Causal Relationships among Selected Factors and the Quality of Life of Chronic Disease Patients at Klong Sai Subdistrict Health Promotion Hospital, Muak Lek District, Saraburi Province
Keywords:
quality of life, chronic disease patients, health promoting hospitalAbstract
The purposes of this research were to (1) study the levels of the quality of life, food consumption behavior, physical exercise and stress management of chronic disease patients, (2) conduct Confirmatory Factor Analysis--CFA of the quality of life of chronic disease patients using structural equation model and (3) examine the causal relationships with the structural equation model of quality of life of chronic disease patients at Klongsai Subdistrict Health Promotion Hospital, Muak Lek District, Saraburi Province. The sample size consisted of one hundred and ten patients. It was determined using Krejcie & Morgan table. The data were gathered by using questionnaires which were composed of (1) demographic data, (2) measuring food consumption data, physical exercise data and stress management behavioral data and (3) World Health Organization Quality of Life Brief–Thai--WHOQOL-BREF-THAI. This questionnaire was tested for validity and reliability. The reliability was 0.89. Data were analyzed by using descriptive statistics, confirmatory factor analysis, and path analysis with the LISREL program. The result found that: (1) Quality of life and stress management behavior of the chronic disease patients were at high level (P<.05), food consumption behavior and physical exercise were at moderate level (P<.05); (2) Confirmatory factor analysis, with the structural equation model, revealed that all were as crucial components; (3) Quality of life of the chronic disease patients (statistical assumption as Chi-square=61.57, df=60, P-value= .41947, RMSEA=0.021) got the direct effects in the moderate level from food consumption behavior (β =0.57) and stress management (β =0.44) and physical exercise (β =-0.21) at the low level. Also, it got an indirect effect from food consumption behaviors through stress management (β =0.36), and physical exercise through stress management (β =0.22). Finally, it was also found that all aspects (direct and indirect effects) could explain the variance of the quality of life of the chronic disease patients at 23.50 percent and at the .05 level of significance.
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