Factors Predicting Quality of Life in Older People with a History of Falls
Keywords:
ปัจจัยทำนายหกล้ม, ผู้สูงอายุที่เคยมีประวัติหกล้ม, คุณภาพชีวิตAbstract
This correlational predictive research aimed to investigate the predictive power of quality of life in older adults with a history of falls for 6 months in the community of Mae Tha, Hang Chat and Muang districts, Lampang province. Participants were 120 older people who had a history of fall for 6 months. Data were collected by using questionnaires which consisted of 1) personal data; 2) Berg balance scale (BBS); 3) Barthel Activities of Daily Living: ADL); 4) Falls Efficacy Scale International (Thai FES-I); 5) Thai Geriatric Depression Scale15: GDS-15.; 6) World Health Organization Quality of Life Brief – Thai, WHOQOL-BREF-THAI). Descriptive statistics in terms of Frequency, percentage, mean, and standard deviation, and also Multiple Linear Regression were used for data analysis.
The results revealed that 95% of the participants were self-sufficient and sociable (x̄ = 80.16, S.D. = 16.35), 70% had good stability (x̄ = 45.59, SD = 13.39) 68.5 % had a high level of fear to falls (x̄ = 34.86, SD = 11.94), 61.7 % of them had no depression (x̄ = 4.4, SD =2.5) and 77.50% had moderate quality of life (x̄ = 80.16, SD = 16.35). 2) Factors significantly affecting quality of life of the participants were depression, fear of falls and ability to perform daily activities (p< .05) which these three variables joining together can predict quality of life of the participants with 27 % (R2= .27, F= 14.38, p < .05, df=119 ). There were three variables, depression, fear of falling and ability to perform daily activities, that had standardized regression coefficients with a value of -.50 (Beta = -.50), -.24 (Beta = -. 24) and -.23 (Beta = -.23) respectively.
The findings can be used to promote the elderly routine practice by provide knowledge on how to act for reduce fear of falls and organize related activities to reduce depression in older people. In addition, the program for reducing negative factors to quality of life in older
people with a history of falls in the future should be provided.
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