What does quality of life mean to older adults? A thematic synthesis
What does quality of life mean to older adults? A thematic synthesis
复制标题
DOI：
10.1371/journal.pone.0213263
复制
发表时间：
2019-03-08
期刊：
影响因子：
3.7
通讯作者：
Ostelo, Raymond W. J. G.
中科院分区：
文献类型：
--
作者：
van Leeuwen, Karen M.;van Loon, Miriam S.;Ostelo, Raymond W. J. G.
老年人的生活质量（QoL）在健康和社会护理服务的评估、质量改进和分配中变得越来越重要。虽然许多定义和理论的生活质量已被提出，一个整体的综合的角度来看，老年人本身是lacked.MethodsQualitative研究中确定的PubMed，Ebsco/Psycinfo和Ebsco/CINAHL，通过搜索2018年11月28日。文章需要满足以下所有标准：（i）关注对生活质量的看法，（ii）主要参与者为居家老年人，（iii）使用定性方法，（iv）在西方国家进行，（v）以英语发表，（vi）不关注特定患者群体。选定的研究进行了专题综合，使用完整的“调查结果/结果”部分的paper.ResultsWe包括48定性研究代表的意见，超过3,400老年人生活在家里11个西方国家。在综合确定的生活质量方面分为9个生活质量领域：自主性，角色和活动，健康感知，关系，态度和适应，情感舒适，精神，家庭和邻里，和财务安全。结果表明，虽然不同的领域可以区分，这些也强烈connected.ConclusionQoL可以表示在一些领域和相关的子主题，是重要的老年人生活在家里。研究结果进一步支持，生活质量的概念应被视为一个相互交织的领域的动态网络。
BackgroundConsideration of older adults' quality of life (QoL) is becoming increasingly important in the evaluation, quality improvement and allocation of health and social care services. While numerous definitions and theories of QoL have been proposed, an overall synthesis of the perspective of older adults themselves is lacking.MethodsQualitative studies were identified in PubMed, Ebsco/Psycinfo and Ebsco/CINAHL, through a search on 28 November 2018. Articles needed to meet all of the following criteria: (i) focus on perceptions of QoL, (ii) older adults living at home as main participants, (iii) use of qualitative methodology, (iv) conducted in a Western country and (v) published in English (vi) not focused on specific patient groups. A thematic synthesis was conducted of the selected studies, using the complete 'findings/results' sections from the papers.ResultsWe included 48 qualitative studies representing the views of more than 3,400 older adults living at home in 11 Western countries. The QoL aspects identified in the synthesis were categorized into nine QoL domains: autonomy, role and activity, health perception, relationships, attitude and adaptation, emotional comfort, spirituality, home and neighbourhood, and financial security. The results showed that although different domains can be distinguished, these are also strongly connected.ConclusionQoL can be expressed in a number of domains and related subthemes that are important for older adults living at home. The findings further support that the concept of QoL should be seen as a dynamic web of intertwined domains.