Health and Well-Being in the Year before Death: The Association with Quality of Life and Care at the End-of-Life

Lee, Hyo Jung; Small, Brent J.; Haley, William E.

doi:10.1177/0898264320935297

Cited by 5 publications

(6 citation statements)

References 32 publications

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“…As individuals live longer lives, health-enhancing behaviours become more important, especially with regard to quality of life (Lee et al , 2006). Older adults’ lives involve not only health and dysfunction but also wellbeing and social exchanges (Lee et al , 2020). Quality of life refers to a person's state of wellbeing in a general sense, which includes being enthusiastic and happy (Eser, 2006; Altay et al , 2016).…”

Section: Literature Reviewmentioning

confidence: 99%

Fear of COVID-19 and quality of life: the mediating role of loneliness among older Turkish adults

Altay¹,

Arisoy

2022

Ageing and Society

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The novel coronavirus (COVID-19) outbreak has affected living standards around the world, and pandemic anxiety has changed social habits. In this context, this paper investigates the relationship between fear of COVID-19 and quality of life, and assesses the mediating effect of loneliness on this relationship among a sample of older adults in Turkey. The study considers data from approximately 400 people, all of whom completed the CASP-19 Quality of Life Scale in Older People, the Loneliness Scale for the Elderly and the Fear of COVID-19 Scale. Confirmatory factor analyses were performed to confirm a one-factor structure for each instrument. Subsequently, mediation analysis, correcting for age as a continuous covariate, was performed to assess the nature of the relationship between fear and quality of life, and the extent to which that relationship is mediated by loneliness. Our study showed that there is a negative and direct relationship between loneliness and quality of life. Another important finding of our research is that fear of COVID-19 has a significant effect on loneliness. Finally, loneliness mediates the relation between fear of COVID-19 and quality of life. This finding strongly suggests that fear of COVID-19 influences quality of life via loneliness. This result is noteworthy, as we could not find any similar finding in the literature.

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Section: Literature Reviewmentioning

confidence: 99%

Fear of COVID-19 and quality of life: the mediating role of loneliness among older Turkish adults

Altay¹,

Arisoy

2022

Ageing and Society

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“…Improving end-of-life experiences is essential to successful aging [1]. According to practitioners and health researchers, a high quality of life prior to death emphasizes healthier survival (freedom from illness, or management of pain and other unpleasant symptoms from chronic diseases) and satisfactory functional status (autonomy in activities of daily living, or ADLs) given expected proximity to death [2,3,4]. Additionally, to 'die well' is increasingly acknowledged as crucial in aging societies [5,6,7].…”

Section: Introductionmentioning

confidence: 99%

“…Quality markers of a good death identi ed in empirical studies include freedom from pain or discomfort, being conscious and alert, feeling digni ed and prepared, etc. [1,3,5,8]. So far, much end-of-life research has centred on patients diagnosed with terminal illnesses [2,9].…”

Section: Introductionmentioning

confidence: 99%

Can Life Prior To Death Predict Quality of Death Among Older Chinese? A Retrospective Cohort Study

Song

Peng

et al. 2022

Preprint

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Background The pursuit of a good death is crucial in aging societies. This retrospective cohort study investigated the relation between life prior to death and quality of death among older Chinese. Methods End-of-life data reported by relatives of participants (aged 54 and over) from the Chinese Longitudinal Healthy Longevity Survey (CLHLS) who deceased between January 2011 and June 2019 were utilised. Life prior to death included health condition (morbid or not) and physical functioning (a latent factor with six indicators). Quality of death was assessed by painlessness and consciousness at death. Confirmatory Factor Analysis was employed to examine the factor structure of physical functioning and Structural Equation Modeling to explore associations between life prior to death and death quality based on sex and rural/urban residence. Results Freedom from chronic diseases was found to contribute to high-quality deaths (i.e., being painless and conscious) both directly and indirectly by enhancing physical functioning. Men and women diverged towards end-of-life: women were moderately less liable to illnesses and thus less painful at death. Yet, men functioned much better, and more often remained conscious when dying. Location’s effect was weaker: although rural residents were more prone to painful deaths than urban dwellers, this urban-rural divide was slightly narrowed by rural settlers’ relative health, which also indirectly led to their slight advantage in consciousness at death. Conclusions The results suggested that different dimensions of life prior to death predicted quality of death. Additionally, morbidity’s effect on functioning and death quality stresses health management’s role in improving end-of-life experiences.

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“…Improving end-of-life experiences is essential to successful aging (1). According to practitioners and health researchers, high quality of life prior to death emphasizes healthier survival (freedom from illness or management of pain and other unpleasant symptoms from chronic diseases) and satisfactory functional status (autonomy in activities of daily living, or ADLs) given expected proximity to death (2)(3)(4). Additionally, to "die well" is increasingly considered crucial in aging societies (5-7).…”

Section: Introductionmentioning

confidence: 99%

“…Additionally, to “die well” is increasingly considered crucial in aging societies ( 5 – 7 ). Quality markers of a good death identified in empirical studies include freedom from pain or discomfort, being conscious and alert, and feeling dignified and prepared, among others ( 1 , 3 , 5 , 8 ). So far, much end-of-life research has centered on patients diagnosed with terminal illnesses ( 2 , 9 ).…”

Section: Introductionmentioning

confidence: 99%

Predicting death quality from life prior to death among older Chinese in a retrospective cohort study

Song²,

Peng³

et al. 2022

Front. Public Health

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BackgroundThe pursuit of a good death is crucial in aging societies. This retrospective cohort study investigated the relation between life prior to death and quality of death among older Chinese.MethodsEnd-of-life data reported by relatives of participants (aged 54 and over) from the Chinese Longitudinal Healthy Longevity Survey (CLHLS) who deceased between January 2011 and June 2019 were utilized. Life prior to death included health condition (morbid or not) and physical functioning (a latent factor with six indicators). Quality of death was assessed by painlessness and consciousness at death. Confirmatory Factor Analysis was employed to examine the factor structure of physical functioning and Structural Equation Modeling to explore associations between life prior to death and death quality based on sex and residence location.ResultsFreedom from chronic diseases was found to contribute to high-quality deaths (i.e., being painless and conscious) both directly and indirectly by enhancing physical functioning. Men and women diverged toward end-of-life: women were moderately less liable to illnesses and thus less painful at death. Yet, men functioned much better, and more often remained conscious when dying. Location's effect was weaker: although rural residents were more prone to painful deaths than urban dwellers, this urban-rural divide was slightly narrowed by rural settlers' relative health, which also indirectly led to their slight advantage in consciousness at death.ConclusionsThe results suggested that different dimensions of life prior to death predicted quality of death. Additionally, morbidity's effect on functioning and death quality stresses health management's role in improving end-of-life experiences.

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Health and Well-Being in the Year before Death: The Association with Quality of Life and Care at the End-of-Life

Cited by 5 publications

References 32 publications

Fear of COVID-19 and quality of life: the mediating role of loneliness among older Turkish adults

Fear of COVID-19 and quality of life: the mediating role of loneliness among older Turkish adults

Can Life Prior To Death Predict Quality of Death Among Older Chinese? A Retrospective Cohort Study

Predicting death quality from life prior to death among older Chinese in a retrospective cohort study

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