J Agric Med Community Health.  2022 Dec;47(4):242-254. 10.5393/JAMCH.2022.47.4.242.

Structural Equation Modeling Based on PRECEDE Model for the Quality of Life in the Elderly with Dementia in Rural Area

• Song MS
• Kim HL

• KMID: 2538502
• DOI: http://doi.org/10.5393/JAMCH.2022.47.4.242

Abstract

Purpose
This study was designed to test structural equation modeling of the quality of life of elderly diagnosed dementia living in the community in order to provide guidelines for development of intervention and strategies to improve their quality of life.
Methods
The participants in the study were elderly who visited the public health center in C rural between May 30 and september 15, 2017. Data collection was carried out through one-on-one interviews. Demographic factors, knowledge, Attitude, Self-Efficacy, social support, accessibility, request for Information, health practice, depression, subjective memory complaints, dependence scale and quality of life were investigated.
Results
The final analysis included 192 elderly. Fitness of the hypothesis model was appropriate(χ2 =192.89, p=.000, GFI=0.90, SRMR=0.08, NNFI=0.94, CFI=0.95, PNFI=0.72, RMSEA=0.07). Depression, subjective memory complaints and dependence were found to be significant explaining varience in quality of life. Social support, dementia preventive behavior and health practice had an indirect effect on the quality of life.
Conclusions
To improve the quality of life of elderly diagnosed dementia living in the community, comprehensive interventions are necessary to manage knowledge, attitude, self-efficacy, social support, health practice, depression, subjective memory complaints and dependence that can contribute to enchance the quality of life of elderly diagnosed dementia living in the community.

Keyword

Dementia; Quality of life; Depression; Subjective Memory Complaints; Dependence