Universität zu Köln

Bordne, Saskia (2020). Quality of Life of Geriatric Patients Undergoing Inpatient Geriatric Rehabilitation: A Longitudinal Analysis. PhD thesis, Universität zu Köln.

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Abstract

Background. While there are several findings about improvements in physical functioning during geriatric rehabilitation, little is known about the development of subjective well-being and its determinants in this medical context. This work aimed to take a more holistic view of the quality of life of geriatric rehabilitation patients by assessing both outcomes – physical functioning and subjective well-being. Objectives. (1) During rehabilitation, changes in physical functioning and changes in affect were to be depicted and the relation between these changes was to be analysed, while also examining possible mediating processes. (2) Second, in addition to the depiction of the longitudinal development of subjective well-being until three months after discharge, a biopsychosocial prediction model for longer-term well-being was to be derived. Results. (1) Physical functioning and affect improved during the rehabilitation stay, yet affective improvements lagged behind functional progress and the relationship between changes in physical functioning and changes in affect was mediated by changes in self-perceptions of health. (2) Apart from improved affect, the other indicators of well-being (i.e., life satisfaction, valuation of life, experience of autonomy) showed no changes during the rehabilitation stay. Further, it could be shown that from admission until three months after discharge, the only significant changes in well-being indicators consisted in an increased level of positive affect and a decreased experience of autonomy. Regarding the biopsychosocial prediction model, personality traits and control beliefs assessed upon admission predicted the longer-term well-being three months after discharge. Discussion. To gain a more differentiated perspective on the quality of life of geriatric patients undergoing an inpatient rehabilitation programme, it seems useful to look at both the traditional outcome of physical functioning and measures of subjective well-being.

Item Type:	Thesis (PhD thesis)
Creators:	Creators Email ORCID ORCID Put Code Bordne, Saskia UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-357887
Date:	2020
Language:	English
Faculty:	Faculty of Human Sciences
Divisions:	Faculty of Human Sciences > Department Heilpädagogik und Rehabilitation
Subjects:	Psychology Medical sciences Medicine
Uncontrolled Keywords:	Keywords Language geriatric rehabilitation; quality of life; subjective well-being; longitudinal analysis English
Date of oral exam:	7 December 2020
Referee:	Name Academic Title Zank, Susanne Prof. Dr. Schulz, Ralf-Joachim Prof. Dr.
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/35788