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Abstract
Purpose
The purpose of this study is to identify levels of quality of health-related life (EQ-5D) and its related factors among vulnerable elders receiving home visiting health care services in some rural areas.
Methods
The subjects of this study were vulnerable elders aged 65 or higher receiving visiting health care benefits by a public health center in a county.
Results
Levels of health-related EQ-5D were high when the subjects were males, their ADL and IADL were high. The EQ-5D of the vulnerable elders and social supports had a positive correlation, while their IADL and depression had a negative correlation with the EQ-5D. We can see that the EQ-5D related factors are variables that have significance influence on gender, subjective health status, BMI, IADL, depression levels, and social support.
Conclusion
To improve the EQ-5D of the vulnerable elderly, it needs maintenance of independent IADL levels, social supporting systems using small meeting of the elderly in community. It is necessary to maintain independent IADL levels, enhance social supporting systems including small group gatherings for elders living alone by means of places like community halls, and develop specific intervention programs for the prevention and management of depressive elders.
Figures and Tables
Table 1
Distribution of Health-related EQ-5D Levels according to Demographic Characteristics and Health related Behaviors (N=151)
Table 2
Distribution of Health-related EQ-5D Levels according to ADL, IADL, Depression, and Social Support (N=151)
Table 4
Related Factors of Health-related Quality of Life Assessment by the EQ-5D (N=151)
Dummy variables=gender (male/female); Education (no education/education); People living with (alone/together); Subjective health status (healthy/unhealthy); Smoking (yes/no); Drinking (yes/no); Exercise (irregular/regularly); BMI=body mass index; ADL=activities of daily living; IADL=instrumental activities of daily living.
*p<.05; **p<.01; ***p<.001.
References
1. Brooks R, Rabin RM, Charro F. The Measurement and valuation of health status using EQ-5D: A european perspective. Evidence from the EuroQol BIOMED Research Program. 2005. The Netherland: Kluwer Academic Publisher.
2. Choe JS, Kwon SO, Park SO, Paik HY. Health-related quality of life by socioeconomic factors and health-related behaviors of the elderly in rural area. Korean J Rural Med. 2004. 29(1):29–41.
3. Choi YH. A study on depression, sleep and fatigue in younger and older elders. J Korean Acad Community Health Nurs. 2007. 18:223–231.
4. Chung JY, Lee MY, Kim MJ. A study on the prevalence of chronic diseases, health-related habits and nutrients intakes according to the quality of life in Korean adults. Korean J Community Nutr. 2010. 15(4):445–459.
5. Cohen J. Statistical power analysis for the behavioral sciences. 1998. 2nd ed. Mahwah, NJ: Lawrence Erlbaum Associates Publishers.
6. Han MA, Ryu SY, Park J, Kang MG, Kim KS. Health-related quality of life assessment by the EuroQol-5D in some rural adults. J Prev Med Public Health. 2008. 41(3):173–180.
7. Jo MW, Lee SI. General population time trade-off values for 42 EQ-5D health states in South Korea. J Prev Med Public Health. 2007. 40(2):169–176.
8. Kang EJ, Shin HS, Park HJ, Jo MW, Kim NY. A valuation of health status using EQ-5D. Korean J Health Econ Policy. 2006. 12(2):19–43.
9. Kee BS. A preliminary study for the standardization of geriatric depression scale short form-Korea version. J Korean Neuropsychiatr Assoc. 1996. 35(2):298–307.
10. Kim SY, Choi KW, Oh HY. Relationships of social networks to health status among the urban low-income elderly. Korean J Rehabil Nurs. 2010. 13(1):53–61.
11. Korea Institute for Health and Social Affairs. In-depth an analysis of the first national health and nutrition examination survey. 1999. Retrieved January 20, 2013. from http://knhanes.cdc.go.kr.
12. Korean Society for the Study of Obesity. Obesity diagnostic criteria. 2007. 2007. Seoul: Author.
13. Lawton MP, Brody EM. Assessment of older people: Self-maintaining and instrumental activities of daily living. Gerontologist. 1969. 9:179–186.
14. Lee BY, Jo HS, Lee HJ, Yoo SH. Health promotion priorities of older adults in a rural community. J Korean Acad Community Health Nurs. 2008. 19:57–65.
15. Lee JC, Park JA, Bae NK, Cho YC. Factors related to depressive symptoms among the elderly in urban and rural areas. J Agric Med Community Health. 2008. 33(2):204–220.
16. Lee JH, Aong MY. The study of community-oriented welfare service for the rural elderly-focused on 'villages supported by special programs for the rural elderly'. Korean J Community Living Sci. 2004. 15(3):149–165.
17. Lee YJ, Kim TH. A Study on the buffering effect of social support on the stress of the aged who lives alone. J Korea Gerontol Soc. 1999. 19:79–93.
18. Nam HS, Kim KY, Kwon SS, Koh KW, Poul K. EQ-5D Korean valuation study using time trade of method. 2007. Seoul: Korea Centers for Disease Control and Prevention.
19. Norbeck JS, Linsey AM, Carrieri VL. The development of an instrument to measure social support. Nurs Res. 1981. 30(5):264–269.
20. Park KH, Choi YH. Quality of life of older adult with home health services.-applied precede-proceed model-. Korean J Rehabil Nurs. 2010. 13(1):32–43.
21. Park KM, Ha EK. Ability of self care and health promotion lifestyle for vulnerable elderly in urban community. Korean Public Health Res. 2004. 30(1):96–103.
22. Park SY. A study on depression. ADL, IADL, and QOL among community dwelling, low income elderly. J Korean Acad Public Health Nurs. 2009. 23(1):78–90.
23. Park S, Ma SJ, Choi KE. Current situation of the rural vulnerable class and policy improvement measures: Centered on the elderly living alone and grandparents-grandchildren families. 2010. Retrieved March 24, 2013. from www.krei.re.kr.
24. Queenan JA, Feldman-Stewart D, Brudage M, Groom PA. Social support and quality of life of prostate cancer patients after radiotherapy treatment. Eur J Cancer Care (Engl). 2010. 19(2):251–259.
25. Seong SS, Choi CB, Sung YK, Park YW, Lee HS, Uhm WS, et al. Health-related quality of life using EQ-5D in Korean. J Korean Rheum Assoc. 2004. 11(3):254–262.
26. Song NH, Kim SM. The relationship among self-efficacy, social support and depression of the poor elderly. J Korean Community Nurs. 2000. 11(1):158–171.
27. Statistics Korea. Population Projections 2010-2060. 2011. Retrieved Nobember 17, 2012. from http://kostat.go.kr.
28. Statistics Korea. Elderly Statistics 2012. 2012. Retrieved March 26, 2013. from http://kostat.go.kr.
29. Stenzelius K, Westergren A, Thorneman G, Hallberg IR. Patterns of health complaints among people 75 in relation to quality of life and need of help. Arch Gerontol Geriatr. 2005. 40(1):85–102.
30. Uemura S, Saiki C, Murayma R, Kuriyama T, Koyama M, Takagi H, et al. Relation among lifestyle. social network, blood pressure and serum lipid in the elderly. Nihon Eiseigaku Zasshi. 1996. 50(6):1057–1066.
31. Wallander JL, Varni JW. Effects of pediatric chronic physical disorders on child and family adjustment. J Child Psychol Psychiatry. 1998. 39(1):29–46.
32. Won CW, Yang KY, Rho YG, Kim SY, Lee E, Yoon JL, et al. The development of Korean activities of daily living (K-ADL) and korean instrumental activities of daily living (K-IADL) scale. J Korean Geriatr Soc. 2002. 6(2):107–120.
33. Yoon JY. A study on the propose about a sporting equipment to improve muscle tone for the old.-focusing on the muscle used for everyday living-. J Korean Soc Des Cult. 2011. 17(4):318–426.
34. Yoon MS. The study on the relationship of psychosocial factors. Problem drinking on quality of life for the elderly in urban and rural areas. J Welf Aged. 2007. 38:281–310.
35. Zack MM, Moriaty DG, Stroup DF, Ford ES, Mokdad AH. Worsening trend in adult health-relatedquality of life and self rated health-United States, 1993-2001. Public Health Rep. 2004. 119(5):493–505.
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