The quality of life and factors associated with it in the medically hospitalised elderly.
OBJECTIVE
The present study describes the quality of life (QOL) and explores health-related factors associated with domains of the QOL in the acutely ill and hospitalised elderly.


METHODS
In all, 484 elderly (65-101 years, 241 men) patients hospitalised in an acute medical unit participated. Their QOL (in its overall and physical, psychological, social and environmental domains) was assessed with the World Health Organisation's WHOQOL-BREF. The QOL was explored with multiple linear regression analysis. Health-related variables controlled for socio-demographic background were the independent variables.


RESULTS
The overall QOL was good in two-thirds of the elderly patients. In multiple linear regression models, lower physical QOL was significantly associated with a number of medications, impaired personal activities of daily living (PADL), impaired cognition, depression and anxiety. Lower psychological QOL was significantly associated with impaired PADL, impaired cognition, depression and anxiety. Lower social QOL was significantly associated with depression and anxiety. Lower environmental QOL was significantly associated with female gender, impaired PADL, depression and anxiety.


CONCLUSIONS
Our results indicate that improvement in the medical state, functional status and/or emotional condition of elderly medically hospitalised patients may improve their QOL.
Helvik
Anne-Sofie
AS
Faculty of Medicine, Department of Public Health and General Practice, Norwegian University of Science and Technology (NTNU), Trondheim, Norway. anne-sofie.helvik@ntnu.no
Engedal
Knut
K
Selbaek
Geir
G
D000203:Activities of Daily Living / Q000523:psychology*; D000368:Aged; D000369:Aged, 80 and over; D000375:Aging / Q000473:pathology / Q000502:physiology / Q000523:psychology; D001007:Anxiety / Q000188:drug therapy / Q000503:physiopathology* / Q000523:psychology; D002908:Chronic Disease / Q000523:psychology; D003430:Cross-Sectional Studies; D003704:Dementia / Q000503:physiopathology / Q000523:psychology; D003863:Depression / Q000188:drug therapy / Q000503:physiopathology* / Q000523:psychology; D005260:Female; D016330:Frail Elderly / Q000523:psychology; D006304:Health Status; D015285:Hospital-Patient Relations; D006769:Hospitals, General; D006801:Humans; D008297:Male; D009664:Norway / Q000453:epidemiology; D010343:Patient Admission; D019338:Polypharmacy; D011619:Psychotropic Drugs / Q000009:adverse effects / Q000627:therapeutic use; D011788:Quality of Life / Q000523:psychology*; D012737:Sex Factors; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires / Q000592:standards
D011619:Psychotropic Drugs