Journal List > J Korean Acad Nurs > v.38(3) > 1063737

J Korean Acad Nurs. 2008 Jun;38(3):437-444. Korean.
Published online June 30, 2008.  https://doi.org/10.4040/jkan.2008.38.3.437
Copyright © 2008 Korean Society of Nursing Science
A Study on Physical Symptom, Activity of Daily Living, and Health-Related Quality of Life (HRQoL) in the Community-Dwelling Older Adults
Kyung-Rim Shin,1 Young Soon Byeon,1 Younhee Kang,2 and Jiwon Oak3
1Professor, College of Nursing Science, Ewha Womans University, Seoul, Korea.
2Assistant Professor, College of Nursing Science, Ewha Womans University, Seoul, Korea.
3Post-doc fellow, College of Nursing Science, Ewha Womans University, Seoul, Korea.

Address reprint requests to: Shin, Kyung-Rim. College of Nursing Science, Ewha Womans University, 11-1 Daehyeon-dong, Seodaemun-gu, Seoul 120-750, Korea. Tel: 82-2-3277-2886, Fax: 82-2-3277-2850, Email: krshin@ewha.ac.kr
Received December 10, 2007; Accepted April 30, 2008.

Abstract

Purpose

This study aimed to identify the relationships among physical symptoms, activities of daily living, and health-related quality of life (HRQoL) in community-dwelling older adults.

Methods

A stratified random sampling method was conducted to recruit participants from May 10 to August 17, 2007. Physical symptoms were measured using the Physical Health Questionnaire (PHQ), activities of daily living using the Late-Life Functional and Disability Instrument (LLFDI), and HRQoL using the Medical Outcomes Short-Form Health Survey (SF-36) in 242 community-dwelling elderly Korean people.

Results

The HRQoL correlates with the physical symptoms (r=-.31) and the function component (r=.59). Of the two disability parts of the LLFDI, the limitation dimension correlates higher (r=.57) with HRQoL than the frequency dimension (r=.42). The HRQoL is significantly associated with the function component, and disability limitation in capability which explained 44.4% of variance in physical health.

Conclusion

These results may contribute to a better understanding of physical symptoms, activities of daily living, and HRQoL in community-dwelling older adults. Therefore, health programs for prompting older adult's health should be planned based on results of the study.

Keywords: Symptoms; Activities of daily living; Quality of life

Tables


Table 1
General Characteristic of Participants (N=242)
Click for larger image


Table 2
Summary of Descriptive Statistics for Study Variables (N=242)
Click for larger image


Table 3
The Health-Related Quality of Life according to General Characteristics (N=242)
Click for larger image


Table 4
Relationships among the Characteristics (N=242)
Click for larger image


Table 5
Influencing Factors on Health-Related Quality of Life (N=242)
Click for larger image

Notes

The investigators of this work were supported by the Second Stage of Brain Korea Project.

References
1. Baek HJ. In: A Study on depression and somatic symptoms in the community-dwelling elderly. Seoul: Ewha Womans University; 2007.
Unpublished master's thesis.
2. Borgaonka MR, Irvine EJ. Quality of life measurement in gastrointestinal and liver disorder. Gut 2000;47:444–454.
3. Campbell A. Subjective measures of well-being. The American Journal of Psychology 1977;3:177.
4. DeLateur BJ. The 29th Walter J. Zeiter Lecture. Quality of life: A patient-centered outcome. Archives of Physical Medicine and Rehabilitation 1997;78:237–239.
5. Demyttenaere K, Bonnewyn A, Bruffaerts R, Brugha T, De Graaf R, Alonso J. Comorbid painful physical symptoms and depression: Prevalence, work loss, and help seeking. Journal of Affective Disorders 2006;92:185–193.
6. Haley SM, Jette AM, Coster WJ, Kooyoomjian JT, Levenson S, Heeren T, et al. Late life function and disability instrument: II. Development and evaluation of the function component. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences 2002;57:217–222.
7. Jette AM, Haley SM, Coster WJ, Kooyoomjian JT, Levenson S, Heeren T, et al. Late life function and disability instrument: I. Development and evaluation of the disability component. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences 2002;57:209–216.
8. Jun YS. In: Study on effect of a leisure education program on a leisure awareness and quality of life among elderly persons. Seoul: Seoul Womans University; 2007.
Unpublished doctoral dissertation.
9. Kim SK. In: Relationships between family support, self-care behavior and perceived health among female patients under the chemotherapy. Seoul: Ewha Womans University; 2004.
Unpublished master's thesis.
10. Kim YH, Kim KS. A study on the relationship between self-esteem and quality of life of the elderly. Journal of Welfare for the Aged 2002;17:157–189.
11. KNSO. Korean National Statistical Office; 2006 [Retrieved October 1, 2007]. Statistics about cause of death in 2005.
12. Koh BS, Yoo YS. A study on the social support and quality of life for the elderly in Jeju. Journal of Welfare for the Aged 2002;18:49–72.
13. Kroenke K, Spitzer RL, Williams JB. The PHQ-15: Validity of a new measure for evaluating the severity of somatic symptoms. Psychosomatic Medicine 2002;64:258–266.
14. Lee EJ, Han CW. The relationship between the health-related quality of life and home care service needs in the elderly. Journal of Welfare for the Aged 2005;30:171–190.
15. Lee MS. In: A study on urinary incontinence and sleep disorder, quality of life of elderly women. Seoul: Ewha Womans University; 2006.
Unpublished master's thesis.
16. Lee SY, Choi SJ, Na YH. A study on the health-related qualiry of life. The Korean Journal Gastrointestinal Motility 2001;7:6–17.
17. Lim DH. In: Effects of regular exercise on stress, coping strategy, and life satisfaction of old ages. Seoul: Yonsei University; 2007. .
Unpublished master's thesis.
18. Moon MJ. A study on the instrumental activities of daily living and quality of life of elderly home residents. Korean Journal of Rehabilitation Nursing 2001;4:46–57.
19. Oh YH, Suk JE, Kwon JD, Kim JS, Park YR, Lim JK. In: Old person's quality of life and policy implications. Seoul: Korea Institute for Health and Social Affairs; 2005.
20. Park YH, Kim JH, Kim HJ. Factors influencing regular exercise of the elderly. Journal of Korean Academy of Adult Nursing 2002;14:348–358.
21. Park YR, Kwon HJ, Kim KH, Choi MH, Han SE. A study on relations between self-esteem, self efficacy and quality of life of the elderly. Journal of Welfare for the Aged 2005;29:237–258.
22. Song AR, So HY. An influencing factors on quality of life in the instiutionalized older population. Chungnam Journal of Nursing Academy 2000;3:29–37.
23. Song NW. In: Infliense of Sexual Life of the Aged on the Quality of Life. Seoul: Kwangwoon University; 2006.
Unpublished doctoral dissertation.
24. Spitzer RL, Kroenke K, Williams JB. Validation and utility of a self-report version of PRIME-MD: The PHQ primary care study. The Journal of the American Medical Association 1999;282:1737–1744.
25. Trentini CM, Xavier FM, Chachamovich E, Rocha NS, Hirakata VN, Fleck M.P. The influence of somatic symptoms on the perfomance of elders in the Beck Depression Inventory (BDI). Revista Brasileira de Psiquiatria 2005;27:119–123.
26. Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Medical Care 1992;30:473–483.
27. Yim ES, Lee KJ. Effect of physical ability, depression and social support on quality of life in low income elders living at home. Journal of Korean Gerontological Nursing 2003;5:38–49.