A comparison of life satisfaction in elderly medical inpatients and the elderly in a population-based study: Nord-Trøndelag Health Study 3

Abstract

Aim: To compare the quality of life (QOL) in terms of overall life satisfaction in elderly medical inpatients and elderly persons in a large population-based study in Norway, and to study the odds for dissatisfaction, controlling for demographic, health, and social variables. Methods: This cross-sectional observation study included 484 medical inpatients and 10,474 persons from the Nord-Trøndelag Health Study 3 (HUNT 3 Study). All participants were 65 years and older. Their life satisfaction was assessed with a single-item measure with seven response categories. For analytical purposes the variable was dichotomised; i.e. dissatisfied vs. satisfied with life. Results: In the logistic regression analysis controlled for demographic, health, and social variables, the odds for experiencing dissatisfaction with life was significantly increased in the hospital sample compared to the participants in the population-based study (OR 1.4). Poor general health, depression, and anxiety were strongly associated with being dissatisfied with life. Furthermore, disability, previous psychological distress, having no friends who could help, and not participating in activities were all associated with dissatisfaction with life. Conclusions: The hospitalisation of the elderly has implications for the QOL in terms of life satisfaction, but general physical and psychological health seems to have an even stronger impact on life satisfaction. The prevention of the deterioration of physical and mental health in old age seems to be essential for a good life.

Keywords

Anxiety depression disability health perception impaired function participation restrictions quality of life

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References

The WHOQOL Group. The World Health Organization Quality of Life Assessment (WHOQOL): position paper from the World Health Organization. Soc Sci Med 1995;41(10):1403-9.

Mitchell RA , Imperial E. , Zhuo D. , Lu Y. , Watts G. , Kelleher P. , et al. A cross-cultural assessment of perceived health problems in the elderly. Disabil Rehabil 1992;14(3):133-5.

Bowling A. Measuring disease: a review of disease specific quality of life measurement scales. Buckingham: Open University Press; 2001.

Wahl AK , Hanestad BR Måling av livskvalitet i klinisk praksis. En innføring . Bergen: Fagbokforlaget Vigmostad & Bjørke AS; 2004.

Gall CA , Weller D. , Esterman A. , Pilotto L. , McGorm K. , Hammett Z. , et al. Patient satisfaction and health-related quality of life after treatment for colon cancer. Dis Colon Rectum 2007;50(6):801-9.

Mols F. , Coebergh JW , van de Poll-Franse LV Health-related quality of life and health care utilisation among older long-term cancer survivors: a population-based study. Eur J Cancer 2007;43(15):2211-21.

Sawka AM , Thabane L. , Papaioannou A. , Gafni A. , Ioannidis G. , Papadimitropoulos EA , et al. Health-related quality of life measurements in elderly Canadians with osteoporosis compared to other chronic medical conditions: a population-based study from the Canadian Multicentre Osteoporosis Study (CaMos). Osteoporos Int 2005;16(12):1836-40.

Westerbotn M. , Aguero- Torres H. , Fastbom J. , Hilleras P. A population-based study on well-being in the very old: the role of cardiovascular diseases and drugs. Arch Gerontol Geriatr 2005;40(3):287-97.

Naess S. , Eriksen J. , Tambs K. Perceived change in life satisfaction following epilepsy diagnosis . Scand J Public Health 2009;37(6):627-31.

10.

Unsar S. , Sut N. Depression and health status in elderly hospitalized patients with chronic illness. Arch Gerontol Geriatr 2009 ;50(1):6-10.

11.

Helvik A-S. , Engedal K. and Selbæk G. The quality of life and factors associated with it in the medically hospitalised elderly . Aging Ment Health 2010;14(7):861-9.

12.

Heo S. , Doering LV , Widener J. , Moser DK Predictors and effect of physical symptom status on health-related quality of life in patients with heart failure. Am J Crit Care 2008;17(2):124-32.

13.

Christensen K. , Doblhammer G. , Rau R. , Vaupel J. Aging populations: the challenges ahead. Lancet 2009;374(9696):1196-208.

14.

Pipam W. , Penz H. , Janig H. , Plank H. , Gatternig K. , Likar R. [Quality of life and pain in hospitalized geriatric patients]. Schmerz 2008;22(1):59-66.

15.

Hickey A. , Barker M. , McGee H. , O’Boyle C. Measuring health-related quality of life in older patient populations: a review of current approaches. Pharmacoeconomics 2005;23(10):971-93.

16.

Bowling A.

Just one question: if one question works, why ask several?

J Epidemiol Community Health 2005;59(5):345-6.

17.

Holmen J. , Midthjell K. , Bjartveit K. , Hjort PF , Lund-Larsen PG , Moum T. , et al. The Nord-Trøndelag Health Survey 1984-86. Purpose, background and methods. Participation, non-participation and frequency distributions: Helsetjenesteforskning. Senter for samfunnsmedisinsk forskning, Oslo, 1990. Report no. 4.

18.

Helvik A. -S, Scanke RH and Selbæk G. Screening for depression in elderly medical inpatients from rural areas of Norway: prevalence and associated factors. Int J Geriatr Psychiatry 2010;25(2):150-9.

19.

Holmen J. , Midthjell K. , Krüger Ø , Langhammer A. , Holmen TL , Bratberg GH , et al. The Nord-Trøndelag Health Study 1995-97 (HUNT 2): Objectives, contents, methods and participation. Norsk Epidemiol 2003;13(1):19-32.

20.

Hunt. The Health Study in Nord-Trøndelag (HUNT). Verdal: HUNT; Available at: www.ntnu.edu/hunt (accessed 15 March 2011).

21.

Krokstad S. , Westin S. Health inequalities by socioeconomic status among men in the Nord-Trøndelag Health Study, Norway. Scand J Public Health 2002;30(2):113-24.

22.

Helvik A. -S, Jacobsen GW , Hallberg LR -M. Effects of impaired hearing on perceived health and life situation. Scand J Disabil Res 2006;8:263-77.

23.

Zigmond AS , Snaith RP The hospital anxiety and depression scale . Acta Psychiatr Scand 1983;67(6):361-70.

24.

Matsuda A. , Aptel I. , Exbrayat C. , Grosclaude P. Determinants of quality of life of bladder cancer survivors five years after treatment in France. Int J Urol 2001;10(8):423-9.

25.

Helvik A-S. , Iversen VC , Steiring R. and Hallberg LR-M. Calibrating and adjusting expectations in life: a grounded theory on how elderly persons with somatic health problems maintain control and balance in life and optimize well-being. Int J Qual Stud Health Well-Being 2011 (in press).

26.

Litwin H. The path to well-being among elderly Arab Israelis . J Cross Cult Gerontol 2006;21(1-2):25-40.

27.

Nilsson J. , Rana AK , Kabir ZN Social capital and quality of life in old age: results from a cross-sectional study in rural Bangladesh. J Aging Health 2006;18(3):419-34.

28.

Freund AM , Baltes PB Selection, optimization, and compensation as strategies of life management: correlations with subjective indicators of successful aging. Psychol Aging 1998;13(4):531-43.

29.

Idler EL , Benyamini Y. Self-rated health and mortality: a review of twenty-seven community studies . J Health Soc Behav 1997;38(1):21-37.