19 March 2018 : Clinical Research
Determinants of Quality of Life and the Need for Support for the Elderly with Good Physical and Mental Functioning
Dorota Talarska1ABCDEF*, Sławomir Tobis2CD, Marta Kotkowiak1ABDE, Magdalena Strugała1BDF, Joanna Stanisławska1BF, Katarzyna Wieczorowska-Tobis3ABCDDOI: 10.12659/MSM.907032
Med Sci Monit 2018; 24: PUB1604-1613
Abstract
BACKGROUND: The ageing of population is the reason that there are various strategies developed to help seniors acquire greater independence and a better quality of life. The aim of this study was to explore the relationship between the elderly peope’s need for assistance and assessed quality of life.
MATERIAL AND METHODS: The study included 100 participants who were members of a Seniors Club in Poznań, Poland. The cross-sectional study utilized the following instruments: Abbreviated Mental Test Score (AMTS), Instrumental Activities of Daily Living (IADL), EASY-Care Standard 2010 questionnaire, (WHO Quality of Life-BREF (WHOQOL-BREF) questionnaire.
RESULTS: Members of the Seniors’ Club showed good functional condition. In the AMTS test, they scored near maximum values (average 9.39±0.77 points), somewhat poorer results were found in the IADL scale (average 20.92±3.96 points). In the EASY-Care questionnaire, the study participants usually required partial support in the following areas: Mental health and well-being (59%), Staying healthy (29%), Getting around (22%), and Seeing, hearing and communicating (22%). The average score on Independence was 13.13±18.51, The risk of breakdown in care scale was 4.39±3.21. The risk of falls affected 21 participants (21%). Quality of life study using WHOQOL-BREF questionnaire found that the highest scores were achieved in Psychological and Environment domains, and the lowest score in the Physical health domain.
CONCLUSIONS: Quality of life as well as level of independence, risk of falls, and need for 24-hour care were significantly affected by the following factors: urinary incontinence, difficulties in mobility outside the home, despondency, and forgetfulness.
Keywords: Activities of Daily Living, Needs Assessment, Quality of Life, Social Support
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