Living Arrangements and Its Association to The Quality of Life and Functional Status of Older Person
Keywords:
Functional Status, Living Arrangements, Older Persons, Quality of LifeAbstract
By 2050, the proportion of Indonesians aged 60 and up is expected to rise from 8.03 percent in 2014 to 25 percent. According to statistics from 2010, Indonesia ranks fifth in the world in terms of the number of elderly people. The growing number of senior people in Indonesia is a challenge to health care providers who want to promote active ageing and more wellness programs to improve the elderly's quality of life. However, other studies have found that the majority of older people are inactive. These issues may cause elderly people's physical and mental health to deteriorate, lowering their quality of life. The purpose of this study was to see if there was a link between living arrangements and a specific demographic profile and the functional status and quality of life of older people living in public nursing homes vs those living with their own families.
The study employed a cross-sectional correlational research design. A total of 162 people took part in the study and completed both the WHO-QOL BREF and the Katz Index of Activities of Daily Living questionnaires. For this investigation, the partial least square structural equation model (PLS-SEM) was used as the statistical treatment.
According to the findings, elderly people who live in the community have a better functional level than those who live in nursing homes. When compared to institutionalized older people, community living older people had a superior overall quality of life. The environmental domains of community-dwelling older people were found to be good. Institutionalized older people, on the other hand, had better physical health than those who lived in the community. Both institutionalized and community-dwelling older people had poor social and psychological relationships.
Furthermore, the relationship between living arrangements and demographic profile and older people's functional state and quality of life differed among QoL dimensions. The relationship between age and functional status was significant (β = -0.31, P.05). Physical health (β = -0.15, P.05), psychological (β =0.15, P.05), and environmental domains (β =0.23, P.05) were all linked to marital status. Gender, on the other hand, was only related to the realm of social connections (β = -0.14, P.05). Physical health (β = 0.20, P.05) and psychological domains (β = -0.22, P.05) were both linked to functional status. Finally, among the participants, living arrangements were linked with functional status (β =0.15, P 0.05), psychological (β = -0.45, P 0.05), and environmental (β = -0.64, P 0.05) dimensions of quality of life.
References
Adioetomo, S. M., & Mujahid, G. (2014). UNFPA Indonesia Monograph Series: No.1 Indonesia on the Threshold of Population Ageing. Jakarta: UNFPA.
Adioetomo, S. M., Howell, F., McPherson, A., & Priebe, J. (2014). Fighting Old-Age Poverty: ASLUT’s Role, TNP2K Working Paper 14-2014. Jakarta: TNP2K.
Ahuva, E.Z. (2014). Quality of life of older people in Israel: A comparison between older people living at home who are members of a “supportive community” and nursing home residents. European Journal of Social Work, 17, 737-753. DOI:10.1080/13691457.2014.930731.
Ananta, Aris and Evi Nurvidya Arifin (2009). “Older Persons in Southeast Asia: From Liability to Asset”. In Older Persons in Southeast Asia: An Emerging Asset. Edited by Evi Nurvidya Arifin and Aris Ananta. Singapore: Institute of Southeast Asian Studies.
Beerens, H., Zwakhalen, S., Verbeek, H., Ruwaard, D., Hamers, J., Ambergen, A., & Vellas, B.(2014).Change in quality of life of people with dementia recently admitted to long-term care facilities. Journal Of Advanced Nursing, 71(6): 1435-1447.
Bolina, A. F., & Tavares, D. M. S., (2016). Living arrangements of the elderly and the sociodemographic and health determinants: a longitudinal study. DOI: http://dx.doi.org/10.1590/1518-8345.0668.2737.
Hacihasnoglu,R., Yildrim, A. & Karakurt, P. (2012). Loneliness in elderly individuals, level of independence in activities of daily living (ADL) and influential factors.Arch Gerontology Geriatrics. 54(1):61-6. doi: 10.1016/j.archger.2011.03.011.
Harrison,E.L., Fisher,K.L., Lawson,J.,Chad,K., Sheppar,M., Bruce, A.R., Ashworth,N.L., & Bruner, B.G. (2010). Exploring the Role of Housing Type on Physical Activity and Health Status in Community-Dwelling Older Adults, Activities, Adaptation & Aging, 34:2, 98-114, DOI: 10.1080/01924781003773807
Heydarnejad, S & Dehkordi,A. (2010). The effect of an exercise programon the health-quality of life in older adults.Danish Medical Bulletin.
Hilari, Katrina., Klippi, Anu., Constantinidou, F., Worral, L. (2015). Quality of life in aphasia: an international perspective. DOI: 10.1159/000434748.
Irwan, A, M., & Balabagno, A, O., (2014). Factors Related to self-care Among Older Persons of Makassarese Tribe, Indonesia.Philippine Journal of Nursing Vol. 84, No. 2.
Kaplan,D. & Berkman, B. (2015). Social Work in Health and Aging. Secon Edition; Oxford. ISBN: 9780199336951.
Kawachi, I., & Berkman, L. F. (Eds.). (2003). Neighborhoods and health. New York: Oxford University Press. Kim, B. R. 2014.Health and Living Arrangements among Older Adults in Diverse Social and Cultural
Contexts.University of Michigan.
Kooshiar H, Yahaya N, Hamid TA, Abu Samah A, Sedaghat Jou V. (2012). Living Arrangement and Life Satisfaction in Older Malaysians: The Mediating Role of Social Support Function. PLoS ONE 7(8): e43125. doi: 10.1371/journal.pone.0043125
Kowel, R., Wungouw, H. & Doda, V. June, (2016).Pengaruh Senam Lansia Terhadap Derajat Depressi pada Lansia di Panti Werda.Journal e-Biomedik. Volum 4, Universita Sam Ratulangi.
Lakić A. (2012). Quality of life in childhood and adolescence: from concept to practice. 69(3): 257−9. Little, William. (2012). Introduction to Sociology.Creative Common Attribution Lisence.
Moyle, W., Murfield, J., Venturto, L., Griffiths, S., Grimbeek, P., McAllister, M. & Marshall, J. (2014) Dementia and its influence on quality of life and what it means to be valued: Family members’ perceptions. Dementia: The International Journal of Social Research and Practice, 13(3): 412-425.
Mroczek, D., & Spiro, A. (2005). Change in life satisfaction during adulthood; findings from the veterans affairs normative aging study.Journal of personality and Social Psychology, 88, No.1, 189-202.
Nasir, S. (2015). The Jakarta Post News.Retrieved on October 2016 from: http://www.thejakartapost.com/news/2015/08/15/indonesia-70-prepare-aging-population.html.
Ng, Nawi., Hakimi, M., Byass, P., & Wilopo, S. (2010). Health and Quality of Life among Older rural people in Pruwerojo Distric, Indonesia.In-depth WHO SAGE.Global Health Action Supplement.DOI: 10.3402/gha. v3i0.2125
Nikmat, A., Hawthorne, G. & Al-Mashoor, S. (2015). The comparison of quality of life among people with mild dementia in nursing home and home care—a preliminary report. Dementia: The International Journal of Social Research and Practice, 14(1): 114-125.
Nur, Irmawati. (2015). Pengaruh Peran Keluarga dalam Pemenuhan Activities Daily Living terhadap hidup Lansia. Jurnal Keperawatan, Universitas negri Gorontalo.
Nuryanti T. (2012). Hubungan Perubahan Peran Diri dengan Tingkat Depresi pada Lansia yang Tinggal di UPT PSLU Pasuruan. Retrieved from :http://journal.unair.ac.id/fTitikN.pdf.
Palgi, Y., Shira, A., & Zaslavsky, O. (2015). Quality of life attenuates age-related decline in functional status of older adults. Springer International Publisher. DOI: 10.1007/S11136-015-0918-6.
Papalia, D. E., Olds, S. W., Feldman, R. D. (2009).Human Development 11th Edition.New York: McGraw
Pernambuco, C. S, Bernardo, M.R., Bezerra, J. C.P. (2012).Quality of life, elderly and physical activity.Health Vol.4, No.2, 88-93 (2012).http://dx.doi.org/10.4236/health.2012.42014
Putra, I, P. Agrina.,& Utami, G. T. (2014). Perbandingan Hidup Lansia di Panti Sosial Tresna Werda dengan Lansia Keluarga.JOMPSIK Vol. 1 No.2. Universitas Riau.
Rijeski, J. W. & Mihalko, S.L. (2001). Physical Activity and Quality of Life in Older adults. Journal of Gerontology, SGA, 23-25.
Rohmah, A., Purwaningsih, & Bariyah, K. Juli. (2012). Kualitas Hidup Lansia. Jurnal Keperawatan, ISSN 2068- 3071. Universitas Airlangga.
Sanchez, Nicamil K. (2008). The Filipino Citizen: At A Glance. Sociology of Aging.
Smith, J. & Majmundar, M. (2012). Aging in Asia: Findings from New & Emerging Data Initiatives. National Research Council. Washington, D.C.
Statistik Penduduk Lanjut Usia. Badan Pusat Statistik (BPS). 2014.
Susilowati, F. & Istanah, U. (2012). Fungsi Kognitif menentukan Quality of Life pada Lansia.Media Ilmu Kesehatan. Vol. 2.
Teerawichichainan, B., Pothisiri, W., & Long, T, G. (2015). How do living arrangements and intergerational support matter for psychological health of elderly parents? Evidence from Myanmar, Vietnam, and Thailand. Social Science & Medicine. http://dx.doi.org/10.1016/j.socscimed.2015.05.019
Wang H, Chen K, Pan Y, Jing F, Liu H (2013) Associations and Impact Factors between Living Arrangements and Functional Disability among Older Chinese Adults. PLoS ONE 8(1): e53879. doi:10.1371/journal.pone.0053879
World Health Organization (WHO). (2014). http://www.who.int/ageing/en/.
Yuliati, B., Baroya, N., & Ririanty, M. January, (2014).Perbedaan Kualitas Hidup Lansia yang tinggal di Komunitas dengan Pelayanan Sosial Lanjut Usia. E-Jurnal Pustaka Kesehatan. Universitas Jember.
Zang, L. (2015). Living arrangement and subjective well being among the Chinese elderly.Open Journal of Social Sciences, 3. 150-160.
Zhang, Y., Jia, H., Li, Ahiua., Liu, J., & Liy, H. (2016) . Study on prediction of activities of daily living of the aged people based on longitudinal data. Elsivier Publisher. DOI; 10.1016/j.procs.2016.07.122.
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