The Effects of Related Factors on Health-related Quality of Life for the Frail Elderly

허약노인의 건강관련 삶의 질과 영향요인

  • Yim, Eun-Shil (Health Insurance Policy Research Institute, National Health Insurance Corporation) ;
  • No, Kyoung-Hee (Ministry for Health, Welfare and Family Affairs)
  • 임은실 (국민건강보험공단 건강보험정책연구원) ;
  • 노경희 (보건복지가족부)
  • Received : 2009.05.18
  • Accepted : 2010.03.10
  • Published : 2010.03.31

Abstract

Purpose: The purpose of this study was to identify the predictors of health-related quality of life and to examine their effects in frail elderly. Methods: This was a correlation study. The subjects were 680 frail elders aged over 65 who were receiving home care from one of 253 public health centers in 16 provinces, and data were collected from the 1st to 30th of April, 2008. Results: The mean health-related quality of life in the subjects was $6.0{\pm}2.0$. The predictors identified in this study significantly explained 41.3% of health-related quality of life. Self-rated health was the most significant predictor of health-related quality of life. ADL and depression had an effect on health-related quality of life. Conclusion: Self-rated health, ADL and depression were the predictors of health-related quality of life in the frail elderly.

Keywords

References

  1. Chang, S. O., Park, Y. J., & Youn, J. W. (2003). Study on relations of variables: Attributions of somatic symptoms, fatigue, chronic pain and depression in the elderly. Journal of Korean Academy Nursing, 33(1), 26-33.
  2. Fried, L., Tangen, C. M., Walston, J., Newman, A., Hirsch, C., Gottdiener, J., et al. (2001). Frailty in older adults: Evidence for a phenotype. Journal of Gerontological A Biological Science, 56, 146-157. https://doi.org/10.1093/gerona/56.3.M146
  3. Kang, E. J., Shin, H. S., Park, H. J., Jo, M. W., & Kim, N. Y. (2006). A Valuation of Health Status Using EQ-5D. The Korean Journal of Health Economics and Policy 12(2), 19-43.
  4. Kee, B. S. (1996). A preliminary study for the standardization of geriatric depression scale short form-Korea Version. Journal of the Korean Neuropsychiatric Association, 35(2), 298-307.
  5. Kim, H. R. (2003). Health status among community elderly in Korea. Journal of Korean Academy Nursing, 33(5), 544-552.
  6. Kim, H. R., Oh, K. S., Oh, H. O., Lee, S, O., Lee, S. J., Kim, J. A., et al. (2008). Quality of Life in Low Income Korean Aged. Journal of Academy Nursing, 38(5), 694-703 https://doi.org/10.4040/jkan.2008.38.5.694
  7. Korean National Statistical Office (2008), 2008 Statistics on older people. Korean National Statistical Office, Retrieved January 28, 2009, from http://www.kostat.go.kr
  8. Korea Institute for Health and Social Affairs (2004). Development of assessment tool for public long-term care system. Retrieved Feb. 2, 2009, from http://www.e-welfare.go.kr
  9. Lee, F. J., & Han, C. W. (2005). The relationship between the health-related quality of life and home care service needs in the elderly. Journal of Welfare for the Aged, 30, 171-190.
  10. Lee, H. J., Chung, Y. J., Kim, H. J., Seo, H. S., Lee, H. S., Shim, K. W., et al. (2002). Determinants of Self-assessed Health among Elderly Adults. The Korean Academy of Family Medicine, 23(10), 1210-1218.
  11. Lee, J. K., & Park, H. S. (2006). A Study on the Perceived Health Status, Depression and Activities of Daily Living for the Elderly in Urban Areas. Korean Journal of Women Health Nursing, 12(3),221-230.
  12. Lee, K. J., & Lee, H. J. (2008). Determinats of the Quality of Life in Three Elderly Cohorts. Journal of Welfare for the Aged, 41, 159-182 .
  13. Meredith, C. M., James, E. G., Timothy, A. R., Kyriakos, S. M., & Kenneth, J. O. (2009). Frailty and health related quality of life in older Mexican Americans. Health and Quality of Life Outcome, 7, 70-88. https://doi.org/10.1186/1477-7525-7-70
  14. Ministry of Health and Welfare Affairs (2008-a). The Forth Korea National Health and Nutrition Examination Survey. Retrieved January 20, 2009, from http://knhanes.cdc.go.kr
  15. Ministry of Health and Welfare Affairs (2008-b). Case Management for Frail Elderly. Retrieved January 20, 2009, from http://chc.hp.go.kr
  16. Moon, M. J. (2001). A study on the instrumental activities of daily living and quality of life of elderly home residents. Korean Journal ol Rehabilitation Nursing, 4, 46-57.
  17. Park, Y. R., Kwon, H. J, Kim, K. H., Choi, M. H., & Han, S. E. (2005). A study on relations between self-esteem, self efficacy and quality of life of the elderly. Journal of Welfare for the Aged, 29, 237-258.
  18. Puts, M., Shekary, N., Widdershoven, G., Heldens, J., Lips, P., & Deeg, D. (2007). What does quality of life mean to older frail and non-frail community dwelling adults in the Netherlands? Quality of Life Research, 16, 263-277. https://doi.org/10.1007/s11136-006-9121-0
  19. Scott, W. K., Macera, C. A., Cornman, C. B., & Sharpe, P. A. (1997). Functional health status as a predictor of mortality in men and women over 65. Journal of Clinical Epidemiology, 50(3), 291-296. https://doi.org/10.1016/S0895-4356(96)00365-4
  20. Shin, K. R., Byeon, Y. S., Kang, Y. H., & Oak, J W. (2008). A study on physical symptom, activity of daily living, and health-related quality of life in the community-dwelling older adults. Journal of Korean Academy Nursing, 33(3), 437-444.
  21. Sun, Y. D., Song, H, J., Lee, Y. H., & Kim, D, J. (2004), Study on development of health care services and coordinated system for frail elderly people. Seoul: Yaewon Publishing Company.
  22. The EuroQoL Group (1990). EuroQoL-a new facility for the measurement of health-related quality of life, Health Policy, 16(3), 199-208. https://doi.org/10.1016/0168-8510(90)90421-9
  23. Yim, E. S., & Lee, K. J. (2003). Effect of physical ability, depression and social support on quality of life in low income elders living at home. Journal of Korean Gerontological Nursing, 5, 38-49.
  24. Ware, J., & Kosinski, M. (2001). Interpretation: Content and criterion-based in SF-36 physical mental health summary scale: A manual for users of version I (2nd ed.). Lincoln, RI: Quality Metric Incorporated.
  25. Won, C. W., Rho, Y. G., Kim, S. Y., Cho, B. R., & Lee, Y. S. (2002). The validity and reliability of Korean Activities of Daily Living (K-ADL) Scale. Journal of the Korean Geriatrics Society, 6(2),98-106.
  26. Won, C. W., Rho, Y. G., Sun, W. D., & Lee, Y. S. (2002). The validity and reliability of Korean Instrumental Activities of Daily Living (K-IADL) Scale. Journal of the Korean Geriatrics Society, 6(4), 273-280.