文章基本信息

标题：Health-related quality of life among cognitively intact nursing home residents with and without cancer – a 6-year longitudinal study
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作者：Jorunn Drageset ; Geir Egil Eide ; Anne Corbett 等
期刊名称：Patient Related Outcome Measures
印刷版ISSN：1179-271X
电子版ISSN：1179-271X
出版年度：2017
卷号：8
页码：63-69
DOI：10.2147/PROM.S125500
语种：English
出版社：Dove Medical Press Ltd
摘要：Background: Limited information exists regarding the natural development of health-related quality of life (HRQOL) and its determinants among mentally intact nursing home (NH) residents. We aimed to examine HRQOL over time during a 6-year period among residents of NHs, who are not cognitively impaired, and to examine whether sense of coherence and a diagnosis of cancer influence HRQOL. Methods: The study was prospective and included baseline assessment and 6-year follow-up. After baseline assessment of 227 cognitively intact NH residents (Clinical Dementia Rating score ≤ 0.5), we interviewed 52 living respondents a second time at the 5-year follow-up and 18 respondents a third time at the 6-year follow-up. We recorded data from the interviews using the Short Form-36 (SF-36) Health Survey and the Sense of Coherence Scale. To study different developments over time for residents without and with cancer, we tested interactions between cancer and time. Results: The subscores of physical functioning and role limitation–physical domains declined with time ( P < 0.001 and P = 0.02, respectively). Having a diagnosis of cancer at baseline was negatively correlated with general health ( P = 0.002). Sense of coherence at baseline was positively correlated with all the SF-36 subscores from baseline to follow-up ( P < 0.001). Conclusion: The study indicates that the HRQOL changed over time during the 6 years of follow-up, and the sense of coherence appeared to be an important component of the HRQOL. Finally, our results showed that having a diagnosis of cancer was associated with decline in the general health subdimension.
关键词：health-related quality of life; nursing home; cancer; follow-up; sense of coherence