PubMed · 12058684
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F Ettinger. Gofer required.. https://doi.org/10.7748/ns.16.3.20.s32
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OBJECTIVE: The objective of this study was to determine whether older men and women with and without angina experience differences in specific areas of physical functioning. METHOD: A historical population based cohort design was used to examine this question. Data were taken from the Established Populations for the Epidemiologic Studies of the Elderly which consists of four large cohorts of samples over 65 years of age living in four communities East Boston, Iowa, New Haven and North Carolina. The Rose Questionnaire was used to identify persons who had angina. Physical functioning was conceptualized under the Nagi framework and considered as either functional limitation/mobility or activities of daily living. Persons were considered disabled if they required assistance with any activity in these categories. Logistic regression was used to examine variables associated with gender differences in physical function. RESULTS: Six hundred and twenty-four person met the criteria for the classification of angina; 249 (39.9%) were men and 375 (60%) were women. In men and women, disability was greater with items associated with functional mobility than for activities of daily living but women were more affected than men. Self-rated health was important in explaining functioning in both areas. CONCLUSION: Older women who experience angina symptoms also have a greater lower extremity disability compared to men with angina. Angina may force older women to curtail more strenuous activities which could lead to further disablement.
PURPOSE: The psychosocial impact of the progress of chronic respiratory disease and long-term domiciliary oxygen therapy (LTOT) was examined to develop an appropriate intervention strategy for pulmonary rehabilitation programmes. METHODS: Psychosocial factors were investigated using a self-administered questionnaire. A total of 144 patients receiving LTOT were compared with 100 chronic respiratory patients (RES) who were not yet suffering from respiratory failure and therefore not under LTOT, and a control group of 51 healthy subjects (HCS). RESULTS: With the progress of the disease, there was a decrease in daily activities as well as in body mass index. Support of family members and others, life satisfaction, and morale decreased, while the tendency for depression increased significantly. These patterns appeared to begin before initiation of LTOT and worsened in the respiratory failure stage. The negative emotions ranged from 'feeling helpless', 'feeling being a burden and miserable', 'denying LTOT', and 'feeling dependent and anxious'. CONCLUSIONS: For pulmonary rehabilitation programmes, an effective intervention strategy that is suggested from this study should address these psychosocial issues at the initiation of LTOT, and follow through with continuous care throughout life under therapy to counter the development of negative attitudes.
PURPOSE: Despite the increasing number of older individuals with multiple sclerosis (MS), there is a paucity of research on this subpopulation. Health-related quality of life (HRQOL) has received extensive attention in MS; however samples tend to be young. The present study assesses the internal consistency reliability and construct validity of the MS Quality of Life Inventory (MSQLI), a widely employed measure of HRQOL, in older individuals. METHOD: Select subscales of the MSQLI and other measures of mental health and physical functioning were administered by telephone to 30 randomly selected older ( >or= 60) individuals and a gender-matched sample of younger ( < 60) individuals. Reliability estimates were calculated separately for each group. Construct (convergent) validity was assessed by examining the pattern of correlations between MSQLI subscales and measures of related constructs in the two groups. RESULTS: Reliability estimates were similar in the two groups. With few exceptions, the correlations measuring convergent validity were in the expected direction, and of considerable magnitude, in both groups. CONCLUSIONS: Results provide preliminary evidence that the MSQLI is a reliable and valid instrument for use with older individuals. The slightly different pattern of results observed in the validity analysis might be explained by an adjustment hypothesis. Future research on HRQOL in this subpopulation is encouraged.