In the course of reformation of the health-care system the impact of measuring the quality of life steadily rises. The current study reports the disease-comprehensive quality of life of the elderly who live in nursing homes and compares these results with the reference value of the German population. Furthermore, the results from the different nursing homes are compared with one another in order to prove the direct influence of the nursing home itself on the subjective quality of life of the habitants. The survey was conducted with the generic questionnaire EQ-5D which is an approved index-instrument for health-related quality of life measurement and has been translated into 102 languages so far. In total 342 persons from 8 different nursing homes took part in the survey, at least 25 persons from each nursing home. On the one hand the results show interesting divergences in the quality of life level between habitants and the German population. Differences of at least 2- up to 10-fold values have been proved. For example, there was a discrepancy in the fields of problems related to the habitant's sex, which was not documented in the study of German population. On the other hand high discrepancies when comparing the nursing homes among each other could be proved, although the age structure as well as the distribution between the sexes in at least 7 nursing homes was identical. So it seems that a direct impact of the nursing home on the quality of life of the habitants could be shown. The present study raises many new questions which implicate the need for further surveys. These findings may have a proximate effect on the future health-care system, which will have to involve age-based health-care provision as well as innovative concepts of caring.

译文

:在医疗体系改革过程中,衡量生活质量的影响稳步上升。当前的研究报告了住在疗养院的老年人的疾病综合生活质量,并将这些结果与德国人口的参考值进行了比较。此外,将来自不同疗养院的结果相互比较,以证明疗养院本身对居民主观生活质量的直接影响。该调查是使用通用问卷EQ-5D进行的,该问卷是用于健康相关生活质量测量的认可索引仪器,迄今为止已被翻译成102种语言。来自8个不同疗养院的342人参加了调查,每个疗养院至少25人。一方面,结果表明居民与德国人口在生活质量上存在有趣的差异。已证明至少有2到10倍的差异。例如,在与居民性别有关的问题领域中存在差异,这在德国人口研究中并未得到记录。另一方面,尽管至少7个疗养院的年龄结构以及男女之间的分布相同,但在相互比较疗养院时仍可证明存在高度差异。因此,似乎可以看出疗养院对居民生活质量的直接影响。本研究提出了许多新的问题,这些问题意味着需要进行进一步的调查。这些发现可能会对未来的医疗体系产生重大影响,未来的医疗体系必须包括基于年龄的医疗保健以及创新的护理概念。

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