Claudia Erika Amor M Buco1, Keith Anthony C Buenviaje2, Rialin Bettina C Bulan3, Reineir James L Cabaña4, Maria Karlene S Cabuhat5, Maria Victoria V Bongar6, John Rey B Macindo7. 1. College of Nursing, University of Santo Tomas, España Boulevard, Manila, 1015, Philippines. Electronic address: claudiabuco@gmail.com. 2. College of Nursing, University of Santo Tomas, España Boulevard, Manila, 1015, Philippines. Electronic address: keithbuenviaje143@gmail.com. 3. College of Nursing, University of Santo Tomas, España Boulevard, Manila, 1015, Philippines. Electronic address: rbcbulan@yahoo.com. 4. College of Nursing, University of Santo Tomas, España Boulevard, Manila, 1015, Philippines. Electronic address: reineiremail@yahoo.com. 5. College of Nursing, University of Santo Tomas, España Boulevard, Manila, 1015, Philippines. Electronic address: mkcabuhat@yahoo.com.ph. 6. College of Nursing, University of Santo Tomas, España Boulevard, Manila, 1015, Philippines. Electronic address: mvbongar@ust.edu.ph. 7. College of Nursing, University of Santo Tomas, España Boulevard, Manila, 1015, Philippines. Electronic address: johnreymasindo@yahoo.co.uk.
Abstract
PURPOSE: Although healthy ageing aims for better quality of life, the inability of older adults to adequately care for themselves and their health impair the realization of such objective. Moreover, in a collectivist community like the Philippines, the family, community, and Transcendent are inseparable in promoting quality of life. This study developed and tested a model of quality of life (QoL) among chronically-ill, community-dwelling older adults. MATERIALS AND METHODS: From August to November 2017, a cross-sectional study of 304 chronically-ill, community-dwelling older adults from selected rural communities in the Philippines was conducted. Respondents completed a five-part survey packet composed of the socio-demographic profile, modified Older People's Quality of Life, Spirituality Assessment Scale, Hypertension Self-Care Profile, and Diabetes Self-Management Questionnaire. RESULTS: Socio-demographics, community satisfaction, spirituality, and disease self-management accounted 29.00% of QoL, generating a good model (χ2/df = 1.44, RMSEA = 0.038, and PNFI = 0.64). Spirituality (β = 0.34, p < 0.01) was the strongest predictor of QoL, while community satisfaction had both direct (β = 0.26, p < 0.01) and indirect (β = 0.08, p < 0.01) effects. Disease self-management directly (β = 0.15, p = 0.016) influenced QoL. In contrast, longer chronicity and larger family size impair QoL. CONCLUSION: Quality of life among chronically-ill, community-dwelling older adults is a multi-faceted health construct influenced by socio-demographics, disease self-management, community satisfaction, and spirituality. The presented model highlights the positive effect of disease self-management, community satisfaction, and spirituality which can be utilized in developing appropriate community-based geriatric strategies, policies, and programs. Further, forming collaborative groups with socially-active community elderly and community-based self-care programs can be ventured to address the needs of older adults.
PURPOSE: Although healthy ageing aims for better quality of life, the inability of older adults to adequately care for themselves and their health impair the realization of such objective. Moreover, in a collectivist community like the Philippines, the family, community, and Transcendent are inseparable in promoting quality of life. This study developed and tested a model of quality of life (QoL) among chronically-ill, community-dwelling older adults. MATERIALS AND METHODS: From August to November 2017, a cross-sectional study of 304 chronically-ill, community-dwelling older adults from selected rural communities in the Philippines was conducted. Respondents completed a five-part survey packet composed of the socio-demographic profile, modified Older People's Quality of Life, Spirituality Assessment Scale, Hypertension Self-Care Profile, and Diabetes Self-Management Questionnaire. RESULTS: Socio-demographics, community satisfaction, spirituality, and disease self-management accounted 29.00% of QoL, generating a good model (χ2/df = 1.44, RMSEA = 0.038, and PNFI = 0.64). Spirituality (β = 0.34, p < 0.01) was the strongest predictor of QoL, while community satisfaction had both direct (β = 0.26, p < 0.01) and indirect (β = 0.08, p < 0.01) effects. Disease self-management directly (β = 0.15, p = 0.016) influenced QoL. In contrast, longer chronicity and larger family size impair QoL. CONCLUSION: Quality of life among chronically-ill, community-dwelling older adults is a multi-faceted health construct influenced by socio-demographics, disease self-management, community satisfaction, and spirituality. The presented model highlights the positive effect of disease self-management, community satisfaction, and spirituality which can be utilized in developing appropriate community-based geriatric strategies, policies, and programs. Further, forming collaborative groups with socially-active community elderly and community-based self-care programs can be ventured to address the needs of older adults.
Authors: Anne K Schwabenbauer; Cynthia M Knight; Nicole Downing; Michelle Morreale-Karl; Michelle E Mlinac Journal: Fam Syst Health Date: 2021-06 Impact factor: 1.569