Activities of daily living, life orientation, and health-related quality of life among older people in nursing homes: a national cross-sectional study in China
- 1 November 2020
- journal article
- research article
- Published by Springer Science and Business Media LLC in Quality of Life Research
- Vol. 29 (11), 2949-2960
- https://doi.org/10.1007/s11136-020-02571-w
Abstract
Purpose This study aimed to explore the current status of activities of daily living (ADLs), life orientation, and health-related quality of life (HRQoL) among older people in nursing homes and to further examine the mediating role of life orientation in the impact of ADLs on HRQoL. Methods A national cross-sectional study was conducted among older people aged 60 and above in nursing homes by the randomly stratified cluster sampling method. The status of ADLs, life orientation and HRQoL were measured using an ADL scale, a life orientation scale and the SF-12v2 scale, respectively. Multiple linear regression models were used to identify explanatory factors associated with ADLs, life orientation, and HRQoL. The potential mediating role of life orientation in the relationship between ADL and HRQoL was explored by mediation analysis. Results The overall prevalence of ADL disability was 52.67%, and 84.37% of older people in nursing homes had a negative life orientation. The mean scores of physical health and mental health among older people in nursing homes were 45.44 +/- 6.46 and 42.67 +/- 8.48, respectively. Some sociodemographic characteristics were associated with poor physical health and mental health. After adjustments were made for covariates, the life orientation score mediated 13.81% of the total effect of the ADL score on physical component score of HRQoL and mediated 45.33% of the mental component score of HRQoL. Conclusion A sizeable proportion of older people had ADL disability and negative life orientation, and HRQoL was poor among older Chinese people in nursing homes. Life orientation partially mediates the relationship between ADLs and HRQoL.Keywords
Funding Information
- the Social Sciences Foundation of Liaoning Province (No. L18ATJ001)
This publication has 43 references indexed in Scilit:
- How to Measure Population Aging? The Answer Is Less than Obvious: A ReviewGerontology, 2018
- Perceived social support and health-related quality of life (HRQoL) in Tehranian adults: Tehran lipid and glucose studyHealth and Quality of Life Outcomes, 2018
- Physical activity and fitness are associated with verbal memory, quality of life and depression among nursing home residents: preliminary data of a randomized controlled trialBMC Geriatrics, 2018
- Gender differences in positive life orientation among the nursing home elders in China: A cross-sectional studyArchives of Gerontology and Geriatrics, 2017
- How great is the medical burden of disease on the aged? Research based on “System of Health Account 2011”Health and Quality of Life Outcomes, 2017
- The role of social relationships among elderly community‐dwelling and nursing‐home residents: findings from a quality of life studyPsychogeriatrics, 2017
- Quality of life of nursing home residents in China: A mediation analysisNursing & Health Sciences, 2016
- Autonomy and social functioning of recently admitted nursing home residentsAging & Mental Health, 2016
- The burden of disease in older people and implications for health policy and practiceThe Lancet, 2014
- Spousal Loss, Children, and the Risk of Nursing Home AdmissionThe Journals of Gerontology, Series B: Psychological Sciences and Social Sciences, 2010