Quality of Life and Related Factors among Elderly Residents in Long-term Care Facility
Date Issued
2004
Date
2004
Author(s)
Ko, Li-Mei
DOI
zh-TW
Abstract
Abstract
This study explored long-term care facility residents’ subjectively perceived quality of life, and relationships among social-demographic, environmental status, perceived health status, social support and quality of life . This study adopted cross-sectional research design. This was a descriptive and correlational survey research. These purposive sampling were collected from five long-term care facilities in Taipei. The objects of the research are the elderly residents over 65,lived in facility over six months, cognitive function normal(SPMSQ error below 4 items), and also can express themselves in Chinese or Taiwanese .Totally, there are 141cases of these elderly residents. A structured questionnaire was used to collect data. Research measuring tools included short portable mental status questionnaire(SPMSQ),social-demographic variables, health status, social support ,quality of life, and environmental status. These questionnaires included social-demographic variables , health status, social support ,
and quality of life were used to collect data via face to face interviewing residents. Ask facility managers to collect environmental status data. Data were analyzed by using SPSS/Windows10.0 statistical software. The statistical methods included arithmetic mean, percentage, standard deviation, t- test, one-way ANOVA, Person’s product moment correlation coefficients, and stepwise multiple regression analysis.
This study were as followed ：
(1)The mean score of quality of life was 8.50 ,standardized deviation
was 1.35,index of mean score was 56.67%. Nine subscales for measuring
quality of life were, in the descending order, ”security’, ”dignity”,
”autonomy”, ”privacy”, ”physical status” , ”spiritual well-being”,
”Enjoyment”, ”Relationships”, ”Meaningful activity”.
(2)Residents moving into long-term care facility for economic factor had
higher quality of life score than housing care factor ,facility factor, and
unknown group. Residents don’t have chronic illness had higher quality
of life score than have chronic illness group, and then residents have
stroke ,parkinson’s disease, and osteoporosis were significantly different
in quality of life. The other social-demographic variables weren’t
significantly different in quality of life.
(3)Residents live in small profit facility had higher quality of life score
than non-profit facility . Residents live in facility of nursing type had
higher quality of life score than caring, nursing, long term care type.
Facility ‘s occupancy rate ,nurses/residents ratio, and social worker
/residents ratio were significantly positively related to quality of life
;foreign/local nurse assistant ratio were significantly negatively related
to quality of life .
(4)Residents perceived health status, and activities of daily living (ADLs)
were significantly positively related to quality of life.
(5)Social support provided by nurses, nurse assistant, social
worker, roommate ,and frequency of interaction with outsides were
significantly positively related to quality of life ,and then social support
provided by family wasn’t significantly related to quality of life .
(6)Stepwise regression showed that activities of daily living (ADLs), social
support provided from the nurse assistant, admission decision making,
length of stay, educational levels, and social economic status were the
significant predictors in quality of life(p<.001),which explained 79.6% of
the total amount of variance. When residents have better activities of daily
living (ADLs) ,accepted more social support from the nurse assistant, the
longer length of stay, the higher educational level, the better quality of life
he would feel. Residents self decided lived in facility had better quality of
life than the other people decided. Residents have higher social economic
status had better quality of life than those had lower social economic
status.
The results of this study could provide nurses the information about the relationships among social-demography, environmental status ,health status ,social support, and quality of life of the residents in the
Long term care facility. The findings can also serve as references for teaching materials, research, and guidelines for planning interventions to promote elderly quality of life.
Key words：nursing care facility, residents, environmental status,
health status, social support, Quality of life
Subjects
健康狀況
環境特性
生活品質
養護機構
住民
environmental status
health status
nursing care facility
Quality of life
residents
social support
Type
other