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      Quality of life in old age described as a sense of well-being, meaning and value

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      Journal of Advanced Nursing
      Wiley

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          Abstract

          The purpose of the study was to present a model of quality of life and related factors, to study quality of life in a group of elderly subjects, and to do preliminary testing of the model. Quality of life was defined as a sense of well-being, meaning and value. The model includes health, functional capacity, and coping mechanisms as intra-individual conditions for quality of life, while factors in the biophysical and sociocultural environment are described as external conditions. The study sample consisted of 300 subjects, aged 75 or older and living in Finland. Data were gathered by means of structured personal interviews. The participants' quality of life was generally quite good. The correlations among the variables related to quality of life were significant, but the results of the regression analyses showed that the individual aspects of quality of life did not have identical explanatory models. The internal consistency of the instruments was good. The results give preliminary support to the model, but in future studies more attention must be paid to the conceptual and theoretical validity. In order to achieve results that can be applied in gerontological nursing practice, different groups and contexts must be investigated.

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          Most cited references16

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          AN EXPERIMENTAL STUDY IN EXISTENTIALISM: THE PSYCHOMETRIC APPROACH TO FRANKL'S CONCEPT OF NOOGENIC NEUROSIS.

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            Definitions of quality of life: a taxonomy.

            Quality of life is of central concern in evaluative research; improved quality of life is probably the most desirable outcome of all health care policies. However, definitions of quality of life are as numerous and inconsistent as the methods of assessing it. Stemming from a larger piece of work looking at the definition and measurement of quality of life, this paper highlights the lack of a consensus definition of quality of life by means of a taxonomy of definitions that emerge from the literature. The paper describes and gives examples of four main types of definition which make up the taxonomy: global (type I); component (type II); focused (type III); and combination definitions (type IV). In addition, an outline of factors influencing the definition of quality of life is given, and an alternative strategy for both defining and measuring the concept (the use of lay definitions) is suggested.
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              Quality of life: conceptual and measurement issues.

              L Zhan (1992)
              Nursing as a human science is concerned with the experiences of human beings in relation to health and illness matters. Human experiences are shaped by history, relationships, politics, social structures, gender and culture. Nurses are concerned with how these perspectives shape the actions and reactions of human beings. Nursing seeks to maximize clients' strengths, assets and potential, and to contribute to their quality of life. The concept of quality of life will be discussed in this paper. The first section will present a historical perspective of the concept. The second part synthesizes conceptual and measurement issues from a review of the literature. Finally, dimensions of this concept are defined and approaches to operationalize this concept are suggested.
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                Author and article information

                Journal
                Journal of Advanced Nursing
                J Adv Nurs
                Wiley
                0309-2402
                1365-2648
                October 2000
                October 2000
                : 32
                : 4
                : 1025-1033
                Article
                10.1046/j.1365-2648.2000.01568.x
                11095244
                4ab206a4-91e4-42ef-af9a-8dd51f24751f
                © 2000

                http://doi.wiley.com/10.1002/tdm_license_1.1

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