Health and Well-Being in the Year before Death: The Association with Quality of Life and Care at the End-of-Life

被引：4

作者：

Lee, Hyo Jung ^{[1
]}

Small, Brent J. ^{[2
]}

Haley, William E. ^{[2
]}

机构：

[1] Nanyang Technol Univ, Singapore, Singapore

[2] Univ S Florida, Tampa, FL 33620 USA

来源：

JOURNAL OF AGING AND HEALTH | 2020年 / 32卷 / 10期

关键词：

late-life health and well-being; end-of-life; quality of life; quality of care; OLDER-ADULTS; PATTERNS; FRAILTY; FAMILY;

D O I：

10.1177/0898264320935297

中图分类号：

R4 [临床医学]; R592 [老年病学];

学科分类号：

1002 ; 100203 ; 100602 ;

摘要：

Objective:We examined whether older adults' health and well-being during their final year of life predicts end-of-life (EOL) quality of life (QOL) and quality of care (QOC).Methods:Using data from deceased participants (n= 1125) in the 2011-2015 National Health and Aging Trends Study, we performed latent class analysis to identify profiles of health and well-being, and we examined the association between these classes and EOL QOL and QOC.Results:Four classes were identified: healthy/happy (20%), frail/happy (37%), cognitively impaired/moderately distressed (27%), and highly impaired/highly distressed (16%). Persons in the highly impaired/highly distressed class showed a poorer QOL at the EOL, whereas those in the healthy/happy class reported a lower level of QOC at the EOL.Discussion:The benefits of maintaining health and well-being often carry forward to EOL. Older adults with high impairment and distress merit greater attention such as assuring care and advance care plans.

引用

页码：1475 / 1485

页数：11

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