Factors associated with quality of life in elderly hospitalised patients undergoing post-acute rehabilitation: a cross-sectional analytical study in Switzerland.
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22 octobre 2017
- doi: 10.1136/bmjopen-2017-018600
- issn: 2044-6055
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M.A. Bornet et al., « Factors associated with quality of life in elderly hospitalised patients undergoing post-acute rehabilitation: a cross-sectional analytical study in Switzerland. », Serveur académique Lausannois, ID : 10.1136/bmjopen-2017-018600
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We investigated whether biopsychosocial and spiritual factors and satisfaction with care were associated with patients' perceived quality of life. This was a cross-sectional analytical study. Data were collected from inpatients at a postacute geriatric rehabilitation centre in a university hospital in Switzerland. Participants aged 65 years and over were consecutively recruited from October 2014 to January 2016. Exclusion criteria included significant cognitive disorder and terminal illness. Of 227 eligible participants, complete data were collected from 167. Perceived quality of life was measured using WHO Quality of Life Questionnaire-version for older people. Predictive factors were age, sex, functional status at admission, comorbidities, cognitive status, depressive symptoms, living conditions and satisfaction with care. A secondary focus was the association between spiritual needs and quality of life. Patients undergoing geriatric rehabilitation experienced a good quality of life. Greater quality of life was significantly associated with higher functional status (r s =0.204, p=0.011), better cognitive status (r s =0.175, p=0.029) and greater satisfaction with care (r s =0.264, p=0.003). Poorer quality of life was significantly associated with comorbidities (r s =-.226, p=0.033), greater depressive symptoms (r s =-.379, p