The Related Factors to the Meaning in Life、Health Status and Qualityof Life among Rural Community Elderly Dwellers

Autor: An-Na Chao, 趙安娜
Rok vydání: 2002
Druh dokumentu: 學位論文 ; thesis
Popis: 90
The purpose of this study was to explore the relationships among meaning in life, health status, quality of life and demographic factors for elderly dwellers in rural communities. The 115 participants for this study was chosen to use stratified random sampling from four areas in Tainan Rural area, Taiwan. The inclusive criteria were age over 65 years elderly people, with a clear conscious, being able to speak Mandarin or Taiwanese. Through face to face interview, the subjects were measured by structural questionnaires, including meaning in life, perceived health status and World Health Organization Quality of Life —BREF(WHOQOL-BREF) Taiwan Version. Data were analyzed by descriptive statistics, independent t-test, one-way ANOVA, Pearson''''s product-moment correlation and hierarchical multiple regression. The result showed that the mean score of meaning in life was 25.04, and varied by marital status, village and economic status. The numbers of chronic diseases and age were negative correlated with meaning in life, but perceived health status had significantly positive correlated with meaning in life. The mean score of perceived health status was 10.63, and respondents were mostly in poor, and varied by employments, religions and economic status. Above 87% elderly people had one or more chronic diseases. The common diseases were: hypertension, arthritis, diabetes mellitus, cataract and heart disease, respectively. The mean score of quality of life was 53.78 out of 80 with Taiwanese WHOQOL-BREF. Within in the four domains of WHOQOL-BREF, the domain of social relationships had the highest score, whereas the psychological domain had the lowest score. Subjects with jobs, spouses, higher education, good perceived health status, meaning in life and high economic status had better overall quality of life. Moreover, male was better than female. In four domains related to quality of life, the physical quality of life varied by sexes, ages, employments, marital status, and economic status. The psychological quality of life varied by employments, marital status, and economic status. The social relationships quality of life varied by villages, marital status, and economic status. The environmental quality of life varied by sexes, employments, villages, educations and economic status. Using hierarchical regression analysis, the results showed that meaning in life, perceived health status, economic status and age were significant predictors of overall quality of life. These five factors explained 80.7% variances of quality of life; 77.3% of the total variances in physical quality of life was accounted for by perceived health status, age, economic status and meaning in life; 75% of the total variances in psychological quality of life was accounted for by meaning in life, perceived health status, economic status and age; 38.2% of the total variances in social relationships quality of life was accounted for by meaning in life ; 59.5% of the total variances in enviromental quality of life was accounted for by meaning in life, perceived health status, education and economic status. Results of the study could provide experimental data for gerontological care professionals and would serve as indices to enhance quality of life for the rural community elderly dwellers.
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