Elderly people’s perspectives on quality of life in the example of patients in ambulatory and institutional care

B. Kowalczyk, B. Lubińska-Żądło, B. Zawadzka
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Abstract

Introduction: Contrary to stereotypical beliefs, elderly people’s perceptions about quality of life are not always negative. Paying attention to the elderly living in a family house or in various institutions is important. Quality of life assessment should become an inherent part of diagnosis and treatment as the results of the study can be used in preventive treatment of many illnesses. Material and methods: The study was conducted among 236 randomly selected individuals aged 60 and over who received rehabilitation services at the medical rehabilitation center in Ptaszkowa or were admitted to a care and treatment facility in Nowy Sącz. For the purposes of the study, a diagnostic survey was used, the technique of which was a questionnaire and the tools were the authors’ own survey questionnaire and the WHOQOL-AGE scale. Results: The value of Cramér’s V coefficient between the overall quality of life score according to the WHOQOL-AGE and the type of medical care received by the patient was V = 0.579. It was significantly higher among those receiving institutional care than those receiving outpatient treatment. The analysis concerning assessment of a correlation between the quality of life score according to the WHOQOL-AGE scale and all the analyzed sociodemographic factors showed statistically significant differences. Conclusions: Subjective perception of quality of life is determined by the type of medical care received by the patient. There is a correlation between the type of medical care received and overall quality of life in female patients, urban residents, patients aged over 75 as well as those with primary education, regardless of the type of work performed in the past.
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老年人对生活质量的看法,以门诊和机构护理患者为例
与刻板印象相反,老年人对生活质量的看法并不总是消极的。关注住在家里或各种机构的老年人是很重要的。生活质量评估应成为诊断和治疗的一个固有部分,因为研究结果可用于许多疾病的预防性治疗。材料和方法:该研究是在随机选择的236名60岁及以上的个人中进行的,他们在Ptaszkowa的医疗康复中心接受康复服务,或在Nowy Sącz的护理和治疗机构住院。本研究采用诊断性调查,技术为问卷调查,工具为作者自编调查问卷和WHOQOL-AGE量表。结果:根据WHOQOL-AGE的总体生活质量评分与患者所接受的医疗护理类型之间的cramsamrs V系数值为V = 0.579。在接受机构护理的患者中,这一比例明显高于接受门诊治疗的患者。根据WHOQOL-AGE量表评估生活质量评分与所分析的所有社会人口学因素的相关性分析,差异有统计学意义。结论:患者对生活质量的主观感知取决于所接受的医疗服务类型。无论过去从事何种工作,女性患者、城市居民、75岁以上患者以及受过初等教育的患者所接受的医疗服务类型与总体生活质量之间存在相关性。
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