الفهرس 
Long term careOnly 14 pages are availabe for public view
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Abstract
The current study was conducted to assess the quality of life of elderly living in elderly homes compared to the community dwelling elderly.
A case-control study was performed on 100 elderly 60 years and older recruited from 6 elderly homes in Cairo, and 100 age matched community dwelling elderly.
Each participant was subjected to comprehensive geriatric assessment, including personal history, past medical history, assessment of cognitive function using MMSE, assessment of mood using GDS 15, assessment of function using the Katz ADL and the Lawton Brody IADL and the assessment of health-related quality of life by SF36 health survey.
The study showed that quality of life is greatly affected among cases living in elderly homes as HRQoL in cases, was rather poor (307.536±226.513) compared to control that showed the mean scores for the SF-36 subscales (382.623±246.230).
This was attributed more to emotional well-being, social factors and type of nursing home as the QOL was significantly low in public elderly homes (261.830±215.038), compared to (428.262±208.520) in private homes.
In the present study Depression was significantly prevalent in elderly home residents (61%) compared to the community dwelling elderly (45%) and it significantly affected QOL.
The community care of the elderly is preferable to institutional care. The residents of the public homes had the worst score of SF36. The institutional characteristics affected HRQol e.g. number of residents and staff, the staff resident relationship, residents’ privacy. Those characteristics could be the target for improvement plans implemented by policy makers.