J Korean Acad Nurs.  2014 Dec;44(6):608-616. 10.4040/jkan.2014.44.6.608.

Influence of Self Efficacy, Social Support and Sense of Community on Health-related Quality of Life for Middle-aged and Elderly Residents Living in a Rural Community

• Lee H
• Cho SH
• Kim JH
• Kim YK
• Choo HI

• KMID: 2129552
• DOI: http://doi.org/10.4040/jkan.2014.44.6.608

Abstract

PURPOSE
The purpose of this study was to examine the relationship between self-efficacy, social support, sense of community and health-related quality of life (HRQoL), including the direct and indirect effects of the variables on HRQoL.
METHODS
A cross-sectional survey was conducted with a convenience sample of 249 middle-aged and elderly residents living in a rural community in A-County, K Province. The structured questionnaire included 4 scales from the Euro Quality of life-5 Dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression), and measures of General Self-Efficacy, Social Support, and Sense of Community. Data were analyzed using SPSS WIN 20.0 and AMOS 21.0 program.
RESULTS
The mean HRQoL score for the participants was 0.87+/-0.13. Self-efficacy (beta=.13, p=.039) and age (beta= -.38, p<.001) were significantly associated with HRQoL, explaining 21% of the variance. In the path analysis, self-efficacy showed a significant direct effect on HRQoL (beta=.14, p=.040) and significantly mediating relationships between both social support (beta=.05, p=.030) and sense of community (beta=.02, p=.025) and HRQoL.
CONCLUSION
Although self-efficacy was found to be the main predictor for HRQoL, the findings imply that social environmental factors such as social support and sense of community need to be considered when developing interventions to increase HRQoL in middle-aged and elderly residents in rural communities.

Keyword

Quality of life; Self efficacy; Social support; Sense of community

MeSH Terms

Adult
Age Factors
Aged
Cross-Sectional Studies
Female
Humans
Male
Middle Aged
Personal Satisfaction
*Quality of Life
Questionnaires
Regression Analysis
Rural Population
*Self Efficacy
Sex Factors
*Social Support

Figure

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  Figure 1 Path model of health related quality of life.

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