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Perceptions of self-determination and quality of life among Swedish home care recipients - a cross-sectional study

BACKGROUND: It is acknowledged that preservation of self-determination is very important in order for older adults to experience good quality of life, but to what degree and in what areas people receiving help from home care service experience self-determination is unknown. Few studies have examined...

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Autores principales: Bölenius, Karin, Lämås, Kristina, Sandman, Per-Olof, Lindkvist, Marie, Edvardsson, David
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6534922/
https://www.ncbi.nlm.nih.gov/pubmed/31126243
http://dx.doi.org/10.1186/s12877-019-1145-8
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author Bölenius, Karin
Lämås, Kristina
Sandman, Per-Olof
Lindkvist, Marie
Edvardsson, David
author_facet Bölenius, Karin
Lämås, Kristina
Sandman, Per-Olof
Lindkvist, Marie
Edvardsson, David
author_sort Bölenius, Karin
collection PubMed
description BACKGROUND: It is acknowledged that preservation of self-determination is very important in order for older adults to experience good quality of life, but to what degree and in what areas people receiving help from home care service experience self-determination is unknown. Few studies have examined the perception of self-determination in relation to quality of life among older adults living at home with help from home care services. Thus, the aim of this study was to explore perceptions of self-determination among older adults living at home with the support of home care services, and to test whether older adults who perceive a higher degree of self-determination also feel they have a better quality of life. METHODS: This cross-sectional study was conducted in one municipality in northern Sweden. A total of 134 older adults (≥ 65 years) were included. Data were collected by means of a survey including questionnaires about background characteristics, self-determination, and health-related quality of life. Descriptive statistics regarding background characteristics for groups with high and low self-determination respectively were presented and the differences between the groups were analyzed using the Chi-square test and the Mann-Whitney U test. RESULTS: Our main finding shows that the majority of older adults with support from home care services experience self-determination in the dimensions use of time, and self-care. However, a wide variation was found in self-reported self-determination in all dimensions. Results also show that the group with higher self-reported self-determination also reported a greater degree of experienced quality of life in comparison with the group with lower self-reported self-determination. CONCLUSIONS: In line with earlier research, our results found a positive relation between self-determination and quality of life. The results are relevant for the care of older adults and indicate a need of further research. The results presented in this paper could serve as a guide when planning for improved self-determination among older adults in home care service. TRIAL REGISTRATION: NCT02846246.
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spelling pubmed-65349222019-05-30 Perceptions of self-determination and quality of life among Swedish home care recipients - a cross-sectional study Bölenius, Karin Lämås, Kristina Sandman, Per-Olof Lindkvist, Marie Edvardsson, David BMC Geriatr Research Article BACKGROUND: It is acknowledged that preservation of self-determination is very important in order for older adults to experience good quality of life, but to what degree and in what areas people receiving help from home care service experience self-determination is unknown. Few studies have examined the perception of self-determination in relation to quality of life among older adults living at home with help from home care services. Thus, the aim of this study was to explore perceptions of self-determination among older adults living at home with the support of home care services, and to test whether older adults who perceive a higher degree of self-determination also feel they have a better quality of life. METHODS: This cross-sectional study was conducted in one municipality in northern Sweden. A total of 134 older adults (≥ 65 years) were included. Data were collected by means of a survey including questionnaires about background characteristics, self-determination, and health-related quality of life. Descriptive statistics regarding background characteristics for groups with high and low self-determination respectively were presented and the differences between the groups were analyzed using the Chi-square test and the Mann-Whitney U test. RESULTS: Our main finding shows that the majority of older adults with support from home care services experience self-determination in the dimensions use of time, and self-care. However, a wide variation was found in self-reported self-determination in all dimensions. Results also show that the group with higher self-reported self-determination also reported a greater degree of experienced quality of life in comparison with the group with lower self-reported self-determination. CONCLUSIONS: In line with earlier research, our results found a positive relation between self-determination and quality of life. The results are relevant for the care of older adults and indicate a need of further research. The results presented in this paper could serve as a guide when planning for improved self-determination among older adults in home care service. TRIAL REGISTRATION: NCT02846246. BioMed Central 2019-05-24 /pmc/articles/PMC6534922/ /pubmed/31126243 http://dx.doi.org/10.1186/s12877-019-1145-8 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Bölenius, Karin
Lämås, Kristina
Sandman, Per-Olof
Lindkvist, Marie
Edvardsson, David
Perceptions of self-determination and quality of life among Swedish home care recipients - a cross-sectional study
title Perceptions of self-determination and quality of life among Swedish home care recipients - a cross-sectional study
title_full Perceptions of self-determination and quality of life among Swedish home care recipients - a cross-sectional study
title_fullStr Perceptions of self-determination and quality of life among Swedish home care recipients - a cross-sectional study
title_full_unstemmed Perceptions of self-determination and quality of life among Swedish home care recipients - a cross-sectional study
title_short Perceptions of self-determination and quality of life among Swedish home care recipients - a cross-sectional study
title_sort perceptions of self-determination and quality of life among swedish home care recipients - a cross-sectional study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6534922/
https://www.ncbi.nlm.nih.gov/pubmed/31126243
http://dx.doi.org/10.1186/s12877-019-1145-8
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