Quality of life Flashcards
What are the 6 domains of quality of life stated by the WHO?
1) Physical health: energy, pain, sleep
2) Psychological health: neg/pos feelings, self esteem
3) Level of independence: mobility, dependence on medications
4) Social relationships: personal, social support, sex
5) Environment: home, transport, physical, recreation, education
6) Personal values and beliefs: religion, spirituality
What are the 4 approaches to defining QoL suggested by Felce and Perry 1995?
- The sum of a range of objectively measurable life conditions
- Satisfaction with the sum of these life conditions
- Combination of both objective life conditions
- An objective assessment of life conditions and subjective assessment of satisfaction
What are the aspects of QoL within health?
Mobility
Friends and relationships
Overall health
Symptoms
Everyday tasks
Anxiety and stress
Why is QoL important in health?
Investigate reasons for poor adherence to treatment
Compare treatments
Help determine burden of preventable disease, injuries, disabilities
Monitor nation’s health objectives
What are the advantages and disadvantages of using mortality and morbidity to compare treatment outcomes?
MORTALITY
Advantages:
- compare no. deaths between treatments
Disadvantages:
- Unreliable, doesn’t indicate morbidity
MORBIDITY
Advantages:
- measured in sick absence rate , case loads. Prevalence, rates
Disadvantages:
- room for subjectivity
What is measured in AQoL?
Mental health
Happiness
Self worth
Coping
Relationships
What factors affect self worth?
Ability
Effort
Performance
What are the types of data that measure QoL?
Multidimensional - many attributes
Unidimensional
Specific
Generic
Individualised
Standardised
How may QoL be subjective?
People vary with what they deem important for QoL, one may feel close relationships, another may feel personal activities and achievement are vital
