Predictive Factors of Psychological Well-Being Among Older Adults with Chronic Disease Receiving Care at Bamrasnaradura Infectious Disease Institute
Keywords:chronic disease, psychological well-being, older adult
Psychological well-being is important for older adults, especially those with physical illness, which often affects their psychological well-being. This descriptive research was conducted to examine psychological well-being and its predictive factors among older adults with chronic diseases. Study subjects were 385 older subjects diagnosed with a chronic disease and who received medical treatment at the outpatient department of Bamrasnaradura Infectious Disease Institute between June and August 2018. Data were collected by interview using a questionnaire developed by the researcher incorporating Ryff’s concept of psychological well-being. Data were analysed using descriptive statistics, Pearson’s correlation coefficient, Chi-square, and multiple regression analysis.
The results showed that most subjects reported a moderate level of psychological well-being. According to multiple regression analysis, health awareness, social support, health behavior and community participation jointly explained 51.2% of the variance of subject’s psychological well-being (p <0.05).
The findings suggest that community nurse practitioners should focus more on promoting health awareness, social support, health behavior modification, and community participation in order to maintain independent living among older adults with chronic disease.
World Health Organization. Preventing Chronic Diseases a vital investment [Internet]. 2015 [cited 2017 December 14]. Available from http://www.who.int/chp/chronic_disease_report/full_report.pdf.
Nansuppawat V, Siriwattanamethanon J, Honboonherm P. Mental health in Elderly. Journal of the Northeastern Nursing Association 2009; 27(1): 27-32. (in Thai)
Kamble SV, Ghodke YD, Dhumale GB, Avchat SS. Health Status of Elderly Persons in Rural Area of India. India: Indian Medical Gazette; 2012.
Sasut S. Directions and trends in long-term elderly care. Journal of Nursing 2010; 25(3): 5-10. (in Thai)
Steptoe A, Deaton A, Stone AA. Psychological wellbeing, health and ageing. Lancet 2015; 385(9968): 640-8. doi:10.1016/S0140-6736(13)61489-0.
Mongkol A, Hattapanom W, Chetchotsak P, Chalorkul V, Punyoyai L, Suwannacheep S. Development and testing of Thai mental health indicators (version 2007). Bangkok; Printing Agriculture Cooperatives of Thailand; 2009.
Ryff CD. Psychological Well-Being in Adult Life. Current Directions in Psychological Science 1995; 4(4): 99-104.
Linton AD, Lach HW. Matterson & McConnell’s gerontological nursing: Concept and practice (3rd ed.). Bangkok: St Louis: Saunders Elsevier; 2007.
Miller CA. Nursing for wellness in older adults (5th ed.). Philadelphia: Lippincott; 2009.
Krejcie RV, Morgan DW. Determining Sample Size for Research Activities. Educational Psychology Meas1970; 30(3): 607-10.
Jitapankul S. Status of the current elderly population in Thailand and various actions of the country. Bangkok: Chulalongkorn University; 2000.
Bureau of Elderly Health. Long Term Care [Internet]. 2016 [cited 2016 January 15]. Available from http://eh.anamai.moph.go.th/main.php?filename=LongTremCare.
Department of Mental Health: New depression screening form 2004 [Internet]. 2014 [cited 2016 January 11]. Available from http://www.dmh.go.th/test/depress/asheet.asp?id=1
Sappawong K. Psychological well-being in Thai Elderly. BU Academic Review; 2012. p. 99-110.
Wijitsiri P. Wisdom Social Support and Psychological Well-being of Elderly in the Elderly Club at Wat Sarod Rat Burana District Bangkok. [Thesis]. Bangkok: Faculty of Graduate studies, Kasetsart University; 2012.
Beekman AT, Deeg DJ, Van TT, Smit JH, Hooijer C, Van TW. Major and minor depression in later life: a study of prevalence and risk factors. J Affect Disord 1995; 36(1-2): 65-75.
Jitprasert N. Factors Associated with Quality of Life Among Older Adults in Bbangpa-In District, Ayutthaya Province. Bangkok, Thailand: Mahidol University; 2005.
Thaicharoen K. Factors that predict mental health status of the elderly in Chonburi province. [Thesis]. Chonburi: Faculty of Graduate studies, Burapa University; 2000.
Tongvichean T. The Psychologicall well-being of the elderly in Samut Prakan Province. [Thesis]. Bangkok: Faculty of Graduate studies, Mahidol University; 2010.
Wongpoom T. Factors related to mental health problems of the elderly in Chiang Mai Province.[Thesis] . Bangkok: Faculty of Graduate studies, Ramkhamhaeng University; 2010.
Wongpanarak N, Kumpol B,Chamusi S. Mental health status, hope, and self-care behaviors regarding mental health of elderly in Maha Sarakham municipality. Research Journal Faculty of Public Health Khonkaen University 2013; 6(1): 141-50. (in Thai)
Munlam S. Factors associated with participation in social activities of the elderly in Yannawa District Bangkok. [Thesis]. Bangkok: Faculty of Graduate studies, Ramkhamhaeng University; 2010.
Boonyanuwat J. Development of learning programs to enhance Psychological well-being of Elderly in Chainat Province. Journal of Academic and Social Sciences Research, Nakhon Sawan Rajabhat College 2013; 24(8): 89-106. (in Thai)
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บทความที่ตีพิมพ์และแผนภูมิรูปภาพถือเป็นลิขสิทธิ์ของวารสารพยาบาลสาธารณสุข (Thai Public Health Nurses Association)