Geriatric day hospital improves quality of life: A before and after study

E. De Jaime, O. Vázquez, M. L. Rodríguez, E. Sevilla, S. Burcet, A. Huarte-Mendicoa, A. Garcia-Baztan, S. Mojal, R. Miralles

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Purpose: To ascertain whether admission to a geriatric day hospital (GDH) modifies health self-perception and quality-of-life (QOL) dimensions using the Nottingham Health Profile (NHP) instrument, and to evaluate possible sex differences in these health dimensions. Methods: Longitudinal study including all patients admitted to and discharged from GDH. Evaluated parameters at admission and discharge were: Barthel and Lawton indexes, Folstein's Mini-Mental State Exam (MMSE), Charlson index, Geriatric Depression Scale (GDS), Timed Up&Go test, Tinetti walking test and NHP. Results: One hundred and ten of a total of 183 patients were included in the study (21 were excluded for different reasons and NHP was not registered at the time of discharge in 52); Barthel index, MMSE, GDS, Timed Up&Go and Tinetti walking test all improved significantly after the GDH intervention. A significant improvement was found in NHP scores (admission: 36.3 ± 22.7 vs. discharge: 31.3 ± 20.8, P = 0.044), physical mobility (49.5 ± 31.1 vs. 39.8 ± 28.5, P = 0.002) and emotional dimensions (36.4 ± 29.1 vs. 29.4 ± 25.7, P = 0.042). Among women, NHP analysis revealed an improvement in physical mobility (48.7 ± 32.9 vs. 37.2 ± 27.1, P = 0.008) and emotional dimensions (44.5 ± 29.8 vs. 33.3 ± 2.58, P = 0.02), while only an improvement in pain dimension was observed (25.7 ± 23.7 vs. 16.7 ± 18.8, P = 0.03) among men. Conclusions: Global health perception and QOL improved after admission to a GDH, particularly physical mobility and emotional dimensions. Women improved in physical mobility and emotion whereas men only improved in pain perception. © 2013 Elsevier Masson SAS and European Union Geriatric Medicine Society. All rights reserved.
Original languageEnglish
Pages (from-to)304-309
JournalEuropean Geriatric Medicine
Volume4
Issue number5
DOIs
Publication statusPublished - 1 Jan 2013

Keywords

  • Elderly
  • Geriatric day care hospital
  • Nottingham Health Profile
  • Quality of life

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