Factors associated with quality of life in elderly hospitalised patients undergoing post-acute rehabilitation: a cross-sectional analytical study in Switzerland.

TitreFactors associated with quality of life in elderly hospitalised patients undergoing post-acute rehabilitation: a cross-sectional analytical study in Switzerland.
Publication TypeJournal Article
Year of Publication2017
AuthorsBornet, M-A, Truchard, ERubli, Rochat, E, Pasquier, J, Monod, S
JournalBMJ Open
Volume7
Issue10
Paginatione018600
Date Published10/2017
DOI10.1136/bmjopen-2017-018600
ISSN2044-6055
Mots-clésbiopsychosocial and spiritual model, geriatric rehabilitation, Quality of Life, satisfaction with care
Abstract

OBJECTIVES: We investigated whether biopsychosocial and spiritual factors and satisfaction with care were associated with patients' perceived quality of life.

DESIGN: This was a cross-sectional analytical study.

SETTING: Data were collected from inpatients at a postacute geriatric rehabilitation centre in a university hospital in Switzerland.

PARTICIPANTS: Participants aged 65 years and over were consecutively recruited from October 2014 to January 2016. Exclusion criteria included significant cognitive disorder and terminal illness. Of 227 eligible participants, complete data were collected from 167.

MAIN OUTCOME MEASURES: Perceived quality of life was measured using WHO Quality of Life Questionnaire-version for older people. Predictive factors were age, sex, functional status at admission, comorbidities, cognitive status, depressive symptoms, living conditions and satisfaction with care. A secondary focus was the association between spiritual needs and quality of life.

RESULTS: Patients undergoing geriatric rehabilitation experienced a good quality of life. Greater quality of life was significantly associated with higher functional status (rs=0.204, p=0.011), better cognitive status (rs=0.175, p=0.029) and greater satisfaction with care (rs=0.264, p=0.003). Poorer quality of life was significantly associated with comorbidities (rs=-.226, p=0.033), greater depressive symptoms (rs=-.379, p<0.001) and unmet spiritual needs (rs=-.211, p=0.049). Multivariate linear regression indicated that depressive symptoms (β=-0.961; 95% CIs -1.449 to 0.472; p<0.001) significantly predicted quality of life.

CONCLUSIONS: Patient perceptions of quality of life were significantly associated with depression. More research is needed to assess whether considering quality of life could improve care plan creation.

Alternate URL

http://www.ncbi.nlm.nih.gov/pubmed/29061633?dopt=Abstract

Alternate JournalBMJ Open
Citation Key / SERVAL ID8323
Peer reviewRefereed
PubMed ID29061633
                         

IUMSP | www.iumsp.ch
Institut universitaire de médecine sociale et préventive
Route de la Corniche 10, 1010 Lausanne - Switzerland
+41 21 314 72 72 | iumsp@chuv.ch

Go to top