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http://dx.doi.org/10.12811/kshsm.2014.8.1.075

Quality of Life and Its Correlated Factors among Elderly People with Diabetes in a Community  

Kim, Young-Jae (Chosun Nursing College)
Seo, Nam-Sook (Department of Nursing, Dongshin University)
Kim, Sea-Ja (Department of Nursing, Gwangju University)
Park, In-Soon (Chosun Nursing College)
Kang, Seung-Ja (Department of Nursing, Dongshin University)
Publication Information
The Korean Journal of Health Service Management / v.8, no.1, 2014 , pp. 75-86 More about this Journal
Abstract
The purpose of this study was to examine the factors affecting quality of life among elderly people with type 2 diabetes mellitus (DM) in a community. The design of this study was an exploratory survey. The subjects were 268 adults aged over 65 years with DM in a community. The data were collected from July to October, 2011 and analyzed by descriptive statistics, Pearson's correlation coefficient, and stepwise multiple regression by using SPSS/WIN 20.0 program. The quality of life was positively associated with self care behavior (r=.226, p<.001), self-efficacy (r=.323, p<.001), and social support (r=.345, p<.001). However, quality of life had moderately negative correlation with depression (r=-.445, p<.001). Among the variables, depression, social support, and self-efficacy were explanatory factors accounting for 23.9% of quality of life. These findings suggest that depression and self-efficacy are important factors affecting quality of life in the elderly with DM and it can be improved by strengthening social support.
Keywords
Quality of Life; Diabetes Mellitus; Elderly;
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Times Cited By KSCI : 2  (Citation Analysis)
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1 J.O. Hornquist, A. Wikby, U. Stenstrom, P.O. Andersson, I. Akerlind(1995), Type II Diabetes and Quality of Life: A Review of the Literature, Pharmacoeconomics, Vol.8 Suppl 1:12-16.   DOI
2 O.A. AL-Khawaldeh, M.A. Al-Hassan, E.S. Froelicher(2012), Self-efficacy, Self-management, and Glycemic Control in Adults with Type 2 Diabetes Mellitus, Journal of Diabetes and Its Complications, Vol.26;10-16.   DOI   ScienceOn
3 A.S. Jahanlou, K.N. Alishan(2011), The Effect of Literacy Level on Health Related Quality of Life, Self-efficacy and Self-management Behaviors in Diabetic Patients, Acta Med Iran, Vol.49(3);153-158.
4 W.H. Choi(2012), The Relationship of Depression, Fatigue and Quality of Life in Middle-Aged Adults, The Korean Journal of Health Service Management, Vol.6(2);91-99.   과학기술학회마을   DOI   ScienceOn
5 M. Mathew, A. Abish, A. Kuriakose, J.R. Isaiah(2013), Predictors of Depression among Patients with Diabetes Mellitus in Southern India, Asian Journal of Psychiatry, Vol.6(4);313-317.   DOI   ScienceOn
6 F. Goz, S. Karaoz, M. Goz, S. Ekiz, I. Cetin(2007), Effects of the Diabetic Patients' Perceived Social Support on Their Quality-of-life, Journal of Clinical Nursing, Vol.16(7);1353-1360.   DOI   ScienceOn
7 J.W. Shin, Y.K. Park, S.R. Suh, J.E. Kim(2011), Factors Influencing Quality of Life in Elderly Diabetic Patients of Korea: Analysis from the Korea National Health and Nutrition Examination Survey in 2008, Journal of the Korean Gerontological Society, Vol.31(3);479-487.
8 K. Gallegos-Carrillo, C. Garcia-Pena, C.A. Duran-Munoz, Y.N. Flores, J. Salmeropn(2009), Relationship between Social Support and the Physical and Mental Wellbeing of Older Mexican Adults with Diabetes, Rev Invest Clin, Vol.61(5);383-391.
9 Y.E. Kwon, Y.S. Kim(2011), Factors Related to Self-Management the Elderly People with Diabetes Mellitus in a Community-Dwelling, Journal of Korean Society Living Environment System, Vol.18(1);92-100.
10 D.E. Orem(1985), Nursing: Concept of Practice(3rd ed), Mc Graw-Hill book.
11 Korean National Health and Nutrition Survey(2013), Retrieved November 15, 2013 from http://knhanes.cdc.go.kr/knhanes/index.do
12 E.J. Choi, M.S. Nam, S.H. Kim, C.G. Park, D.J. Toobert, J.S. Yoo, S.H. Chu(2011), Psychometric Properties of a Korean Version of the Summary of Diabetes Self-care Activities Measure, International Journal of Nursing Studies, Vol.48(3);333-337.   DOI   ScienceOn
13 A.A. Bandura(1986), Social Foundations of Thought and Action: A Social Cognitive Theory. NJ : Prentice-Hall.
14 A.T. Beck, C.H. Ward, M. Meldelson, J. Mock, J. Erbaugh(1961), An Inventory for Measuring Depression, Arch Gen Psychiatry, Vol.4;561-571.   DOI   ScienceOn
15 H.R. Kim(2013), Health-Related Quality of Life and Its Affecting Factors among the Aged in one Korean Community, The Korean Journal of Health Service Management, Vol.7(4);167-178.
16 J.S. Norbeck, A.M. Linsey, V.L. Carrieri(1981), The Development of an Instrument to Measure Social Support, Nursing Research, Vol.30(5);264-269.
17 J.E. Ware, S.D. Keller, B. Gandek, J.E. Brazier, M. Sullivan(1995), Evaluating Translations of Health Status Questionnaires. Methods from the IQOLA Project. International Quality of Life Assessment, International Journal of Technological Assessment Health Care, Vol.11(3);525-551.   DOI
18 J.A. Yesavage, T.L. Brink, T.L. Rose, O. Lum, V. Huang, M. Adey, V.O. Leirer(1983), Development and Validation of a Geriatric Depression Screening Scale: A Preliminary Report, Journal of Psychiatric Research, Vol.17(1);37-49.
19 J.S. Choi(2010), Factors Affecting the Depression and Quality of Life of Vulnerable Elderly Receiving Fitting Home Visiting Health Service, Doctoral Dissertation, Daegu Hanny University, Gyeongbuk.
20 M. Rose, H. Fliege, M. Hildebrandt, T. Schirop, B.F. Klapp(2002), The Network of Psychological Variables in Patients with Diabetes and Their Importance for Quality of Life and Metabolic Control, Diabetes Care, Vol.25(1);35-42.   DOI   ScienceOn
21 W.P. Sacco, C.A. Bykowski(2010), Depression and Hemoglobin A1C in Type 1 and Type 2 Diabetes: the Role of Self-efficacy, Diabetes Research and Clinical Practice, Vol.90;141-146. doi.org/10.1016/j.diabres.2010.06.026   DOI   ScienceOn
22 H.L. Chan, C.K. Lin, Y.L. Chau, C.M. Chang(2012), The Impact of Depression on Self-care Activities and Health Care Utilization among People with Diabetes in Taiwan, Diabetes Research and Clinical Practice, Vol.98;e4-e7. http://dx.doi.org/10.1016/j.diabres.2012.06.003   DOI   ScienceOn
23 D.B. Kim, S.J. Chae, W.K. Cho(2009), The Influence of the Health Promotion Behaviors on the Life Satisfaction of the Elderly with Diabetes, Journal of the Korean Gerontological Society, Vol.29(1);101-116.
24 S.F. Wu, L.S. Young, F.C. Yeh, Y.M. Jian, K.C. Cheng, M.C. Lee(2013), Correlations among Social Support, Depression, and Anxiety in Patients with Type 2 Diabetes, Journal of Nursing Research, Vol.21(2);129-138.   DOI
25 O.S. Han(2011), Factors Affecting the Health-related Quality of Life of the Elderly Diabetic Patients, Gachon University Doctoral Dissertation.