Factors Related to Quality of Life among Elderly-dependency Caregivers Living in Bangkok Metropolitan

Main Article Content

Sirusbhorn Nonakaravathin
Panan Pichayapinyo
Sunee Lakampun

Abstract

            This study was a cross-sectional descriptive research aimed to examine the quality of life and factors related to the quality of life among caregivers of dependent elderly living in the Bangkok metropolitan area by applying the PRECEDE-PROCEED model as a conceptual framework. The subjects were 232 caregivers of dependent elderly which were selected by multi-stage sampling. Data were collected through interviews between October and November 2023, guided by a questionnaire consisting of 7 parts, including personal data, caregiving burden measurement, depression scale, resilience scale, health service access assessment, social support scale and quality of life. The content validity index ranged from 0.80 to 1, and the reliability of the questionnaires ranged between 0.78 and 0.89. The data were analyzed using descriptive statistics, Pearson's correlation coefficient, and stepwise multiple regression analysis.
            The results revealed that most of the samples had a moderate level of quality of life (53.9%). Factors were correlated with the quality of life among caregivers of dependent elderly living in the Bangkok metropolitan including predisposing factors: income, health status, caregiving burden, depression, and resilience; enabling factors: health service; and reinforcing factors: social support. When performing stepwise multiple regression, income, health status, caregiving burden, resilience, access to health services and social support can jointly predict about 49.7% of the variance in the quality of life among caregivers of dependent elderly living in the Bangkok metropolitan area.
            According to the findings, recommendations include that the government and public health organization of Bangkok metropolitan area should provide welfare assistance, support healthcare education, enhance caregivers' adaptability for better health, ensure access to quality health services, and create social support network to improve the quality of life of caregivers of dependent elderly.

Article Details

Section
Research Article

References

Sindhu S. Interactive ECO-platform for connections: A big rock driven of health care system in aging society. [Internet]. [cited 2022 August 25]. Available from: https://kb.hsri.or.th/ dspace/bitstream/handle/11228/5673/hsri-30th-anniversary-Siriorn-Sindhu.pdf?sequence=1. (in Thai).

Department of Older Persons. Situation of the elderly population in Thailand. [Internet]. [cited 2021 May 29]. Available from: http://128.199.81.99/dop/frontend/web/index.php?r=site%2Freport1. (in Thai).

Office of Public Health System Development. Annual Report 2021, Health Department. Bangkok: Office of Public Health System Development; 2021. (in Thai).

Kumsuchat S. Health problems and health care needs among Thai elderly: policy recommendations. JHS 2017;26(6):1156-64. (in Thai).

Gadudom P, Khanarot Apinyalungkon K, Janjaroen K, Wae N. Family roles to increase quality of life of older persons in a changing situation. SCNJ 2018;5(3):300-10. (in Thai).

World Health Organization. WHOQOL-BREF introduction, administration, scoring and generie version of assessment. Geneva: World Health Organization; 1997.

Somsuvun C, Yaowaboot A. Factors influencing duality of life among caregivers of older adults with chronic diseases in Ubonratchathani province. JONAE 2023;18(3):93-109. (in Thai).

Farajzadeh A, Akbarfahimi M, Maroufizadeh S, LavasanI NM. Factors associated with quality of life among caregivers of people with spinal cord injury. Occup Ther Int 2021;1-10.

Sangkhao W. Quality of life among caregivers of stroke patients in Mueang District, Trang Province. Journal of Disease Prevention and Control: DPC. 2 Phitsanulok 2024;11(1):1-13. (in Thai).

Suttasri K, Nanasilp P, Pungchompoo W. Caregiving burdens and quality of life among caregivers of older adults receiving continuous ambulatory peritoneal dialysis. Nursing Journal 2021;48(2):119-31. (in Thai).

Green LW, Kreuter MW. Health program planning: An educational and ecological approach. 4th ed. New York: McGrawhill; 2005.

Purimat C, Nanthamongkolchai S, Munsawaengsub C, Pitikultang S, Yodmai K. Factors influencing quality of life among caregivers of dependent elderly persons in Chanthaburi province. JHS 2019;28(4):610-9. (in Thai).

Srisuk N, Wattanasrisin J, Tepapal T. Factors related to quality of life of caregivers among patients with heart failure in Trang province . SCNJ 2017;4:317-33. (in Thai).

Sajadi SA, Ebadi A, Moradian ST. Quality of life among family caregivers of patients on hemodialysis and its relevant factors: a systematic review. Int J Community Based Nurs Midwifery 2017;5(3):206-18.

Dethkan S, Kankhwao P, Kankhwao B. Stress and quality of life caregivers of elderly in Lao Phatthana sub-district health promotion hospital, Na Wa district, Nakhon Phanom province. JCCPH 2020;3(2):31-43. (in Thai).

Kolyanee A, Dangdomyouth P, Aumtanee A. Selected factors relating to quality of life among caregivers caring for patients with schizophrenia at home. JOPN 2015;7(1):128-40. (in Thai).

Songsangchan C, Thanasilp S, Pudtong N. Factors predicting quality of life in family caregivers of terminal cancer patients. RTN Med J 2017;44(2):111-30. (in Thai).

Aldhahi MI, Akil S, Zaidi U, Mortada E, Awad S, Al Awaji N. Effect of resilience on health-related quality of life during the covid-19 pandemic: a cross-sectional study. Int J Environ Res Public Health 2021;18(21):11394.

Kim KA, Park JS, Seo KW, Choi EY, Ahn JA. Factors affecting the quality of life of family caregivers of patients with heart failure: a cross-sectional study. Medicine 2022;101(35):e30042.

May SB, Monkong S, Leelacharas S, Satitvipawee P. Factors explaining quality of life among family caregivers of people with stroke in Myanmar: a cross-sectional study. PRIJNR 2022;26(2):355-69.

Zarit SH, Reever KE, Bach-Peterson J. Relatives of the impaired elderly: correlates of feelings of burden. Gerontologist 1980;20(6):649-55.

Silpakit O, Silpakit C, Chomchuen R. Psychometric study of the Thai version of Zarit Burden Interview in psychiatric caregivers. J Ment Health Thai 2015;23(1):12-23. (in Thai).

Lortrakul M, Sukanich P. Ramathibodi psychiatry. 4th ed. Bangkok: Department of Psychiatry, Faculty of Medicine Ramathibodi Hospital, Mahidol University; 2015. (in Thai).

Connor KM, Davidson JR. Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC). Depress Anxiety 2003;18(2):76-82.

Vongsirimas N, Thanoi W, Klainin-Yobas P. Evaluating Psychometric Properties of the Connor–Davidson Resilience Scale (10-Item CD-RISC) among university students in Thailand. J NURS SCI 2017;35(3):25-35. (in Thai).

Penchansky R, Thomas JW. The concept of access definition and relationship to consumer satisfaction. Medical Care 1981;19(2):127-40.

House JS. Work stress and social support. 4th ed. Philadelphia: Addison Wesley; 1981.

Mahatnirunkul S, Tuntipiwathanasakul W, Pumpaisalchai W, Wongsuwan K, Pornmanarungkul R. Comparison of the WHOQOL-100 and the WHOQOL-BREF (26 item). [Internet]. [cited 2022 Jan 10]. Available from: https://dmh.go.th/test/whoqol. (in Thai).

Duran-Gomez N, Guerrero-Martín J, Perez-Civantos D, Jurado CF, Palomo-Lopez P, Caceres MC. Understanding resilience factors among caregivers of people with Alzheimer’s disease in Spain. Psychol Res Behav Manag 2020;13:1011-25.

Phokul Y. Quality of life of dementia caregiver in Kiriratnikhom district, Suratthani. [Internet]. [cited 2021 Dec 25]. Available from: http://stpho.go.th/0_2563/11. (in Thai).

Khatta K, Hanprasitkam K, Siripitayakunkit A. Relationships among selected factors, caregiving burden, and quality of life of caregivers of persons undergoing continuous ambulatory peritoneal dialysis. JBCNM 2018;24(2):108-29. (in Thai).