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HOME > J Korean Acad Community Health Nurs > Volume 23(1); 2012 > Article
Original Article
Comparison of Comprehensive Health Status and Health-related Quality of Life between Institutionalized Older Adults and Community Dwelling Older Adults
Hye-Jin Hyun, Aekyung Chang, Su Jeong Yu, Yeon-Hwan Park
Journal of Korean Academy of Community Health Nursing 2012;23(1):40-50.
DOI: https://doi.org/10.0000/jkachn.2012.23.1.40
Published online: March 31, 2012

1Professor, Department of Nursing, Kangwon NationalUniversity, Chuncheon, Korea.

2Post-doc Fellow, College of Nursing, University of Illinois, Chicago, USA.

3Associate Professor, Department of Nursing, Sangji University, Wonju, Korea.

4Associate Professor, College of Nursing & The Research Institute of Nursing Science, Seoul, Korea.

• Received: November 22, 2011   • Revised: February 27, 2012   • Accepted: March 5, 2012

Copyright © 2012 Korean Academy of Community Health Nursing

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  • 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.
Table 1
Comparison of Socio-demographic Characteristics between Elderly Living in Nursing Home and at Home (N=213)
jkachn-23-40-i001.jpg

ENH=elderly in nursing home; EH=elderly at home.

Widowed/divorced/unmarried.

Table 2
Comparison of Multifaceted Health Status between Elderly Living in Nursing Home and at Home (N=213)
jkachn-23-40-i002.jpg

ENH=elderly in nursing home; EH=elderly at home; ADL=activities of daily living; IADL=instrumental activities of daily living.

Table 3
Comparison of HRQOL between Elderly Living in Nursing Home and at Home (N=213)
jkachn-23-40-i003.jpg

HRQOL=health related quality of life; ENH=elderly in nursing home; EH=elderly at home; PF=physical functioning; RP=role limitation due to physical health problem; BP=bodily pain; GH=general health; VT=vitality; SF=social functioning; RE=role limitation due to emotional problem; MH=mental health.

Table 4-1
HRQOL related to Socio-demographic Characteristics of Elderly Living in Nursing Home and at Home (N=213)
jkachn-23-40-i004.jpg

HRQOL=health related quality of life; ENH=elderly in nursing home; EH=elderly at home.

Scheffe test; Widowed/divorced/unmarried.

Table 4-2
HRQOL related to Multifaceted Health Status of Elderly Living in Nursing Home and at Home (N=213)
jkachn-23-40-i005.jpg

HRQOL=health related quality of life; ENH=elderly in nursing home; EH=elderly at home; ADL=activities of daily living; IADL=instrumental activities of daily living.

Pearson's correlation.

Table 5
Factors Influencing HRQOL of Elderly Living in Nursing Home and at Home (N=213)
jkachn-23-40-i006.jpg

HRQOL=health related quality of life; ENH=elderly in nursing home; EH=elderly at home; ADL=activities of daily living; IADL=instrumental activities of daily living.

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      Comparison of Comprehensive Health Status and Health-related Quality of Life between Institutionalized Older Adults and Community Dwelling Older Adults
      Comparison of Comprehensive Health Status and Health-related Quality of Life between Institutionalized Older Adults and Community Dwelling Older Adults
      Table 1 Comparison of Socio-demographic Characteristics between Elderly Living in Nursing Home and at Home (N=213)

      ENH=elderly in nursing home; EH=elderly at home.

      Widowed/divorced/unmarried.

      Table 2 Comparison of Multifaceted Health Status between Elderly Living in Nursing Home and at Home (N=213)

      ENH=elderly in nursing home; EH=elderly at home; ADL=activities of daily living; IADL=instrumental activities of daily living.

      Table 3 Comparison of HRQOL between Elderly Living in Nursing Home and at Home (N=213)

      HRQOL=health related quality of life; ENH=elderly in nursing home; EH=elderly at home; PF=physical functioning; RP=role limitation due to physical health problem; BP=bodily pain; GH=general health; VT=vitality; SF=social functioning; RE=role limitation due to emotional problem; MH=mental health.

      Table 4-1 HRQOL related to Socio-demographic Characteristics of Elderly Living in Nursing Home and at Home (N=213)

      HRQOL=health related quality of life; ENH=elderly in nursing home; EH=elderly at home.

      Scheffe test; Widowed/divorced/unmarried.

      Table 4-2 HRQOL related to Multifaceted Health Status of Elderly Living in Nursing Home and at Home (N=213)

      HRQOL=health related quality of life; ENH=elderly in nursing home; EH=elderly at home; ADL=activities of daily living; IADL=instrumental activities of daily living.

      Pearson's correlation.

      Table 5 Factors Influencing HRQOL of Elderly Living in Nursing Home and at Home (N=213)

      HRQOL=health related quality of life; ENH=elderly in nursing home; EH=elderly at home; ADL=activities of daily living; IADL=instrumental activities of daily living.


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