J Korean Acad Community Health Nurs.  2016 Dec;27(4):380-387. 10.12799/jkachn.2016.27.4.380.

Effects of Frailty on Health-related Quality of Life of Rural Community-dwelling Elderly: Mediating and Moderating Effects of Fall-Related Efficacy and Social Support

Affiliations
  • 1Department of Nursing, Korea National University of Transportation, Chungju, Korea.
  • 2Department of Nursing, Mokpo National University, Muan, Korea. gsj64@naver.com

Abstract

PURPOSE
The purpose of this study was to examine the mediating and moderating effects of fall-related efficacy and social support on the relationship between frailty and health-related quality of life among rural community-dwelling elderly.
METHODS
A cross-sectional survey was conducted with a convenient sampling method, and data of 438 elderly residents living in a rural community was used. The structured questionnaire included items from the Euro Quality of life-5 Dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/ depression), fall-related efficacy and social support.
RESULTS
Analysis of the mediating effect of fall-related efficacy and social support showed that there was significant mediating influence of fall-related efficacy on the relationship between frailty and health-related quality of life. There were no moderating effects of fall-related efficacy and social support.
CONCLUSION
The findings suggest that fall-related efficacy may play a role in reducing the effect of frailty on health-related quality of life and underscore the need to consider ways of enhancing fall-related efficacy in interventions for rural community-dwelling frail elderly.

Keyword

Frail elderly; Self efficacy; Social support; Quality of life
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