Quality of life among older people. Their experience, need of help, health, social support, everyday activities and sense of coherence

Research output: ThesisDoctoral Thesis (compilation)

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Quality of life among older people. Their experience, need of help, health, social support, everyday activities and sense of coherence. / Borglin, Gunilla.

Wallin & Dalholm Boktryckeri AB, 2005.

Research output: ThesisDoctoral Thesis (compilation)

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TY - THES

T1 - Quality of life among older people. Their experience, need of help, health, social support, everyday activities and sense of coherence

AU - Borglin, Gunilla

N1 - Defence details Date: 2005-04-07 Time: 09:00 Place: Hörsal 1, Department of Healht Sciences Margaretavägen 3, Lund External reviewer(s) Name: Rokne Hanestad, Berit Title: Professor Affiliation: Bergen University --- <div class="article_info">Gunilla Borglin, Ulf Jakobsson, Anna-Karin Edberg and Ingalill Rahm Hallberg. <span class="article_issue_date">2005</span>. <span class="article_title">Self-reported health complaints and their prediction of overall and health-related quality of life among elderly peopl</span> <span class="journal_series_title">International Journal of Nursing Studies</span>, <span class="journal_volume">vol 42</span> <span class="journal_pages">pp 147-158</span>. <span class="journal_distributor">Elsevier</span></div> <div class="article_info">Gunilla Borglin, Ylva Hellström, Bo Hagberg, Anna-Karin Edberg, Albert Westergren and Ingalill Rahm Hallberg. <span class="article_issue_date">2005</span>. <span class="article_title">Psychometric testing of a quality of life scale among older people 75 years and over in need helpd with activities of daily living</span> (submitted)</div> <div class="article_info">Gunilla Borglin, Anna-Karin Edberg and Ingalill Rahm Hallberg. <span class="article_issue_date">2005</span>. <span class="article_title">The experience of quality of life among older people</span> <span class="journal_series_title">Journal of Aging Studies</span>, (inpress)</div> <div class="article_info">Gunilla Borglin, Ulf Jakobsson, Anna-Karin Edberg and Ingalill Rahm Hallberg. <span class="article_issue_date">2005</span>. <span class="article_title">Older people with various degrees of present quality of life:their health social support, everyday activities and sense of coherence</span> (submitted)</div> The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Division of Nursing (Closed 2012) (013065000)

PY - 2005

Y1 - 2005

N2 - The overall aim of this thesis was to investigate QoL and Health-Related QoL (HRQoL) among people aged 75 years and over in relation to socio-demographic variables, need of ADL help, various degrees of present QoL, self-rated health (SRH), health complaints, everyday activities, social support and sense of coherence (SOC). A further aim was to test a QoL scale and to illuminate older people's experience of QoL. Data were collected by questionnaires sent to a population-based sample and by an interview study. Study I comprised 469 people (83.2, SD 5.7). In study II 1,093 people (82.7, SD 5.3) participated, whilst study III comprised of 385 people (84.6, SD 5.7). Eleven people aged 80 years and over participated in an interview study (Paper IV). Quantitative data were analysed by descriptive, comparative, correlation statistics and by a two-step cluster analysis, multiple linear regression and factor analyses. The qualitative data were analysed inspired by the hermeneutic phenomenological method. Health complaints such as pain, fatigue and mobility impairment (Paper I) predicted low QoL and HRQoL. Reporting fair and poor SRH, not spending time outdoors and being nervous and/or worried also proved to predict low QoL whilst SOC and social support positively influenced QoL (Paper III). Women reported more health complaints (Paper I) and were more vulnerable in terms of having lower QoL and HRQoL than men (Papers I?II). The same vulnerability in terms of low QoL and HRQoL was found among those in need of ADL help in comparison with those not needing such help. Those needing ADL help as well as women additionally had lower scores in several of the separate QoL areas (Paper II). The construct and cross-validation of the QoL instrument showed that eight out of ten primordial QoL areas were replicated. The instrument differentiated between those in need of ADL help and not, as well as between gender (Paper II). In paper III, three groups, high, intermediate and low present QoL were identified through cluster analysis. Half of the sample were at risk or had low present QoL. The most notable differences were found between those with high (47.8%) and low (18.4%) present QoL, especially in terms of total QoL, SRH, health complaints, social support, physical activities and SOC. The oldest most vulnerable people constituted those with low present QoL, whereas those with high present QoL shared several features with ?successful ageing?, excellent or good SRH, physical activity, low frequencies of health complaints, high total QoL and SOC. Those with intermediate present QoL (33.8%) differed from those with high present QoL in various ways but were less exposed in several respects than those with low present QoL (Paper III). The interviews (Paper IV) revealed that QoL in old age meant a preserved self and meaning in existence. How QoL was valued depended on the meaning the people attached to the areas of importance for their QoL. Their ability to adapt was also found to be important for how they evaluated their QoL. Areas not generally included when measuring QoL quantitatively, such as the meaning of home and philosophy of life, became discernible. Health complaints such as pain mobility impairment, fatigue and being nervous and/or worried as well as reporting fair and poor SRH together with not spending time outdoors had a negative influence on QoL, However, social support and SOC had the opposite influence on QoL among older people. Women and those dependent on ADL help reported lower total QoL as well as HRQoL but also lower scores in QoL areas outside health and physical functioning. The tested QoL instrument were reasonably stable and differentiated between being and not being in need of help as well as between women. Within the group of independent seemingly healthy older people, there was a group reporting low to very low present QoL. The lower present QoL could be a manifestation of the ageing process but perhaps also of less adaptive resources. QoL in old age meant a preserved ?self? and ?meaning? in existence. Areas not generally included in QoL measures were included in the older people's evaluation of their QoL.

AB - The overall aim of this thesis was to investigate QoL and Health-Related QoL (HRQoL) among people aged 75 years and over in relation to socio-demographic variables, need of ADL help, various degrees of present QoL, self-rated health (SRH), health complaints, everyday activities, social support and sense of coherence (SOC). A further aim was to test a QoL scale and to illuminate older people's experience of QoL. Data were collected by questionnaires sent to a population-based sample and by an interview study. Study I comprised 469 people (83.2, SD 5.7). In study II 1,093 people (82.7, SD 5.3) participated, whilst study III comprised of 385 people (84.6, SD 5.7). Eleven people aged 80 years and over participated in an interview study (Paper IV). Quantitative data were analysed by descriptive, comparative, correlation statistics and by a two-step cluster analysis, multiple linear regression and factor analyses. The qualitative data were analysed inspired by the hermeneutic phenomenological method. Health complaints such as pain, fatigue and mobility impairment (Paper I) predicted low QoL and HRQoL. Reporting fair and poor SRH, not spending time outdoors and being nervous and/or worried also proved to predict low QoL whilst SOC and social support positively influenced QoL (Paper III). Women reported more health complaints (Paper I) and were more vulnerable in terms of having lower QoL and HRQoL than men (Papers I?II). The same vulnerability in terms of low QoL and HRQoL was found among those in need of ADL help in comparison with those not needing such help. Those needing ADL help as well as women additionally had lower scores in several of the separate QoL areas (Paper II). The construct and cross-validation of the QoL instrument showed that eight out of ten primordial QoL areas were replicated. The instrument differentiated between those in need of ADL help and not, as well as between gender (Paper II). In paper III, three groups, high, intermediate and low present QoL were identified through cluster analysis. Half of the sample were at risk or had low present QoL. The most notable differences were found between those with high (47.8%) and low (18.4%) present QoL, especially in terms of total QoL, SRH, health complaints, social support, physical activities and SOC. The oldest most vulnerable people constituted those with low present QoL, whereas those with high present QoL shared several features with ?successful ageing?, excellent or good SRH, physical activity, low frequencies of health complaints, high total QoL and SOC. Those with intermediate present QoL (33.8%) differed from those with high present QoL in various ways but were less exposed in several respects than those with low present QoL (Paper III). The interviews (Paper IV) revealed that QoL in old age meant a preserved self and meaning in existence. How QoL was valued depended on the meaning the people attached to the areas of importance for their QoL. Their ability to adapt was also found to be important for how they evaluated their QoL. Areas not generally included when measuring QoL quantitatively, such as the meaning of home and philosophy of life, became discernible. Health complaints such as pain mobility impairment, fatigue and being nervous and/or worried as well as reporting fair and poor SRH together with not spending time outdoors had a negative influence on QoL, However, social support and SOC had the opposite influence on QoL among older people. Women and those dependent on ADL help reported lower total QoL as well as HRQoL but also lower scores in QoL areas outside health and physical functioning. The tested QoL instrument were reasonably stable and differentiated between being and not being in need of help as well as between women. Within the group of independent seemingly healthy older people, there was a group reporting low to very low present QoL. The lower present QoL could be a manifestation of the ageing process but perhaps also of less adaptive resources. QoL in old age meant a preserved ?self? and ?meaning? in existence. Areas not generally included in QoL measures were included in the older people's evaluation of their QoL.

KW - Health-related quality

KW - Quality of life

KW - Older people

KW - Gerontologi

KW - Gerontology

KW - Medicin (människa och djur)

KW - Medicine (human and vertebrates)

M3 - Doctoral Thesis (compilation)

SN - 91-85439-13-4

PB - Wallin & Dalholm Boktryckeri AB

ER -