Journal of Korean Public Health Nursing (한국보건간호학회지)

Korean Society of public Health Nursing (한국보건간호학회)
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Factors associated with Health-related Quality of Life in Vulnerable Elderly Women

취약계층 여성노인의 연령주기별 건강관련 삶의 질 관련 요인

  • Received : 2014.07.18
  • Accepted : 2014.08.27
  • Published : 2014.12.31
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Abstract

Purpose: The aim of this study was to understand the determinants of health-related quality of life (HRQOL) according to age groups in vulnerable elderly women. Methods: We conducted a cross-sectional study with 1,533 elderly women beneficiaries of the visiting health care program in Seoul. The participants were divided into three age groups: the young-old (n=753, 65-74 years), old-old (n=602, 75-84 years), and oldest-old (n=178, 85 years or older) groups. HRQOL was measured using the SF-8 questionnaire. Results: HRQOL was found to be worse in the oldest-old group (p=.007). Factors associated with HRQOL differ by age groups. In the young-old and old-old groups, higher HRQOL showed significant correlation with a higher level of self-rated health (SRH) and a lower level of depression, instrumental activities of daily living (IADL) dependence, and the number of chronic diseases. In addition, higher HRQOL was observed for elderly living alone than for those living with family. In the oldest group, higher HRQOL showed significant correlation with a lower level of depression, activities of daily living (ADL) dependence, and a higher level of SRH. Conclusions: In age specific groups, lower levels of HRQOL were observed for the oldest-old group than for the other age groups. Age group-specific nursing strategies may be required for improving HRQOL levels of vulnerable elderly women.

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References

  1. Aghamolaei, T., Tavafian, S. S., & Zare, S. (2009). Health related quality of life in elderly people living in Bandar Abbas, Iran: A population-based study. Acta Medica Iranica, 48(3), 185-191.
  2. Borgaonka, M. R., & Irvine, E. J. (2000). Quality of life measurement in gastrointestinal and liver disorder. Gut, 47(3), 444-454. http://dx.doi.org/10.1136/gut.47.3.444
  3. Damian, J., Ruigomez, A., Pastor, V., & Martin-Moreno, J. M. (1999). Determinants of self assessed health among Spanish older people living at home, Journal of Epidemiology and Community Health, 53(7), 412-416. http://dx.doi.org/10.1136/jech.53.7.412
  4. Jeon, E. Y., & Choi, Y. H. (2010). Factors affecting the health-related quality of life According to age in vulnerable aged men. Journal of Korean Academy of Nursing, 40(3), 400-410. http://dx.doi.org/10.4040/jkan.2010.40.3.400
  5. Jung, K. H. (1997). Quality of life in elderly women. Health Welfare Forum, 13, 43-52. Retrieved June, 10, 2014, from https://www.kihasa.re.kr/html/jsp/publication/periodical/forum/view.jsp?bid=19&aid=51&ano=4
  6. Jung, J. Y., Kim, J. S., Choi, H. J., Lee, K. Y., & Park, T. J. (2009). Factors associated with ADL and IADL from the third Korea national health and nutrition examination survey(KNHANES III), 2005. Journal of Korean Family Medicine, 30(8), 598-609. http://dx.doi.org/10.4082/kjfm.2009.30.8.598
  7. Kang, H. J., & Kim, Y. J. (2009). Life satisfaction of older women focused on household types and poverty levels. Korean Journal of Community Living Science, 20(1), 71-80.
  8. Kee, B. S. (1996). A preliminary study for the standardization of geriatric depression scale short form-Korea version. Journal of Korean Neuropsychiatric Association, 35(2), 298-307.
  9. Kim, J. I. (2013). Levels of health-related quality of life(EQ-5D) and its related factors among vulnerable elders receiving home visiting health care services in some rural area. Journal of Korean Academy of Community Health Nursing, 24(1), 99-109. http://dx.doi.org/10.12799/jkachn.2013.24.1.99
  10. Kim, Y. H. (2013). Factors influencing the health-related quality of life by age among vulnerable elderly women. Journal of the Korea Academia-Industrial cooperation Society, 14(3), 1342-1349. https://doi.org/10.5762/KAIS.2013.14.3.1342
  11. Kim, E. Y., Shin, E. Y., & Kim, Y. M. (2004). Caregiver burden and health-related quality of life among stroke caregivers. Journal of Korean Public Health Nursing, 18(1), 5-13.
  12. Lee, S. H. (2013). Gender difference in influencing factors on health related quality of life among the elderly in community. The Journal of Digital Policy & Management, 11(12), 523-535. http://dx.doi.org/10.14400/jdpm.2013.11.12.523
  13. Lee, H. S., Kim, H. S., & Jung, Y. M. (2009). Depression and quality of life in Korean elders. Journal of Korean Academy of Community Health Nursing, 20(1), 12-22.
  14. Park, K. Y. (2013). 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. Journal of the Korean Data Analysis Society, 15(6), 3219-3233.
  15. Park, D. S., Ma, S. J., & Choi, K. E. (2010). Current situation of the rural vulnerable class and policy improvement measures: Centered on the elderly living alone and grandparents-grandchildren families. Korea Rural Economic Institute Research Report R612/2010.10. Retrieved June, 10, 2014, from http://library.krei.re.kr/dl_images/001/033/R612.pdf
  16. Park, K. E., Kwon, M. H., & Kwon, Y. E. (2013). Correlation among depression, death anxiety, and quality of life of aged women. Journal of Korean Public Health Nursing, 27(3), 527-538. http://dx.doi.org/10.5932/JKPHN.2013.27.3.527
  17. Sheikh, J. A., & Yesavage, J. A. (1986). Geriatric depress scale(GDS): Recent evidence and development of a shorter version. In Clinical gerontology: a guide to assessment and intervention (pp. 165-173). NY: the Haworth press.
  18. Shin, K. R., Byeon, Y. S., Kang, Y., & Oak, J. (2008). A study on physical symptom, activity of daily living, and health-related quality of life(HRQoL) in the community-dwelling older adults. Journal of Korean Academy of Nursing, 38(3), 437-444. http://dx.doi.org/10.4040/jkan.2008.38.3.437
  19. Smith, J., Borchelt, M., Maier, H., & Jopp, D. (2002). Health and well-being in the young old and oldest old. Journal of Social Issues, 58(4), 715-732. http://dx.doi.org/10.1111/1540-4560.00286
  20. Statistics Korea. Daejeon. (2013). Statistics of aged. Retrieved June, 10, 2014, from http://kosis.kr
  21. Statistics Korea. Daejeon. (2012). Life table. national approval statistics 10135. Retrieved June, 10, 2014, from http://kosis.kr
  22. Statistics Korea. Daejeon. (2010). Estimated future population: 2010-2060. Retrieved June, 10, 2014, from http://kosis.kr
  23. Statistics Korea. Daejeon. (2009). Report on the social survey. Retrieved June, 10, 2014, from http://kostat.go.kr
  24. Tajvar, M., Arab, M., & Montazeri, A. (2008). Determinants of health-related quality of life in elderly in Tehran, Iran. BMC Public Health, 8, 323. http://dx.doi.org/10.1186/1471-2458-8-323
  25. Ware, J. E., Kosinski, M., Dewey, J. E., & Gandek, B. (2001). How to score and interpret single-item health status measure: A manual for users of the SF-8 health survey. Lincoln: Quality Metric Incorporated
  26. Won, C. W., Yang, K. Y., Rho, Y. G., Kim, S. Y., Lee, E. J., Yoon, J. L., Cho, K. H., Shin, H. C., Cho, B. R., Oh, J. R., Do, K. Y., Lee, H. S., & Lee, Y. S. (2002). The development of Korean activities of daily living and Korean instrumental activities of daily living scale. Journal of Korean Geriatric Society, 6(2), 107-120.
  27. Yang, S. A. (2012). Factors influencing depression of elderly women in a metropolitan city. Journal of Korean Public Health Nursing, 26(1), 158-173. http://dx.doi.org/10.5932/JKPHN.2012.26.1.158
  28. Yang, S. O., Cho, H. R., & Lee, S. H. (2014). A comparative study on influencing factors of health related quality of life of the elderly in senior centre by region: Focus on urban and rural areas. Journal of Digital Convergence, 12(1), 501-510.

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