Factors associated with quality of life in elderly hospitalised patients undergoing post-acute rehabilitation: a cross-sectional analytical study in Switzerland.

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State: Public
Version: Final published version
Serval ID
serval:BIB_8E1BF2D35EF1
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Factors associated with quality of life in elderly hospitalised patients undergoing post-acute rehabilitation: a cross-sectional analytical study in Switzerland.
Journal
BMJ open
Author(s)
Bornet M.A., Rubli Truchard E., Rochat E., Pasquier J., Monod S.
ISSN
2044-6055 (Electronic)
ISSN-L
2044-6055
Publication state
Published
Issued date
22/10/2017
Peer-reviewed
Oui
Volume
7
Number
10
Pages
e018600
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
We investigated whether biopsychosocial and spiritual factors and satisfaction with care were associated with patients' perceived quality of life.
This was a cross-sectional analytical study.
Data were collected from inpatients at a postacute geriatric rehabilitation centre in a university hospital in Switzerland.
Participants aged 65 years and over were consecutively recruited from October 2014 to January 2016. Exclusion criteria included significant cognitive disorder and terminal illness. Of 227 eligible participants, complete data were collected from 167.
Perceived quality of life was measured using WHO Quality of Life Questionnaire-version for older people. Predictive factors were age, sex, functional status at admission, comorbidities, cognitive status, depressive symptoms, living conditions and satisfaction with care. A secondary focus was the association between spiritual needs and quality of life.
Patients undergoing geriatric rehabilitation experienced a good quality of life. Greater quality of life was significantly associated with higher functional status (r <sub>s</sub> =0.204, p=0.011), better cognitive status (r <sub>s</sub> =0.175, p=0.029) and greater satisfaction with care (r <sub>s</sub> =0.264, p=0.003). Poorer quality of life was significantly associated with comorbidities (r <sub>s</sub> =-.226, p=0.033), greater depressive symptoms (r <sub>s</sub> =-.379, p<0.001) and unmet spiritual needs ( <i>r</i> <sub>s</sub> =-.211, p=0.049). Multivariate linear regression indicated that depressive symptoms (β=-0.961; 95% CIs -1.449 to 0.472; p<0.001) significantly predicted quality of life.
Patient perceptions of quality of life were significantly associated with depression. More research is needed to assess whether considering quality of life could improve care plan creation.
Keywords
Aged, Aged, 80 and over, Aging/psychology, Comorbidity, Cross-Sectional Studies, Depression/epidemiology, Female, Geriatric Assessment, Geriatrics/methods, Humans, Linear Models, Male, Multivariate Analysis, Patient Satisfaction, Quality of Life, Rehabilitation/methods, Rehabilitation Centers, Surveys and Questionnaires, Switzerland, biopsychosocial and spiritual model, geriatric medicine, geriatric rehabilitation, quality of life, satisfaction with care
Pubmed
Web of science
Open Access
Yes
Create date
23/09/2017 8:27
Last modification date
20/08/2019 14:52
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