Activities of Daily Living and Health-Related Quality of Life (HRQoL) of Centenarians in Busan

부산지역 백세인의 일상활동 수행능력과 건강관련 삶의 질

  • 박형숙 (부산대학교 간호대학) ;
  • 김동희 (부산대학교 간호대학) ;
  • 김윤진 (부산대학교 가정의학과) ;
  • 손용진 (부산가톨릭대학교 노인요양관리학부) ;
  • 이정규 (부산대학교병원 가정의학과) ;
  • 임지향 (부산의료원 가정의학과)
  • Published : 2009.08.31

Abstract

Purpose: The aim of the study was to identify the relationships among age, activities of daily living and health-related quality of life (HRQoL) for centenarians in Busan. Methods: Forty-nine centenarians (2 males and 47 females) participated in the study, done from April to July, 2006. Pace-to-face interviews were used to collect data. Activities of daily living were measured using K-ADL, K-IADL and health-related quality of life, using the Short Form Health Survey (SF-36). Results: Over 50% of the centenarians reported independence for six-items but not for bathing. With regard to type of dependency, 77.6% were independent in transferring, 71.4%, in using the toilet, 67.3%, in feeding and in continence and 57.1% in dressing but just 24.5% were independent in bathing. Age was significantly associated with K-IADL (r= -.303, p= .03). The centenarians were more impaired in physical health components compared to mental health components for health-related quality of life. Conclusion: These results may contribute to a better understanding of activities of daily living and health-related quality of life of centenarians. The findings are relevant to health professionals, in particular professionals who are developing wellness programs to optimize health-related quality of life and functional status for the extremely old age population.

Keywords

References

  1. Andersen-Ranberg, K., Schroll, M., & Jeune, B. (2001). Healthy centenarians do not exist, but autonomous centenarians do: A population-based study of morbidity among Danish centenarians. Journal of the American Geriatrics Society, 49(7), 900-908 https://doi.org/10.1046/j.1532-5415.2001.49180.x
  2. Bauco, C., Golosio, F, Cinti, A. M., Borriello, C., Raganato, P., Cicconetti, P., et al. (1996). Functional status and well-being of centenarians. Archives of Gerontology and Geriatrics, 22(suppl 1), 363-366.
  3. Bauco, C., Borriello, C., Cinti, A. M .. , Martella, S., Zannino, G., Rossetti, C., et al. (1998). Correlation between MMSE performance, age and education in centenarians. Archives of Gerontology and Geriatrics, 26(suppl 6), 23-26.
  4. Campbell, A. (1977). Subjective measures of well-being. The American Journal of Psychology, 3, 177.
  5. Darviri, C., Demakakos, P., Charizani, F., Tigani, X., Tsiou, C., Chalamandaris, A. G., et al. (2008). Assessment of the health status of Greek centenarians. Archives of Gerontology and Geriatrics, 46(1), 67-78. https://doi.org/10.1016/j.archger.2007.02.008
  6. Fabre, J. M., Wood, R. H., Cherry, K. E., Su, L. J., Cress, M. E., King, C. M., et al. (2007). Age-related deterioration in flexibility is associated with health-related quality of life in Nonagenarians. Journal of Geriatric Physical Therapy, 30(1), 16-22. https://doi.org/10.1519/00139143-200704000-00004
  7. Han, G. H., Lee, J. H., & Kim, J. H. (2004). Korean centenarians and the meanings of "living a long-life". Korean Journal of Community Living Science, 15(3), 121-135.
  8. Joo, J. M. (2008). Mood states and health related quality of life in older adults. Unpublished master's thesis, Hanyang University, Seoul.
  9. Kim, J. I. (2007). Influence social-environmental factors for region of centenarians. Journal of the Korean Gerontological Society, 27(3), 635-647.
  10. Kim, S. H. (2007). The association between expectations regarding aging and health-promoting behaviors among Korean older adults. Journal of Korean Academy of Nursing, 37(6), 932-940
  11. Kliegel, M., Moor, C., & Rott, C. (2004). Cognitive status and development in the oldest old: A longitudinal analysis from the Heidelberg centenarian study. Archives of Gerontology and Geriatrics, 39(2), 143-156. https://doi.org/10.1016/j.archger.2004.02.004
  12. KNSO (2005). Korean National Statistical Office. Statistics about population in 2005. Retrieved February 26, 2007, from http://www.kosis.kr/planstic/stat_ theme/use_jndex.jsp
  13. Lee, S. Y., Choi, S. J., & Na, Y. H. (2001). A study on the health-related quality of life. The Korean Journal Neurogastroenterology and Motility, 7(1), 6-17.
  14. Motta, M., Ferlito, L., Magnolfi, S. U., Petruzzi, E., Pinzani, P., Malentacchi, F., et al. (2008). Cognitive and functional status in the extreme longevity, Archives of Gerontology and Geriatrics, 46(2), 245-252. https://doi.org/10.1016/j.archger.2007.04.004
  15. Ozaki, A., Uchiyama, M., Tagaya, H., Ohida, T., & Ogihara, R. (2007). The Japanese centenarian study: Autonomy was associated with health practices as well as physical status. Journal of the American Geriatrics Society, 55(1), 95-101. https://doi.org/10.1111/j.1532-5415.2006.01019.x
  16. Park, S. C. (2008). Centenarians in Korea. Seoul: Seoul National University Publication.
  17. Pascucci, M. A., & Loving, G. L. (1997). Ingredients of an old and healthy life: A centenarian perspective. Journal of Holistic Nursing, 15(2), 199-213. https://doi.org/10.1177/089801019701500209
  18. Poon, L. W., Clayton, G. M., Martin, P., Johnson, M. A., Courtenay, B. C., Sweaney, A. L., et al. (1992). The Georgia centenarian study. International Journal of Aging and Human Development, 34(1), 1-17 https://doi.org/10.2190/8M7H-CJL7-6K5T-UMFV
  19. Ro, Y. J., & Kim, C. G. (1995). Comparisons of physical fitness, self efficacy, instrumental activities of daily living, and quality of life between institutionalized and noninstitutionalized elderly. Journal of Korean Academy of Nursing, 25(2), 259-278.
  20. Samuelsson, S. M., Alfredson, B. B., Hagberg, B., Samuelsson, G., Nordbeck, B., Brun, A., et al. (1997). The Swedish centenarians study: A multidisciplinary study of five consecutive cohorts at the age of 100. International Journal of Aging and Human Development, 45(3), 223-253 https://doi.org/10.2190/XKG9-YP7Y-QJTK-BGPG
  21. Shimonaka, Y., Nakazato, K., & Homma., A. (1996) Personality, longevity, and successful aging among Tokyo metropolitan centenarians. International Journal of Aging and Human Development, 42(3), 173-187. https://doi.org/10.2190/UMWD-64W7-3M2K-2MKJ
  22. Shin, K. R, Byeon, Y. S., Kang, Y., & Oak, J. (2008). A study on physical symptom, activity of daily living, and health-related quality of life in the community-dwelling older adults. Journal of Korean Academy of Nursing, 38(3), 437-444 https://doi.org/10.4040/jkan.2008.38.3.437
  23. The National Institute of the Korean Langage (2008). Korean dictionary. Retrieved January 5, 2009, from http://www.korean.go.kr/08_new/index.jsp
  24. United Nations (2003). World population prospects: The 2002 revision, department affairs population division. Retrieved February 26, 2007, from http://www.un.org/esa/population/unpop.htm
  25. Ware, J. E. Jr., & Sherbourne, C. D. (1992). The MOS 36-item short form health survey (SF-36): Conceptual framework and item selection. Medical Care, 30(6), 473-483. https://doi.org/10.1097/00005650-199206000-00002
  26. Won, C. W. (2004). Korean instrumental activities of daily living. Journal of the Korean Academy of Family Medicine, 25(suppl 4), S617-S624
  27. Won, C. W., Rho, Y. G., Sunwoo, D., & Lee, Y. S. (2002). The validity and reliability of Korean instrumental activities of daily living (K-IADL) scale. Journal of the Korean Geriatrics Society, 6(4), 273-280.
  28. Won, C. W., Rho, Y. G., Kim, S. Y., Cho, B. R., & Lee, Y. S. (2002). The validity and reliability of Korean activities of daily living (K-ADL) scale. Journal of the Korean Geriatrics Society, 6(2), 98-106.
  29. Yim, E. S., & Lee, K. J. (2003). Effect of physical ability, depression and social support on quality of life in low income elders living at home. Journal of Korean Gerontological Nursing, 5(1), 38-49