Comparison of quality of life of older adults living in foster families versus nursing homes. Results from the KASA studies

IF 4.3 3区医学 Q1 GERIATRICS & GERONTOLOGY

Journal of Nutrition Health & Aging Pub Date : 2024-09-07 DOI:10.1016/j.jnha.2024.100358

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引用次数: 0

Abstract

Objectives

Professional foster families for dependent older adults could be an alternative to nursing homes. Engagement in the family life and close contact with a single reference person could enhance their quality of life (QOL). This study aimed to compare the Health-Related Quality of Life (HrQOL) and subjective QOL among older adults living in foster families versus those in nursing homes.

Design

Cross-sectional analysis from twin studies conducted in foster families (the KASAF study) and nursing homes (the KASEHPAD study).

Setting and participants

Older adults (aged 60 years or older) in French Caribbean Islands living in foster families or nursing homes.

Measurements

HrQOL was measured using the EuroQol-five dimensions (EQ5D-3L) and QOL was assessed using a Visual Analog Scale (QOL-VAS). For older adults unable to complete these scales, proxy EQ-5D-3L assessments were conducted by paramedical staff or foster caregivers.

Results

A total of 439 older adults, with 107 in foster families and 332 in nursing homes were included. Participants living in foster families were less often male, had less often hypertension, were more dependent or physical impaired and had lower score of cognition. In multivariate analyses, factors associated with low self-reported HRQoL (n = 240) were Mini Mental State Examination (MMSE) score (β: −0.011; p = 0.003) and Activities of Daily Living (ADL) score (β: 0.014; p < 0.001). A lower QOL-VAS score (n = 150) was associated with living in a nursing home compared to living in a foster family (β: −19.48 points; p < 0.001) and with the ADL score (2.94 points; p = 0.019). In older adults with major cognitive disorders, the only factor associated with low proxy EQ-5D proxy index score (n = 136) was dependency (β: 0.167; p < 0.001).

Conclusion

HrQOL was similar between older adults living in nursing homes and foster families. Additionally, older adults reported a better subjective quality of life when residing in foster families. These findings suggest that the foster family model may meet the social and environmental needs of dependent older adults for whom nursing homes are not suitable.

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寄养家庭与养老院老年人生活质量的比较。KASA 研究结果

目标为需要照顾的老年人提供专业寄养家庭，可以替代养老院。参与家庭生活和与单一参照人的密切接触可以提高他们的生活质量（QOL）。本研究旨在比较寄养家庭与养老院中老年人的健康相关生活质量（HrQOL）和主观生活质量。地点和参与者法属加勒比群岛上生活在寄养家庭或疗养院的老年人（60 岁或以上）.测量方法使用欧洲生活质量五维度（EQ5D-3L）测量老年人的生活质量，使用视觉模拟量表（QOL-VAS）评估老年人的生活质量。对于无法完成这些量表的老年人，由医务辅助人员或寄养护理人员进行代理 EQ-5D-3L 评估。结果共纳入 439 名老年人，其中 107 人生活在寄养家庭，332 人生活在养老院。寄养家庭中的参与者男性较少，高血压患者较少，依赖性较强或身体受损较多，认知能力得分较低。在多变量分析中，与自我报告的低 HRQoL（n = 240）相关的因素是迷你精神状态检查（MMSE）得分（β：-0.011；p = 0.003）和日常生活活动（ADL）得分（β：0.014；p < 0.001）。与居住在寄养家庭相比，居住在养老院的老年人 QOL-VAS 得分（n = 150）较低（β：-19.48 分；p <；0.001），而居住在寄养家庭的老年人 QOL-VAS 得分（n = 150）较高（2.94 分；p = 0.019），而居住在养老院的老年人 QOL-VAS 得分（n = 150）较低（β：-19.48 分；p <；0.001）。在患有严重认知障碍的老年人中，唯一与低 EQ-5D 代用指数（n = 136）相关的因素是依赖性（β：0.167；p < 0.001）。此外，老年人在寄养家庭中的主观生活质量更高。这些研究结果表明，寄养家庭模式可以满足那些不适合住养老院的依赖性老年人对社会和环境的需求。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Nutrition Health & Aging 医学-老年医学

CiteScore

7.80

自引率

3.40%

发文量

136

审稿时长

4-8 weeks

期刊介绍： There is increasing scientific and clinical interest in the interactions of nutrition and health as part of the aging process. This interest is due to the important role that nutrition plays throughout the life span. This role affects the growth and development of the body during childhood, affects the risk of acute and chronic diseases, the maintenance of physiological processes and the biological process of aging. A major aim of "The Journal of Nutrition, Health & Aging" is to contribute to the improvement of knowledge regarding the relationships between nutrition and the aging process from birth to old age.