J Korean Acad Community Health Nurs.  2012 Mar;23(1):40-50. 10.12799/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

Affiliations
  • 1Department of Nursing, Kangwon NationalUniversity, Chuncheon, Korea.
  • 2College of Nursing, University of Illinois, Chicago, USA.
  • 3Department of Nursing, Sangji University, Wonju, Korea.
  • 4College of Nursing & The Research Institute of Nursing Science, Seoul, Korea. hanipyh@snu.ac.kr

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.

Keyword

Aged; Residence characteristics; Quality of Life
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