{"title":"Quality of Life Among Older Adults With Frailty: A Structural Equation Modeling.","authors":"Xiuyan Lan, Bilan Yi, Zijuan Wang","doi":"10.3928/02793695-20240122-01","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Frailty is a complex age-related clinical condition among older adults. Quality of life (QOL) among older adults with frailty is an important topic of interest. The current cross-sectional study aimed to develop a structural equation model to identify factors affecting QOL.</p><p><strong>Method: </strong>A total of 180 older adults with frailty were recruited from general units in two hospitals in Fuzhou, China. Data were collected using the World Health Organization Quality of Life Brief Version, Pittsburgh Sleep Quality Index, Geriatric Depression Scale-15, and Simplified Coping Style Questionnaire. Structural equation modeling was used to analyze data.</p><p><strong>Results: </strong>The final model exhibited a good fit. Poor sleep quality was associated with depression, passive coping style, and poor QOL. Depression was also associated with poor QOL. Passive coping style was associated with better QOL.</p><p><strong>Conclusion: </strong>This study demonstrated that sleep quality has direct and indirect effects on QOL of older adults with frailty through depression and passive coping style. Recommendations are that care providers pay attention to biological and physiological variables, symptom status, and functional status of older adults with frailty. This study also provides a theoretical basis for developing interventions that may lead to improvements in QOL among older adults with frailty. [<i>Journal of Psychosocial Nursing and Mental Health Services, 62</i>(5), 49-55.].</p>","PeriodicalId":50071,"journal":{"name":"Journal of Psychosocial Nursing and Mental Health Services","volume":null,"pages":null},"PeriodicalIF":1.2000,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Psychosocial Nursing and Mental Health Services","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3928/02793695-20240122-01","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/29 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose: Frailty is a complex age-related clinical condition among older adults. Quality of life (QOL) among older adults with frailty is an important topic of interest. The current cross-sectional study aimed to develop a structural equation model to identify factors affecting QOL.
Method: A total of 180 older adults with frailty were recruited from general units in two hospitals in Fuzhou, China. Data were collected using the World Health Organization Quality of Life Brief Version, Pittsburgh Sleep Quality Index, Geriatric Depression Scale-15, and Simplified Coping Style Questionnaire. Structural equation modeling was used to analyze data.
Results: The final model exhibited a good fit. Poor sleep quality was associated with depression, passive coping style, and poor QOL. Depression was also associated with poor QOL. Passive coping style was associated with better QOL.
Conclusion: This study demonstrated that sleep quality has direct and indirect effects on QOL of older adults with frailty through depression and passive coping style. Recommendations are that care providers pay attention to biological and physiological variables, symptom status, and functional status of older adults with frailty. This study also provides a theoretical basis for developing interventions that may lead to improvements in QOL among older adults with frailty. [Journal of Psychosocial Nursing and Mental Health Services, 62(5), 49-55.].
目的：虚弱是老年人中一种复杂的与年龄相关的临床症状。患有虚弱症的老年人的生活质量（QOL）是一个重要的研究课题。本横断面研究旨在建立一个结构方程模型，以确定影响 QOL 的因素：方法：从中国福州两家医院的综合科室共招募了 180 名体弱老年人。采用世界卫生组织生活质量简明版、匹兹堡睡眠质量指数、老年抑郁量表-15和简化应对方式问卷收集数据。采用结构方程模型对数据进行分析：结果：最终模型的拟合效果良好。睡眠质量差与抑郁、消极应对方式和 QOL 差有关。抑郁也与 QOL 差有关。结论：这项研究表明，睡眠质量与患者的生活质量息息相关：本研究表明，睡眠质量通过抑郁和被动应对方式对体弱老年人的 QOL 有直接和间接的影响。建议护理人员关注体弱老年人的生物和生理变量、症状状态和功能状态。这项研究还为制定干预措施提供了理论依据，这些干预措施可能会改善体弱老年人的 QOL。[社会心理护理与心理健康服务期刊》，xx（xx），xx-xx]。
期刊介绍：
The Journal of Psychosocial Nursing and Mental Health Services is a peer-reviewed, monthly journal for psychosocial and mental health nurses in a variety of community and institutional settings. For more than 50 years, the Journal has provided the most up-to-date, practical information available for today’s psychosocial-mental health nurse, including short contributions about psychopharmacology, mental health care of older adults, addictive behaviors and diagnoses, and child/adolescent disorders and issues. Begin to explore the Journal and all of its great benefits such as:
• Monthly feature, “Clip & Save: Drug Chart,” a one-page resource of up-to-date information on current medications for various psychiatric illnesses
• Access to current articles, as well as several years of archived content
• Articles posted online just 2 months after acceptance
• Continuing Nursing Education credits available each month
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