Effect Of Activity-Role Participation on Quality of Life in Geriatric Individuals

Year 2020, Volume: 7 Issue: 1, 13 - 31, 30.04.2020

Ayşe Göktaş , Hüseyin Kudret İrem Kar Mine Uyanık , Murat Varlı

https://doi.org/10.21020/husbfd.573393

Abstract

Purpose: To investigate the effect of activity-role participation on the quality of life of geriatric individuals.
Material and Method: Included in the study were the individuals who were ages over 65 years and over admitted to the Department of Geriatrics of İbni Sina Hospital, Ankara University. Sociodemographic form, Human Activity Role Screening Tool assessment scale and Short Form-36 quality of life scale were administered to all individuals.
Results:In our study, 70 people; 40 women (age:76,75 ± 7,41 years), 30 men (age: 78,33 ± 7,07 years) were included. The average Human Activity Role Screening Tool assessment total score of individuals was 60.24 ± 13.25. The motivation of the elderly individuals for activity-role was found to be “disabled”, activity-role pattern, process skills, motor skills, and environment, “supported participation”, communication-interaction skills at “provide” level. Short Form-36 summary scores, the mean score of physical health function was 45.93±29.13and the mean score of mental health components was 54.31±26.22. The lowest mean score in the subscales was 9.64 ± 25.99 in the physical role difficulty subscale and the highest mean score in the Mental Health subscale was 54.31 ± 26.22. A statistically significant positive correlation was found between Human Activity-role total scores with subgroups of Short Form-36(r=0.515 p<0.00).
Conclusion: : Our results show that the participation of older individuals in the activity-role is not enough. It was found out that elderly individuals needed support for activity-role participation. It was determined that Inadequate the activity-role participation levels had a negative effect on quality of life. Examination of the quality of life of elderly people and all the parameters that will affect this will shed light on Occupational Theraphy interventions in this field.

Keywords

Geriatrics, Quality of Life, Activity-Role, participating

Supporting Institution

yok

Project Number

-

Thanks

Thank you Ankara University School of Medicine, Division of Geriatrics.

Geriatrik Bireylerin Aktivite-Rol Katılımlarının Yaşam Kalitesi Üzerine Etkisi

Abstract

Amaç:Bu çalışmanın amacı, geriatrik bireylerin aktivite-rol katılımlarının yaşam kalitesi üzerine etkisini incelemektir.
Gereç ve Yöntem:Çalışmaya Ankara Üniversitesi İbni Sina Hastanesi Geriatri Bölümünde yatan, 65 yaş ve üzerinde olan bireyler dahil edildi. Tüm bireylere sosyodemografik form, İnsan Aktivite Rol Tarama Aracı olan MOHOST ve Yaşam Kalitesi Kısa Form-36 ölçeği uyguladık. Bulgular:Çalışmamıza 40’ı kadın (yaş ort:76,75±7,41 yıl ), 30’u erkek (yaş ort:78,33±7,07 yıl ) olmak üzere 70 birey dahil edildi. Bireylerin İnsan-aktivite-rol anketinden aldıkları genel toplam puan ortalaması 60,24±13,25 olarak tespit edildi.Yaşlı bireylerin aktivite-rol için motivasyonları “engelli’’, aktivite-rol paterni, süreç becerileri, motor becerileri ve çevre parametresinde “destekli katılım”, iletişim etkileşim becerilerinde ise “sağlar” düzeyde olduğu tespit edildi. Kısa Form-36 özet puanlarından, fiziksel fonksiyon puan ortalaması 45,93 ± 29,13 ve ruhsal sağlık bileşenleri puan ortalaması 54,31 ± 26,22 idi. Alt ölçeklerde en düşük puan ortalaması 9,64 ± 25,99 ile fiziksel rol güçlüğü alt ölçeğinde, en yüksek puan ortalaması ise 54,31 ± 26,22 ile ruhsal sağlık alt ölçeğinde tespit edildi. MOHOST toplam puan ortalaması ile Yaşam Kalitesi (Kısa Form-36) ölçeğinin alt grupları arasında istatistiksel olarak iyi düzeyde pozitif ilişki bulundu (r=0.515 p<0.00).
Sonuç:Elde ettiğimiz sonuçlar yaşlı bireylerin aktivite-rol katılımlarının yeterli düzeyde olmadığını göstermektedir.Yaşlı bireylerin aktivite-rol katılımında desteğe ihtiyaç duyulduğu tespit edildi.Aktivite-rol katılım düzeylerinin yeterli olmamasının, yaşam kalitesini negatif yönde etkilediği belirlendi. Yaşlı bireylerin yaşam kalitelerinin ve bunu etkileyecek tüm parametrelerin incelenmesi bu alandaki ergoterapi müdahalelerine ışık tutacaktır.

Keywords

Aktivite-rol, geriatri, katılım, yaşam kalitesi

Project Number

-

References

• Aghanouri, A., Salehi, H., Jafarian, K. (2012). Quality of life of elderly people covered by health centers in urban areas of the Central Province, Iran. sija, 6 (22),20–9.
• Amiri, E., Khiavi, F.F., Dargahi, H., and Dastjerd, E. (2017). Retirement homes: Social participation and quality of life. Electron Physician, 9(4), 4108–4113.Referans
• Azak, A., Karamanoğlu, A., Sert, H., Çetinkaya, B., Çınar, İ.Ö., Kartal, A. (2005). Evaluation of quality of life of elderly people living in nursing home. Nursing Forum, 55-9.
• Brajković, L., Gregurek, R., Kusević, Z., Ratković, A.S., Bras, M., Dordević, V.( 2011). Life satisfaction in persons of the third age after retirement. Send to Coll Antropol, 35(3),665-71.
• Diener, E., Emmons, R.A., Larsen, R.J. & Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49, 71-75.
• Elderly health : problems and solutions. (2015). Association of Public Health Specialists, 1-543.
• Elwell, F., Alice, M.A.D., Maltbie-Crannell, RN. (1981).The Impact of Role Loss Upon Coping Resources and Life Satisfaction of the Elderly.Journal of Gerontology, 36(2), 223–232.
• Forsyth, K., Parkinson. S., Kielhofner, G., Kramer, J., Summerfield M.L., Duncan, E. (2011).The measurement properties of the Model of Human Occupation Screening Tool and implications for practice. New Zealand journal of Occupational Therapy,58(2), 5-13.
• Göktaş, A., Pekçetin, S., Tekindal, B., Kayıhan, H., Uyanık, M. (2016). Impact of Activity Preferences on Cognitive Skills and Life Satisfaction in Elderly. Journal of Occupational Therapy and Rehabilitation, 4(1), 1-14.
• Harrefors, C1., Sävenstedt, S., Axelsson, K. (2009). Elderly people's perceptions of how they want to be cared for: an interview study with healthy elderly couples in Northern Sweden. Scand J Caring Sci, 23(2),353-60.
• Kaveh firoz Z, Mirzaei M. (2010). Tehran’s quality of life and participation in social activities with emphasis on gender. Iranian Journal of Sociolog, 4(8),123–48.
• Koçyiğit, H., Aydemir, Ö., Fişek, G., Ölmez, N., Memiş, A. (1999). The reliability and validity of the Turkish version of the Short Form-36 (KF-36). Journal of Medication and Treatment, 12, 102-6.
• Lee, Y., and Chi, I. (2015). Do cognitive leisure activities really matter in the relationship between education and cognition? Evidence from the aging, demographics, and memory study. Aging & Mental Health, 20 (3), 252-61
• Levasseur, M., Desrosiers, J., Noreau, L. (2004). Is social participation associated with quality of life of older adults with physical disabilities? Disabil Rehabil, 26(20),1206–13.
• Mcauley, E., Konopack, J.F., Motl, R.W., Morris, KS., Doerksen, S.E., Rosengren, K.R.(2006). Physical activity and quality of life in older adults: influence of health status and self-efficacy. Ann Behav Med, 31,99-103.
• Mishra, G.D., Gale, C.R., Sayer, A.A., Cooper, C., Dennison, E. M., Whalley, L.J. and et al.(2011). How useful are the SF-36 sub-scales in older people? Mokken scaling of data from the HALCyon programme.Qual Life Res, 20 (7),1005–1010.
• Nakamura-Thomas,H., Kyougoku, M.(2013).Application of Occupational Self Assessment in Community Settings for Older People. Physical&Occupational Therapy in Geriatrics, 31(2),103–114
• Rio J.( 2013).The influence of the practice of physical activity on the quality of life, muscle strength, balance, and physical ability in the elderly. Revista Brasileira de Geriatria e Gerontologia,16, 1
• Saito, K.I.,Takizawa, A. (2012). Effects of a program to prevent social isolation on loneliness, depression, and subjective well-being of older adults: A randomized trial among older migrants in Japan. Archives of Gerontology and Geriatrics, 55(3), 539
• Samuel, D., Rowe, P., Hood, V., Nicol, A. (2011).The relationships between muscle strength, biomechanical functional moments and health-related quality of life in non-elite older adults. Age Ageing, 41(2), 224-30.
• Shinohara K, Yamada T, Kobayashi N, Forsyth K. (2012). The Model of Human Occupation-Based Intervention for Patients with Stroke: A Randomised Trial. Hong Kong Journal of Occupational Therapy, 22, 60-69