Quality of Life among Elderly People with Chronic Diseases during the First Wave of COVID-19 in Ubon Ratchthani Province


  • Panita Krongyuth Dr.


Quality of life, Services Care, COVID-19, Elderly, Chronic Diseases


This mixed-method study aimed to determine an impact of COVID-19 outbreak on quality of life and services care needs among elderly people with chronic diseases. One hundred and thirty-three elderly people with chronic diseases dwelling in Warinchamrab district, Ubon Ratchathani province were recruited to assess Quality of Life level (QoL) and health service needs. The participants completed a Thai version of the brief form of the WHO quality of life assessment instrument (WHOQOL-BREF-THAI) and the Health Service Care Needs Survey assessed care needs. Fourteenth of them accepted to be participants interviewed about impact of COVID-19 on their quality of life. Content analysis was used to analyze data from in-depth interviews.

The findings revealed that QoL level of participants reported in overall dimension was low, while level of their social domain moderated. Furthermore, overall health services care needs level was moderate and psychological and social level was high. Content analysis of the interview data illustrated that psychological distress comprised of disease severity, losing friends and loneliness, and financial impact to QoL. Moreover, adopted new technology affected a new lifestyle.

The COVID-19 pandemic can influence various aspects of individuals’ QoL, as well as their physical and psychological health. Health services care in community are needed to mitigate the negative effects of pandemic and improved the health and QoL of elderly people with chronic diseases. It is recommended that the stress management intervention to reduce psychological impact of COVID-19.  


Allgahtani, F.D., Hassan S.-u-N., Alsaif F., & Zrieq R. (2021). Assessment of the Quality of Life during COVID-19 Pandemic: A Cross-Sectional Survey from Kingdom of Saudi Arabia. International Journal of Environmental Research and Public Health. 18, 847-859. doi: 10.3390/ijerph18030847.

Ambelu A., Birhanu, Z., Yitayih, Y., Kebede, Y., Mecha, M., Abafita, J., et al. (2021). Psychological distress during the COVID-19 Pandemic in Ethiopia: an online cross-sectional study to identify the need for equal attention of intervention. Annals of General Psychiatry. 20, 22-32. DOI: 10.1186/s12991- 021-00344-4.

Armitage, R., & Nellums, L.B. (2020). COVID-19 and the consequences of isolating the elderly. Lancet Public Health. 5(5), e256. Doi: 10.1016/S2468-2667(20)30061-X.

Ayalon L. (2020). There is nothing new under the sun: ageism and intergenerational tension in the age of the COVID-19 outbreak. International Psychogeriatrics.32(10). 1221-1224. Doi: 10.1017/S1041610220000575.

Bargon, C.: Batenberg, M., Van Stam, L., Van Der Molen, D. Van Dam, I., Van Der Leij, et. al. (2020). The impact of the COVID-19 pandemic on quality of life, physical and psychosocial wellbeing in breast cancer patients-A prospective, multicenter cohort study. European Journal of Cancer. 138, S17. Doi: 10.1016/S0959-8049(20)30563-3.

Brooks, S.K., Webster, R.K., Smith, L., Woodland, L, Wessely, S., Greenberg, N. Rubin, G.J. (2020). The psychological impact of quarantine and how to reduce it: Rapid review of the evidence. The Lancet. 395(10227). 912-920. DOI: 10.1016/S0140-6736(20)30460-8.

Chan, J.F., Yuan, S. Kok, K.H., To, K.K., Chu, H., Yang, J., et al. (2020). A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: A study of family cluster. The Lancet. 395, 514-23. doi: 10.1016/S0140-6736(20)30154-9.

Chen, H.M. & Chen, C.M. (2017). Factors Associated with Quality of Life Among Older Adults with Chronic Disease in Taiwan. International Journal of Gerontology. 11, 12-15. DOI: 10.1016/j.ijge.2016.07.002.

Decshsupa, S., Assawakosri, S., Phakham, S., & Honsawek, S. (2020). Positive impact of lockdown on COVID-19 outbreak in Thailand. Travel Medicine and Infectious Disease. 36, 101802. doi.org/10.1016/j.tmaid.2020.101802.

Franzén K, Saveman BI, & Blomqvist K. (2007). Predictors for health related quality of life in persons 65 years or older with chronic heart failure. European Journal of Cardiovascular Nursing. 6(2), 112-120. doi: 10.1016/j.ejcnurse.2006.06.001. Epub 2006 Jul 21. PMID: 16859996.

Gorochategi. MP., Munitis, AE., & Santamaria, MD. (2020). Stress, Anxiety and depression in people aged over 60 in the COVID-19 outbreak in a sample collected in Northern Spain. American Journal of Geriatric Psychiatry.28, 993-998.

Graneheim U.H., & Lundman, B. (2004). Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 24, 105–112.

Guo, Z.Q., Yu, J.M., Li, M., Fu, Z.M., Lin, Y.,Shi, Y.Y., et al. (2020). Survey and analysis of the nutritional status in hospitalized patients with malignant gastric tumors and its influence on the quality of life. Support Care Cancer. 28, 373-380. Doi: 10.1007/s00520-019-04803.3.

Harraldstad, K., Wahi, A., Andenæs, R., Andersen, J.R., Andersen, M.H., Beisland, E., et.al. (2019). A Systemic review of quality of life research in medicine and health sciences. Quality of Life Research. 28, 2641-2650. doi:10.1007/s11136-019-02214-9.

Hawash, M.M., Alhazmi, A.H., Wafik, W., Muzammil, K., Mushfiq, S., & Ahmed, H.A. (2021). The Association of COVID-19 Pandemic Stress with Health-Related Quality of Life in the Kingdom of Saudi Arabia: A Cross-Sectional Analysis Study. Frontiers in Public Health. 9, 600330-39. Doi: 10.3389/fpubh.2021.600330.

Huang, C., Wang, Y., Li, X., Ben, L., Zhao, J. & Hu, Y. (2020). Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The Lancet.395, 497-506. doi: 10.1016/S0140-6736(20)30183-5.

Lee, I.F., Lee, D.T., & Mackenzie, A.E. (2006). Correlates of functional limitations in older Chinese patients with chronic obstructive pulmonary disease in Hong Kong. Heart & Lung. 35(5), 324-33. doi: 10.1016/j.hrtlng.2006.05.004.

Lorant, V., Smith, P. Van den Broeck K., & Nicaise, P. (2021). Psychological distress associated with the COVID-19 pandemic and suppression measure during the first wave in Belgium. BMC Psychiary. 21, 112-121. DOI: 10.1186/s12888-021-03109-1.

MoPH. Covid-19 Situation Reports. 2020. MoPH: Nonthaburi, Thailand.

Mucci, F., Mucci, N., & Diolaiuti, F. (2020). Lockdown and Isolation: Psychological Aspects of COVID-19 Pandemic in the General Population. Clinical Neuropsychiatry Journal of Treatment Evaluation. 17, 63-64. Doi: 10.36131/CN20200205.

Muszalik, M., Kedziora-Kornatowska, K., & Kornatowski, T. (2009). Functional assessment and health-related quality of life (HRQOL) of elderly patients on the basis of the functional assessment of chronic illness therapy (FACIT)-F questionnaire. Archives of Gerontology and Geriatrics. 49(3), 404-8. doi: 10.1016/j.archger.2008.12.007.

Neria, Y., & Sullivan, G.M. (2011). Understanding the mental health effects of indirect exposure to mass trauma through the media. JAMA. 306 (12), 1374-1375. Doi: 10.1001/jama.2011.1358.

Ubon Ratchathani Center of COVID-19. Novel Coronavirus-Ubon Ratchathani (Internet). (2020) [cited 2020 June 6]. Available from https://www.facebook.com/ubonratchathanicentercovid19/

Patton, M.Q. (2001). Qualitative Research & Evaluation Methods. 3rd edition. London: Sage Publications.

Pengpid, S., & Peltzer, K. (2018). The Impact of Chronic Diseases on the Quality of Life of Primary Care Patients in Cambodia, Myanmar and Vietnam. Iranian Journal of Public Health. 47(9), 1308-1316.

Pierce, M., Hope, H., Ford, T., Hatch, S., Hotopf, M., John, A., et.al. (2020). Mental Health before and during the COVID-19 pandemic: a longitudinal probability sample survey of the UK population. Lancet Psychiatry. 7(10): 883-92. Doi:10.1016/S2215

Qui J, Shen, B., Zhao, M., Wang, Z., Xie, B., & Xu Y. (2020). A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: implications and policy recommendations. General Psychiatry.33(2), e100213. doi:10.1136/gpsych-2020-100213.

Samlani, Z., Lemfadli, Y., Errami, A.A. Oubaha, S., & Krati, K. (2020). The impact of the COVID-19 pandemic on quality of life and well-being in Morocco. Arch Community Med Public Health. 6(2), 130-134. DOI: 10.17352/2455-5479-000091Seangpraw, K., Ratnasiripong N.T., Ratanasiripong, P. (2019). Predictors of quality of life of the rural older adults in Northern Thailand. Journal of Health Research. 33(6). 450-459. Doi: 10.1108/JHR-11-2018-0142.

Shigemura J, Ursaso, R.J., Morganstein, J.K., Ku-rosawa, M., & Benedek D.M. (2020). Public Response to the novel 2019 coronavirus (2019-nCoV) in Japan: mental health consequences and target populations. Psychiatry Clinical Neurosciences, 74(4), 281-282. Doi: 10.1111/prn.12988.

Shira, A., Hoffman Y., Bodner, E., & Papgi, Y. (2020). COVID-19 related loneliness and psychiatric symptom among older adults: the buffering role of subjective age. American Journal of Geriatric Psychiatry. 28(11), 1200-1204. Doi: 10.1016/j.jagp.2020.05.018.

Srithanee, K. (2017). Factors related to quality of life of the elderly in the Central North-Eastern Province. Journal of Health Sciences. 26, 690-701.

Suntronwong, N., Thongpan I, Chuchaona W, Budi Lestari F, Vichaiwattana P, Yorsaeng R et al. (2020). Impact of COVID-19 public health interventions on influence incidence in Thailand. Pathogen Global Health.1-3. doi.org/10.1080/20477724.2020.1777803 PMID: 32521210

World Health Organization. (2020). Coronavirus Diseases (COVID-19) Technical Guidance: Infection Prevention and Control/WASH. Available online://www.who.int/emergencies/disease/novel-coronavirus-2019/technical-guidance/ infection-prevention-and-control (accessed on 22 June 2020).

World Health Organization. (2020). Coronavirus disease 2019 (COVID-19) situation report-51 (Internet). 2020 Mar [cited 2020 Jul 30]. Available from: https://www.who.int/docs/defaulat-source/coronaviruse/situation-reports/20200311-sitrep-51-covid-19.pdf>sfvrn=1ba62e57+10.

World Health Organization. (2020 [cited 2020 Nov 17]). Novel Coronavirus-Thailand (ex-China) (Internet). World Health Organization. Available from: https://www.who.int/csr/don/14-January-2020-novelcolonavirus-thailand-ex-xhina/en/en.

World Health Organizational. Thailand. (2020 [cited 2020 Jul 30]). Novel coronavirus (2019-nCoV) situation reports (Internet). Available from: https://www.who.int/thailand/ emergencies/novel-coronavirus-2019/situation-reports.

World Health Organization and the United Nation Children’s Fund (UNICEF). 2020. Community-based health care, including outreach and campaingns, in the context of the COVID-19 pandemic. Geneva

Wu,Y.C., Chen, C.S., & Chan, Y.J. (2020). The outbreak of COVID-19: An overview. J Chinese Med Assoc.; 83(3): 217-220. https://doi.org/10.1097/JCMA.0000000000000270PMID:321348618.

Yezli, S., & Khan, A. (2020). COVID-19 social distancing in the Kingdom of Saudi Arabia: Bold measures in the face of political, economic, social and religious challenges. Travel Medicine and Infectious Disease.37, 101692-101697. doi:10.1016/j.tmaid.2020.101692.






Research Articles