QUALITY OF LIFE, HEALTH, AND VALUATION OF LIFE BY ELDERS

描述(改编自调查人员的摘要)：脆弱的过程 慢性疾病将在6年内通过一组变化进行跟踪 与生活质量相关的特征，并潜在地 临终态度和行为。这项研究假设 认知-情感图式，生命价值(VOL)受 背景因素、健康、生活质量和心理健康。VOL是 人对这些输入的转换，并被认为是主要决定因素 与扩展与缩短相关的态度和行为 生活。主要的假设是，活着的愿望不仅减少了 痛苦，但可能会因个人日常生活中的一些积极特征而增加 生活。招募了600名健康状况良好和健康状况不佳的老年人参加 参加结构化面试，并开始第二轮 采访。目前的建议将把随访期延长至6年， 预计270家将保持独立，170家将依赖ADL，160家将 去死吧。预期寿命年数在6年内的变化将从以下方面进行分析 健康、生活质量、心理健康和第一卷的变化。尽管有多个 合并症是规则，将寻找5种疾病的特定轨迹 疾病组：充血性心力衰竭、肠癌、糖尿病、关节炎、 以及透析患者中的肾脏疾病。所有分析将由 种族(50%非裔美国人)和性别。这一结果将有助于 以个人福祉和社会福祉为目标的临床实践 将生活质量作为政策基础的政策问题 卫生保健费用的分配。宗教应对、信任的一种形式 关系上帝，被假设为健康威胁的调解人，因为它 影响心理健康和音量。

DESCRIPTION (adapted from the investigator's abstract): The course of frailty and chronic illness will be tracked over 6 years in terms of changes in a set of characteristics that are related to quality of life and potentially to end-of-life attitudes and behavior. The research hypothesizes a cognitive-affective schema, valuation of life (VOL) that is influenced by background factors, health, quality of life, and mental health. VOL is the person's transformations of these inputs and suggested as the major determinant of attitudes and behaviors relevant to the extension versus foreshortening of life. The major hypotheses are that the wish to live is not only decreased by distress but may be incremented by some positive features in the person's daily life. Six hundred elders in good and poor health were recruited for participation in a structured interview, and are beginning the second round of interviews. The present proposal will extend the follow-up period to 6 years, with 270 expected to remain independent, 170 to be ADL-dependent, and 160 to die. Changes over 6 years in Years of Desired Life will be analyzed in terms o changes in health, quality of life, mental health, and VOL. Although multiple comorbidities are the rule, disease-specific trajectories will be sought for 5 illness groups: Congestive heart failure, bowel cancer, diabetes, arthritis, and renal disease among dialysis patients. All analyses will be performed by race (50% African American) and gender. The results will contribute both to clinical practice directed toward the well-being of individuals and to social policy issues where quality of life is involved as a rationale for the distribution of health care costs. A form of religious coping, trusting relationship God, is hypothesized as a moderator of health threat as it influences mental health and VOL.