Quality of life and clinical correlates in older adults living in the community and in nursing homes in <scp>M</scp>acao

Kuok, Kenny C. F.; Lu, Li; Xiang, Yu‐Tao; Nogueira, Bernice O.C. Lam; Ungvári, Gábor S.; Ng, Chee H.; Chiu, Helen Fung Kum; Tran, Linda; Meng, Li Rong

doi:10.1111/psyg.12214

Cited by 24 publications

(29 citation statements)

References 32 publications

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“…This factor could probably influence their perceived mental health well-being. It was observed that a lower educational background was a predictor for a poor psychological QoL amongst the elderly, both in the community and in the NH study settings [25].…”

Section: Discussionmentioning

confidence: 94%

Factors influencing the quality of life among Indonesian elderly

Pramesona¹,

Taneepanichskul

2018

JHR

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Purpose-In spite of being a significant public health concern, quality of life (QoL) amongst elderly in nursing home (NH) settings is rarely analyzed. The purpose of this paper is to examine the level of QoL and factors influencing QoL amongst elderly NH residents in Indonesia. Design/methodology/approach-A survey was conducted amongst 181 elderly at three NHs in three districts in Yogyakarta province, Indonesia. Purposive sampling was used for the study site and sample collection. Face-to-face interviews were performed using the WHO Quality of Life BREF Indonesian version questionnaire to assess elderly QoL. Multivariate linear regression was performed to determine the factors influencing the QoL amongst elderly NH residents. Findings-The response rate was 66.3 percent. A total of 64.1 percent of elderly had a fair level of QoL, whereas 16.6 percent still had a poor level of QoL. A total of 86.7 percent of elderly lived in an NH due to compulsion, and more than half (53.6 percent) perceived inadequacy of care. The QoL was significantly low amongst those who live in NHs due to compulsion, no social support resources, not receiving any kind of support, having three chronic diseases and perceived inadequacy of care (p o 0.05). Multivariate analysis revealed that perceived adequacy of care reasons for living in NH was associated with QoL (p o 0.001). Originality/value-Perceived adequacy of care and reason for living in an NH were highlighted as predictors of QoL amongst elderly NH residents. Improving adequate healthcare services and developing treatment strategies to enforce the adaptation process is required in order to maintain the QoL in elderly NH residents.

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Section: Discussionmentioning

confidence: 94%

Factors influencing the quality of life among Indonesian elderly

Pramesona¹,

Taneepanichskul

2018

JHR

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“…In contrast, a study found better QoL of institutionalized elderly men compared to the non-institutionalized elderly in physical and psychological domains [15], which was attributed to the multidisciplinary professional team offering support and stimulus to the institutionalized elderly. Other studies did not find differences in the QoL between institutionalized elderly and non-institutionalized elderly [14,20]. Finally, divergent results, from different QoL questionnaire domains were observed between institutionalized and noninstitutionalized elderly [10,12,21,24].…”

Section: Introductionmentioning

confidence: 91%

“…Out of these 25 studies, 10 did not compare the QoL of institutionalized and non-institutionalized elderly; three used Likert scale or VAS for QoL evaluation; five were validation studies of the QoL questionnaire; and seven included participants with Alzheimer's disease, dementia, cognitive impairment or disability. Sixteen studies were included for the data extraction and qualitative synthesis [10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25] and 12 for the quantitative synthesis [10,12,13,[16][17][18][20][21][22][23][24][25].…”

Section: Study Selectionmentioning

confidence: 99%

“…Considering the raised institutionalization rates, nursing homes should provide good quality of life for their residents [9]. In this sense, studies [10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25] sought to understand if lives in homes for the aged may influence the elderly's QoL. Thereby, worse QoL was observed in elderly residents of long-term care institutions, in comparison with community-dwelling individuals [11, 13, 16-19, 22, 23, 25].…”

Section: Introductionmentioning

confidence: 99%

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Does the institutionalization influence elderly’s quality of life? A systematic review and meta–analysis

et al. 2020

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Background: Institutionalization is a global phenomenon and its impact on elderly's quality of life (QoL) is under discussion. This systematic review and meta-analysis evaluated the influence of the institutionalization on elderly's QoL. Methods: Searches were performed in Medline, Scopus, Web of Science, Lilacs, Cochrane Library and SIGLE by two independent reviewers up to May 2019. The eligibility criteria were based on PECO strategy, considering observational studies in elderly (P), which were (E) or not (C) institutionalized to identify differences in their QoL (O). For qualitative synthesis, data were extracted and risk of bias was evaluated through a validated guideline. Meta-analysis was based on Mean Difference (MD) and Standard Mean Difference (SMD) calculation (p ≤ 0.05). The evidence was quality-tested using Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. Results: The initial search identified 3841 articles. Duplicates were removed, titles and abstracts were read and eligibility criteria were applied, remaining 16 sixteen cross-sectional studies that were included for data extraction and qualitative synthesis. Out of 16 articles, 14 evaluated the Health-Related Quality of Life, using Leipad (n = 2), WHOQOL-BREF and/or OLD (n = 8), SF-36 or RAND-36 (n = 4) questionnaires, and two assessed the Oral Health-Related Quality of Life, through GOHAI questionnaire. One eligible article was considered as low risk of bias. In the meta-analysis, 12 studies were included. Leipad questionnaire did not show differences on elderly's QoL (MD 0.11 [− 0.10, 0.32] I 2 = 76%). Differences on elderly's QoL were detected through WHOQOL-BREF (SMD-0.70 [CI95%: − 0.94, − 0.47] I 2 = 93%), WHOQOL-OLD (SMD-1.13 [− 1.47, − 0.80] I 2 = 91%) and SF-36/RAND-36 (MD-5.97 [CI95%: − 11.29, − 0.64] I 2 = 90%). All studies had very low or low certainty of evidence, since the study design influenced evidence classification, and show high heterogeneity. Conclusion: Although the institutionalization influences negatively the elderly's QoL, further well-designed studies are needed to confirm this evidence.

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“…This cross-sectional study was carried out from September 2015 to November 2016. 18 In Macau there are 20 nursing homes; we randomly selected 11 to participate in this study. In Guangzhou, only a large public nursing home with around 1200 older residents was included.…”

Section: Study Sitementioning

confidence: 99%

Sleep disturbance and its relationship with quality of life in older Chinese adults living in nursing homes

Wang

Meng

Zhang

et al. 2019

Perspect Psychiatr Care

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Purpose To examine sleep disturbances in older adults in Macau and Guangzhou, China and their associated factors. Design and Methods Four‐hundred and thirty seven subjects in Guangzhou and 244 subjects in Macau were interviewed. Findings In total, 681 older adults participated in the study, and 27.8% reported sleep disturbance, with 43.9% in Macau and 18.8% in Guangzhou. Physical quality of life was negatively associated with sleep disturbances. Severe depressive symptoms were positively related but living in Guangzhou was negatively related to sleep disturbances. Sleep disturbances are more common in Macau compared to Guangzhou. Practice Implications Appropriate screening and treatment strategies are needed to address sleep disturbance in this population.

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Quality of life and clinical correlates in older adults living in the community and in nursing homes in Macao

Abstract: Older Macanese adults had poorer scores on physical and social QOL domains than the general Hong Kong Chinese population. Their QOL was more strongly related to severe depressive symptoms, major medical conditions, and insomnia.

Cited by 24 publications

References 32 publications

Factors influencing the quality of life among Indonesian elderly

Factors influencing the quality of life among Indonesian elderly

Does the institutionalization influence elderly’s quality of life? A systematic review and meta–analysis

Sleep disturbance and its relationship with quality of life in older Chinese adults living in nursing homes

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