Main Article Content
This descriptive research aimed to investigate activities of daily living (ADL) and quality of life (QOL) of older adults (aged 60 years or more) and explore relationships between the two variables and personal background. The participants consisted of 400 older adults and selected by using multi-stage cluster sampling. Data were collected using 1) a demographic form, 2) the Thai version of ADL and, 3) WHOQOL-BREF-THAI. The content va;idity of the demographic form gave indexes of item-objective congruences of between .67 and 1. ADL and WHOQOL-BREF-THAI were tested for their reliabilities and found Cronbach’s alpha coefficient gave values of .932 and .955, respectively. Descriptive and correlational statistics, including Pearson’s correlation coefficient, point-biserial correlation coefficient, and Chi-squared test, were used to analyze data. The results showed that most of the participants were socially bound with good QOL. Their ADL was negatively related to age (r=-.260, p<.05) and responsibility to look after children or grandchildren (rpb =-.124, p<.05). Their QOL was negatively associated with age (r =-.123, p<.05), having care givers (rpb=-.110, p<.05), and having chronic illness (rpb=-.246, p<.05). In addition, it was statistically significant (p<.05) in relation to marital status (χ2=8.145), educational level (χ2=26209), sufficient income (χ2 (2, N=400) = 41.286), occupation (χ2 (5, N=400) =26.463), and health insurance (χ2=17.956). The results suggest that ADL and QOL of older adults should be promoted by reducing their responsibility for looking after younger family members, treating sickness, and encouraging them to look for extra jobs to increase their income. Future research should be focused on developing programs of physical activities to promote ADL of older adults in communities.
บทความและรายงานวิจัยในวารสารพยาบาลกระทรวงสาธารณสุข เป็นความคิดเห็นของ ผู้เขียน มิใช่ของคณะผู้จัดทำ และมิใช่ความรับผิดชอบของสมาคมศิษย์เก่าพยาบาลกระทรวงสาธารณสุข ซึ่งสามารถนำไปอ้างอิงได้
2. United Nations Population Fund. Ageing in the twenty-first century: A celebration and a challenge. New York:UNFEA.2012.
3. Office of the Permanent Secretary. Population ageing in Thailand: Present and future [internet]. 2014 [cited 2019 May 15]. Available from: http://www.m-society.go.th/
4. Institute for Population and Social Research, Mahidol University. hailandometers [internet]. 2019 [cited 2019 May 15]. Available from: http://www.thailandometers.mahidol.ac.th/
5. Kumsuchat S. Health problems and health care needs among Thai elderly: Policy recommendations. Journal of Health Science 2017;26(6):1156-64. (in Thai)
6. Prachuabmoh V. Situation of the elderly in Thailand, year 2011 Bangkok: Phongphanaich Co., Ltd. 2012. (in Thai)
7. Tongdee J, Rongmuang D, Nakchatree C. Health status and quality of life among the elderly in the southern border provinces of Thailand. Nursing Journal of the Ministry of Public Health 2012;22(3):88-99. (in Thai)
8. Boukeaw P, Teungfung R. Health care and health status of Thai aging. Journal of the Association of Researchers 2016;21(2):94-109. (in Thai)
9. Petchprapai N. A survey of health status among the older adults who live in Muang district Nakhon Ratchasima province. Songklanagarind Medical Journal 2015;33(1):21-30. (in Thai)
10. Jiandon C, Suwannapong N, Boonshuyar C, Howteerakul N. Quality of life of rural elderly in Wangnamkheaw district, Nakhon Ratchasima province. Journal of Public Health:20114.1(3):229-239. (in Thai)
11. Krejcie RV. & Morgan DW. Determining sample size for research activities. Educational and Psychological Measurement 1970;30(3):607-10.
12. Sutthichai Jitapunkul. Principles of geriatric medicine. Bangkok: CU Printing House. 2541.(in Thai)
13. Suwat Mahantanirankul, Wirawan Tantipiwattanakul, Wanida Pumwaisanchai, Krongjit Wongsuwan and Ranee Ponmanajirangkul. Comparison between The WHOQOL 100 indicatiors and the WHO BREF (26 indicators). Chiang Mai: Suanprng.1997 (in Thai)
14. Wongpanarak N, Chaleoykitti S. Depression: A significant mental health problem of elderly. Journal of The Royal Thai Army Nurses 2014;15(3):24-31. (in Thai)
15. Pei L, Zang XY, Wang Y, Chai QW, Wang JY, Sun CY, et al. Factors associated with activities of daily living among the disabled elders with stroke. International Journal of Nursing Sciences. 2016;3: 29-34.
16. Suwittawat C, Trisirirat S, Panomai N. The relationship between basic conditioning factors and self-care agency of the hospitalized elderly patients with cancer in nursing care department. Srinagarind Medical Journal 2014;29(4):377-82. (in Thai)
17. Partiprajak S, Hanucharurnkul S, Piaseu N. Factors predicting self-care abilities and quality of life in persons with type 2 diabetes. Ramathibodi Nursing Journal 2014;20(1):97-111. (in Thai)
18. Yamwong N. Quality of life and physical activities of daily living among elderly patients at HRH Princess M aha Chakri Sirindhorn Medical Center. Journal of Medicine and Health Sciences 2014;21(1):37-44. (in Thai)
19. Tawkratoke S. Guidelines for Quality of life development for the elderly of subdistrict administrative organizations in the area of Chakkarat district, Nakhon Ratchasima province. NRRU Community Research Journal 2017;11(1):158-70. (in Thai)
20. Naulthaisong D, Sudnongbua S. Quality of life among elderly people in the responsibility of Wangmaikon Sub-district Administrative Organization, Sawankhalok district, Sukhothai Province. Social Sciences Research and Academic Journal 2016;11:89-104. (in Thai)
21. Satit S. Factors relating to quality of life of the elderly in Koh Kanun sub-district, Panom Sarakham district, Chachoengsao province. Journal of Rajanagarindra 2016;13(30):133-141. (in Thai)
22. Rapeepornkul S. Personal factors related with quality of life among the elderly with chronic non-communicable diseases in the health promoting hospital. Bueng Kham Phroi Tambon, Moo 11, Lumlukka district, Pathumthanee province [internet]. 2019 [cited 2019 Sep 25]. Available from:http://www.western.ac.th/media/attachments/ 2017/09/13/elder.pdf
23. Noknoi1 C, Boripunt W. The quality of life of elders in Songkhla province. Princess of Naradhiwas University Journal 2017;9(3):94-10. (in Thai)
24. Judpoon S. Social welfare management for developing quality of life of the elderly in ubdistrict Administrative Organization, Banlat district, Veridian E-Journal Silpakorn University Phetchaburi. Veridian E–Journal, Silpakorn University 2013;6(3):510-9. (in Thai)
25. Eliasi LG, Rasi HA, Tavakoli A. Factors affecting quality of life among elderly population in Iran. Humanities and Social Sciences 2017;5(1):26-30.
26. Sangtomg J. Aging society (complete aged): The elderly condition of good quality. Rusamilae Journal 2017;38(1):6-28. (in Thai)