Background — As people become older, they naturally experience many changes that affect their physical and mental health, including decline in physical strength and cognitive function, which affects their ability to perform daily activities. If this condition persists, it may negatively affect their quality of life (QoL). However, there is a lack of research focusing on QoL among the elderly in Indonesia. Objective — This study aimed to analyze the effect of activities of daily living (ADL) and cognitive function on QoL among older adults in Malang, Indonesia. Methods — This is a cross-sectional study using a purposive sampling method. A total of 83 participants were recruited from multiple nursing homes in Malang between April and September 2023. Inclusion criteria were as follows: 60 years of age or older and not having a diagnosis of dementia. The instruments used were: Short Portable Mental Status Questionnaire (SPMSQ) to assess cognitive function, Barthel Index to measure ADL and Short Form 36 (SF-36) to assess QoL. The data were analyzed using independent t-tests, analysis of variance (ANOVA) and Pearson correlation coefficient to assess the relationship between two variables. Multivariate linear regression analysis was performed to examine the relationship between the predictors and QoL. Results — Multivariate linear regression analysis showed that improved cognitive function and improved ADL were statistically significantly associated with higher QoL, and the adjusted R2 of this regression model was 0.18. Conclusion – The results of this study have important implications for policy making. Policies aimed at improving cognitive function and QoL are likely to have a positive impact on the QoL of the elderly.
Wardojo et al. (Tue,) studied this question.
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