Factors associated with quality of life in elderly hospitalised patients undergoing post-acute rehabilitation: a cross-sectional analytical study in Switzerland.
Détails
Etat: Public
Version: Final published version
Licence: Non spécifiée
ID Serval
serval:BIB_8E1BF2D35EF1
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Factors associated with quality of life in elderly hospitalised patients undergoing post-acute rehabilitation: a cross-sectional analytical study in Switzerland.
Périodique
BMJ open
ISSN
2044-6055 (Electronic)
ISSN-L
2044-6055
Statut éditorial
Publié
Date de publication
22/10/2017
Peer-reviewed
Oui
Volume
7
Numéro
10
Pages
e018600
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: epublish
Publication Status: epublish
Résumé
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.
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.
Mots-clé
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
Oui
Création de la notice
23/09/2017 8:27
Dernière modification de la notice
23/03/2024 7:22
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