The Impact of Frailty and Geriatric Syndromes on the Quality of Life of Older Adults Receiving Home-Based Healthcare: A Cross-Sectional Survey
Purpose: To identify the effect of frailty and geriatric syndromes on the quality of life (QoL), of older adults receiving home care, taking into consideration their socioeconomic and homebound status, including multi-comorbidities. Patients and Methods: This cross-sectional study enrolled elders ag...
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| Format: | Article |
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MDPI AG
2022-12-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/11/1/82 |
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| author | Lamprini Tasioudi Antonia Aravantinou-Karlatou Savvato Karavasileiadou Wafa Hamad Almegewly Emmanouil Androulakis Christos Kleisiaris |
| author_facet | Lamprini Tasioudi Antonia Aravantinou-Karlatou Savvato Karavasileiadou Wafa Hamad Almegewly Emmanouil Androulakis Christos Kleisiaris |
| author_sort | Lamprini Tasioudi |
| collection | DOAJ |
| description | Purpose: To identify the effect of frailty and geriatric syndromes on the quality of life (QoL), of older adults receiving home care, taking into consideration their socioeconomic and homebound status, including multi-comorbidities. Patients and Methods: This cross-sectional study enrolled elders aged (≥65) years old, registered members of “Help at Home” programs in the Reference Region of Crete, from March to May 2019. Participants were screened using the WHOQOL-BREF for Quality of Life, geriatric syndromes such as frailty using the SHARE-Frailty Index (SHARE-Fi), the Montreal Cognitive Assessment (MoCA), for cognitive function and the Geriatric Depression Scale (GDS), for the assessment of depression. Results: The mean age of the 301 participants was 78.45 (±7.87) years old. The prevalence of frailty was 38.5%, severe depression 13.6%, cognitive dysfunction 87.8% and severe comorbidity 70.6%. Intriguingly, none of the participants (0%) was identified as free of comorbidity (CCI = 0–1). The overall QoL (ranging from 4–20) of the study participants was 13.24 (±4.09). The bivariate analysis showed that overall QoL significantly differed among older adults with frailty (15.91 vs. 11.56, <i>p</i> < 0.001), cognitive dysfunction (15.42 vs. 12.90, <i>p</i> < 0.001), depression (14.90 vs. 9.31, <i>p</i> < 0.001), and disability in Activities of Daily Living (13.67 vs. 10.67, <i>p</i> = 0.002), compared to non-frail, normal cognition and depression, and independent elders, respectively. Multiple linear regression models revealed that frail and depressive elders reported significantly lower QoL (β = −2.65, <i>p</i> < 0.001 and (β = −5.71, <i>p</i> < 0.001), compared to non-frail and older adults with no depressive symptoms, respectively, despite the fact that this association was not significant for older adults with dementia (β = −2.25, <i>p</i> = 0.159), even after adjusting for potential confounding effects (age, gender, comorbidity, homebound status, etc.). Conclusion: frailty and geriatric syndromes including comorbidities are important risk factors for “poor” QoL among older adults receiving home-based healthcare. |
| first_indexed | 2024-03-11T10:00:28Z |
| format | Article |
| id | doaj.art-03fb380db4a54648a1adfad1c7f5e25f |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-11T10:00:28Z |
| publishDate | 2022-12-01 |
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| spelling | doaj.art-03fb380db4a54648a1adfad1c7f5e25f2023-11-16T15:25:18ZengMDPI AGHealthcare2227-90322022-12-011118210.3390/healthcare11010082The Impact of Frailty and Geriatric Syndromes on the Quality of Life of Older Adults Receiving Home-Based Healthcare: A Cross-Sectional SurveyLamprini Tasioudi0Antonia Aravantinou-Karlatou1Savvato Karavasileiadou2Wafa Hamad Almegewly3Emmanouil Androulakis4Christos Kleisiaris5Department of Social Sciences, Hellenic Open University, 6335 Patras, GreeceDepartment of Social Sciences, Hellenic Open University, 6335 Patras, GreeceDepartment of Community Health Nursing, College of Nursing, Princess Nourah bint Abdulrahman University, Riyadh 11671, Saudi ArabiaDepartment of Community Health Nursing, College of Nursing, Princess Nourah bint Abdulrahman University, Riyadh 11671, Saudi ArabiaMathematical Modeling and Applications Laboratory, Hellenic Naval Academy, 18539 Pireas, GreeceDepartment of Nursing, Faculty of Health Sciences, Hellenic Mediterranean University, 71410 Heraklion, GreecePurpose: To identify the effect of frailty and geriatric syndromes on the quality of life (QoL), of older adults receiving home care, taking into consideration their socioeconomic and homebound status, including multi-comorbidities. Patients and Methods: This cross-sectional study enrolled elders aged (≥65) years old, registered members of “Help at Home” programs in the Reference Region of Crete, from March to May 2019. Participants were screened using the WHOQOL-BREF for Quality of Life, geriatric syndromes such as frailty using the SHARE-Frailty Index (SHARE-Fi), the Montreal Cognitive Assessment (MoCA), for cognitive function and the Geriatric Depression Scale (GDS), for the assessment of depression. Results: The mean age of the 301 participants was 78.45 (±7.87) years old. The prevalence of frailty was 38.5%, severe depression 13.6%, cognitive dysfunction 87.8% and severe comorbidity 70.6%. Intriguingly, none of the participants (0%) was identified as free of comorbidity (CCI = 0–1). The overall QoL (ranging from 4–20) of the study participants was 13.24 (±4.09). The bivariate analysis showed that overall QoL significantly differed among older adults with frailty (15.91 vs. 11.56, <i>p</i> < 0.001), cognitive dysfunction (15.42 vs. 12.90, <i>p</i> < 0.001), depression (14.90 vs. 9.31, <i>p</i> < 0.001), and disability in Activities of Daily Living (13.67 vs. 10.67, <i>p</i> = 0.002), compared to non-frail, normal cognition and depression, and independent elders, respectively. Multiple linear regression models revealed that frail and depressive elders reported significantly lower QoL (β = −2.65, <i>p</i> < 0.001 and (β = −5.71, <i>p</i> < 0.001), compared to non-frail and older adults with no depressive symptoms, respectively, despite the fact that this association was not significant for older adults with dementia (β = −2.25, <i>p</i> = 0.159), even after adjusting for potential confounding effects (age, gender, comorbidity, homebound status, etc.). Conclusion: frailty and geriatric syndromes including comorbidities are important risk factors for “poor” QoL among older adults receiving home-based healthcare.https://www.mdpi.com/2227-9032/11/1/82frailtyquality of lifedepressionelderlycomorbiditydisability |
| spellingShingle | Lamprini Tasioudi Antonia Aravantinou-Karlatou Savvato Karavasileiadou Wafa Hamad Almegewly Emmanouil Androulakis Christos Kleisiaris The Impact of Frailty and Geriatric Syndromes on the Quality of Life of Older Adults Receiving Home-Based Healthcare: A Cross-Sectional Survey Healthcare frailty quality of life depression elderly comorbidity disability |
| title | The Impact of Frailty and Geriatric Syndromes on the Quality of Life of Older Adults Receiving Home-Based Healthcare: A Cross-Sectional Survey |
| title_full | The Impact of Frailty and Geriatric Syndromes on the Quality of Life of Older Adults Receiving Home-Based Healthcare: A Cross-Sectional Survey |
| title_fullStr | The Impact of Frailty and Geriatric Syndromes on the Quality of Life of Older Adults Receiving Home-Based Healthcare: A Cross-Sectional Survey |
| title_full_unstemmed | The Impact of Frailty and Geriatric Syndromes on the Quality of Life of Older Adults Receiving Home-Based Healthcare: A Cross-Sectional Survey |
| title_short | The Impact of Frailty and Geriatric Syndromes on the Quality of Life of Older Adults Receiving Home-Based Healthcare: A Cross-Sectional Survey |
| title_sort | impact of frailty and geriatric syndromes on the quality of life of older adults receiving home based healthcare a cross sectional survey |
| topic | frailty quality of life depression elderly comorbidity disability |
| url | https://www.mdpi.com/2227-9032/11/1/82 |
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