scholarly journals The development of Need–Threat Internal Resiliency Theory in COVID-19 crisis utilizing deductive axiomatic approach

2021 ◽  
Author(s):  
Jonaid Mustapha Sadang ◽  
Daisy R Palompon
Keyword(s):  
Quality Of Life ◽  
Internal Control ◽  
Older Persons ◽  
Population Group ◽  
Well Being ◽  
Axiomatic Approach ◽  
Health Needs ◽  
Return To Equilibrium ◽  
Health Threat

Resiliency for older people represents the capacity to return to equilibrium when difficulties arise and was found as integral predictor of their health status. This study aims to develop a theory that attempts to explain the older adults’ resiliency perspectives during crisis and how it has affected their well-being and quality of life as population group. Deductive theory generation using axiomatic approach was adopted resulting to five axioms that served as basis for the generation of three propositions such as: (1) An older person’s health needs have tendencies to develop into a health threat, (2) when the threat is perceived, older persons developed a sense of internal control and adaptation to the changes it creates known as internal resiliency, and (3) internal resiliency can influence the quality of life in old age. The evolved theory suggests that in times of crisis (e.g., COVID-19 pandemic), health needs develop into a health threat that compels older persons to develop internal resiliency in order to preserve their integrity, wellbeing and quality of life. This study widens the nursing perspectives in addressing older persons’ resiliency by the unique condition at which older clients are placed affecting both the pathological nature of the illness as well as the preventive interventions which the society is forced to implement.

scholarly journals An Association of Quality of Life and Ageing Perceptions Among Community Dwelling Older Adults in Uganda

2021 ◽  
Author(s):  
Joy Louise -Onoria ◽  
Raymond Odokonyero ◽  
Bruno Giordani ◽  
Dickens Akena ◽  
Emmanuel Mwesiga ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Persons ◽  
Low Cost ◽  
Well Being ◽  
The Elderly ◽  
Community Dwelling ◽  
Life Questionnaire ◽  
Social Activities ◽  
Positive Perception

Abstract Background: Uganda’s population, though, largely characterized by young people, has seen the number of people aged 60 and over grow from 686,000 twenty years ago, to 1,433,596 in 2014. Effective caring for the well-being of this population requires strategic and deliberate planning that involves quality of life (QoL) assessments. QoL assessments among the elderly are important in evaluating the efficacy of strategies, such as health interventions, welfare programs, health care, and well-being of the elderly. However, elderly in Uganda face several challenges, ranging from loneliness, poor housing, lack of social and financial support, and poor health. These may negatively affect older persons’ quality of life and consequently their perceptions and attitudes towards aging. Methods: The study was carried out in 2019 in the communities of Nansana and Busukuma town councils in Wakiso district, Uganda. The participants were 380 people 60 years and older. To establish the association between perceptions of ageing and QoL, this study utilized a locally adapted version of the Older Person’s Quality of Life Questionnaire (OPQOL) and the Brief Ageing Perceptions Questionnaire (B-APQ). The OPQOL assesses three domains of QoL: Health QoL (HQoL); Social economic QoL (SQoL); and Psychosocial QoL (PQoL). The B-APQ assesses perceptions about physical age, participation in social activities, and perceptions about ability to regulate emotions as one ages. Pearson’s Chi-square tests were used to characterize the relationship between the perceptions and quality of life.Results: The majority of the respondents, 61% (95%CI 56.7-64.8), had negative perceptions towards ageing. Eighty six percent had poor HQoL, 90% poor SQoL and 83% poor PQoL. There was a significant association between good HQoL and positive perception about participation in social activities (X2 = 7.3670, P = 0.007) as well as with positive perception on regulation of emotions (X2 = 18.1803, P<0.001). There was a significant association between good SQoL and positive perception about participation in social activities (X2 = 5.3472, P = 0.021), as well with positive perception on regulation of emotions (X2 = 10.5128, P<0.001). A significant association between good PQoL and positive perception on regulation of emotions (X2 = 9.2414, P= 0.002).Conclusion: Positive perceptions of ageing are associated with good QoL. Directly addressing perceptions of ageing could be a low cost and effective strategy to improve the QoL of older persons in SSA

scholarly journals Consequences of anxiety in older persons: its effect on disability, well-being and use of health services

1999 ◽  
Vol 29 (3) ◽  
pp. 583-593 ◽  
Author(s):  
E. de BEURS ◽  
A. T. F. BEEKMAN ◽  
A. J. L. M. van BALKOM ◽  
D. J. H. DEEG ◽  
R. van DYCK ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Anxiety Disorder ◽  
Older Persons ◽  
Well Being ◽  
Anxiety Symptoms ◽  
Appropriate Care ◽  
Older Subjects ◽  
Use Of Health Services

Background. Although anxiety is quite prevalent in late life, its impact on disability, well-being, and health care utilization of older persons has not been studied. Older persons are a highly relevant age group for studying the consequences of anxiety, since their increasing numbers put an extra strain on already limited health care resources.Methods. Data of a large community-based random probability sample (N=659) of older subjects (55–85 year) in the Netherlands were used to select three groups: subjects with a diagnosed anxiety disorder, subjects with merely anxiety symptoms and a reference group without anxiety. These groups were compared with regard to their functioning, subjective well-being, and use of health care services, while controlling for potentially confounding variables.Results. Anxiety was associated with increased disability and diminished well-being. Older persons with a diagnosed anxiety disorder were equally affected in their functioning as those with merely anxiety symptoms. Although use of health services was increased in anxiety sufferers, their use of appropriate care was generally low.Conclusions. Anxiety has a clear negative impact on the functioning and well-being of older subjects. The similarity of participants with an anxiety disorder and those having merely anxiety symptoms regarding quality of life variables and health care use was quite striking. Finally, in spite of its grave consequences for the quality of life, appropriate care for anxiety is seldom received. Efforts to improve recognition, disseminate effective treatments in primary care, and referring to specialized care may have positive effects on the management of anxiety in late life.

Spirituality, quality of life, and locus of control in a palliative care setting

2006 ◽  
Vol 24 (18_suppl) ◽  
pp. 18529-18529
Author(s):  
P. H. Thaker ◽  
C. Sun ◽  
D. C. Bodurka ◽  
J. Palmer ◽  
B. Pei ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Locus Of Control ◽  
Internal Control ◽  
Pearson Correlation ◽  
Symptom Control ◽  
Well Being ◽  
Self Report ◽  
Palliative Care Setting

18529 Background: A patient’s spirituality/religious beliefs have a profound role on how one copes with disease & on quality of life (QOL). Perceptions of control play an important role in coping not only with stressful experiences, but also in health outcomes. Therefore, the primary objective was to determine whether patients’ spirituality/ religiosity correlates with quality of life and locus of control. Methods: As part of a pilot study, pts presenting for initial outpatient evaluation in the Department of Symptom Control & Palliative Care were enrolled and completed self-report measures: Functional Assessment of Chronic Illness Therapy-General (FACT-G), FACT-Spiritual Well-Being Scale (FACT-Sp), Duke University Religion Index (DUREL), Locus of Control (LOC), Herth Hope Scale (HHS), Predestination (PDQ), and Hospital Anxiety & Depression Scale (HADS). LOC contained 3 subscales: perceived occurrence of chance, dependence on powerful others, and internal control. Pearson correlation coefficients were calculated to explore the relationship between measures. The Mann-Whitney t-test was used to compare patient scores. Results: One hundred patients (48 men & 52 women) completed the surveys & 90% reported a Christian affiliation. QOL was positively correlated with FACT-Sp (p ≤ 0.001, r = .614) and the DUREL which measures both external/internal religiosity (p ≤ .01, r = .291). Interestingly, there was no gender difference in spirituality as measured by FACT-Sp; however, by the DUREL women engaged more frequently in private religious activity when compared with men (p < 0.001). Men had more perceived internal control with less emphasis on the occurrence of chance events or dependence on powerful others on LOC (p = 0.07), as well as a positive correlation with controlling of one’s own fate as measured by the PDQ (p = 0.1). Conclusions: As oncologists committed to providing comprehensive care, we need to be receptive to the spiritual needs of our patients since it augments their QOL and to empower them to have a sense of control. Future studies need to further define these complex relationships and to recognize possible gender differences. No significant financial relationships to disclose.

scholarly journals Quality of Life in Older Adults: Evidence from Mexico and Ecuador

Geriatrics ◽  
2021 ◽  
Vol 6 (3) ◽  
pp. 92
Author(s):  
Paola Pacheco ◽  
Rafael Pérez ◽  
David Coello-Montecel ◽  
Nancy Pamela Castro Zazueta
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Latin America ◽  
Social Participation ◽  
Population Group ◽  
Well Being ◽  
Life Questionnaire ◽  
Cross Sectional ◽  
Perception Of Quality

Older adults are a growing population group in Latin America, hence the importance of deepening studies, proposals, and policies to guarantee their well-being. This article analyzes the perception of quality of life in older adults from Mexico and Ecuador and its association with several socioeconomic variables. The study design was cross-sectional. The sample comprised 450 older adults, 238 from Mexico and 212 from Ecuador. The WHOQOL-OLD Quality of Life Questionnaire and a set of sociodemographic variables were used. The results showed a higher perception of quality of life in the Mexican sample regarding most of the dimensions, except for sensory skills and social participation. An association was also found between sensory skills and sports practice, as well as between social participation and education level. The study achieves a binational approach to the reality of older adults in Latin America and confirms that there are differences in each sample that are due to the particularities of each reality. This research contributes to deepening the reality of the elderly, especially in Ecuador, where the quality-of-life studies in all age segments must be strengthened.

scholarly journals Residential mobility, second homes and quality of life: Consequences of moving out from the city of Madrid

2017 ◽  
Vol 37 (37) ◽  
pp. 51-62 ◽  
Author(s):  
Raúl Lardiés-Bosque
Keyword(s):  
Quality Of Life ◽  
Residential Mobility ◽  
Population Group ◽  
Well Being ◽  
Aged People ◽  
Before And After ◽  
Different Dimensions ◽  
And Migration ◽  
The City

Abstract Residential mobility and migration of retired people is an emerging issue in western societies. Moreover, the Quality of Life (QoL) of old people has become a challenge in our societies, of great interest for researchers and planners. Nevertheless, few studies have investigated how mobility and/or migration help improve QoL. This paper aims to determine the influence of retired people’s residential mobility on the different dimensions of their life. Factors driving residential mobility in this population group are analysed, as well as the sociodemographic characteristics of this group, family, friends and social contacts, and environmental conditions, before and after moving. The methodology used is qualitative and the results have been obtained from 29 in-depth interviews with aged people who have moved from the city of Madrid to other places in Spain. The consequences of the moves are analysed in terms of how the different dimensions of their QoL and their well-being are affected.

scholarly journals Polypharmacy, the ethical implication in the elderly

2020 ◽  
Vol 1 (2) ◽  
pp. 11-15
Author(s):  
Elena G. Olvera-Hernández ◽  
María del Refugio Acuña-Gurrola ◽  
Alejandro Chehue Romero
Keyword(s):  
Quality Of Life ◽  
Life Expectancy ◽  
Geriatric Medicine ◽  
Population Group ◽  
Well Being ◽  
The Elderly ◽  
The State ◽  
Ethical Implication ◽  
San Jose

Worldwide, the population has been aging,  in 2015, life expectancy was 70.5 years old, with around 14% of the planet's inhabitants having an age of 60 years or more. While, for the same period (Organización de las Naciones Unidas, 2013). The average number of years was, in Mexico, 74.95, with 10.28% being part of this population group (Consejo Nacionacional de Población, 2019). In Mexico in 2016 it amounted to 12.4 million people over 60 years. For its part, in the State of Hidalgo, based on data taken from the Intercensal Survey conducted by the National Institute of Statistics and Geography, in 2015, 10.90% of the population exceeded 60 years, with a life expectancy of 74.46 years (Instituto Nacional de Estadística y Geografía, 2019). However, greater life expectancy does not imply greater quality of life, that is, living longer is not associated with well-being, since currently the increase in longevity is accompanied by a higher incidence of morbidity and disabilities, directly related with geriatric medicine (Bagma, Griño, San José & Armandons, 2010).

Perceived Overprotection and Its Association With Quality of Life in Dementia

GeroPsych ◽  
2019 ◽  
Vol 32 (3) ◽  
pp. 125-134
Author(s):  
Mechthild Niemann-Mirmehdi ◽  
Andreas Häusler ◽  
Paul Gellert ◽  
Johanna Nordheim
Keyword(s):  
Quality Of Life ◽  
Patient Autonomy ◽  
Positive Association ◽  
Well Being ◽  
Negative Association ◽  
Significant Positive Association ◽  
Cross Sectional ◽  
People With Dementia ◽  
Mental Well Being

Abstract. To date, few studies have focused on perceived overprotection from the perspective of people with dementia (PwD). In the present examination, the association of perceived overprotection in PwD is examined as an autonomy-restricting factor and thus negative for their mental well-being. Cross-sectional data from the prospective DYADEM study of 82 patient/partner dyads (mean age = 74.26) were used to investigate the association between overprotection, perceived stress, depression, and quality of life (QoL). The analyses show that an overprotective contact style with PwD has a significant positive association with stress and depression, and has a negative association with QoL. The results emphasize the importance of avoiding an overprotective care style and supporting patient autonomy.

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