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HOME > J Korean Acad Community Health Nurs > Volume 24(1); 2013 > Article
Original Article
Levels of Health-related Quality of Life (EQ-5D) and Its Related Factors among Vulnerable Elders Receiving Home Visiting Health Care Services in Some Rural Areas
Jong Im Kim
Journal of Korean Academy of Community Health Nursing 2013;24(1):99-109.
DOI: https://doi.org/10.12799/jkachn.2013.24.1.99
Published online: March 31, 2013

Department of Nursing, Jungwon University, Chungbuk, Korea.

• Received: November 9, 2012   • Accepted: March 23, 2013

© 2013 Korean Academy of Community Health Nursing

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  • Purpose
    The purpose of this study is to identify levels of quality of health-related life (EQ-5D) and its related factors among vulnerable elders receiving home visiting health care services in some rural areas.
  • Methods
    The subjects of this study were vulnerable elders aged 65 or higher receiving visiting health care benefits by a public health center in a county.
  • Results
    Levels of health-related EQ-5D were high when the subjects were males, their ADL and IADL were high. The EQ-5D of the vulnerable elders and social supports had a positive correlation, while their IADL and depression had a negative correlation with the EQ-5D. We can see that the EQ-5D related factors are variables that have significance influence on gender, subjective health status, BMI, IADL, depression levels, and social support.
  • Conclusion
    To improve the EQ-5D of the vulnerable elderly, it needs maintenance of independent IADL levels, social supporting systems using small meeting of the elderly in community. It is necessary to maintain independent IADL levels, enhance social supporting systems including small group gatherings for elders living alone by means of places like community halls, and develop specific intervention programs for the prevention and management of depressive elders.
Table 1
Distribution of Health-related EQ-5D Levels according to Demographic Characteristics and Health related Behaviors (N=151)
jkachn-24-99-i001.jpg

a<b.

Table 2
Distribution of Health-related EQ-5D Levels according to ADL, IADL, Depression, and Social Support (N=151)
jkachn-24-99-i002.jpg

ADL=activities of daily living; IADL=instrumental activities of daily living.

a<b.

Table 3
Correlations of Related Variables with Health-related EQ-5D (N=151)
jkachn-24-99-i003.jpg

BMI=body mass index; ADL=activities of daily living; IADL=instrumental activities of daily living.

*p<.05; **p<.01; ***p<.001.

Table 4
Related Factors of Health-related Quality of Life Assessment by the EQ-5D (N=151)
jkachn-24-99-i004.jpg

Dummy variables=gender (male/female); Education (no education/education); People living with (alone/together); Subjective health status (healthy/unhealthy); Smoking (yes/no); Drinking (yes/no); Exercise (irregular/regularly); BMI=body mass index; ADL=activities of daily living; IADL=instrumental activities of daily living.

*p<.05; **p<.01; ***p<.001.

  • 1. Brooks R, Rabin RM, Charro F. The Measurement and valuation of health status using EQ-5D: A european perspective. Evidence from the EuroQol BIOMED Research Program 2005;The Netherland: Kluwer Academic Publisher.
  • 2. Choe JS, Kwon SO, Park SO, Paik HY. Health-related quality of life by socioeconomic factors and health-related behaviors of the elderly in rural area. Korean J Rural Med 2004;29(1):29–41.
  • 3. Choi YH. A study on depression, sleep and fatigue in younger and older elders. J Korean Acad Community Health Nurs 2007;18:223–231.
  • 4. Chung JY, Lee MY, Kim MJ. A study on the prevalence of chronic diseases, health-related habits and nutrients intakes according to the quality of life in Korean adults. Korean J Community Nutr 2010;15(4):445–459.
  • 5. Cohen J. Statistical power analysis for the behavioral sciences 1998;2nd ed. Mahwah, NJ: Lawrence Erlbaum Associates Publishers.
  • 6. Han MA, Ryu SY, Park J, Kang MG, Kim KS. Health-related quality of life assessment by the EuroQol-5D in some rural adults. J Prev Med Public Health 2008;41(3):173–180.
  • 7. Jo MW, Lee SI. General population time trade-off values for 42 EQ-5D health states in South Korea. J Prev Med Public Health 2007;40(2):169–176.
  • 8. Kang EJ, Shin HS, Park HJ, Jo MW, Kim NY. A valuation of health status using EQ-5D. Korean J Health Econ Policy 2006;12(2):19–43.
  • 9. Kee BS. A preliminary study for the standardization of geriatric depression scale short form-Korea version. J Korean Neuropsychiatr Assoc 1996;35(2):298–307.
  • 10. Kim SY, Choi KW, Oh HY. Relationships of social networks to health status among the urban low-income elderly. Korean J Rehabil Nurs 2010;13(1):53–61.
  • 11. Korea Institute for Health and Social Affairs. In-depth an analysis of the first national health and nutrition examination survey 1999;Retrieved January 20, 2013. from http://knhanes.cdc.go.kr
  • 12. Korean Society for the Study of Obesity. Obesity diagnostic criteria. 2007 2007;Seoul: Author.
  • 13. Lawton MP, Brody EM. Assessment of older people: Self-maintaining and instrumental activities of daily living. Gerontologist 1969;9:179–186.
  • 14. Lee BY, Jo HS, Lee HJ, Yoo SH. Health promotion priorities of older adults in a rural community. J Korean Acad Community Health Nurs 2008;19:57–65.
  • 15. Lee JC, Park JA, Bae NK, Cho YC. Factors related to depressive symptoms among the elderly in urban and rural areas. J Agric Med Community Health 2008;33(2):204–220.
  • 16. Lee JH, Aong MY. The study of community-oriented welfare service for the rural elderly-focused on 'villages supported by special programs for the rural elderly'. Korean J Community Living Sci 2004;15(3):149–165.
  • 17. Lee YJ, Kim TH. A Study on the buffering effect of social support on the stress of the aged who lives alone. J Korea Gerontol Soc 1999;19:79–93.
  • 18. Nam HS, Kim KY, Kwon SS, Koh KW, Poul K. EQ-5D Korean valuation study using time trade of method 2007;Seoul: Korea Centers for Disease Control and Prevention.
  • 19. Norbeck JS, Linsey AM, Carrieri VL. The development of an instrument to measure social support. Nurs Res 1981;30(5):264–269.
  • 20. Park KH, Choi YH. Quality of life of older adult with home health services.-applied precede-proceed model-. Korean J Rehabil Nurs 2010;13(1):32–43.
  • 21. Park KM, Ha EK. Ability of self care and health promotion lifestyle for vulnerable elderly in urban community. Korean Public Health Res 2004;30(1):96–103.
  • 22. Park SY. A study on depression. ADL, IADL, and QOL among community dwelling, low income elderly. J Korean Acad Public Health Nurs 2009;23(1):78–90.
  • 23. Park S, Ma SJ, Choi KE. Current situation of the rural vulnerable class and policy improvement measures: Centered on the elderly living alone and grandparents-grandchildren families 2010;Retrieved March 24, 2013. from www.krei.re.kr
  • 24. Queenan JA, Feldman-Stewart D, Brudage M, Groom PA. Social support and quality of life of prostate cancer patients after radiotherapy treatment. Eur J Cancer Care (Engl) 2010;19(2):251–259.
  • 25. Seong SS, Choi CB, Sung YK, Park YW, Lee HS, Uhm WS, et al. Health-related quality of life using EQ-5D in Korean. J Korean Rheum Assoc 2004;11(3):254–262.
  • 26. Song NH, Kim SM. The relationship among self-efficacy, social support and depression of the poor elderly. J Korean Community Nurs 2000;11(1):158–171.
  • 27. Statistics Korea. Population Projections 2010-2060 2011;Retrieved Nobember 17, 2012. from http://kostat.go.kr
  • 28. Statistics Korea. Elderly Statistics 2012 2012;Retrieved March 26, 2013. from http://kostat.go.kr
  • 29. Stenzelius K, Westergren A, Thorneman G, Hallberg IR. Patterns of health complaints among people 75 in relation to quality of life and need of help. Arch Gerontol Geriatr 2005;40(1):85–102.
  • 30. Uemura S, Saiki C, Murayma R, Kuriyama T, Koyama M, Takagi H, et al. Relation among lifestyle. social network, blood pressure and serum lipid in the elderly. Nihon Eiseigaku Zasshi 1996;50(6):1057–1066.
  • 31. Wallander JL, Varni JW. Effects of pediatric chronic physical disorders on child and family adjustment. J Child Psychol Psychiatry 1998;39(1):29–46.
  • 32. Won CW, Yang KY, Rho YG, Kim SY, Lee E, Yoon JL, et al. The development of Korean activities of daily living (K-ADL) and korean instrumental activities of daily living (K-IADL) scale. J Korean Geriatr Soc 2002;6(2):107–120.
  • 33. Yoon JY. A study on the propose about a sporting equipment to improve muscle tone for the old.-focusing on the muscle used for everyday living-. J Korean Soc Des Cult 2011;17(4):318–426.
  • 34. Yoon MS. The study on the relationship of psychosocial factors. Problem drinking on quality of life for the elderly in urban and rural areas. J Welf Aged 2007;38:281–310.
  • 35. Zack MM, Moriaty DG, Stroup DF, Ford ES, Mokdad AH. Worsening trend in adult health-relatedquality of life and self rated health-United States, 1993-2001. Public Health Rep 2004;119(5):493–505.

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