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http://dx.doi.org/10.4040/jkan.2014.44.6.608

Influence of Self Efficacy, Social Support and Sense of Community on Health-related Quality of Life for Middle-aged and Elderly Residents Living in a Rural Community  

Lee, Hyeonkyeong (College of Nursing.Nursing Policy Research Institute, Yonsei University)
Cho, Sung Hye (College of Nursing.Nursing Policy Research Institute, Yonsei University)
Kim, Jung Hee (College of Nursing, Yonsei University)
Kim, Yune Kyong (Department of Nursing, Masan University)
Choo, Hyang Im (JeongBae Community Health Post)
Publication Information
Journal of Korean Academy of Nursing / v.44, no.6, 2014 , pp. 608-616 More about this Journal
Abstract
Purpose: The purpose of this study was to examine the relationship between self-efficacy, social support, sense of community and health-related quality of life (HRQoL), including the direct and indirect effects of the variables on HRQoL. Methods: A cross-sectional survey was conducted with a convenience sample of 249 middle-aged and elderly residents living in a rural community in A-County, K Province. The structured questionnaire included 4 scales from the Euro Quality of life-5 Dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression), and measures of General Self-Efficacy, Social Support, and Sense of Community. Data were analyzed using SPSS WIN 20.0 and AMOS 21.0 program. Results: The mean HRQoL score for the participants was $0.87{\pm}0.13$. Self-efficacy (${\beta}$=.13, p=.039) and age (${\beta}$= -.38, p<.001) were significantly associated with HRQoL, explaining 21% of the variance. In the path analysis, self-efficacy showed a significant direct effect on HRQoL (${\beta}$=.14, p=.040) and significantly mediating relationships between both social support (${\beta}$=.05, p=.030) and sense of community (${\beta}$=.02, p=.025) and HRQoL. Conclusion: Although self-efficacy was found to be the main predictor for HRQoL, the findings imply that social environmental factors such as social support and sense of community need to be considered when developing interventions to increase HRQoL in middle-aged and elderly residents in rural communities.
Keywords
Quality of life; Self efficacy; Social support; Sense of community;
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Times Cited By KSCI : 3  (Citation Analysis)
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1 Statistics Korea. Population census [Internet]. Daejeon: Statistics Korea; 2010 [cited 2014 January 3]. Available from: http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1IN1002&conn_path=I2.
2 Roh JS, Jung JH, Jeon JY. Returning farmers and the aging of farm households: Prospects of changes in rural population by their influx. Journal of Korean Society of Rural Planning. 2013;19(4):203-212. http://dx.doi.org/10.7851/ksrp.2013.19.4.203   DOI
3 Sok S, Kim KB. A comparative study of the factors influencing quality of life between urban and rural elderly. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2008;17(3):311-321.
4 Zack MM, Moriarty DG, Stroup DF, Ford ES, Mokdad AH. Worsening trends in adult health-related quality of life and self-rated health-United States, 1993-2001. Public Health Reports. 2004;119(5):493-505.   DOI   ScienceOn
5 Kim SY, Sohn S. Factors related to health related quality of life in rural elderly women. Journal of Korean Gerontological Nursing. 2012;14(2):91-98.
6 Glanz K, Rimer BK, Viswanath K, editors. Health behavior and health education: Theory, research, and practice. 4th ed. San Francisco, CA: Jossey-Bass; 2008.
7 Zhang S, Edwards H, Yates P, Li C, Guo Q. Self-efficacy partially mediates between social support and health-related quality of life in family caregivers for dementia patients in Shanghai. Dementia and Geriatric Cognitive Disorders. 2014;37(1-2):34-44. http://dx.doi.org/10.1159/000351865   DOI
8 Kim JI. Levels of health-related quality of life (EQ-5D) and its related factors among vulnerable elders receiving home visiting health care services in some rural areas. Journal of Korean Academy of Community Health Nursing. 2013;24(1):99-109. http://dx.doi.org/10.12799/jkachn.2013.24.1.99   DOI   ScienceOn
9 McMillan DW, Chavis DM. Sense of community: A definition and theory. Journal of Community Psychology. 1986;14(1):6-23. http://dx.doi.org/10.1002/1520-6629(198601)14:1<6::aid-jcop2290140103>3.0.co;2-i   DOI
10 Pretty G, Bishop B, Fisher A, Sonn C. Psychological sense of community and its relevance to well-being and everyday life in Australia. The Australian Community Psychologist. 2007;19(2):6-25.
11 Shields M. Community belonging and self-perceived health. Health Reports. 2008;19(2):51-60.
12 Kraithaworn P, Sirapo-ngam Y, Piaseu N, Nityasuddhi D, Gretebeck KA. Factors predicting physical activity among older Thais living in low socioeconomic urban communities. Pacific Rim International Journal of Nursing Research. 2011;15(1):39-56.
13 Vieno A, Santinello M, Pastore M, Perkins DD. Social support, sense of community in school, and self-efficacy as resources during early adolescence: An integrative model. American Journal of Community Psychology. 2007;39(1-2):177-190. http://dx.doi.org/10.1007/s10464-007-9095-2   DOI   ScienceOn
14 Yangpyeong-gun. The 2013 Yangpyeong statistical yearbook [Internet]. Gyeonggi-do: Yangpyeong County Office; 2012 [cited 2012 December 31]. Available from: http://www.yp21.net/board/view.yangpyeong?boardId=BBS_0000066&menuCd=DOM_000000134007005000&startPage=1&dataSid=58273
15 EuroQol Group. EQ-5D-3L(Korean version for Korea) [internet]. Netherlands: EuroQol Group; 2003[cited 2013 November 13]. Available from: http://www.euroqol.org/eq-5d-products/how-to-obtain-eq-5d.html
16 Lee YK, Nam HS, Chuang LH, Kim KY, Yang HK, Kwon IS, et al. South Korean time trade-off values for EQ-5D health states: Modeling with observed values for 101 health states. Value in Health. 2009;12(8):1187-1193. http://dx.doi.org/10.1111/j.1524-4733.2009.00579.x   DOI   ScienceOn
17 Kim YS. Study on relationship between life satisfaction and perceived social support among adults with mental disorders [master's thesis]. Seoul: Ewha Womans University; 1995. p. 86.
18 Lee SI. Validity and reliability evaluation for EQ-5D in Korea [Internet]. Chungcheongbuk-do: Korea Centers for Disease Control and Prevention; 2011 [cited 2012 December 31]. Available from: http://www.cdc.go.kr/CDC/info/CdcKrInfo0201.jsp?menuIds= HOME001-MNU1155-MNU1083-MNU1375-MNU0025&cid=1742
19 Schwarzer R, Jerusalem M. Generalized self-efficacy scale. In: Weinman J, Wright S, Johnston M, editors. Measures in health psychology: A user's portfolio Causal and control beliefs. Windsor, UK: NFER-NELSON; 1995. p. 35-37.
20 Park JW. A study to development a scale of social support [dissertation]. Seoul: Yonsei University; 1985. p. 127.
21 Shin YS. A study on sense of community for rural village residents: Focused on deduction of sense of community index and analysis of formation factor of sense of community [dissertation]. Seoul: Seoul National University; 2012. p. 167.
22 Gallagher R, Donoghue J, Chenoweth L, Stein-Parbury J. Self-management in older patients with chronic illness. International Journal of Nursing Practice. 2008;14(5):373-382. http://dx.doi.org/10.1111/j.1440-172X.2008.00709.x   DOI
23 Farrell K, Wicks MN, Martin JC. Chronic disease self-management improved with enhanced self-efficacy. Clinical Nursing Research. 2004;13(4):289-308. http://dx.doi.org/10.1177/1054773804267878   DOI
24 Lee HH. A comparative study of influencing factors on sense of community of the elderly people in urban and rural areas. Journal of Welfare for the Aged. 2005;28:231-254.
25 Sung HJ, Lee GH. The impact of rural residents' social participation on the sense of community and exclusive attitude toward outgroup. Journal of Institute for Social Sciences. 2013;24(4):315-332.
26 Chang HK. Influencing factors on health related quality of life in middle age. Korean Journal of Adult Nursing. 2012;24(4):339-347.   DOI   ScienceOn
27 Schwarzer R, Born A, Iwawaki S, Lee YM, Saito E, Yue S. The assessment of optimistic self-beliefs: Comparison of the Chinese, Indonesian, Japanese, and Korean versions of the general self-efficacy scale. Psychologia: An International Journal of Psychology in the Orient. 1997;40(1): 1-13.
28 Jeon S, Shin H. Effect of social support on QoL of widowed elderly women: Mediation effect of physical-cognitive function and self-efficacy. Journal of the Korean Gerontological Society. 2014;34(1):87-101.
29 Gattino S, De Piccoli N, Fassio O, Rollero C. Quality of life and sense of community: A study on health and place of residence. Journal of Community Psychology. 2013;41(7):811-826. http://dx.doi.org/10.1002/jcop.21575   DOI