Geriatric day hospital improves quality of life: A before and after study - 07/11/13
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Abstract |
Purpose |
To ascertain whether admission to a geriatric day hospital (GDH) modifies health self-perception and quality-of-life (QOL) dimensions using the Nottingham Health Profile (NHP) instrument, and to evaluate possible sex differences in these health dimensions.
Methods |
Longitudinal study including all patients admitted to and discharged from GDH. Evaluated parameters at admission and discharge were: Barthel and Lawton indexes, Folstein's Mini-Mental State Exam (MMSE), Charlson index, Geriatric Depression Scale (GDS), Timed Up&Go test, Tinetti walking test and NHP.
Results |
One hundred and ten of a total of 183 patients were included in the study (21 were excluded for different reasons and NHP was not registered at the time of discharge in 52); Barthel index, MMSE, GDS, Timed Up&Go and Tinetti walking test all improved significantly after the GDH intervention. A significant improvement was found in NHP scores (admission: 36.3±22.7 vs. discharge: 31.3±20.8, P=0.044), physical mobility (49.5±31.1 vs. 39.8±28.5, P=0.002) and emotional dimensions (36.4±29.1 vs. 29.4±25.7, P=0.042). Among women, NHP analysis revealed an improvement in physical mobility (48.7±32.9 vs. 37.2±27.1, P=0.008) and emotional dimensions (44.5±29.8 vs. 33.3±2.58, P=0.02), while only an improvement in pain dimension was observed (25.7±23.7 vs. 16.7±18.8, P=0.03) among men.
Conclusions |
Global health perception and QOL improved after admission to a GDH, particularly physical mobility and emotional dimensions. Women improved in physical mobility and emotion whereas men only improved in pain perception.
Le texte complet de cet article est disponible en PDF.Keywords : Quality of life, Elderly, Geriatric day care hospital, Nottingham Health Profile
Plan
Vol 4 - N° 5
P. 304-309 - novembre 2013 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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