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http://dx.doi.org/10.5762/KAIS.2018.19.1.355

Factors Influencing Quality of Life in the Community Dwelling Vulnerable Older women with Chronic Joint Pain  

Yoo, Jae-Soon (Department of Nursing, Chungbuk National University)
Ham, In-Suk (Sangdang Public Health Center)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.19, no.1, 2018 , pp. 355-367 More about this Journal
Abstract
The purpose of this study was to identify the predictors of the quality of life in community dwelling vulnerable older women with chronic joint pain. A cross-sectional study was conducted on 234 participants registered at a visiting health care service in the public health center of C-city. The structured questionnaire were used to collect data on the general characteristics, pain rating index, pain intensity, perceived health status, functional independence, sleep pattern, depression, and quality of life from February 16 to March 13, 2017. The data were analyzed using a t-test, ANOVA, Pearson's correlation coefficients, and hierarchical multiple regression analysis. The significant factors of the quality of life including general characteristics were depression (${\beta}=-.60$, p<.001), pain intensity scale (${\beta}=-.15$, p=.007), health insurance type (${\beta}=.15$, p=.001), perceived health status (${\beta}=.14$, p=.007), duration of pain (${\beta}=-.10$, p=.019), marital status (${\beta}=.10$, p=.024), and functional independence (${\beta}=.09$, p=.036). These factors accounted for 63.1% of the total variance in the quality of life. The findings suggest that a public healthcare program on managing depression is effective in improving the quality of life in community dwelling older women with chronic joint pain. Public health nurses should intervene in nursing care for economically vulnerable aged and pain management based on a precise assessment from the beginning of pain.
Keywords
Aged; Chronic Joint Pain; Depression; Perceived Health Status; Quality of Life;
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1 J. T. Son, S. R. Suh, "Factors Influencing on Quality of Life in Aged omen with Chronic Pain", Journal of Korean Academy of Nursing, vol. 32, no. 5, pp. 735-742, 2002. DOI: https://doi.org/10.4040/jkan.2002.32.5.735   DOI
2 K. H. Kim, H. K. Chung, M. H, Choi, H. J. Kwon, "A Study on Self-Efficacy and Quality of Life in the Elderly Patients with Chronic Pain", Journal of the Korean Academy of Fundamentals of Nursing, vol. 7, no. 2, pp.332-344, 2000.
3 E. J. Kim, "Reliability and Validity of the Short-form McGill Pain Questionnaire (SF-MPQ) korean Version for Measuring the Old Adult's Pain", Journal of Korean Clinical Nursing Research, vol. 10, no. 1, pp. 20-27, 2004.
4 D. Speake, M. Cowart, K. Pellet, "Health Perceptions and Lifestyles of the Elderly", Research in Nursing and Health, vol. 12, no. 2, pp. 93-100, 1989. DOI: https://doi.org/10.1002/nur.4770120206   DOI
5 H. Y. Jung, B. K. Park, H. S. Shin, Y. K. Kang, S. B. Pyun, N. J. Paik, S. H. Kim, T. R. Han, "Development of the Korean Version of Modified Barthel Index (K-MBI): Multi-center Study for Subjects with Stroke", Annals of Rehabilitation Medicine, vol. 31, no. 3, pp. 283-297, 2007.
6 J. J. Oh, M. S. Song, S. M. Kim, "Development and Validation of Korean Sleep Scale A", Journal of Korean Academy of Nursing, vol. 28, no. 3, pp. 563-572, 1998. DOI: https://doi.org/10.4040/jkan.1998.28.3.563   DOI
7 K. A. Oh, J. Park, D. J. Jeon, M. A. Han, S. W. Choi, "Relationship between Low Back Pain and Health-Related Quality of Life among Some Elderly", Journal Agriculture Medical Community Health, vol. 37, no. 3, pp. 156-166, 2012. DOI: http://dx.doi.org/10.5393/JAMCH.2012.37.3   DOI
8 B. S. Kee. "A Preliminary Study for the Standardization of Geriatric Depression Scale Short Form-Korea Version", Journal of The Korean Neuropsychiatric Association, vol. 35, no. 2, pp. 298-307, 1999.
9 S. K. Min, C. I. Lee, K. I. Kim, Y. S. Suh, D. K. Kim, "Development of Korean Version of WHO Quality of Life Scale Abbreviated Version(WHOQOL-BREF)", Journal of Korean Neuropsychiatric Association, vol. 39, no. 3, pp. 571-579, 2000.
10 J. H. Oh, M. S. Yi, "Factors that affect health-related Quality of Life in Community-Dwelling Older Adults", Perspectives in Nursing Science, vol. 9, no. 2, pp. 102-110, 2012.
11 K. Orden, Y. Conwell, "Suicides in Late Life". Current Psychiatry Reports, vol. 13. no. 3, pp. 234-241, 2011. DOI: https://doi.org/10.1007/s11920-011-0193-3   DOI
12 J. Y. Hong, G. J. Kim, "Comparison of Health-related Quality of Life of Elderly Aged more than 65 Years according to the Insurance Type", Journal of the Korea Contents Association, vol. 16, no. 9, pp. 225-235, 2016. DOI: https://doi.org/10.5392/JKCA.2016.16.09.225   DOI
13 S. S. Bak, K. S. Kim, J. H. Choi, "Quality of Life of Older Women Living Alone - National Basic Livelihood Act Recipients", Journal of Korean Gerontological Nursing, vol. 12, no. 3, pp. 248-255, 2010.
14 S. K. Nam, O. S. Shim, "A Study on the Influence Factors on Quality of Life of Elderly with Chronic Disease", Journal of Welfare for the Aged, vol. 53, pp. 196-216, 2011.
15 H. J. Lee, H. S. Kim, Y. M. Jeong, "Depression and Quality of Life in Korean Elders", Journal of Korean Academy Community Health Nursing, vol. 20, no. 1, pp. 12-22, 2009.
16 J. B. Min, J. Y. Song, "The Effect of Depression on the Elderly's Quality of Life - Focused on the mediating effect of Spiritual Well-being", Theology and Praxis, vol. 51, pp. 303-332, 2016. DOI: https://doi.org/10.14387/jkspth.2016.51.303   DOI
17 S. S. Kim, M. K. Lee, H. S. Kim, "Verification study of elderly suicide prevention program effectiveness", Report of Ministry of Health and Welfare, 2010.
18 J. S. Yoo, H. S. Kim, H. J. Yeun, S. A. Lee, M. J. Lee, "Development of Guidlines and models for prevention of geriatric depression - Development of 2011 Elderly Customized Home Visiting Health Services program", pp. 1-212, Researh Report for Chungcheongbuk-do Provincial Government, Chungju National University, 2011.
19 L. Gagliese, R. Melzack, "Chronic Pain in Elderly People", Pain, vol. 70, no. 1, pp. 3-14, 1997. DOI: https://doi.org/10.1016/S0304-3959(96)03266-6   DOI
20 The Korea National Statistical Office, "2016 Population and Housing Census",[cited 2017 September 1], Available From: http://kostat.go.kr/portal/korea/kor_nw/ 2/1/index.board?bmode=read&aSeq=362609.
21 K. H. Cheong, "2014 Survey on the Actual Condition of the Aged", pp 1-757, Korea Institute for Health and Social Affairs, 2014.
22 Y. J. Jee, "Predictors of Quality of Life in Elderly Women Patients with Osteoarthritis: Focusing on the 2013 National Health and Nutrition Examination Survey", Journal of Basic Science, vol. 32, pp. 38-45, 2015.
23 J. T. Son, "Factors Influencing Quality of Life of Patients with Osteoarthritis in Rural Area", Journal of the Korean Gerontological Society, vol. 34, no. 1, pp. 23-35, 2014.
24 M. K. Suh, "Health states of the elderly and policy implications", Journal of the Korean Gerontological Society, vol. 15, no. 1, pp. 28-39, 1995.
25 B. Stubbs, T. Binnekad, P. Schofield, I. Huijnen, L. Eggermont, "Are Older Adults with Chronic Musculoskeletal Pain Less Active than Older Adults Without Pain? A Systematic Review and Meta-Analysis", Pain Medicine, vol. 14, pp. 1316-1331, 2013. DOI: https://doi.org/10.1111/pme.12154   DOI
26 G. Leeuw, L. Eggermont, L. Shi, W. Milberg, A. Gross, J. Hausdorff, J. Bean, S. Leveille, "Pain and Cognitive Function Among Older Adults Living in the Community", Journals of Gerontology: Medecal Sciences. vol. 71, no. 3, pp. 398-405, 2016. DOI: https://doi.org/10.1093/gerona/glv166   DOI
27 E. Tuzun, "Quality of Life in Chronic Musculoskeletal Pain", Best Practice & Research Clinical Rheumatology, vol. 21, no. 3, pp. 567-579, 2007. DOI: https://doi.org/10.1016/j.berh.2007.03.001   DOI
28 J. S. Won, K. H. Kim, "Evaluation of Cognitive Functions, Depression, Life Satisfaction among the Elderly Receiving Visiting Nursing Services", Journal of Korean Academy of Nursing, vol. 38, no. 1, pp. 1-10, 2008. DOI: https://doi.org/10.4040/jkan.2008.38.1.1   DOI
29 C. M. Cho, "Factors Influencing the Quality of Life in Low-Income Elders Living at Home: A Literature Review", Journal of Korean Public Health Nursing, vol. 27, no. 2, pp. 372-383, 2013. DOI: http://dx.doi.org/10.5932/JKPHN.2013.27.2.372   DOI
30 S. H. Lee, S. O. Yang, "The Effects of Chronic Musculoskeletal Pain and Depression on Health-related Quality of Life by Gender in Community-dwelling Older Adults", Journal of Korean Academy Community Health Nursing, vol. 21, no. 1, pp. 21-30, 2010. DOI: https://doi.org/10.12799/jkachn.2010.21.1.21   DOI
31 J. S. Choi, H S. Kim, M. K. Park, "Factors Affecting the Depression and Quality of Life of Vulnerable Elderly Receiving Fitting Home Visiting Health Service", Journal of the Korean Academy of Health and Welfare for Elderly, vol. 2, no. 1, pp. 111-131, 2010.
32 J. I. Kim, "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 Community Health Nursing, vol. 24, no. 1, pp. 99-109, 2013. DOI: https://doi.org/10.12799/jkachn.2013.24.1.99   DOI
33 Y. H. Kwon, C. N. Kim, O. G. Kwag, "Factors Influencing Depression and Quality of Life in Elderly Customized Home Visiting Health Services", Journal of Korean Academy Community Health Nursing, vol. 22, no. 3, pp. 262-271, 2011. DOI: https://doi.org/10.12799/jkachn.2011.22.3.262   DOI
34 K. O. Chang, S. J. Park, D. Y. Bae, "The Effects of Perceived Health Status, Sleep, Depression and Pain on Quality of Life by Gender in Community-Dwelling Older Adults", Journal of the Korea Academia-Industrial Cooperation Society, vol. 15, no. 3, pp. 1566-1575, 2014. DOI: https://doi.org/10.5762/KAIS.2014.15.3.1566   DOI
35 W. K. Kang, "Evaluation and Management of Chronic Pain", Korean Journal of Family Medicine, vol. 24, no. 2, pp. 1-11, 2003.
36 S. O. Yang, S. H. Lee, "A Survey on the Customized Visiting Nurse's Assessment and Management of Chronic Musculoskeletal Pain in Older Adults", Journal of Korean Academy Community Health Nursing, vol. 21, no. 3, pp. 311-320, 2010. DOI: https://doi.org/10.12799/jkachn.2010.21.3.311   DOI
37 N. H. Kim, S. H. Kim, D. Y. Bae, K. O. Chang, "A Study of the Quality of Life in the Elderly between Senior Welfare Center and Home Visiting Health Program in J City", Journal of The Korean Data Analysis Society, vol. 15, no. 6, pp. 3235-3249, 2013.
38 Korea Health Promotion Institute, "Integrated Health Promotion Project: Home Visiting Health Services - Health Management Manuals for Vulnerable group(Centralized management group)", 2016.
39 Y. J. Lee, "A Study on the Effects of Pain, Sleep pattern, Life satisfaction on Depression in Elderly Women with Osteoarthritis", Journal of the Korean Gerontological Society, vol. 31, no. 2, pp. 211-222, 2011.
40 J. S. Yoon, D. S. Ko, Y.S. Won, "Relationship Between Perceived Health Status, Future Time Perspective, Health Promoting Behaviors and Quality of Life in the Elderly", Journal of the Korean Gerontological Society, vol. 36, no. 4, pp. 1191-1206, 2016.
41 Korea Health Promotion Institute, "Training manual: Joint Pain Management Manual - Home Visiting Health Services", 2013.
42 S. Hoffman, "Sleep in the older adult: Implications for nurses (CE)", Geriatric Nursing, vol. 24, no. 4, pp. 210-216, 2003. DOI: https://doi.org/10.1016/S0197-4572(03)00213-1   DOI
43 K. H. Kwon, S. S. Suh, B. D, Suh, "Sleep Patterns and Factors Influencing Sleep in Institutionalized Elders and Elders Living at Home", Journal of Korean Gerontological Nursing, vol. 12, no. 2, pp. 131-141, 2010.
44 M. K. Yuk, S. R. Suh, "Health-related Quality of Life among Korean Older Women with Osteoarthritis: Comparison between Young-Old and Old-Old", Journal of The Korean Society of Living Environmental System, vol. 23, no. 6, pp. 758-766, 2016. DOI: https://doi.org/10.21086/ksles.2016.12.23.6.758   DOI
45 Y. S. Park, H. Y. Lee, Y. H. Kwon, "The Relationship of Functional Health Status, Satisfaction of Customized Home Visiting Health Service, and Quality of Life in Vulnerable Elderly", Journal of the Korea Academia-Industrial Cooperation Society, vol. 12, no. 11, pp. 5071-5078, 2011. DOI: https://doi.org/10.5762/KAIS.2011.12.11.5071   DOI
46 S. J. Yang, J. S. An, "Health Status, Health Behavior and Quality of Life in the Elderly with Osteoarthritis", Health & Nursing, vol. 23, no. 2, pp. 23-33, 2011.
47 M. J. Kim, S. H. Bae, "Factors influencing Health-related Quality of Life in Older Adults with Osteoarthritis: Based on the 2010-2011 Korea National Health and Nutrition Examination Survey", The Journal of Muscle and Joint Health, vol. 21, no. 3, pp.195-205, 2014. DOI: https://doi.org/10.5953/JMJH.2014.21.3.195   DOI
48 H. Y. Song, M. H. Park, "Comparable Influencing Factors for Quality of Health-Life in Osteoarthritis Patients in Urban and Rural Areas", Journal of the Korea Convergence Society, vol. 8, no. 6, pp. 311-323, 2017.   DOI