Relationships between activities of daily living capabilities, family support, and quality of life and mental health in the elderly in Laplae District, Uttaradit Province
Keywords:
Activities of daily living capabilities, family support, quality of life, mental health, elderlyAbstract
Background: Due to the sociocultural context of Laplae District, Uttaradit Province as the example district of long-term care services for dependent elderly project. To improve public health, quality of life and mental health of elderly in this district would be interesting and useful.
Objective: To explore the abilities of activities of daily living (ADL), the family support, the quality of life, and the mental health of the elderly and relationships among them.
Methods: This cross-sectional study with participation of 381 elderly used structured questionnaires included demographic questions, ADL assessment (Barthel of Activities of Daily Living: ADL), family support and quality of life assessment (WHOQOL–BREF–THAI), and elderly mental health assessment (Thai Geriatric Mental Health Assessment Tool: T-GMHA-15).
Results: Most subjects were in social-bound elder group. They received family support and had quality of life in moderate level. Their mental health average scores were 46.7. occupation, income, marital status, medical problem, disease status, abilities of activities of daily living, and family support were found being related to quality of life in elderly with P < 0.05 was considered as significant difference. The positive correlation between quality of life and mental health in elderly in the high level was also found. (r = 0.669, P < 0.001)
Conclusion: The elderly with higher quality of life tended to have higher scores in mental health. Some factors such as family support and ADL were related to the level of quality of life in the elderly. These results could be applied in knowledge development about quality of life and mental health in Thai elderly in order to develop a proper care plan for elderly.
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References
Jitapunkul S. Active aging is the new flagship in the 21st century. J Gerontol Geriatr Med 2002;2:1-3.
Department of Health, Ministry of Public Health. Asking for cooperation to report the outcome of process in long-term care of the dependent elderly project and registered care manager and care giver. Nonthaburi: Ministry of Public Health; 2018.
Foundation of Thai Gerontology Research and Development institute. Situation of the Thai elderly 2017. Bangkok: Institute for Population and Social Research, Mahidol University and Foundation of Thai Gerontology Research and Development Institute;2008.
Department of Health, Ministry of Public Health. Elderly health notebook. 6th ed. Nonthaburi: Bureau of Elderly Health, Department of Health; 2016.
Chuasungnoen N. Relationships between perceived health status, activity, family support and psychological well-being of elders in elderly clubs, Bangkok metropolis [thesis]. Bangkok: Chulalongkorn University; 2007.
Saengtienchai C, Kespichayawattana J, Aungsuroch Y, Ingersoll-Dayton B. The association between family support and psychological well-being of Thai elderly. J Demography 2001;17:1-17.
Mahatnirunkul S, Tantipiwattanasakul W, Pumpaisarnchai W, Wongsuwan K, Phommanajirungkul R. Comparison of the WHOQOL-100 and the WHOQOL- BREF 26 items. Chiang Mai: Suan Prung Psychiatric Hospital;1997.
Ukranan P, Mongkol A, Huttapanom W, Kittiwattanachod S, Romsai P, Chokrusamehirun J. The development and testing of Thai geriatic mental health assessment. Khon Kaen: Khon Kaen Rajanagarindra Psychiatric Hospital;2014.
Kongthong M. Quality of life of the elderly: A case study in the railway community in Hat Yai Municipality, Songkhla province [thesis]. Songkla: Prince of Songkla University;2011.
Atwood SM, Holm MB, James A. Activities of daily living capabilities and values of long-term-care facility residents. Am J Occup Ther 1994;48:710 - 6. https://doi.org/10.5014/ajot.48.8.710
Saengprachaksakula S. Active aging of Thai elderly: Trends and determinants [thesis]. Bangkok: Chulalongkorn University;2014.
Yamwong N. Quality of life and physical activities of daily living among elderly patients at HRH Princess Maha Chakri Sirindhorn Medical Center. J Med Health Sci 2014;21:37 - 44.
Foundation of Thai Gerontology Research and Development Institute. Situation of the Thai elderly 2014. Bangkok: Amarin Printing & Publishing; 2015.
Intarasombat P. The assessment of health in the elderly. Ramathibodi Nurs J 1996;2:44-57.
Chaimay B, Khaonuan B, Songsiri P. Quality of life and daily activity ability among elderly people in Laem Tanot Sub-district, Khuan Khanun District, Phatthalung Province. J Public Health 2012;42:55-65.
Wachiraphetpranee S. Roles of older adults who are happy-living with their Families in suburbancommunities, Nakhon Ratchasima Province. J Boromarajonani College of Nurs Nakhonratchasima 2010;16:50-9.
Wonganan U. Self concept, social support and mental health of the elderly at the Elderly Club Division of Community Development and Social-Welffare Bangkhen District, Bangkok [thesis]. Bangkok: Kasetsart University; 2008.
National Statistical Office. Elderly: A good mental health when having a job [Internet]. 2009 - 2010 [cited 2020 Mar 10]. Available from: http://service.nso. go.th/nso/web/article/article_43.html.
Kaophuthai S. Survey of mental health of workers [Internet]. Bangkok: Thai Health Promotion Foundation; 2011 [cited 2020 Mar 11]. Available from: https://www.thaihealth.or.th/Content/4349 สำรวจสขุ ภาพจิตของคนทำงาน.html.
Department of Mental Health, Ministry of Public Health. National mental health development plan No. 1 (2018 - 2037). Nonthaburi: Ministry of Public Health; 2017.
Muijeen K. Determinants of mental health among aging. Thai J Sci Tech 2015;23:306-18.
Kittinakbunchar N. The relation between physical competence, environment, social participation and mental health of older Thai people [thesis]. Bangkok:Chulalongkorn University; 2017.
Trangkasombat U. Family therapy and family counseling. 7th ed. Bangkok: Family Research and Development Center; 2018.
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