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Quality of Life Research

Gepubliceerd in:

30-11-2023

The effects of community-based home health care on the physical and mental health of older adults with chronic diseases

Auteurs: Shuyan Gu, Cangcang Jia, Fangfang Shen, Xiaoyong Wang, Xiaoling Wang, Hai Gu

Gepubliceerd in: Quality of Life Research | Uitgave 3/2024

Abstract

Purpose

This study aimed to explore the effects of community-based home health care (HHC) on the physical and mental health of older adults with chronic diseases in China.

Methods

The study data were retrieved from the 2018 wave of the Chinese Longitudinal Healthy Longevity Survey. Ordinary least squares regression model was used to assess the effects of community-based HHC on the health. Entropy balancing was used to test the robustness of the regression results.

Results

A total of 5571 older adults with chronic diseases were included. The results showed that older adults who had received community-based HHC reported significantly better self-rated health (coefficient = 0.051, 95%CI [0.004, 0.098]), less physical discomfort (coefficient = − 0.021, 95%CI [− 0.042, − 0.001]), lower depression scores (coefficient = − 0.263, 95%CI [− 0.490, − 0.037]), and lower anxiety scores (coefficient = − 0.233, 95%CI [− 0.379, − 0.088]) compared with those who had not received community-based HHC. Overall, community-based HHC conferred greater positive effects on the health of rural older adults, older adults with multiple chronic diseases, and older adults with low incomes.

Conclusion

Community-based HHC was beneficial for improving self-rated health and reducing physical discomfort, depression, and anxiety in older adults with chronic diseases, thus improving their quality of life. It is important to promote its development nationwide in China.

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Alleen toegankelijk voor geautoriseerde gebruikers

National Bureau of Statistics. (2021). The 7th national census of China. Retrieved April 16, 2023, from http://www.stats.gov.cn/sj/zxfb/202302/t20230203_1901080.html

Fang, E. F., Xie, C., Schenkel, J. A., Wu, C., Long, Q., Cui, H., Aman, Y., Frank, J., Liao, J., Zou, H., Wang, N. Y., Wu, J., Liu, X., Li, T., Fang, Y., Niu, Z., Yang, G., Hong, J., Wang, Q., et al. (2020). A research agenda for ageing in China in the 21st century (2nd edition): Focusing on basic and translational research, long-term care, policy and social networks. Ageing Research Reviews, 64, 101174. https://doi.org/10.1016/j.arr.2020.101174CrossRefPubMedPubMedCentral

Wang, L., Cheng, Z., Zhang, M., Zhao, Z., Huang, Z., Zhang, X., Li, C., Guan, Y., Wang, X., Wang, Z., & Zhou, M. (2019). Study of the prevalence and disease burden of chronic disease in the elderly in China. Chinese Journal of Epidemiology, 40(3), 277–283. https://doi.org/10.3760/cma.j.issn.0254-6450.2019.03.005CrossRefPubMedADS

The State Council of China. (2020). Report on nutrition and chronic disease status of Chinese residents (2020). Acta Nutrimenta Sinica, 42(6), 521.

Xu, X., Huang, X., Zhang, X., & Chen, L. (2019). Family economic burden of elderly chronic diseases: Evidence from China. Healthcare (Basel), 7(3), 99. https://doi.org/10.3390/healthcare7030099CrossRefPubMed

Feng, Z. L., Glinskaya, E., Chen, H. T., Gong, S., Qiu, Y., Xu, J. M., & Yip, W. N. (2020). Long-term care system for older adults in China: Policy landscape, challenges, and future prospects. Lancet, 396(10259), 1362–1372. https://doi.org/10.1016/S0140-6736(20)32136-XCrossRefPubMed

Weaver, R. H., & Roberto, K. A. (2019). Effects of long-term services and supports on survival of poor, highly vulnerable older adults. The Gerontologist, 59(5), 936–946. https://doi.org/10.1093/geront/gny040CrossRefPubMed

Zuverink, A., & Xiang, X. L. (2020). Anxiety and unmet needs for assistance with daily activities among older adults. Journal of Aging and Health, 32(5–6), 491–500. https://doi.org/10.1177/0898264319830805CrossRefPubMed

He, S., Craig, B. A., Xu, H. P., Covinsky, K. E., Stallard, E., Thomas, J., Hass, Z., & Sands, L. P. (2015). Unmet need for ADL assistance is associated with mortality among older adults with mild disability. Journals of Gerontology Series a-Biological Sciences and Medical Sciences, 70(9), 1128–1132. https://doi.org/10.1093/gerona/glv028CrossRefPubMedPubMedCentral

10.

Jafree, S. R. (2020). Determinants of depression in women with chronic disease: Evidence from a sample of poor loan takers from Pakistan. Journal of Community Psychology, 48(7), 2238–2251. https://doi.org/10.1002/jcop.22399CrossRefPubMed

11.

General Office of the State Council of China. (2015). Notice of the general office of the state council on forwarding the guiding opinions of the health and family planning commission on promoting the integration of health care with elderly care services. Beijing.

12.

General Office of National Health Commission of China., & Office of National Administration of Traditional Chinese Medicine. (2020). Notice on strengthening home health care for the elderly. Beijing.

13.

Bentur, N. (2001). Hospital at home: What is its place in the health system? Health Policy, 55(1), 71–79. https://doi.org/10.1016/S0168-8510(00)00114-7CrossRefPubMed

14.

Lenardt, M. H., Carneiro, N. H. K., Albino, J., & Willig, M. H. (2014). Quality of life of frail elderly users of the primary care. Acta Paulista De Enfermagem, 27(5), 399–404. https://doi.org/10.1590/1982-0194201400067CrossRef

15.

Wang, J. J., Liebel, D. V., Yu, F., Caprio, T. V., & Shang, J. J. (2019). Inverse dose-response relationship between home health care services and rehospitalization in older adults. Journal of the American Medical Directors Association, 20(6), 736–742. https://doi.org/10.1016/j.jamda.2018.10.021CrossRefPubMed

16.

Llobet, M. P., Avila, N. R., Farras, J. F., & Csnut, M. T. L. (2011). Quality of life, happiness and satisfaction with life of individuals 75 years old or older cared for by a home health care program. Revista Latino-Americana De Enfermagem, 19(3), 467–475. https://doi.org/10.1590/S0104-11692011000300004CrossRef

17.

Zeng, Y. (2008). Introduction to the Chinese Longitudinal Healthy Longevity Survey (CLHLS). In Y. Zeng, D. L. Poston, D. A. Vlosky, & D. Gu (Eds.), Healthy longevity in China (pp. 23–38). Springer.

18.

Wang, W. P., Wu, L. H., Zhang, W., & Tsay, R. M. (2019). Culturally-specific productive engagement and self-rated health among Taiwanese older adults. Social Science & Medicine, 229, 79–86. https://doi.org/10.1016/j.socscimed.2018.07.037CrossRef

19.

Kohout, F. J., Berkman, L. F., Evans, D. A., & Cornoni-Huntley, J. (1993). Two shorter forms of the CES-D depression symptoms index. Journal of Aging and Health, 5(2), 179–193. https://doi.org/10.1177/089826439300500202CrossRefPubMed

20.

Tong, X., An, D. M., McGonigal, A., Park, S. P., & Zhou, D. (2016). Validation of the generalized anxiety disorder-7 (GAD-7) among Chinese people with epilepsy. Epilepsy Research, 120, 31–36. https://doi.org/10.1016/j.eplepsyres.2015.11.019CrossRefPubMed

21.

World Health Organization. (2001). Men, ageing and health: Achieving health across the life span. Retrieved May 12, 2023, from https://apps.who.int/iris/handle/10665/66941

22.

Zhao, D., Zhou, Z., Shen, C., Zhai, X., Zhao, Y., Cao, D., Deng, Q., Liu, G., & Lim, J. F. Y. (2022). The effect of health check-ups on health among the elderly in China: Evidence from 2011–2018 longitudinal data. International Journal of Public Health, 67, 1604597. https://doi.org/10.3389/ijph.2022.1604597CrossRefPubMedPubMedCentral

23.

Li, Z., & Jia, C. (2021). Study on the effect of air pollution on residents’ health level. Modern Economic Research, 475(7), 48–55. https://doi.org/10.13891/j.cnki.mer.2021.07.007CrossRef

24.

Katz, S., Ford, A. B., Moskowitz, R. W., Jackson, B. A., & Jaffe, M. W. (1963). Studies of Illness in the Aged - the Index of ADL: A standardized measure of biological and psychosocial function. JAMA-Journal of the American Medical Association, 185(12), 914–919. https://doi.org/10.1001/jama.1963.03060120024016CrossRef

25.

Lawton, M. P., & Brody, E. M. (1969). Assessment of older people: Self-maintaining and instrumental activities of daily living. The Gerontologist, 9(3), 179–186. https://doi.org/10.1093/geront/9.3_Part_1.179CrossRefPubMed

26.

National Health Commission of the People’s Republic of China. (2013). Criteria of weight for adults. Retrieved April 19, 2023, from http://www.nhc.gov.cn/wjw/yingyang/201308/a233d450fdbc47c5ad4f08b7e394d1e8.shtml

27.

Hainmueller, J. (2012). Entropy balancing for causal effects: A multivariate reweighting method to produce balanced samples in observational studies. Political Analysis, 20(1), 25–46. https://doi.org/10.1093/pan/mpr025CrossRef

28.

Han, S. J., Kim, H. K., Storfjell, J., & Kim, M. J. (2013). Clinical outcomes and quality of life of home health care patients. Asian Nursing Research, 7(2), 53–60. https://doi.org/10.1016/j.anr.2013.03.002CrossRefPubMed

29.

Hoeck, S., Francois, G., Geerts, J., Van der Heyden, J. D., Vandewoude, M., & Van Hal, G. (2012). Health-care and home-care utilization among frail elderly persons in Belgium. European Journal of Public Health, 22(5), 671–677. https://doi.org/10.1093/eurpub/ckr133CrossRefPubMed

30.

Chin, Y. R., & Lee, H. Y. (2021). Long-term monitoring of changes in blood pressure, blood glucose, and total cholesterol levels among frail older individuals receiving home health care nursing in South Korea. Journal of Community Health Nursing, 38(1), 13–23. https://doi.org/10.1080/07370016.2021.1869424CrossRefPubMed

31.

Jayasinghe, N., Rocha, L. P., Sheeran, T., Wyka, K., & Bruce, M. L. (2013). Anxiety symptoms in older home health care recipients: Prevalence and associates. Home Health Care Services Quarterly, 32(3), 163–177. https://doi.org/10.1080/01621424.2013.813885CrossRefPubMedPubMedCentral

32.

Sterling, M. R., Lau, J., Rajan, M., Safford, M. M., Akinyelure, O. P., & Kern, L. M. (2023). Self-reported gaps in care coordination and preventable adverse outcomes among older adults receiving home health care. Journal of the American Geriatrics Society, 71(3), 810–820. https://doi.org/10.1111/jgs.18135CrossRefPubMed

33.

Crist, J. D., Pasvogel, A., Hepworth, J. T., & Koerner, K. M. (2015). The impact of a telenovela intervention on use of home health care services and Mexican American older adult and caregiver outcomes. Research in Gerontological Nursing, 8(2), 62–76. https://doi.org/10.3928/19404921-20150105-02CrossRefPubMedPubMedCentral

34.

Campbell, V. A., Crews, J. E., Moriarty, D. G., Zack, M. M., & Blackman, D. K. (1999). Surveillance for sensory impairment, activity limitation, and health-related quality of life among older adults—United States, 1993–1997. MMWR. CDC surveillance summaries, 48(8), 131–156.PubMed

35.

Liu, S., Zhang, L., Liu, Q., & Liu, H. (2021). The prevalence of multi-morbidity and related functional limitation among middle-aged and senior population in China: Nationally evidence from CHARLS 2018. The Journal of Practical Medicine, 37(4), 518–524. https://doi.org/10.3969/j.issn.1006-5725.2021.04.020CrossRef

36.

Liu, L. J., Fu, Y. F., Qu, L., & Wang, Y. (2014). Home health care needs and willingness to pay for home health care among the empty-nest elderly in Shanghai, China. International Journal of Gerontology, 8(1), 31–36. https://doi.org/10.1016/j.ijge.2013.01.013CrossRef

37.

Birk, J. L., Kronish, I. M., Moise, N., Falzon, L., Yoon, S., & Davidson, K. W. (2019). Depression and multimorbidity: Considering temporal characteristics of the associations between depression and multiple chronic diseases. Health Psychology, 38(9), 802–811. https://doi.org/10.1037/hea0000737CrossRefPubMedPubMedCentral

38.

Boman, E., Häggblom, A., Lundman, B., Nygren, B., & Santamäki Fischer, R. (2015). Identifying variables in relation to health-related quality of life among community-dwelling older women: Knowledgebase for health-promoting activities. Nordic Journal of Nursing Research, 36(1), 20–26. https://doi.org/10.1177/0107408315599691CrossRef

39.

Dostalova, V., Bartova, A., Blahova, H., & Holmerova, I. (2022). The experiences and needs of frail older people receiving home health care: A qualitative study. International Journal of Older People Nursing, 17(1), e12418. https://doi.org/10.1111/opn.12418CrossRefPubMed

Titel: The effects of community-based home health care on the physical and mental health of older adults with chronic diseases
Auteurs: Shuyan Gu
Cangcang Jia
Fangfang Shen
Xiaoyong Wang
Xiaoling Wang
Hai Gu
Publicatiedatum: 30-11-2023
Uitgeverij: Springer International Publishing
Gepubliceerd in: Quality of Life Research / Uitgave 3/2024
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-023-03555-2

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Abstract

Purpose

Methods

Results

Conclusion

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