD .
JOURNALS OF GERONTOLOGY, 1991, 46 (01) :S20-S32
[4]   INDIVIDUAL QUALITY-OF-LIFE IN THE HEALTHY ELDERLY [J].
BROWNE, JP ;
OBOYLE, CA ;
MCGEE, HM ;
JOYCE, CRB ;
MCDONALD, NJ ;
OMALLEY, K ;
HILTBRUNNER, B .
QUALITY OF LIFE RESEARCH, 1994, 3 (04) :235-244
[5]  
Campbell A J, 1994, Disabil Rehabil, V16, P72
[6]   Helping older people to remain in their own homes [J].
Criddle, RA ;
Flicker, L .
MEDICAL JOURNAL OF AUSTRALIA, 2001, 174 (06) :266-267
[7]   Dependency as disadvantage - patients' experiences [J].
Ellefsen, B .
SCANDINAVIAN JOURNAL OF CARING SCIENCES, 2002, 16 (02) :157-164
[8]   A 3-year follow-up of stroke patients: Relationships between activities of daily living and personality characteristics [J].
Elmstahl, S ;
Sommer, M ;
Hagberg, B .
ARCHIVES OF GERONTOLOGY AND GERIATRICS, 1996, 22 (03) :233-244
[9]   Quality of life in dependent older adults living at home [J].
Fassino, S ;
Leombruni, P ;
Daga, GA ;
Brustolin, A ;
Rovera, GG ;
Fabris, F .
ARCHIVES OF GERONTOLOGY AND GERIATRICS, 2002, 35 (01) :9-20
[10]   Social support and quality of life among older people in Spain [J].
Fernández-Ballesteros, R .
JOURNAL OF SOCIAL ISSUES, 2002, 58 (04) :645-659