Comparison of the Quality of Life and Health Service Needs by the Activities of Daily Living of the Elderly Serviced by Tertiary Hospitals of the Royal Thai Navy
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Abstract
This descriptive research aims to 1) study the quality of life and health service needs of the elderly serviced by tertiary hospitals of the Royal Thai Navy, and 2) compare the quality of life and health service needs of the elderly by the different activities of daily living of the elderly serviced by tertiary hospitals of the Royal Thai Navy in different areas. The subject of this study were 308 elderly persons serviced by tertiary hospitals of the Royal Thai Navy. Probability sampling using stratified random sampling according to hospital type including Somdech Phra Pinklao Hospital Bangkok and Somdej Phranangchao Sirikit Hospital, Chon Buri and calculated the proportion of the elderly from each hospital which can be separated according to the activities of daily living including social-bound home-bound and bed-bound. Data were collected using the screening evaluation form i.e., Barthel ADL, quality of life and needs assessment. Data were analyzed using frequency, percentage and comparative analysis using multivariate analysis of variance at the statistical significance at .05 level.
The study found that 1) overall quality of life be separated according to the activities of daily living including social-bound, home-bound and bed-bound and found that the social-bound (M = 97.86, SD = 13.74) had the overall quality of life at a good level. The home-bound (M = 76.71, SD = 5.47), and bed-bound (M = 77.00, SD = 11.31) had the overall quality of life at a medium level. The elderly serviced by different tertiary hospitals of the Royal Thai Navy had a significant difference in overall quality of life at .05 level and the different activities of daily living had a significant difference in overall quality of life at .05 level which both the social-bound with home-bound and the social-bound with bed-bound had different quality of life; 2) the elderly serviced by different tertiary hospitals of the Royal Thai Navy and the different activities of daily living had no significant difference in overall health service needs, and 3) there was no interaction between the elderly serviced by tertiary hospitals of the Royal Thai Navy and the activities of daily living of the elderly to the overall quality of life and the overall health service needs. Therefore, the results of the study will be used as an information to support the qualitative study of elderly health service system developing model to the excellence of tertiary hospitals of the Royal Thai Navy.
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