Suk Jung Han1, Hyun Kyung Kim2, Judith Storfjell3, Mi Ja Kim3. 1. Department of Nursing, Sahmyook University, Seoul, South Korea. Electronic address: fountain@syu.ac.kr. 2. College of Nursing, Chonbuk Research Institute of Nursing Science, Chonbuk National University, Jeonju, South Korea. 3. College of Nursing, University of Illinois at Chicago, Chicago, United States.
Abstract
PURPOSE: This study aimed to evaluate the quality of life (QOL) in home health care patients according to change in health status outcomes between the start of care and discharge or 60 days, whichever came first. METHODS: This is a prospective descriptive study. The convenience sample consisted of 100 home health care patients, who started receiving home health care services from a home health care agency in the United States. The World Health Organization Quality of Life Scale-Brief (WHOQOL-BREF) was used for measuring QOL; activities of daily living (ADLs) and instrumental ADLs were collected from the Outcome and Assessment Information Set data via Centers for Medicare and Medicaid Services-required home health agencies. Descriptive statistics, paired t tests, and multiple linear regressions were used for data analysis. RESULTS: ADLs and instrumental ADLs of participants significantly improved between start of care and discharge or 60 days. Overall QOL, general health, and three of four QOL domains (physical, psychological, and environmental, but not social domain) were significantly improved at discharge or 60 days. CONCLUSION: Home health care nurses should maintain and improve the functional ability of patients, as this could improve the QOL of these patients.
PURPOSE: This study aimed to evaluate the quality of life (QOL) in home health care patients according to change in health status outcomes between the start of care and discharge or 60 days, whichever came first. METHODS: This is a prospective descriptive study. The convenience sample consisted of 100 home health care patients, who started receiving home health care services from a home health care agency in the United States. The World Health Organization Quality of Life Scale-Brief (WHOQOL-BREF) was used for measuring QOL; activities of daily living (ADLs) and instrumental ADLs were collected from the Outcome and Assessment Information Set data via Centers for Medicare and Medicaid Services-required home health agencies. Descriptive statistics, paired t tests, and multiple linear regressions were used for data analysis. RESULTS: ADLs and instrumental ADLs of participants significantly improved between start of care and discharge or 60 days. Overall QOL, general health, and three of four QOL domains (physical, psychological, and environmental, but not social domain) were significantly improved at discharge or 60 days. CONCLUSION: Home health care nurses should maintain and improve the functional ability of patients, as this could improve the QOL of these patients.
Authors: Melissa O'Connor; Alexandra Hanlon; Elizabeth Mauer; Salimah Meghani; Ruth Masterson-Creber; Sherry Marcantonio; Ken Coburn; Janet Van Cleave; Joan Davitt; Barbara Riegel; Kathryn H Bowles; Susan Keim; Sherry A Greenberg; Justine S Sefcik; Maxim Topaz; Dexia Kong; Mary Naylor Journal: Geriatr Nurs Date: 2017-05-04 Impact factor: 2.361