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Relationship between Quality of Life, Depression, and Participation in Elderly Integrated Health Service Post among Older Adults

*Christine Margaretha  -  Faculty of Medicine, Universitas Diponegoro, Indonesia
Widodo Sarjana  -  Department of Psychiatry, Faculty of Medicine, Universitas Diponegoro, Indonesia
Suharto Suharto  -  Department of Public Health, Faculty of Medicine, Universitas Diponegoro, Indonesia
Innawati Jusup  -  Department of Biochemistry, Faculty of Medicine, Universitas Diponegoro, Indonesia
Open Access Copyright (c) 2021 Nurse Media Journal of Nursing
Creative Commons License This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

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Abstract

Background: Older adults are susceptible to worsened quality of life (QOL) and depression due to aging. Elderly integrated health service post (EIHSP) is community-based health care that aims to improve older adults’ health; however, not all older adults participate in this health service.

Purpose: This study was conducted to assess the relationship between the QOL, depression level, and older adults’ participation in EIHSP.

Methods: A cross-sectional study was carried out among 102 older adults in a community-dwelling area in Semarang, Indonesia. Respondents were recruited using a total sampling technique. QOL was assessed by the WHOQOL-BREF questionnaire, while the level of depression was assessed by Geriatric Depression Scale (GDS) questionnaires. Descriptive statistics, Spearman, and Sommers’ d tests were used to analyze the data.

Results: Higher participation in EIHSP significantly affected QOL on every domain (general quality of life, physical, psychological, social relationship, and environmental domains) with p<0.05. This study also showed that participation in EIHSP had a significant relationship with depression levels (p=0.002). Furthermore, higher depression levels significantly affected QOL on every domain (p<0.05).

Conclusion: This study showed that older adults’ participation in EIHSP had a significant relationship with QOL and depression. Community nurses can promote the utilization of EIHSP among older adults for better physical and mental health. Future studies should investigate these relationships in a larger sample size.
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Keywords: Depression; elderly integrated health service post; older adults; quality of life

Article Metrics:

  1. Alexandrino-Silva, C., Ribeiz, S. R., Frigerio, M. B., Bassolli, L., Alves, T. F. A., Busatto, G., & Bottino, C. (2019). Prevention of depression and anxiety in community-dwelling older adults: the role of physical activity. Archives of Clinical Psychiatry (SÃpoundso Paulo), 46, 14–20. https://doi.org/10.1590/0101-60830000000185
  2. Allender, J. A., Rector, C., & Warner, K. D. (2010). Community health nursing (7th ed.). Williams & Wilkins
  3. Barker, S., Heaslip, V., & Chelvanayagam, S. (2014). Addressing older people’s mental health needs in the community setting. British Journal of Community Nursing, 19(5), 234–238. https://doi.org/10.12968/bjcn.2014.19.5.234
  4. Basic Health Research. (2019). Statistik penduduk lanjut usia 2019 Indonesia [Indonesia's 2019 elderly population statistics]. www.bps.go.id/publication/2019/12/20/.../statistik-penduduk-lanjut-usia-2019.html
  5. Beard, J. R., Officer, A., de Carvalho, I. A., Sadana, R., Pot, A. M., Michel, J.-P., Lloyd-Sherlock, P., Epping-Jordan, J. E., Peeters, G. M. E. E., Mahanani, W.R., Thiyagarajan, J. A., & Chatterji, S. (2016). The world report on ageing and health: A policy framework for healthy ageing. Lancet, 387(10033), 2145–2154. https://doi.org/10.1016/S0140-6736(15)00516-4
  6. Cahyawati, S., Rumaolat, W., Sayid, N., Rumi, J., & Rumaolat, W. (2020). Factors related to the utilization of the integrated health services center for the elderly. Jurnal Ners, 15(2), 63–66
  7. Campos, A. C. V., Ferreira e Ferreira, E., Vargas, A. M. D., & Albala, C. (2014). Aging, gender and quality of life (AGEQOL) study: Factors associated with good quality of life in older Brazilian community-dwelling adults. Health and Quality of Life Outcomes, 12(1), 166. https://doi.org/10.1186/s12955-014-0166-4
  8. Carandang, R. R., Shibanuma, A., Kiriya, J., Vardeleon, K. R., Asis, E., Murayama, H., & Jimba, M. (2020). Effectiveness of peer counseling, social engagement, and combination interventions in improving depressive symptoms of community-dwelling Filipino senior citizens. PLoS One, 15(4), 1–16. https://doi.org/10.1371/journal.pone.0230770
  9. Chang, Y. C., Yao, G., Hu, S. C., & Wang, J. D. (2015). Depression affects the scores of all facets of the WHOQOL-bref and may mediate the effects of physical disability among community-dwelling older adults. PLoS One, 10(5), 1–11. https://doi.org/10.1371/journal.pone.0128356
  10. Chapin, R. K., Sergeant, J. F., Landry, S., Leedahl, S. N., Rachlin, R., Koenig, T., & Graham, A. (2013). Reclaiming joy: Pilot evaluation of a mental health peer support program for older adults who receive Medicaid. The Gerontologist, 53(2), 345–352. https://doi.org/10.1093/geront/gns120
  11. Chen, C.-C., Lin, Y.-J., & Lin, Y.-T. (2013). Awareness and utilization of preventive care services among the elderly under National Health Insurance. International Journal of Health Care Finance and Economics, 13(3), 247–260. https://doi.org/10.1007/s10754-013-9128-3
  12. Costa, F., Rodrigues, F., Prudente, C., & Souza, I. (2018). Quality of life of participants and non-participants of public physical exercise programs. Revista Brasileira de Geriatria e Gerontologia, 21, 24–34. https://doi.org/10.1590/1981-22562018021.170136
  13. Dennis, C.-L. (2003). Peer support within a health care context: A concept analysis. International Journal of Nursing Studies, 40(3), 321–332. https://doi.org/10.1016/s0020-7489(02)00092-5
  14. Effendy, F., & Makhfudli. (2009). Community health nursing: Theory and practice in nursing. Penerbit Buku Kedokteran EGC
  15. Erpandi, E. (2015). Posyandu lansia [Elderly integrated service post]. Penerbit Buku Kedokteran EGC
  16. Fisher, E. B., Ayala, G. X., Ibarra, L., Cherrington, A. L., Elder, J. P., Tang, T. S., Heisler, M., Safford, M M., Simmons, D. (2015). Contributions of peer support to health, health care, and prevention: Papers from peers for progress. Annals of Family Medicine, 13(l), S2-8. https://doi.org/10.1370/afm.1852
  17. Gallegos-Carrillo, K., Honorato-Cabañas, Y., Macías, N., García-Peña, C., Flores, Y. N., & Salmerón, J. (2019). Preventive health services and physical activity improve health-related quality of life in Mexican older adults. Salud Publica de Mexico, 61(2), 106–115. https://doi.org/10.21149/9400
  18. Geffen, L. N., Kelly, G., Morris, J. N., & Howard, E. P. (2019). Peer-to-peer support model to improve quality of life among highly vulnerable, low-income older adults in Cape Town, South Africa. BMC Geriatrics, 19(1), 279. https://doi.org/10.1186/s12877-019-1310-0
  19. Grundberg, Å., Hansson, A., Hillerås, P., & Religa, D. (2016). District nurses’ perspectives on detecting mental health problems and promoting mental health among community-dwelling seniors with multimorbidity. Journal of Clinical Nursing, 25(17–18), 2590–2599. https://doi.org/https://doi.org/10.1111/jocn.13302
  20. Hazell, C. M., Smith, H. E., & Jones, C. J. (2019). The blurred line between physical ageing and mental health in older adults: implications for the measurement of depression. Clinical Medicine Insights: Psychiatry, 10, 1179557319885634. https://doi.org/10.1177/1179557319885634
  21. Hidayati, A. R., Gondodiputro, S., & Rahmiati, L. (2018). Elderly profile of quality of life using whoqol-bref indonesian version: a community dwelling. Althea Medical Journal, 5(2), 105–110
  22. Joo, J. H., Hwang, S., Abu, H., & Gallo, J. J. (2016). An innovative model of depression care delivery: Peer mentors in collaboration with a mental health professional to relieve depression in older adults. The American Journal of Geriatric Psychiatry, 24(5), 407–416. https://doi.org/10.1016/j.jagp.2016.02.002
  23. Kanamori, S., Kai, Y., Aida, J., Kondo, K., Kawachi, I., Hirai, H., Shirai, K., Ishikawa, K. Y., Suzuki, K. (2014). Social participation and the prevention of functional disability in older Japanese: The JAGES cohort study. PloS One, 9(6), e99638. https://doi.org/10.1371/journal.pone.0099638
  24. Karimi, M., & Brazier, J. (2016). Health, health-related quality of life, and quality of life: What is the difference?. Pharmaco Economics, 34(7), 645–649. https://doi.org/10.1007/s40273-016-0389-9
  25. Kim, E. S., Kubzansky, L. D., & Smith, J. (2015). Life satisfaction and use of preventive health care services. Health Psychology, 34(7), 779–782. https://doi.org/10.1037/hea0000174
  26. Kim, H. J., Choi, J. E., Kim, M. S., Kim, S. J., & Chang, S. O. (2016). Nurses’ clinical decision-making for preserving nursing home residents’ remaining abilities. Journal of Clinical Nursing, 25(9–10), 1326–1335. https://doi.org/10.1111/jocn.13206
  27. Lee, Y.-H., Chang, Y.-C., & Liu, C.-T. (2019). Preventative care utilization and associated health-related measurements among older adults following the 2009 health reform in China. The International Journal of Health Planning and Management, 34(2), e1135–e1148. https://doi.org/10.1002/hpm.2749
  28. Li, C., Jiang, S., Li, N., & Zhang, Q. (2018). Influence of social participation on life satisfaction and depression among Chinese elderly: Social support as a mediator. Journal of Community Psychology, 46(3), 345–355. https://doi.org/10.1002/jcop.21944
  29. Liu, L., Gou, Z., & Zuo, J. (2016). Social support mediates loneliness and depression in elderly people. Journal of Health Psychology, 21(5), 750–758. https://doi.org/10.1177/1359105314536941
  30. Manasatchakun, P., Choowattanapakorn, T., Roxberg, Å., & Asp, M. (2018). Community nurses’ experiences regarding the meaning and promotion of healthy aging in Northeastern Thailand. Journal of Holistic Nursing, 36(1), 54–67. https://doi.org/10.1177/0898010116688126
  31. Ministry of Health Republic of Indonesia. (2006). Keputusan Menteri Kesehatan no. 279 tentang pedoman penyelenggaraan upaya perawatan kesehatan masyarakat di puskesmas [The minister of health’s decree no. 279 about the guidelines on the administration of public health nursing efforts in community health]. Kementrian Kesehatan Republik Indonesia
  32. Ministry of Health Republic of Indonesia. (2016). Peraturan Menteri Kesehatan Republik Indonesia nomor 25 tahun 2016 tentang rencana aksi nasional kesehatan lanjut usia tahun 2016-2019 [The minister of health’s regulation no. 25 year 2016 about strategic plan for the health of adults 2016-2019]. Kementrian Kesehatan Repubik Indonesia
  33. Ministry of Health Republic of Indonesia. (2016b). Situasi lanjut usia di Indonesia [Older Adults Situation in Indonesia]. http://www.pusdatin.kemkes.go.id/resources/download/pusdatin/infodatin/Infodatin-lansia-2016.pdf
  34. Ministry of Health Republic of Indonesia. (2018). Hasil utama Riskesdas 2018 [Main results of Riskesdas 2018]. www.kemkes.go.id/resources/download/info-terkini/hasil-riskesdas-2018.pdf
  35. Mulyadi, Y. (2009). Pemanfaatan posyandu lansia di Kota Pariaman [Utilization of the elderly posyandu in Pariaman]. Jurnal Kesehatan Masyarakat Nasional, 3(5), 224-228
  36. Onunkwor, O. F., Al-Dubai, S. A. R., George, P. P., Arokiasamy, J., Yadav, H., Barua, A., & Shuaibu, H. O. (2016). A cross-sectional study on quality of life among the elderly in non-governmental organizations’ elderly homes in Kuala Lumpur. Health and Quality of Life Outcomes, 14(1), 6. https://doi.org/10.1186/s12955-016-0408-8
  37. Perez-Sousa, M. A., Olivares, P. R., Gonzalez-Guerrero, J. L., & Gusi, N. (2020). Effects of an exercise program linked to primary care on depression in elderly: Fitness as mediator of the improvement. Quality of Life Research, 29(5), 1239–1246. https://doi.org/10.1007/s11136-019-02406-3
  38. Pramesona, B. A., & Taneepanichskul, S. (2018). The effect of religious intervention on depressive symptoms and quality of life among Indonesian elderly in nursing homes: A quasi-experimental study. Clinical Interventions in Aging, 13, 473–483. https://doi.org/10.2147/CIA.S162946
  39. Pratono, A. H., & Maharani, A. (2018). Long-term care in Indonesia: The role of integrated service post for elderly. Journal of Aging and Health, 30(10), 1556–1573. https://doi.org/10.1177/0898264318794732
  40. Puciato, D., Borysiuk, Z., & Rozpara, M. (2017). Quality of life and physical activity in an older working-age population. Clinical Interventions in Aging, 12, 1627–1634. https://doi.org/10.2147/CIA.S144045
  41. Purba, F. D., Hunfeld, J. A. M., Iskandarsyah, A., Fitriana, T. S., Sadarjoen, S. S., Passchier, J., & Busschbach, J. J. V. (2018). Quality of life of the Indonesian general population: Test-retest reliability and population norms of the EQ-5D-5L and WHOQOL-BREF. PLoS One, 13(5), e0197098. https://doi.org/10.1371/journal.pone.0197098
  42. Rahmawati, R., & Bajorek, B. (2015). A community health worker-based program for elderly people with hypertension in Indonesia: A qualitative study, 2013. Preventing Chronic Disease, 12, E175. https://doi.org/10.5888/pcd12.140530
  43. Saldivia, S., Inostroza, C., Bustos, C., Rincón, P., Aslan, J., Bühring, V., Farhang, M., King, M., Cova, F. (2019). Effectiveness of a group-based psychosocial program to prevent depression and anxiety in older people attending primary health care centres: A randomised controlled trial. BMC Geriatrics, 19(1), 237. https://doi.org/10.1186/s12877-019-1255-3
  44. Salim, O. C., Sudharma, N. I., & Kusumaratna, R. (2007). Validity and reliability of World Health Organization Quality of Life-BREF to assess the quality of life in the elderly (in Bahasa Indonesia). Universa Medicina, 26(1), 27–38. https://doi.org/http://dx.doi.org/10.18051/UnivMed.2007.v26.27-38
  45. Schaakxs, R., Comijs, H. C., Lamers, F., Beekman, A. T. F., & Penninx, B. W. J. H. (2017). Age-related variability in the presentation of symptoms of major depressive disorder. Psychological Medicine, 47(3), 543–552. https://doi.org/10.1017/S0033291716002579
  46. Simbolon, P., & Simbolon, N. (2018). Association between social-cultural and the utilization of elderly integrated health services (posyandu lansia) in Hamparan Perak Health Center. Unnes Journal of Public Health, 7(1), 50-54. https://doi.org/10.15294/ujph.v7i1.18201
  47. Statistics Indonesia. (2014). Statistik penduduk lanjut usia 2014 [Aging statistics Indonesia 2014]. Badan Pusat Statistik
  48. Sumini, Sukamdi, Pangaribowo, E. H., Keban, Y. T., & Darwin, M. (2020). Elderly care: A study on community care services in Sleman, DIY, Indonesia. Journal of Aging Research, 2020, 3983290. https://doi.org/10.1155/2020/3983290
  49. Wahyuni, I. D., Ainy, A., & Rahmawati, A. (2016). Analysis of elderly participation in health development activities at the working area of Puskesmas Sekar Jaya Ogan Komering Ulu regency. Jurnal Ilmu Kesehatan Masyarakat, 7(2), 96–107
  50. Wang, J., Chen, C.-Y., Lai, L.-J., Chen, M.-L., & Chen, M.-Y. (2014). The effectiveness of a community-based health promotion program for rural elders: A quasi-experimental design. Applied Nursing Research, 27(3), 181–185. https://doi.org/10.1016/j.apnr.2013.11.014
  51. Widyarani, D., Susanto, T., Wahyuni, D., & Pham, H. T. T. (2020). Identifying community/public health nursing competencies in Indonesia: A modified Delphi method. Nurse Media Journal of Nursing, 10(3), 350-360. https://doi.org/10.14710/nmjn.v10i3.29435
  52. Wu, F., Drevenhorn, E., & Carlsson, G. (2020). Nurses’ experiences of promoting healthy aging in the municipality: A qualitative study. Healthcare, 8(2). https://doi.org/10.3390/healthcare8020131

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