![]() In addition, the literature has shown that the elderly residing in nursing homes or institutionalized elderly have lower educational level, poorer health status, higher dependency level, higher risk of falls, lower physical activity, lower decision-making ability, lower leisure activities and are older. Thereby, worse QoL was observed in elderly residents of long-term care institutions, in comparison with community-dwelling individuals. In this sense, studies sought to understand if lives in homes for the aged may influence the elderly’s QoL. Ĭonsidering the raised institutionalization rates, nursing homes should provide good quality of life for their residents. In addition, the lack of support and assistance to the elderly during daily activities is suggested as an aggravating factor for stimulating elderly’s institutionalization. Advance age, not having a home or a partner, low educational level, sedentary lifestyle, poor self-rated health status, high number of drug prescriptions and functional and cognitive impairments are the main predictors of the institutionalization process. Īlthough the importance of active aging and better QoL for the elderly is evident, there is a lack of family care, which increases the elderly’s institutionalization and, by consequence, increase the number of community-dwelling aged people who became residents of nursing homes. Therefore, active aging refers to the physical, social and mental well-being, as well as, social participation, protection, safety, and care of the elderly to avoid disabilities, chronic diseases and less use of health care services. This may generate better Quality of Life (QoL), represented by favourable perceptions of their position in life, within a cultural context, in relation to their goals, expectations, concerns and desires. Active aging refers to keep elderly health and on the control of their daily activities. ![]() In view of this, there is a concern about the active aging process, in which the continuing participation of aged people on daily activities is enhanced. The elderly population is growing worldwide in greater rates, as a result of increased longevity and lower mortality rates. ConclusionĪlthough the institutionalization influences negatively the elderly’s QoL, further well-designed studies are needed to confirm this evidence. All studies had very low or low certainty of evidence, since the study design influenced evidence classification, and show high heterogeneity. Leipad questionnaire did not show differences on elderly’s QoL (MD 0.11 I 2 = 76%). In the meta-analysis, 12 studies were included. One eligible article was considered as low risk of bias. Out of 16 articles, 14 evaluated the Health-Related Quality of Life, using Leipad ( n = 2), WHOQOL-BREF and/or OLD ( n = 8), SF-36 or RAND-36 ( n = 4) questionnaires, and two assessed the Oral Health–Related Quality of Life, through GOHAI questionnaire. Duplicates were removed, titles and abstracts were read and eligibility criteria were applied, remaining 16 sixteen cross-sectional studies that were included for data extraction and qualitative synthesis. The initial search identified 3841 articles. ![]() The evidence was quality-tested using Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. Meta-analysis was based on Mean Difference (MD) and Standard Mean Difference (SMD) calculation ( p ≤ 0.05). For qualitative synthesis, data were extracted and risk of bias was evaluated through a validated guideline. The eligibility criteria were based on PECO strategy, considering observational studies in elderly (P), which were (E) or not (C) institutionalized to identify differences in their QoL (O). Searches were performed in Medline, Scopus, Web of Science, Lilacs, Cochrane Library and SIGLE by two independent reviewers up to May 2019. This systematic review and meta-analysis evaluated the influence of the institutionalization on elderly’s QoL. Institutionalization is a global phenomenon and its impact on elderly’s quality of life (QoL) is under discussion. ![]()
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