Perspect Nurs Sci.  2015 Apr;12(1):50-59. 10.16952/pns.2015.12.1.50.

Comprehensive Factors Influencing Quality of Life of Elders Utilizing Senior Welfare Centers

• Kim EK
• Shin YG
• Jo EJ
• Moon DS
• Park KM
• Kim EK
• Lee SJ
• Kim HJ
• Ko HS

• KMID: 2315711
• DOI: http://doi.org/10.16952/pns.2015.12.1.50

Abstract

PURPOSE
The purpose of this study was to investigate the influencing factors on the quality of life of elders.
METHODS
Data were collected from August 25, September 1, 2014, and participants were 300 elders who were using senior welfare centers. Descriptive statistics, t-test, one-way ANOVA, Pearson correlation coefficient, and stepwise multiple regression were used for data analysis.
RESULTS
Elders who were more painful, highly perceived health status, self-esteem and social support, and lower depression showed relatively higher quality of life. Also, there were strong correlations between quality of life and depression (r=-.737) /perceived health status (r=.709). Factors predicted quality of life of elders were perceived health status (beta=.349), depression (beta=-.267), social support (beta=.172), self-esteem (beta=.170), pain (beta=-.130), income (beta=.113), and level of education (beta=.064). These 7 factors explained 78.2% of the variance in quality of life of elders (F=154.49, p<.001).
CONCLUSION
Therefore, in order to improve the quality of life of elders, a systematic approach is necessary through multilateral cooperation among comprehensive sectors.

Keyword

Elderly; Health status; Pain; Depression; Quality of life

MeSH Terms

Aged
Depression
Education
Humans
Quality of Life*
Statistics as Topic

Reference

1.Park JS., Oh YJ. A study health problem and perceived health status of the rural elderly. J Korean Community Nurs. 2003. 14(2):274–86.

2.Korean Statistical Information Service [Internet]. Daejeon: Statistics Korea; [cited 2014 January 20]. Available from:. http://kosis.kr/statisticsList/statisticsList_01List.jsp?vwcd=MT_ZTITLE&parmTabId=M_01_01#SubCont.

3.Park KY. Factors influencing health-related quality of life by gender among elderly beneficiaries of the national basic livelihood security system: Using the community health survey 2010. J Korean Data Anal Soc. 2013. 15(6):3219–33.

4.Kim EK., Ha KS. The effects of social participation and social support on quality of life of the elderly. J Digit Policy Manag. 2013. 11(2):811–20.

5.Kwon JD, Cho JY.(2000). A study of factors influencing the quality of the aged. J Korea Gerontol Soc. 2000. 20(3):61–76.

6.Jeong GH., Oh YH., Lee YG., Sohn CG., Park BM., Lee SY, et al. A research on the status of the elderly: 2011 living profiles and welfare service needs of older persons. Seoul: Korea Institute for Health and Social Affairs;2012.

7.Han MS., Park MH., Ha JC., Shin YH., Kim HG., Lee SY, et al. A research on the status of the elderly: 2008 living profiles and welfare service needs of older persons. Seoul: Ministry of Health and Welfare;2009.

8.Chung YH., Cho YH. Gender difference in quality of life after controlling for related factors among korean young-old and old-old elderly. Korean Soc Agric Med Community Health. 2014. 39(3):176–86. http://dx.doi.org/10.5393/JAMCH.2014.39.3.176.

9.Song MS., Kang KJ., Kong EH., Kim SH., Kim HJ., Ryu SA, et al. Gerontological Nursing. Seoul: JMK;2014.

10.Sung KW. Comparison of ADL and satisfaction state of the elderly in institution and home. J Korea Gerontol Soc. 1999. 19(1):105–17.

11.Kim YH., Kim KS. A study on the relationship between self-esteem and quality of life of the elderly. Int J Welf Aged. 2002. 17:157–89.

12.Kim EH., Kwon YC. Factors influencing quality of life of elders in urban regions. J Digit Policy Manag. 2013. 11(7):225–35.

13.You KS., Park HS. Comparison of health status between senior people living alone and those who live with their families. J Korea Gerontol Soc. 2003. 23(4):163–79.

14.Kim NH., Kim SH., Bae DY., Chang KO. A study of the quality of life in the elderly between senior welfare center and home visiting health program in J city. J Korean Data Anal Soc. 2013. 15(6B):3235–49.

15.Kim YH. A study on the related of daily life activity and the health related quality of life between the elderly at home and at institution, J Korean Data Anal Soc. 2009. 11(3B):1273–87.

16.Won JW. The development of Korean activities of daily living (K-ADL) and Korean instrumental activities of daily living (K-IADL) scale. Webhealth Res. 2002. 6(1):1–10.

17.Katz S., Ford AB., Moskowitz RW., Jackson BA., Jaffee MW. Studies of illness in the aged: the index of adl: a standardized measure of biological and psychological function. J Am Med Assoc. 1963. 185:914–9. http://dx.doi.org/10.1001/jama.1963.03060120024016.

18.Sartain JB., Barry JJ. The impact of an acute pain service on postoperactive pain management. Anaesth Intensive Care. 1999. 27(4):375–80.

19.Rosenberg M. Society and the adolescent self-image. Princeton NJ: Princeton University Press;1965.

20.Jeon BJ. Self-esteem: A test of its measurability. Yonseinon-chong. 1974. 11:109–29.

21.Park JW. Study to development a scale of social support [dissertation]. Seoul: Yonsei University;1995.

22.Yesavage JA., Brink TL., Rose TL., Lum O. Development and validation of a geriatric depression screening scale: A preliminary report. J Psychiatr Res. 1983. 17(1):37–49.

23.Kee BS. A preliminary study for the standardization of geriatric depression scale short form-Korea version. J Korean Neuro-psychiatr Assoc. 1996. 35(2):298–307.

24.Min SK., Lee CI., Kim KI., Suh SY., Kim DK. Development of Korean version of WHO quality of life scale abbreviated version (WHOQOL-BREF). J Korean Neuropsychiatr Assoc. 2000. 39(3):571–9.

25.Chang KO., Park SJ., Bae DY. The effects of perceived health status, sleep, depression and pain on quality of life by gender in community-dwelling older adults. J Korean Acad-Ind Coop Soc. 2014. 15(3):1566–75.

26.Chung YH., Cho YH. Health behaviors, health status and quality of life among the young-old and the old-old in Korea. J Korean Public Health Res. 2014. 40(1):55–64.

27.Jang KO., Lim JH. Construction of a structural model about the perceived health status, pain, sleep pattern and quality of life in the elderly. Korea Acad-Ind Coop Soc. 2014. 15(7):4336–45.

28.Choi SY., Kang YS., Eun Y. The effect of an exercise program on quality of life, depression and physical performance for the senior citizen center elderly. J Korean Data Anal Soc. 2008. 10(1B):133–47.

29.Lee SH., Yang SO. The effect of chronic musculoskeletal pain and depression on health-related quality of life by gender in community-dwelling older adults. J Korean Acad Community Health Nurs. 2010. 21(1):21–30. http://dx.doi.org/10.12799/jkachn.2010.21.1.21.

30.Park KE., Kwon MH., Kwon YE. Correlation among depression, death anxiety, and quality of life of aged women. J Korean Public Health Nurs. 2013. 27(3):527–38. http://dx.doi.org/10.5932/JKPHN.2013.27.3.527.

31.Kwon YS. The effect of spiritual well-being and self-esteem on satisfaction in life of the aged [dissertation]. Cheonan: Back-seok University;2008.

32.Ahn KS. Study on the quality of life and social support of married couples and single households elderly. J Korea Gerontol Soc. 2005. 25(1):1–19.

33.Sohn SY. Relations of rural elderly people's self-esteem and social support to their quality of life. J Korean Acad Community Health Nurs. 2006. 17(2):176–85.

34.Kim KB., Choi JE., Suk SH. A study on the relationship among family support, morale, and quality of life in elderly. J Korean Acad Adult Nurs. 2007. 19(4):517–26.

35.Choi HK. A study on the relationships between family support, compliance and quality of life in chronic arthritis [dissertation]. Seoul: Yonsei University;2000.