Factors associated with quality of life in nursing home residents with frailty

Abstract

Aims: The study aimed to examine the prevalence of frailty in nursing home residents and the extent to which personal characteristics and health functioning interactively affects the quality of life (QoL) of nursing home residents with frailty.Method: This was a cross-sectional survey. Ninety-one nursing home residents who achieved a Rockwood's frailty index score of 1 or above and a Mini Mental State Examination score of 12 or above from two Hong Kong nursing homes participated in this study. The Chinese version of World Health Organization Quality of Life-BREF was used to measure QoL. Results:The prevalence of frailty in these two nursing homes studied was 31.6%. Four significant factors -pain, sleep quality, performance in activities of daily living (ADL) and fall risk -were identified from four multivariate regression models. Pain and sleep quality were predictive of overall QoL, and these two factors together with performance in ADL determined physical QoL. Pain and performance in ADL had an effect on psychological QoL, while fall risk affected the environmental domain of QoL.Conclusion: This is the first study to report prevalence of frailty in Chinese older people receiving long-term residential care in Hong Kong. It serves as the ground work to enable nurses to develop nursing strategies to address significant factors to improve the QoL of nursing home residents with frailty.

Impact of sense of coherence, resilience and loneliness on quality of life amongst older adults in long‐term care: A correlational study using the salutogenic model

“…When performance in ADL was investigated, participants with higher dependence generally scored worse in QoL. Similarly, ADL was found to be positively associated with the physical and psychological domains of QoL (Kwong et al, 2014). The findings in this study also revealed no significant relationship between the number of comorbidities and QoL.…”

The impact of a comprehensive physical, mental and spiritual programme on fall risk, physical fitness and blood pressure in elderly residents of nursing homes: An RCT Study

“…10 Older people in nursing homes, particularly those experiencing weakness, typically engage in less physical activity due to the fear of falling, experience a decline in muscle mass and strength (sarcopenia), and struggle to meet their daily living needs. 11 In addition, older people residing in nursing homes have higher psychosocial problems and lower problem-solving abilities compared to those living at home. 12 Increasing physical activity is one solution to addressing non-communicable diseases.…”

A video‐supported nurse‐led advance care planning on end‐of‐life decision‐making among frail older patients: Protocol for a randomized controlled trial

“…In this sense, geriatric patients who are frail seemed to be an appropriate target population for EOL care discussion because this group of patients may not have terminal illnesses but are old, frail, and at a high risk of sudden deterioration and becoming mentally incompetent that death is in the foreseeable future (Clegg, Young, Illiffe, Rikkert, & Rockwood, ). Frailty is an age‐associated condition that is characterized by reduced functional reserve and increased risk of adverse health outcomes including increased risk of mortality, healthcare service use, disability, and reduced quality of life (Clegg et al., ; Kwong, Lai, & Chan, ; Lee, Heckman, & Molnar, ). With the rapid growth in the ageing population worldwide, the size of geriatric patients who are frail should be increasing rapidly as well, and the related hospital cost for this special group are also expected to be increased tremendously.…”