Health status versus quality of life in older patients: does the distinction matter?

作者: Kenneth E Covinsky , Albert W Wu , C.Seth Landefeld , Alfred F Connors , Russell S Phillips

DOI: 10.1016/S0002-9343(99)00052-2

关键词: Severe painGerontologyQuality of life (healthcare)Older patientsPain symptomsPublic healthActivities of daily livingMedicineCross-sectional studyStatisticGeneral Medicine

摘要: Abstract PURPOSE: Although health-related quality of life in older people is generally assessed by measuring specific domains health status, such as activities daily living or pain, the association between health-status measures and patients' perceptions their not clear. Indeed, it controversial whether these should be considered at all. Our objective was to determine global life. SUBJECTS AND METHODS: We performed a cross-sectional study 493 cognitively intact patients 80 years age older, interviewed 2 months after hospitalization. measured self-assessed four status: physical capacity, limitations performing living, psychological distress, pain. RESULTS: Each scales significantly correlated with ( P c statistic=0.72) distress statistic=0.70). However, for substantial minority patients, scores on did accurately reflect For example, described fair poor 15% highest (best tertile) capacity scores, 25% who were independent all 21% least tertile), 30% no pain symptoms. Similarly, good better 43% worst (worst 49% dependent two 47% most 51% severe CONCLUSION: On average, status reasonable indicator groups recent illness. disagreement reported common. Therefore, assumptions about overall individual based alone.

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