PURPOSE In the context of geriatric rehabilitation, 2 quality of life (QoL) facets are of particular importance: a behavioral, more objective facet, and an emotional, more subjective facet. This study looked at changes in these 2 QoL facets during rehabilitation, their relationship to each other and potential mediating processes. DESIGN Ninety-two geriatric patients were assessed by the geriatric assessment and a structured face-to-face interview at admission to and discharge from an inpatient geriatric rehabilitation ward. Behavioral QoL was measured in terms of independence in the activities of daily living and mobile abilities, while positive and negative affect represented emotional QoL. As potential mediators, self-perceptions of health (self-rated health, subjective pain, temporal health comparison) were assessed. Statistical analysis comprised repeated-measures (multivariate) analyses of variance as well as regression and mediation analyses based upon a fixed effects-panel model. RESULTS All behavioral and emotional QoL indicators showed significant prepost improvements. During rehabilitation, changes in behavioral QoL were significantly related to changes in emotional QoL. Multiple regression of changes in emotional QoL on changes in behavioral QoL and in self-perceptions of health revealed, however, that only health perceptions significantly predicted emotional QoL. Mediation analysis showed that self-perceptions of health fully mediated the relationship between behavioral and emotional QoL outcomes. CONCLUSIONS During geriatric rehabilitation, significant progress can be made regarding QoL. The results indicate that the influence of physical progress on affective improvements is conveyed through self-perceptions of health, showing the importance of self-perceptions of health for emotional QoL in geriatric rehabilitation. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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住院老年康复患者的行为和情绪生活质量。

目的 在老年康复的背景下，生活质量 (QoL) 的 2 个方面特别重要：行为的、更客观的方面和情感的、更主观的方面。本研究着眼于康复期间这 2 个 QoL 方面的变化、它们之间的关系以及潜在的中介过程。设计 92 名老年患者在入院和出院老年康复病房时通过老年评估和结构化的面对面访谈进行评估。行为 QoL 是根据日常生活活动的独立性和移动能力来衡量的，而积极和消极的情绪代表情绪 QoL。作为潜在的中介因素，对健康的自我认知（自评健康、主观疼痛、时间健康比较）进行了评估。统计分析包括重复测量（多变量）方差分析以及基于固定效应面板模型的回归和中介分析。结果 所有行为和情绪 QoL 指标都显示出显着的事前改善。在康复过程中，行为 QoL 的变化与情绪 QoL 的变化显着相关。然而，情绪 QoL 变化对行为 QoL 和健康自我认知变化的多元回归表明，只有健康认知才能显着预测情绪 QoL。中介分析表明，对健康的自我认知完全中介了行为和情绪 QoL 结果之间的关系。结论 在老年康复期间，可以在 QoL 方面取得重大进展。结果表明，身体进步对情感改善的影响是通过自我健康感知传达的，表明自我健康感知对老年康复中情绪 QoL 的重要性。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。