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KMID : 0978920000010010063
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Korean Journal of Clinical Geriatrics
2000 Volume.1 No. 1 p.63 ~ p.77
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The relationship between comprehensive geriatiric assessme and life satisfaction among older people using services at three different facilities
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Cho Kyung-Hee
Lee Yun-Hwan
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Abstract
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Background: Comperhensive geriatric assessment (CGA) is a multidimensional imterdisciplinary diagnostic
process intended to determine a frail elderly person’s medical, psychosocial, and functional capability and problems in order to develop an overall plan for treatment and long-term follow-up. Life Satisfaction Index has been used to assess psychological well-being among elderly people. This study aims to examine the relationship between comprehensive geriatric assessment and life satisfaction among older people using services at three different facilities.
Methods : A total of 108 people aged 65 and over h띠ng in Sungnam City, Kyunggi Province was surveyed from August 1 to November 30, 1998, which included users of welfare center (32) , nursing home residents (41) , and those admitted to the hospital (35) , Survey items included socioeconomic characteristics, comprehensive geriatric assessment, and life satisfaction scale. Analyses were conducted using Chi square, ANOV A, and multiple regression.
Results; : Average age was 75 years (SD=6.9) with 23 men (21%) and 85 women (79%). Significant differences (p< .05) were obseπed among users of facilities according to sociodemographic factors (gender, age, education, presence of spouse, presence of household members, economic status, etc.) ; life style factor (hour of sleep) ; health service use (hospitafuation, outpatient) , physical health (vision, hearing, incontinence, nutrition), activities of daily living, instrumental act1띠ties of daily living, mental health (depression), social support, and satisfaction with care services. Life satisfaction index showed 8.69, 7.54, and 11.06 for welfare center, nursing home, and hospital, respectively, showing the
highest level of satisfaction among elderly people admitted to the hospital. Factors significantly associated (p < .05) with life satisfaction were facility type, sociodemographic characteristics (gender, pres ence of spouse, monthly income, presence of household members) ; life style characteristics (exercise, hour of sleep) ; self-assessed health service use; physical health(pain, nutrition, vision); mental health (depression) , social support ; and satisfaction with health services (environmental). Multiple regression a때ysis revealed lower degree of depressive symptoms (p=0.001) , exercise (p=0.41), and presence of household members (p=.053) to be independently associated with higher level of life satisfaction. No difference was obseπed by type of facility.
Conclusion : This study demonstrated the importance of depression, exercise, and family structure in determining life satisfaction among elderly users of three φfferent facilities.
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KEYWORD
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CGA (comprehensive geriatric assessment), LSI (life satisfaction index), elderly, facility
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