Factors influencing the quality of life among Indonesian elderly

Quality of Life of Residents in Seniors' Homes in Poland and Germany

BACKGROUND

Homes for the elderly and care facilities are not only a place of treatment, but also a place of permanent residence for older people. It is assumed that older adults' quality of life in the centres may not be sufficient for their long well-being. The purpose of this study was to determine the level of quality of life among nursing home residents in Poland and Germany and the impact of disability on functioning in their major life domains.

MATERIAL AND METHODS

This study was carried out using the WHOQOL-BREF questionnaire (abridged version) on 1000 people-500 residents of the centre in Poland and 500 residents in Germany.

RESULTS

The quality of life of Polish and German residents is at an average level and is closely related to their degree of independence. People with greater independence assessed their quality of life higher.

CONCLUSION

The degree of disability affects one's own health and the quality of life of the residents. Therefore, to improve older adults' quality of life, certain steps should be taken, including supporting them in maintaining their health and independence on a daily basis.

Quality of life and its associated factors among home-dwelling older people residing in the District of Colombo, Sri Lanka: a community-based cross-sectional study

INTRODUCTION

This community-based cross-sectional study explored the factors affecting overall and domain-specific (physical health, psychological health, social relationships and environmental) quality of life (QOL) of home-dwelling older residents of the District of Colombo, Sri Lanka.

METHODS

A representative sample (n=723) of older adults aged >65 years was obtained by the multistage cluster sampling technique. QOL was assessed using the validated Sinhala version of WHOQOL BREF Questionnaire. Data analysis was done using SPSS V.20.

RESULTS

The mean±SD age was 72.23±6.3 years with the overall QOL score being (mean±SD) 56.73±12.57/100. The mean±SD QOL score of physical health, psychological health, social relationships and environmental domains were 55.81±15.80, 59.25±14.68, 46.36±20.08 and 64.61±11.96, respectively. The overall QOL in the adjusted model showed a significant positive association with the educational status, living conditions (with spouse, with spouse and children), participation in religious activities, being visited by friends or relatives and financial independence. The overall QOL was negatively associated with limitations in activities of daily living and instrumental activities of daily living, chronic arthritis and heart disease in the adjusted model. Living with the spouse was positively associated with the psychological domain of QOL. Osteoporosis and chronic arthritis affected the physical health domain, while cancer and disabling stroke affected the psychological domain of QOL negatively. All statistical significances were considered at p<0.05.

CONCLUSION

The overall QOL of home-dwelling elders of the Colombo District is moderate, with the lowest score being in social relationships and the highest in the environmental domain. Educational status, engaging in religious activities and financial independence are key factors associated with a better QOL. Limitations in physical activity and chronic diseases are associated with a reduced QOL. Living with the spouse is a key factor associated with the psychological health domain.

Psycho-Religious Therapy improving the Quality of Life of the Elderly in Nursing Homes

Abstract BACKGROUND As people get older, body functions in the elderly will decrease so that it will affect their quality of life. One way to improve the quality of life of the elderly is to meet the basic needs of the elderly through a spiritual approach (Islamic psychotherapy).    AIM: This study aims to determine the effect of Zikr on the quality of life of the elderly in nursing homes.    METHODS: This study used a quasi-experimental nonequivalent control group design. The sampling technique used purposive sampling , a total of 10 respondents from the intervention group and 10 respondents from the control group. Quality of life score using the World Health Organization Quality of Life-BREF questionnaire (WHOQOL-BREF). The research analysis used paired t-test and Wilcoxon test for differences in quality-of-life scores of each group and for differences in quality of life between the intervention group and control group using unpaired t-test and Mann-Whitney test.    RESULTS: The effect of psycho-religious therapy (Zikr) on the quality of life of the elderly in the intervention group before and after doing Zikr (p = 0.000), there were differences in 3 domains of quality of life, namely the psychological domain ( p = 0.000), the domain of social relations (p = 0.027), and the environmental domain.  p = 0.010).    CONCLUSION: Psycho-religious therapy (Zikr) affects the quality of life of the elderly in the nursing home and suggests Nursing homes to provide guidance with a religious approach, especially Zikr to improve the quality of life of the elderly.  

Impacts of age and marital status on the elderly's quality of life in an elderly social institution

Background: Living a life of good quality is important for everyone. This research aimed to get an overview of the quality of life (QOL) of the elderly in an elderly social institution in Jakarta, Indonesia.

Design and Methods: This descriptive study with a cross-sectional design included 107 participants using simple random sampling technique. Data were collected using an abbreviated World Health Organization Quality of Life (WHOQOL-BREF) and analyzed using statistical software, Mann Whitney and Kruskal Wallis test.

Results: The mean quality of life of the elderly’s was 66.09 (scale: 0–100), with a mean QOL of 67.58 in the physical domain, 66.26 in the psychological domain, 64.64 in the social relationships domain, and 65.88 in the environment domain. Regarding age and marital status, there was a significant difference in the mean QOL of the elderly living in the elderly social institution (p=0.017 and 0.001). In contrast, there was no significant difference in their mean QOL in terms of gender, level of education, and length of stay (p=0.323, 0.164, and 0.697).

Conclusions: The low quality of life of the elderly is our concern. The staff in the elderly social institution could develop some activities for the elderly to increase the elderly’s QOL, such as making daily activities plans and the evaluation of those activities.