Original scientific paper
SELF-ASSESSED QUALITY OF LIFE (QOL) OF RESIDENTS RECEIVING LEVEL 2 AND LEVEL 3 SOCIAL SERVICES IN COUNTY-OWNED NURSING HOMES IN THE CITY OF ZAGREB
ZRINKA MACH
; Alma Mater Europaea – ECM, Slovenia
NADA TOMASOVIĆ MRČELA
; Alma Mater Europaea – ECM, Slovenia; Department of Public Health Gerontology, Andrija Štampar Teaching Institute of Public Health, Zagreb, Croatia; University Department of Health Studies, University of Split, Split, Croatia
BRANKO KOLARIĆ
; Department of Public Health Gerontology, Andrija Štampar Teaching Institute of Public Health, Zagreb, Croatia; School of Medicine, University of Rijeka, Rijeka, Croatia; Academy of Medical Sciences of Croatia, Zagreb, Croatia
Abstract
The aim was to analyze whether there is signifi cant difference in self-assessment of the examined domains of the quality of life in residents receiving level 2 and level 3 social services in county-owned nursing homes in the City of Zagreb. This analytical cross-sectional survey was conducted successively (2018-2019) in 3 county-owned nursing homes in Zagreb including residents from nursing homes with levels 2 and 3 social services. The Quality of Life Scales for Nursing Home Residents 2001 test was used to examine the self-assessed quality of life in 92 residents aged ≥65, while Barthel Index modifi ed by Shah, Vanclay and Cooper (MBI) was used to assess their functional independence. General sociodemographic variables were used including the level of social services provided. Study results showed that the self-assessed domains of functional competence (Z=5.050), privacy (Z=4.687), meaningful activity (Z=4.632), interpersonal relationships (Z=3.394), autonomy (Z=3.352) and individuality (Z=3.755) (p<0.001 all) were signifi cantly higher among residents receiving level 2 versus level 3 social services. Self-assessed quality of life (N=92) showed the lowest level in the domain of food enjoyment (Me=11.40; IQR=9.02-11.40). In conclusion, difference in the examined domains of self-assessed quality of life between level 2 and level 3 users of social services in nursing homes guides the gerontologic multidisciplinary team in selecting interventions that can contribute to improving the quality of life of the elderly, especially the functionally dependent ones who need help of others in all areas of functioning (level 3 social services). The self-assessed quality of life of residents receiving level 2 and level 3 social services showed the lowest level in the domain of food enjoyment, which indicates the need for interventions in the implementation gerontologic nutritional standards and menus in nursing homes.
Keywords
functional independence; nursing homes; quality of life self-assessment; the elderly
Hrčak ID:
244542
URI
Publication date:
6.10.2020.
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