Comparison of Comprehensive Health Status and Health-related Quality of Life between Institutionalized Older Adults and Community Dwelling Older Adults

Hye-Jin Hyun; Aekyung Chang; Su Jeong Yu; Yeon-Hwan Park

doi:10.0000/jkachn.2012.23.1.40

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Hyun, Chang, Yu, and Park: Comparison of Comprehensive Health Status and Health-related Quality of Life between Institutionalized Older Adults and Community Dwelling Older Adults

Original Article

Journal of Korean Academy of Community Health Nursing

Journal of Korean Academy of Community Health Nursing 2012; 23(1): 40-50.

Published online: 31 March 2012

DOI: https://doi.org/10.0000/jkachn.2012.23.1.40

Comparison of Comprehensive Health Status and Health-related Quality of Life between Institutionalized Older Adults and Community Dwelling Older Adults

Hye-Jin Hyun¹, Aekyung Chang², Su Jeong Yu³, Yeon-Hwan Park⁴

¹Professor, Department of Nursing, Kangwon NationalUniversity, Chuncheon, Korea.

²Post-doc Fellow, College of Nursing, University of Illinois, Chicago, USA.

³Associate Professor, Department of Nursing, Sangji University, Wonju, Korea.

⁴Associate Professor, College of Nursing & The Research Institute of Nursing Science, Seoul, Korea.

Corresponding author: Park, Yeon-Hwan. College of Nursing, Seoul National University, 28 Yeongeon-dong, Jongro-gu, Seoul 110-799, Korea. Tel: +82-2-740-8846, Fax: +82-2-765-4103, hanipyh@snu.ac.kr

Received 22 November 2011 Revised 27 February 2012 Accepted 5 March 2012

Abstract

Purpose

The aim of this study was to compare the factors of health-related quality of life in older adults according to the type of residency.

Methods

A cross-sectional comparative study was conducted. The subjects were 114 institutionalized older adults and 99 community dwelling older adults. Data were collected through face-to-face interviews by nurses using structured questionnaires composed of SF-36 (ver.2) and CGA-SF.

Results

The institutionalized older adults had more health problems and experienced lower quality of life compared to community dwelling older adults. Factors influencing health-related quality of life for institutionalized older adults were social support, educational level, and ADL, which explained about 25.7% of the total variance, while thoseof community dwelling older adults were IADL, experiencing fall, and weight loss, which had explanatory power of 31.8%.

Conclusion

These results indicate that differentiated nursing strategies according to the type of residency are required to promote health-related quality of life for older adults.

Keywords: Aged, Residence characteristics, Quality of Life

Figures and Tables

Table 1

Comparison of Socio-demographic Characteristics between Elderly Living in Nursing Home and at Home (N=213)

ENH=elderly in nursing home; EH=elderly at home.

^†Widowed/divorced/unmarried.

Table 2

Comparison of Multifaceted Health Status between Elderly Living in Nursing Home and at Home (N=213)

ENH=elderly in nursing home; EH=elderly at home; ADL=activities of daily living; IADL=instrumental activities of daily living.

Table 3

Comparison of HRQOL between Elderly Living in Nursing Home and at Home (N=213)

HRQOL=health related quality of life; ENH=elderly in nursing home; EH=elderly at home; PF=physical functioning; RP=role limitation due to physical health problem; BP=bodily pain; GH=general health; VT=vitality; SF=social functioning; RE=role limitation due to emotional problem; MH=mental health.

Table 4-1

HRQOL related to Socio-demographic Characteristics of Elderly Living in Nursing Home and at Home (N=213)

HRQOL=health related quality of life; ENH=elderly in nursing home; EH=elderly at home.

^†Scheffe test; ^‡Widowed/divorced/unmarried.

Table 4-2

HRQOL related to Multifaceted Health Status of Elderly Living in Nursing Home and at Home (N=213)

HRQOL=health related quality of life; ENH=elderly in nursing home; EH=elderly at home; ADL=activities of daily living; IADL=instrumental activities of daily living.

^†Pearson's correlation.

Table 5

Factors Influencing HRQOL of Elderly Living in Nursing Home and at Home (N=213)

HRQOL=health related quality of life; ENH=elderly in nursing home; EH=elderly at home; ADL=activities of daily living; IADL=instrumental activities of daily living.

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