Cent Eur J Nurs Midw 2016, 7(3):484-493 | DOI: 10.15452/CEJNM.2016.07.0019

Determinants of quality of life in the elderly

Mária Sováriová Soósová
Department of Nursing Care, Faculty of Medicine, Pavol Jozef Šafárik University in Košice, Slovakia

Aim: To assess the impact of selected demographic (age, sex), socio-economic (marital status, education, income) and health factors (functional status, anxiety, depression) on quality of life (QOL) of seniors in the Košice region.

Design: Cross-sectional study.

Methods: QOL was assessed by the WHOQOL-BREF and WHOQOL-OLD questionnaires, functional status was assessed by the Barthel test Activities of Daily Living (ADLs), anxiety by the Beck Anxiety Inventory, and depression by the Zung Self-Rating Depression Scale. Relations between variables were assessed by Pearson correlation coefficients. Linear regression analysis was used to evaluate QOL predictors.

Results: In a sample of a hundred and two elderly people, the best QOL was found in the domain of social relationships, death and dying, and intimacy. The worst QOL was found in physical health, social participation, and past, present and future activities. QOL was reduced particularly by depression, poly-morbidity, and life without a partner. The maintenance of independence in ADLs had a positive impact on most QOL domains.

Conclusion: The results indicate the necessity of creating opportunities for the development and maintenance of social contacts, the involvement of seniors in various leisure activities and in different programs or voluntary activities. The screening for and treatment of depression and anxiety is very important in improving quality of life in older adults, as is maintaining and improving self-care in ADLs.

Keywords: quality of life, elderly, anxiety, depression, functional status, WHOQOL-BREF, WHOQOL-OLD

Received: March 31, 2016; Accepted: May 11, 2016; Published: September 30, 2016  Show citation

ACS AIP APA ASA Harvard Chicago IEEE ISO690 MLA NLM Turabian Vancouver
Sováriová Soósová M. Determinants of quality of life in the elderly. Central European Journal of Nursing and Midwifery. 2016;7(3):484-493. doi: 10.15452/CEJNM.2016.07.0019.
Download citation

References

  1. Alexandre Tda S, Cordeiro RC, Ramos LR. Factors associated to quality of life in active elderly. Revista de Saúde Pública. 2009;43(4):613-621. Go to original source... Go to PubMed...
  2. Beck AT, Steer RA. Beck Anxiety Inventory Manual. San Antonio: The Psychological Corporation Harcourt Brace and Company; 1993.
  3. Bilgili N, Arpaci F. Quality of life in older adults in Turkey. Archives of Gerontology and Geriatrics. 2014;59(2):415-421. Go to original source... Go to PubMed...
  4. Brown PJ, Roose SP. Age and anxiety and depressive symptoms: the effect on domains of quality of life. International Journal of Geriatric Psychiatry. 2011;26(12):1260-1266. Go to original source... Go to PubMed...
  5. Bryła M, Burzyńska M, Maniecka-Bryła I. Self-rated quality of life of city-dwelling elderly people benefitting from social help: results of a cross-sectional study. Health and Quality of Lifes Outcomes. 2013;11:181. Go to original source... Go to PubMed...
  6. Chin YR, Lee IS, Lee HY. Effects of hypertension, diabetes, and/or cardiovascular disease on health-related quality of life in elderly Korean individuals: a population-based crosssectional survey. Asian Nursing Research. 2014;8(4):267- 273. Go to original source... Go to PubMed...
  7. Dahlberg L, McKee KJ. Correlates of social and emotional loneliness in older people: evidence from an English community study. Aging and Mental Health. 2014;18(4):504- 514. Go to original source... Go to PubMed...
  8. Davidson JR, Feltner DE, Dugar A. Management of generalised anxiety disorder in primary care: identifying the chalanges and unmet needs. Primary Care Companion to The Journal of Clinical Psychiatry. 2010;12(2):PCC.09r00772. Go to original source... Go to PubMed...
  9. Dimunová L, Dankulincová Veselská Z, Stropkaiová S. Vybrané parametre pri posudzovaní kvality života seniorov v domácej a inštitucionalizovanej starostlivosti. Ošetrovateľstvo: teória, výskum, vzdelávanie. 2013;3(1):19- 24. (in Slovak)
  10. Dragomirecká E, Prajsová J. WHOQoL-OLD. Praha: Psychiatrické centrum Praha; 2009. (in Czech)
  11. Farský I, Ondrejka I, Žiaková K. Problematika kvality života v séniu. Martin: Profa; 2007. (in Slovak)
  12. Forjaz MJ, Rodriguez-Blazquez C, Ayala A, RodriguezRodriguez V, de Pedro-Cuesta J, Garcia-Gutierrez S, PradosTorres A. Chronic conditions, disability, and quality of life in older adults with multimorbidity in Spain. European Journal of Internal Medicine. 2015;26(3):176-181. Go to original source... Go to PubMed...
  13. Gurková E. Hodnocení kvality života. Pro klinickou praxi a ošetřovatelský výskum. Praha: Grada Publishing; 2011. (in Czech)
  14. Jirák R. Poruchy afektivity ve stáří. In: Kalvach Z, Zadák Z, Jirák R, Zavázalová H, Sucharda P et al., editors. Geriatrie a gerontologie. Praha: Grada Publishing; 2004. p. 554-570. (in Czech)
  15. Kabátová O, Uríčková A, Botíková A. Factors affecting the incidence of depression in the elderly. Central European Journal of Nursing and Midwifery. 2014;5(3):105-111. Go to original source...
  16. Layte R, Sexton E, Savva G. Quality of life in older age: evidence from an Irisch cohort study. Journal of the American Geriatrics Society. 2013;61(Suppl 2):S299-305. Go to original source... Go to PubMed...
  17. Mahoney FI, Barthel DW. Functional evaluation: the Barthel Index. Maryland State Medical Journal. 1965;14:61-65. Go to original source...
  18. The World Health Organization quality of life assessment (WHOQOL): Position paper from the World Health Organization. Social Science & Medicine. 1995;41(10):1403- 1409.
  19. World Health Organisation. Active ageing: a policy framework. Geneva: WHO; 2002 [cited 2014 Mar 19]. Available from: http://www.who.int/ageing/publications/active_ageing/en/
  20. Yu H., Jiang S, Land KC. Multicollinearity in hierarchical linear models. Social Science Research. 2015;53:118-136. Go to original source... Go to PubMed...
  21. Zamboriová M, Simočková V, Potočeková D. Komplexné hodnotenie kvality seniorov v domácej ošetrovateľskej starostlivosti s hľadiska funkčného stavu. In: Čáp J, Žiaková K, editors. Teória, výskum a vzdelávanie v ošetrovateľstve a v pôrodnej asistencii. Martin: Jesseniova lekárska fakulta v Martine, Univerzita Komenského v Bratislave; 2007. p. 676-692. (in Slovak)
  22. Zaninotto P, Falaschetti E, Sacker A. Age trajectories of quality of life among older adults: results from the English Longitudinal Study of Ageing. Quality of Life Research. 2009;18(10):1301-1309. Go to original source... Go to PubMed...
  23. Zung WW. A Self-rating Depression Scale. Archives of General Psychiatry. 1965;12:63-70. Go to original source... Go to PubMed...

This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0), which permits non-comercial use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.