Spirituality and Quality of Life in Older Adults: Path Analyse Model

Abstract Background: Study older adults’ quality of life is becoming increasingly important in the assessment, quality improvement and allocation of health and social care service. The purpose of this study was to enhance knowledge on the relationship between modifiable (psychological variables) and non-modifiable variables (sociodemographic), and quality of life in elderly, regarding psychological and social variables in Portuguese context.Methods: This is a cross-sectional study, including 604 older adults from general community. 63.6% of the sample was composed by female gender with a mean age of 71.6(SD=4.81). Participants completed the following instruments: Barthel Index to assess functionality; Satisfaction with Social Support Scale to assess social support; The Spiritual and Religious Attitudes in Dealing with Illness to assess spirituality and Short Form Health Survey 36, to assess mental and physical quality of life.Results: A path analysis model was performed where the presence of a chronic disease, age and functionality has a direct effect on physical quality of life and spirituality had a direct effect on mental quality of life. Social support mediated the relationship between functionality and mental quality of life, and in turn, functionality mediated the relationship between age and physical quality of life.Conclusions: Results reinforce the effect of age and chronic disease as non-modifiable variables as well as functionality, spirituality and satisfaction with social support as modifiable variables, in the quality of life of older people. Social support, health and education programs in the community should be promoted in order to improve quality of life in this population. Strategies to promote functionality and enhance the social support network, especially in the elder with chronic illness, should be a priority.

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Spirituality and Quality of Life in Older Adults: Path Analyse Model

10.21203/rs.2.18813/v1 ◽

2019 ◽

Author(s):

Sara Lima ◽

Lurdes Teixeira ◽

Raquel Esteves ◽

Fátima Ribeiro ◽

Ana Teixeira ◽

...

Keyword(s):

Quality Of Life ◽

Social Support ◽

Older Adults ◽

Chronic Disease ◽

Direct Effect ◽

Social Care Service ◽

Physical Quality ◽

Health And Social Care ◽

The Relationship

Abstract Background: Study older adults’ quality of life is becoming increasingly important in the assessment, quality improvement and allocation of health and social care service. The purpose of this study was to enhance knowledge on the relationship between modifiable (psychological variables) and non-modifiable variables (sociodemographic), and quality of life in elderly, in order to inform social, health and education policies.Methods: This is a cross-sectional study, including 604 older adults from general community. 63.6% of the sample was composed by female gender with a mean age of 71.6(SD=4.81). Participants completed the following instruments: Barthel Index to assess functionality; Satisfaction with Social Support Scale to assess social support; The Spiritual and Religious Attitudes in Dealing with Illness to assess spirituality and Short Form Health Survey 36, to assess mental and physical quality of life.Results: A path analysis model was performed where the presence of a chronic disease, age and functionality has a direct effect on physical quality of life and spirituality had a direct effect on mental quality of life. Social support mediated the relationship between functionality and mental quality of life, and in turn, functionality mediated the relationship between age and physical quality of life.Conclusions: Results reinforce the effect of age and chronic disease as non-modifiable variables as well as functionality, spirituality and satisfaction with social support as modifiable variables, in the quality of life of older people. Social support, health and education programs in the community should be promoted in order to improve quality of life in this population. Strategies to promote functionality and enhance the social support network, especially in the elder with chronic illness, should be a priority. Keywords: Quality of life, Social Support, Functionality, Spirituality.

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Social support as a mediator between depression and quality of life in Chinese community-dwelling older adults with chronic disease

Geriatric Nursing ◽

10.1016/j.gerinurse.2018.10.014 ◽

2019 ◽

Vol 40 (3) ◽

pp. 252-256 ◽

Cited By ~ 7

Author(s):

Ling-Na Kong ◽

Ping Hu ◽

Yu Yao ◽

Qing-Hua Zhao

Keyword(s):

Quality Of Life ◽

Social Support ◽

Older Adults ◽

Chronic Disease ◽

Community Dwelling ◽

Chinese Community ◽

Community Dwelling Older Adults

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Mediating effect of social support on the relationship between older adults’ use of social media and their quality-of-life

Current Psychology ◽

10.1007/s12144-019-00399-3 ◽

2019 ◽

Cited By ~ 2

Author(s):

Su-Jung Nam

Keyword(s):

Quality Of Life ◽

Social Support ◽

Older Adults ◽

Social Media ◽

Mediating Effect ◽

Use Of Social Media ◽

The Relationship

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Understanding the relationship between positive and negative social support and the quality of life among African American breast cancer survivors

Supportive Care in Cancer ◽

10.1007/s00520-021-06098-9 ◽

2021 ◽

Author(s):

Shaila M. Strayhorn ◽

Nyahne Q. Bergeron ◽

Desmona C. Strahan ◽

Dana Villines ◽

Veronica Fitzpatrick ◽

...

Keyword(s):

Breast Cancer ◽

Quality Of Life ◽

Social Support ◽

African American ◽

Cancer Survivors ◽

Breast Cancer Survivors ◽

The Relationship

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Last Place of Care and End-of-Life Quality of Life in the United States: Evidence From a National Representative Data Set

Innovation in Aging ◽

10.1093/geroni/igaa057.056 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 17-17

Author(s):

Yifan Lou ◽

Nan Jiang ◽

Katherine Ornstein

Keyword(s):

Quality Of Life ◽

Older Adults ◽

End Of Life ◽

End Of Life Care ◽

The United States ◽

Life Care ◽

Person Centered Care ◽

Centered Care ◽

The Relationship

Abstract Background: Quality of life (QoL) during last stage of life has raised expanded interests as an important aspect of person-centered care. Last place of care (LPC), refer to the last place decedents received their formal end-of-life care (EOLC), has been identified as a key indicator of older adults’ end-of-life QoL, but the relationship was understudied. This study explores the association between LPC and end-of-life QoL among American older adults. Methods: Data used seven waves of Last Month of Life data with a total sample of 3068 Medicare decedents in NHATS. Outcome is end-of-life QoL assessed by eleven measures on four domains: pain and symptoms management (SP), quality of healthcare encounter (HE), person-centered care (PC), and overall quality of care (QC). LPC was categorized into home, hospital, nursing home, and residential hospice. Multivariate logistic regression analyses were used to examine the relationship with covariates. Results: LPC varied by most demographic characteristics, except immigration status and education. Older adults whose LPC is hospital, compared to those who had home-care, were less likely to have great experiences on HE, PC, and QC. People dying at nursing homes are more likely to receive care meeting their dyspnea and spiritual needs. Residential hospice is negatively related to respected care, clear coordination, and keeping family informed, but are more likely to provide PS and spiritual care. Discussion: Home-based end-of-life care has certain advantages but still has room to improve on SP and religious concerns. Hospitals should keep reforming their service delivery structure to improve patients’ QoL.

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