A Structural Equation Model of Quality of Life in Nursing Home Residents

Abstract

This study was done to develop a predictive model for quality of life of elderly residents in long-term care facilities (LTCF). The study was based on Brofenbrenner's ecological system theory and a literature review. Methods: Data were collected using a convenience sample of 205 elderly residents in 2 nursing homes located in D city and 1 nursing home located in K province. The exogenous variables were individual factors, family support, and facility environmental factors. The endogenous variables were self-esteem, accommodation adaptation and quality of life of elderly residents in LTCF. Collected data were analyzed through structural equation modeling using AMOS 20.0. Results: Eleven of the twelve hypotheses were supported, but the hypothesis that facility environment factors effect self-esteem was not supported. Quality of life of elderly residents in LTCF was explained first by facility environmental factors, followed by self-esteem, individual factors, accommodation adaptation, and family support with an explanatory power of 83.0%. Conclusion: To improve the quality of life of elderly residents in LTCF, the service and environment preparation provided by facilities is important, and it is necessary to provide emotional counseling to improve the self-esteem of these elders.

Effects of Stress, Depression, Self-efficacy, and Social Support on Quality of Life of Community Dwelling Elderly with Chronic Diseases

“…Also, the self-efficacy, social support, the number of diseases, depression, and age of subjects were the variables having effects on the quality of life, which showed 68.0%explanatory power. This was similar to the results [5] of a study reporting that the age and selfefficacy had effects on the quality of life, and the social support had effects on the quality of life related to health with the mediation of self-efficacy.By considering Korean culture regarding family as important, this is similar to the results [13] reporting that the family support had effects on the quality of life of the elderly. Thus, the social support from others might have very important effects on the quality of life.…”

“…This study used the Korean-version WHO Quality of Life Short Form Scaledeveloped by Min et al [12] , which was modified/complemented byShin [13] . This tool has total 26 items based on the 5-point Likert.…”

Factors Affecting Quality of Life Among the Elderly in Long-Term Care Hospitals

“…As shown in Table 1 , as women in South Korea have a longer life expectancy than men and as most older women do not have jobs, the risk of social isolation and poverty among older women whose husbands have passed away is high, leading to higher incidences of children taking joint responsibility for parental financial and psychological support ( Shin & Park, 2018 ). Moreover, care by professional staff is required for older people with cognitive impairment.…”