Authors

Elena Merlo González

Position

Enfermera Interno Residente de Enfermería Familiar y Comunitaria. Unidad Docente Multidisciplinar de Atención Familiar y Comunitaria Norte de Madrid

Contact address

Elena Merlo González. C. S. Fuentelarreina. C/ Alfonso Rodríguez Castelao, 17-2ª pl. 28035 Madrid.

Contact email: elenamegon@gmail.com

Abstract

Objective: to determine the health-related quality of life in >60-year-old complex chronic patients (CCPs) in two Basic Health Areas in Valladolid East, the profile of their chronic conditions, and the factors with impact on their HRQoL.
Method: a descriptive cross-sectional study conducted between January and March, 2017. The study included
≥ 60-year-old CPPs without cognitive impairment from two Basic Health Areas in Valladolid, selected through convenience sampling. Sociodemographical and clinical variables were collected, as well as the HRQoL variable (SF-36 Questionnaire), through questionnaire and clinical record review. Overall descriptive indexes were applied, disaggregated by gender, and multiple linear regression for HRQoL.
Results: the study included 73 persons (63% women, mean age 77.4-year-old); 71.2% of them suffered cardiovascular and musculoskeletal conditions. The overall HRQoL score was 36.6, superior in the mental (40-9%) than in the physical summation index (36.6), and lower in women in all of them (p< 0.05). The 24.5% variability in HRQoL was explained by gender (4.94 ratio in men), the presence of mental conditions (-5.01 ratio) and musculoskeletal condition (-4.098 ratio).
Conclusion: the most prevalent chronic diagnoses were cardiovascular and musculoskeletal conditions and hypertension. Complex chronic patients perceived a bad HRQoL. The variability in HRQoL was explained in 24.5% by gender, mental and musculoskeletal conditions. No association with age or other chronic conditions was found.

Keywords:

health-related quality of life; SF-36; ageing; chronic condition; Healthcare crisis; however; structural and human aspects can and should be improved; adaptation psychological; health outcomes; Attitudinal beliefs; complex chronic patient; haloperidol; CCCS-18; consumption of alcoholic beverages; Torsades de Pointes; prevalence: descriptive cross-sectional study; results show that certain environmental conditions promote comfort; pandemics; cross-sectional descriptive study

Versión en Español

Título:

Calidad de vida relacionada con la salud de los pacientes crónicos complejos