Skip to main content
Top
Gepubliceerd in: Tijdschrift voor Gerontologie en Geriatrie 4/2017

21-06-2017

De lichamelijke en psychische dimensie van kwaliteit van leven van fragiele ouderen

Auteur: Robbert J. J. Gobbens

Gepubliceerd in: Tijdschrift voor Gerontologie en Geriatrie | Uitgave 4/2017

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Samenvatting

Fragiele ouderen hebben een verhoogde kans op beperkingen in het uitvoeren van algemene dagelijkse levensverrichtingen, een ziekenhuis- en verpleeghuisopname, vallen en vroegtijdig overlijden. In deze studie gingen we na wat het verschil is in ervaren kwaliteit van leven is tussen fragiele en niet-fragiele ouderen. Ook bepaalden we de samenhang tussen lichamelijke, psychische en sociale componenten van fragiliteit en de lichamelijke en psychische dimensies van kwaliteit van leven. 374 mensen van 75 jaar en ouder vulden online een vragenlijst in, de Senioren Barometer. Deze vragenlijst bevatte de Tilburg Frailty Indicator (TFI) voor het bepalen van fragiliteit en de SF-12 voor het vaststellen van kwaliteit van leven. Uit de studie bleek dat fragiele ouderen gemiddeld een lagere kwaliteit van leven ervaren dan niet fragiele ouderen. Een aanzienlijk deel van de variantie van de lichamelijke en psychische dimensie van kwaliteit van leven kon worden verklaard door de vijftien componenten van fragiliteit, na controleren voor de achtergrondkenmerken van de respondenten, respectievelijk 33,2 % en 36,5 %. Componenten van fragiliteit die samenhingen met zowel de lichamelijke als de psychische dimensie van kwaliteit van leven waren lichamelijke inactiviteit, lichamelijke vermoeidheid en somberheid. De resultaten bevestigen het belang van een multidimensionele meting van fragiliteit. Bovendien reiken ze zorg- en dienstverleners een richting aan bij het inzetten van interventies met als doel het verhogen van kwaliteit van leven van ouderen.
Literatuur
1.
go back to reference Campen C van, Ras M, Den Draak M. Raming van het aantal kwetsbare ouderen tot 2030. In: van Campen C (redactie). Kwetsbare ouderen. Den Haag: Sociaal en Cultureel Planbureau; 2011. pag. 69–81. Campen C van, Ras M, Den Draak M. Raming van het aantal kwetsbare ouderen tot 2030. In: van Campen C (redactie). Kwetsbare ouderen. Den Haag: Sociaal en Cultureel Planbureau; 2011. pag. 69–81.
2.
go back to reference Boyd CM, Xue QL, Simpson CF, Guralnik JM, Fried LP. Frailty, hospitalization, and progression of disability in a cohort of disabled older women. Am J Med. 2005;118(11):1225–31.CrossRefPubMed Boyd CM, Xue QL, Simpson CF, Guralnik JM, Fried LP. Frailty, hospitalization, and progression of disability in a cohort of disabled older women. Am J Med. 2005;118(11):1225–31.CrossRefPubMed
3.
go back to reference Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001;56(3):M146–M56.CrossRefPubMed Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001;56(3):M146–M56.CrossRefPubMed
4.
go back to reference Jones DM, Song X, Rockwood K. Operationalizing a frailty index from a standardized comprehensive geriatric assessment. J Am Geriatr Soc. 2004;52(11):1929–33.CrossRefPubMed Jones DM, Song X, Rockwood K. Operationalizing a frailty index from a standardized comprehensive geriatric assessment. J Am Geriatr Soc. 2004;52(11):1929–33.CrossRefPubMed
5.
go back to reference Gobbens RJ, Luijkx KG, Wijnen-Sponselee MT, Schols JM. Toward a conceptual definition of frail community dwelling older people. Nurs Outlook. 2010;58(2):76–86.CrossRefPubMed Gobbens RJ, Luijkx KG, Wijnen-Sponselee MT, Schols JM. Toward a conceptual definition of frail community dwelling older people. Nurs Outlook. 2010;58(2):76–86.CrossRefPubMed
6.
go back to reference Bortz WM 2nd. A conceptual framework of frailty: a review. J Gerontol A Biol Sci Med Sci. 2002;57(5):M283–M8.CrossRefPubMed Bortz WM 2nd. A conceptual framework of frailty: a review. J Gerontol A Biol Sci Med Sci. 2002;57(5):M283–M8.CrossRefPubMed
7.
go back to reference WHOQOL Group. The World Health Organization quality of life assessment (WHOQOL): position paper from the World Health Organization. Soc Sci Med. 1995;41(10):1403–9.CrossRef WHOQOL Group. The World Health Organization quality of life assessment (WHOQOL): position paper from the World Health Organization. Soc Sci Med. 1995;41(10):1403–9.CrossRef
8.
go back to reference Bilotta C, Bowling A, Case A, Nicolini P, Mauri S, Castelli M, et al. Dimensions and correlates of quality of life according to frailty status: a cross-sectional study on community-dwelling older adults referred to an outpatient geriatric service in Italy. Health Qual Life Outcomes. 2010;8:56.CrossRefPubMedPubMedCentral Bilotta C, Bowling A, Case A, Nicolini P, Mauri S, Castelli M, et al. Dimensions and correlates of quality of life according to frailty status: a cross-sectional study on community-dwelling older adults referred to an outpatient geriatric service in Italy. Health Qual Life Outcomes. 2010;8:56.CrossRefPubMedPubMedCentral
9.
go back to reference Masel MC, Ostir GV, Ottenbacher KJ. Frailty, mortality, and health-related quality of life in older Mexican Americans. J Am Geriatr Soc. 2010;58(11):2149–53.CrossRefPubMedPubMedCentral Masel MC, Ostir GV, Ottenbacher KJ. Frailty, mortality, and health-related quality of life in older Mexican Americans. J Am Geriatr Soc. 2010;58(11):2149–53.CrossRefPubMedPubMedCentral
10.
go back to reference Chang YW, Chen WL, Lin FG, Fang WH, Yen MY, Hsieh CC, et al. Frailty and its impact on health-related quality of life: a cross-sectional study on elder community-dwelling preventive health service users. PLOS ONE. 2012;7(5):e38079.CrossRefPubMedPubMedCentral Chang YW, Chen WL, Lin FG, Fang WH, Yen MY, Hsieh CC, et al. Frailty and its impact on health-related quality of life: a cross-sectional study on elder community-dwelling preventive health service users. PLOS ONE. 2012;7(5):e38079.CrossRefPubMedPubMedCentral
11.
go back to reference Kojima G, Iliffe S, Jivraj S, Walters K. Association between frailty and quality of life among community-dwelling older people: a systematic review and meta-analysis. J Epidemiol Community Health. 2016;70(7):716–21.CrossRefPubMed Kojima G, Iliffe S, Jivraj S, Walters K. Association between frailty and quality of life among community-dwelling older people: a systematic review and meta-analysis. J Epidemiol Community Health. 2016;70(7):716–21.CrossRefPubMed
12.
go back to reference Lin CC, Li CI, Chang CK, Liu CS, Lin CH, Meng NH, et al. Reduced health-related quality of life in elders with frailty: a cross-sectional study of community-dwelling elders in Taiwan. PLOS ONE. 2011;6(7):e21841.CrossRefPubMedPubMedCentral Lin CC, Li CI, Chang CK, Liu CS, Lin CH, Meng NH, et al. Reduced health-related quality of life in elders with frailty: a cross-sectional study of community-dwelling elders in Taiwan. PLOS ONE. 2011;6(7):e21841.CrossRefPubMedPubMedCentral
13.
go back to reference Mulasso A, Roppolo M, Rabaglietti E. The role of individual characteristics and physical frailty on health related quality of life (HRQOL): a cross sectional study of Italian community-dwelling older adults. Arch Gerontol Geriatr. 2014;59(3):542–8.CrossRefPubMed Mulasso A, Roppolo M, Rabaglietti E. The role of individual characteristics and physical frailty on health related quality of life (HRQOL): a cross sectional study of Italian community-dwelling older adults. Arch Gerontol Geriatr. 2014;59(3):542–8.CrossRefPubMed
14.
go back to reference Gobbens RJ, Luijkx KG, Assen MA van. Explaining quality of life of older people in the Netherlands using a multidimensional assessment of frailty. Qual Life Res. 2013;22(8):2051–61.CrossRefPubMed Gobbens RJ, Luijkx KG, Assen MA van. Explaining quality of life of older people in the Netherlands using a multidimensional assessment of frailty. Qual Life Res. 2013;22(8):2051–61.CrossRefPubMed
15.
go back to reference Gobbens RJ, Assen MA van. The prediction of quality of life by physical, psychological and social components of frailty in community-dwelling older people. Qual Life Res. 2014;23(8):2289–300.CrossRefPubMed Gobbens RJ, Assen MA van. The prediction of quality of life by physical, psychological and social components of frailty in community-dwelling older people. Qual Life Res. 2014;23(8):2289–300.CrossRefPubMed
16.
go back to reference Gobbens RJ, Assen MA van, Luijkx KG, Schols JM. The predictive validity of the Tilburg Frailty Indicator: disability, health care utilization, and quality of life in a population at risk. Gerontologist. 2012;52(5):619–31.CrossRefPubMed Gobbens RJ, Assen MA van, Luijkx KG, Schols JM. The predictive validity of the Tilburg Frailty Indicator: disability, health care utilization, and quality of life in a population at risk. Gerontologist. 2012;52(5):619–31.CrossRefPubMed
17.
go back to reference WHOQOL Group. Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychol Med. 1998;28(3):551–8.CrossRef WHOQOL Group. Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychol Med. 1998;28(3):551–8.CrossRef
18.
go back to reference Masel MC, Graham JE, Reistetter TA, Markides KS, Ottenbacher KJ. Frailty and health related quality of life in older Mexican Americans. Health Qual Life Outcomes. 2009;7:70.CrossRefPubMedPubMedCentral Masel MC, Graham JE, Reistetter TA, Markides KS, Ottenbacher KJ. Frailty and health related quality of life in older Mexican Americans. Health Qual Life Outcomes. 2009;7:70.CrossRefPubMedPubMedCentral
19.
go back to reference Lee IC, Chiu YH, Lee CY. Exploration of the importance of geriatric frailty on health-related quality of life. Psychogeriatrics. 2016;16(6):368–75.CrossRefPubMed Lee IC, Chiu YH, Lee CY. Exploration of the importance of geriatric frailty on health-related quality of life. Psychogeriatrics. 2016;16(6):368–75.CrossRefPubMed
20.
go back to reference Ware J Jr., Kosinski M, Keller SD. A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Med Care. 1996;34(3):220–33.CrossRefPubMed Ware J Jr., Kosinski M, Keller SD. A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Med Care. 1996;34(3):220–33.CrossRefPubMed
21.
go back to reference Cernin PA, Cresci K, Jankowski TB, Lichtenberg PA. Reliability and validity testing of the short-form health survey in a sample of community-dwelling African American older adults. J Nurs Meas. 2010;18(1):49–59.CrossRefPubMed Cernin PA, Cresci K, Jankowski TB, Lichtenberg PA. Reliability and validity testing of the short-form health survey in a sample of community-dwelling African American older adults. J Nurs Meas. 2010;18(1):49–59.CrossRefPubMed
22.
go back to reference Jakobsson U, Westergren A, Lindskov S, Hagell P. Construct validity of the SF-12 in three different samples. J Eval Clin Pract. 2012;18(3):560–6.CrossRefPubMed Jakobsson U, Westergren A, Lindskov S, Hagell P. Construct validity of the SF-12 in three different samples. J Eval Clin Pract. 2012;18(3):560–6.CrossRefPubMed
23.
go back to reference Collard RM, Boter H, Schoevers RA, Oude Voshaar RC. Prevalence of frailty in community-dwelling older persons: a systematic review. J Am Geriatr Soc. 2012;60(8):1487–92.CrossRefPubMed Collard RM, Boter H, Schoevers RA, Oude Voshaar RC. Prevalence of frailty in community-dwelling older persons: a systematic review. J Am Geriatr Soc. 2012;60(8):1487–92.CrossRefPubMed
24.
go back to reference Gobbens RJ, Assen MA van, Luijkx KG, Wijnen-Sponselee MT, Schols JM. The Tilburg Frailty Indicator: psychometric properties. J Am Med Dir Assoc. 2010;11(5):344–55.CrossRefPubMed Gobbens RJ, Assen MA van, Luijkx KG, Wijnen-Sponselee MT, Schols JM. The Tilburg Frailty Indicator: psychometric properties. J Am Med Dir Assoc. 2010;11(5):344–55.CrossRefPubMed
25.
go back to reference Cohen J. Statistical power analysis for the behavioral sciences, 2e druk. Hillsdale: Lawrence Erlbaum Assoc; 1988. Cohen J. Statistical power analysis for the behavioral sciences, 2e druk. Hillsdale: Lawrence Erlbaum Assoc; 1988.
26.
go back to reference Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39(2):175–91.CrossRefPubMed Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39(2):175–91.CrossRefPubMed
27.
go back to reference Moreno-Aguilar M, Garcia-Lara JMA, Aguilar-Navarro S, Navarette-Reyes AP, Amieva H, Avila-Funes JA. The phenotype of frailty and health-related quality of life. J Frailty Aging. 2013;2(1):2–7.PubMed Moreno-Aguilar M, Garcia-Lara JMA, Aguilar-Navarro S, Navarette-Reyes AP, Amieva H, Avila-Funes JA. The phenotype of frailty and health-related quality of life. J Frailty Aging. 2013;2(1):2–7.PubMed
28.
go back to reference Radloff LS. The CES-D scale: a self-report depression scale for research in the general population. Appl Psychol Meas. 1977;1(3):385–401.CrossRef Radloff LS. The CES-D scale: a self-report depression scale for research in the general population. Appl Psychol Meas. 1977;1(3):385–401.CrossRef
29.
go back to reference Hellstrom Y, Persson G, Hallberg IR. Quality of life and symptoms among older people living at home. J Adv Nurs. 2004;48(6):584–93.CrossRefPubMed Hellstrom Y, Persson G, Hallberg IR. Quality of life and symptoms among older people living at home. J Adv Nurs. 2004;48(6):584–93.CrossRefPubMed
30.
go back to reference Netuveli G, Wiggins RD, Hildon Z, Montgomery SM, Blane D. Quality of life at older ages: evidence from the English longitudinal study of aging (wave 1). J Epidemiol Community Health. 2006;60(4):357–63.CrossRefPubMedPubMedCentral Netuveli G, Wiggins RD, Hildon Z, Montgomery SM, Blane D. Quality of life at older ages: evidence from the English longitudinal study of aging (wave 1). J Epidemiol Community Health. 2006;60(4):357–63.CrossRefPubMedPubMedCentral
31.
go back to reference Gum AM, Arean PA, Hunkeler E, Tang L, Katon W, Hitchcock P, et al. Depression treatment preferences in older primary care patients. Gerontologist. 2006;46(1):14–22.CrossRefPubMed Gum AM, Arean PA, Hunkeler E, Tang L, Katon W, Hitchcock P, et al. Depression treatment preferences in older primary care patients. Gerontologist. 2006;46(1):14–22.CrossRefPubMed
32.
go back to reference Metzelthin SF, Rossum E van, Hendriks MR, Witte LP de, Hobma SO, Sipers W, et al. Reducing disability in community-dwelling frail older people: cost-effectiveness study alongside a cluster randomised controlled trial. Age Ageing. 2015;44(3):390–6.CrossRefPubMed Metzelthin SF, Rossum E van, Hendriks MR, Witte LP de, Hobma SO, Sipers W, et al. Reducing disability in community-dwelling frail older people: cost-effectiveness study alongside a cluster randomised controlled trial. Age Ageing. 2015;44(3):390–6.CrossRefPubMed
33.
go back to reference Metzelthin SF, Daniels R, Rossum E van, Witte L de, Heuvel WJ van den, Kempen GI. The psychometric properties of three self-report screening instruments for identifying frail older people in the community. BMC Public Health. 2010;10:176.CrossRefPubMedPubMedCentral Metzelthin SF, Daniels R, Rossum E van, Witte L de, Heuvel WJ van den, Kempen GI. The psychometric properties of three self-report screening instruments for identifying frail older people in the community. BMC Public Health. 2010;10:176.CrossRefPubMedPubMedCentral
Metagegevens
Titel
De lichamelijke en psychische dimensie van kwaliteit van leven van fragiele ouderen
Auteur
Robbert J. J. Gobbens
Publicatiedatum
21-06-2017
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Tijdschrift voor Gerontologie en Geriatrie / Uitgave 4/2017
Print ISSN: 0167-9228
Elektronisch ISSN: 1875-6832
DOI
https://doi.org/10.1007/s12439-017-0221-9

Andere artikelen Uitgave 4/2017

Tijdschrift voor Gerontologie en Geriatrie 4/2017 Naar de uitgave

Signalementen

Signalementen