Nutrition Research and Practice

The Korean Nutrition Society (한국영양학회)
권호 표지
DOI QR코드

DOI QR Code

A study on the model of homebound senior's meal satisfaction related to the quality of life

  • Lee, Sun-Mee (Department of Food and Nutrition, Sookmyung Women's University) ;
  • Joo, Na-Mi (Department of Food and Nutrition, Sookmyung Women's University)
  • Received : 2012.04.02
  • Accepted : 2012.07.18
  • Published : 2012.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

This study was conducted to develop a construct model regarding the daily activities, emotional security provided by food, enjoyment of food, level of satisfaction with delivered food, and the quality of life of homebound seniors who benefitted from meal delivery programs. The data were analyzed by SAS 9.2 and the Structural Equation Model (SEM), which was created by Analysis of Moment Structure (AMOS) 5.0 packages. The reliability of the data was confirmed by an exploratory factor analysis and through a Cronbach's alpha coefficient, and the measurement model proved to be appropriate by a confirmatory factor analysis of the measurement model in conjunction with AMOS. The results of the correlations between all the variables showed significant positive correlations (P < 0.05). The path analysis demonstrated that the daily activities (P < 0.01) and the emotional security created by food (P < 0.05) had positive correlations with the foodservice satisfaction (P < 0.05), while the daily activities (P < 0.05), the sense of emotional security made by food (P < 0.05), and food enjoyment (P < 0.05) also presented significant positive correlations with the quality of life. However, the food service satisfaction was shown to directly, but not significantly, affect the quality of life. This revealed that the current meal delivery programs needed to be improved in several directions.

Keywords

References

  1. Ministry of Health and Welfare. 2010 Elderly Health and Welfare Information. Korea National Statistical Office. Seoul: Ministry of Health and Welfare; 2010. p.834-837.
  2. Kwak EY, Han YB. A study on eating behavior and physical, mental health of the Korean elderly. J Korean Home Econ Assoc 1998;36:1-17.
  3. Choe E, Woo KJ, Chyun JH. Food preferences of the elderly living in Incheon area. Korean J Diet Cult 2002;17:78-89.
  4. Kim H, Yoon J. A study on the nutritional status and health condition of elderly women living in urban community. Korean J Nutr 1989;22:175-184.
  5. Lee JW, Kim KA, Lee MS. Nutritional intake status of the elderly taking free congregate lunch meals compared to the middle-income class elderly. Korean J Community Nutr 1998;3: 594-608.
  6. Kang MH. Nutritional status of Korean elderly people. Korean J Nutr 1994;27:616-635.
  7. Vailas LI, Nitzke SA, Becker M, Gast J. Risk indicators for malnutrition are associated inversely with quality of life for participants in meal programs for older adults. J Am Diet Assoc 1998;98:548-553. https://doi.org/10.1016/S0002-8223(98)00123-0
  8. Park JK, Son SM. The dietary behaviors, depression rates and nutrient intakes of the elderly females living alone. Korean J Community Nutr 2003;8:716-725.
  9. Kane RA, Kling KC, Bershadsky B, Kane RL, Giles K, Degenholtz HB, Liu J, Cutler LJ. Quality of life measures for nursing home residents. J Gerontol A Biol Sci Med Sci 2003; 58:240-248. https://doi.org/10.1093/gerona/58.3.M240
  10. Nam HW, Lee YM, Myung CO, Lee KW, Park YS. Satisfaction of the elderly toward free congregate meal service. Korean J Community Nutr 2000;5:74-82.
  11. Seo S. Perception of foodservice quality attributes of older adults: compared by lifestyle and dining frequency in continuing care retirement communities. Korean J Community Nutr 2006;11: 261-270.
  12. Vailas LI, Nitzke SA. Food enjoyment scale for older adults: development and application in a Wisconsin population. J Nutr Elder 1998;17:59-64.
  13. Gollub EA, Weddle DO. Improvements in nutritional intake and quality of life among frail homebound older adults receiving home-delivered breakfast and lunch. J Am Diet Assoc 2004;104: 1227-1235. https://doi.org/10.1016/j.jada.2004.05.204
  14. Lengyel CO, Zello GA, Smith JT, Whiting SJ. Evaluation of menu and food service practices of long-term care facilities of a health district in Canada. J Nutr Elder 2003;22:29-42. https://doi.org/10.1300/J052v22n03_03
  15. Lengyel CO, Smith JT, Whiting SJ. Zello GA. A questionnaire to examine food service satisfaction of elderly residents in long-term care facilities. J Nutr Elder 2004;24:5-18. https://doi.org/10.1300/J052v24n02_02
  16. Huang HC, Shanklin CW. An integrated model to measure service management and physical constraints' effect on food consumption in assisted-living facilities. J Am Diet Assoc 2008; 108:785-792. https://doi.org/10.1016/j.jada.2008.02.025
  17. Choi JH, Pyeun JH, Rhim CH, Yang JS, Kim SH, Kim JH, Lee BH, Woo SI, Choe SN, Byun DS. Investigation on daily life and consciousness of longevous people in Korea: (II) on social life and daily life habit of longevous people in the past. Korean J Diet Cult 1986;1:183-196.
  18. White JV, Ham RJ, Lipschitz DA, Dwyer JT, Wellman NS. Consensus of the Nutrition Screening Initiative: risk factors and indicators of poor nutritional status in older Americans. J Am Diet Assoc 1991;91:783-787.
  19. Davies L. Practical aspects of nutrition of the elderly at home. In: Munro HN, Schlierf G, editors. Nutrition of the Elderly. Nestlé Nutrition Workshop Series, Vol. 29. New York: Raven Press; 1992. p.203-209.
  20. Carrier N, West GE, Ouellet D. Dining experience, foodservices and staffing are associated with quality of life in elderly nursing home residents. J Nutr Health Aging 2009;13:565-570. https://doi.org/10.1007/s12603-009-0108-8
  21. Lee DH. Factor analysis an influence for health-related quality of life for the elderly in Korea [doctor's thesis]. Daegu: Daegu Haany University; 2009.
  22. Jo KH, Lee HJ. Factors related to life satisfaction in young-old, old, and oldest-old women. J Korean Acad Nurs 2009;39:21-32. https://doi.org/10.4040/jkan.2009.39.1.21
  23. Chu SK, Kang NE, Yi SH. The effects of nutrition evaluation related to suitable food supply program for elders living alone in Sung Nam City. Korean J Food Nutr 2007;20:467-475.
  24. Lee KH, Park MY. Nutrient intake of the rural elderly living in Kyungnam-focusing on health and aging status, and life-satisfaction. Korean J Community Nutr 2001;6:773-788.
  25. Nam KM, Jung EK. The influence of social activity and social support perceived by elderly women living alone on their quality of life: focusing on the mediating effect of depression and death-anxiety. J Welf Aged 2011;52:325-348.
  26. Jeong WY, Jeong SE. Study on the relations between the economic characteristics and life satisfaction by income levels among single elderly households. J Korean Gerontol Soc 2011; 31:1119-1134.
  27. Kim JY. Health-related quality of life model in the elderly [doctor's thesis]. Daejeon: Chungnam National University; 2009.
  28. Lee DH, Bin SO. Structure relationships for diseased and healthrelated quality of life in the elderly. J Korea Contents Assoc 2011;11:216-224.

Cited by

  1. An Evaluation by Elderly People Living at Home of the Prepared Meals Distributed by Their Municipality – A Study With Focus on the Swedish Context vol.7, pp.3, 2012, https://doi.org/10.5539/gjhs.v7n3p59