Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Prediction Model of Quality of Life in Elderly Based on ICF Model

ICF 모델에 근거한 노인의 삶의 질 예측 모형

  • So, Hee-Young (Chungnam National University College of Nursing) ;
  • Kim, Hyun-Li (Chungnam National University College of Nursing) ;
  • Ju, Kyung-Ok (Graduate School of Education, Chungnam National University)
  • Received : 2010.11.17
  • Accepted : 2011.08.04
  • Published : 2011.08.31
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Abstract

Purpose: The purpose of this study was to identify from the International Classification of Functioning model, factors influencing quality of life in elderly persons and to describe the concrete pathway of influence and the power of each variable. Methods: The sample included 334 elders who lived in 5 districts of D Metropolitan City. A structured questionnaire was used and the collected data were analyzed for fitness, using the AMOS 18.0 program. Results: This model was concise and extensive in predicting the quality of life of elders. The research verified the factors influencing quality of life for elders as direct factors such as activity of daily living (ADL) (${\beta}$=.13, t=2.47), leisure activity (${\beta}$=.55, t=5.04), social disengagement (${\beta}$=-.25, t=-2.25), and depression (${\beta}$=-.62, t=-10.86). Indirect factors including economic status (${\gamma}$=.17, p=.009), type of residence (${\gamma}$=.19, p=.004), ADL (${\gamma}$=.12, p=.027) were important factors in predicting quality of life for elders. These variables explained 75.6% of variance in the prediction model. Conclusion: The findings indicate a need for the nursing scientific community to develop intervention programs considering these variables to improve the quality of life for elders.

Keywords

References

  1. Bae, J. H., Lee, H. K., Kim, H. S., & Oh, H. J. (2008). A study on activities of daily living, mental status and life satisfaction of the elderly living in home and in institutions. The Journal of Korean Society of Physical Therapy, 20(2), 33-41. doi:MRCRB4_2008_v20n2_33
  2. Bae, N. R., & Park, C. S. (2009). A study on the ecological factors affecting the quality of life among the elderly people. Journal of the Korean Gerotological Society, 29, 761-779. doi:210.101.116.28/47201098
  3. Bassuk, S. S., Glass, T. A., & Berkman, L. F. (1999). Social disengagement and incident cognitive decline in community- dwelling elderly persons. Annals of Internal Medicine, 131, 165-173. doi:annals.org/content/131/3/165 https://doi.org/10.7326/0003-4819-131-3-199908030-00002
  4. Breeze, E., Jones, D. A., Wilkinson, P., Latif, A. M., Bulpitt, C. J., & Fletcher, A. E. (2004). Association of quality of life in old age in Britain with socioeconomic position: Baseline data from a randomized controlled trial. Journal of Epidemiology and Community Health, 58, 667-673. doi:jech.bmj.com/content/58/8/667 https://doi.org/10.1136/jech.2003.014035
  5. Chang, K. Y., & Kang, J. M. (2005). The study of activities of daily living performance and quality of life for elderly residents in the Daejeon city. The Journal of Korean Society of Occupational Therapy, 13(1), 45-56. doi:20051206111741683
  6. Cumming, E., & Henry, W. E. (1961). Growing old: The process of disengagement. New York: Basic Books.
  7. Dragomirecka, E., Bartonova, J., Eisemann, M., Kalfoss, M., Kilian, R., Martiny, K., et al.(2008). Demographic and psychosocial correlates of quality of life in the elderly from a cross-cultural perspective. Clinical Psychology and Psychotherapy, 15, 193-204. doi:10.1002/cpp.571
  8. Gabriel, Z., & Bowling, A. (2004). Quality of life from the perspectives of older people. Ageing & Society, 24, 675-691. doi:10.1017/S0144686X03001582
  9. Joreskog, K. G., & Sorbom, D. (1989). LISREL 7: A guide to the program and applications. Chicago: SPSS Publications.
  10. Jung, H. Y., Park, B. K., Shin, H. S., Kang, Y. K., Pyun, S. B., Paik, N. J., et al. (2007). Development of the Korean version of modified Barthel Index (K-MBI): Multi-center study for subjects with stroke. Journal of Korean Academy of Rehabilitation Medicine, 31, 283-297. doi:Jkarm 031-03-03
  11. Kim, J. S. (2009). A study of quality of life of the elderly in rural areas. Unpublished master's thesis, Chosun University, Gwangju.
  12. Kim, M. Y. (2009). Factors that influence satisfaction level towards the life by the leisure activity of users of the senior citizens' leisure welfare facilities. Unpublished doctoral dissertation, Daegu Haany University, Daegu.
  13. Kodzi, I. A., Obeng, G. S., Emina, J. C., & Ezeh, A. (2010). Religious involvement, social engagement, and subjective health status of older residents of informal neighborhoods of Nairobi. Journal of Urban Health, 87, 277-293. doi:10.1007/s11524-010-9482-0
  14. Lee, D. H. (2010). The effects of quality of life in the elderly's health condition. Journal of the Korean Gerontological Society, 30, 93-108. doi:210.101.116.28/47201167
  15. Lee, M. G. (2007). Inquiry into the life satisfaction of the Korean elderly through leisure activities. Unpublished doctoral dissertation, Kangwon National University, Chuncheon.
  16. Lee, Y. R., & Park, M. S. (2006). An ecological study on the leisure and quality of life for those who reside in free institutionalized elderly homes: Applying a structural equation model. Journal of Korean Home Economics Association, 44(11), 117-131. doi:DHGJBI2006_v44n11_117
  17. Levasseur, M., Tribble, D. S., & Desrosiers, J. (2009). Meaning of quality of life for older adults: Importance of human functioning components. Archives of Gerontology and Geriatrics, 49, e91-e100. doi:10.1016/J.archger.2008.08.013
  18. Lin, P. L., Yen, M., & Fetzer, S. J. (2008). Quality of life in elders living alone in Taiwan. Journal of Clinical Nursing, 17(12), 1610-1617. doi:10.1111/J.1365-2702.2007.02081.X
  19. Min, S. K., Lee, C. I., Kim, K. I., Suh, S. Y., & Kim, D. K. (2000). Development of Korean version of World Health Organization Quality of Life Scale abbreviated version (WHOQOL-BREF). Journal of the Korean Neuropsychiatric Association, 39, 571-579. doi:1045000308
  20. Ministry of Health and Welfare. (2009). 2008 Survey of the elderly: National elderly living conditions and welfare needs. Retrieved August 16, 2010, from www.mw.go.kr
  21. Miranda de Nobrega, T. C., Jaluul, O., Machado, A. N., Paschoal, S. M. & Filho, W. J. (2009). Quality of life and multimorbidity of elderly outpatients. Clinics, 64, 45-50. doi:10.1590/S1807-59322209000100009
  22. Moon, M. J. (2004). Analysis on the structural model of life satisfaction for elderly home residents. Journal of Korean Gerontological Nursing, 6, 202-215. doi:9787040207
  23. Pasculin, L., Vianna, L., & Molzahn, A. E. (2009). Factors associated with quality of life of Brazilian older adults. International Nursing Review, 56, 109-115. doi:10.1111/J.1466-7657.2008.00671
  24. Pfeiffer, E. (1974). A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. Journal of the American Geriatrics Society, 23, 433-441. doi:pubmed/1159263
  25. Sheikh, J. I., & Yesavage, J. A. (1986). "Geriatric Depression Scale (GDS): Recent evidence and development of shorter version". Clinical Gerontologist, 5(1-2), 165-173. doi:10.1300/J018v05n01 09
  26. Skevington, L. D., Lofty, M., & O'Connell, K. A. (2004). The World Health Organization's WHOQOL-BREF quality of life assessment: Psychometric properties and results of the international field trial a report from the WHOQOL Group. Quality of Life Research, 13, 299-310. doi:10.1023/B:QURE.0000018486.91360.00
  27. Sohn, S. (2006). A comparative study on the life quality of the elderly and it's affecting factors between rural and urban areas. Journal of the Korean Gerontological Society, 26(3), 601-615. doi:210.101.116.28./47200849
  28. Statistics Korea. (2007). Korean statistical information service. Retrieved August 16, 2010, from http://kostat.go.kr
  29. WHOQOL Group. (1995). The World Health Organization Quality of Life Assessment (WHOQOL): Position paper from the World Health Organization. Social Science Medicine, 41(10), 1403-1409. doi:10.1016/0277-936(95)00110-K
  30. World Health Organization. (2001). The international classification of functioning, disability and health-ICF. Retrieved August 16, 2010, from http://www.who.int/classifications/icf/en/

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