Health-Related Quality of Life among the Elderly Living in the Community and Nursing Home

Susiana Nugraha, Yuna Trisuci Aprillia


The increasing number of the elderly population presents special challenges in the health sector with the emergence of degenerative problems and non-communicable diseases (NCD’s) that may decrease the quality of life (QoL). Development in the quality of life of the elderly is an important issue for national security and development. This study using cross-sectional approach, intended to identify the differences in the quality of life among the elderly who live in the nursing homes and the community.  The results showed that statistically significant differences were found in variable ages (p<001), education background (p<0.001), dependency level (p=0.024) for Activity Daily Living and (p<0.001) for Instrumental Activity Daily Living) and the overall score of QoL (p=0.036).  Based on this finding, the differences approach must be given in meeting the mobility needs and daily activities of the elderly who live in communities and nursing homes.


Elderly, Quality of Life, Nursing home, Community

Full Text:



Alexandre, T. da S., Cordeiro, R.C., & Ramos, L.R., 2009. Factors Associated to Quality of Life in Active Elderly. Revista de Saúde Pública, 43(4), pp.613–621.

Borowiak, E., & Kostka, T., 2004. Predictors of Quality of Life in Older People Living at Home and in Institutions. Aging Clinical and Experimental Research, 16(3), pp.212–220.

BPS., 2017. Statistik Indonesia 2017 (Statistical Yearbook of Indonesia 2017). Jakarta.

Curl, A., Thompson, C.W., Alves, S., & Aspinall, P., 2016. Outdoor Environmental Supportiveness and Older People’s Quality of Life: A Personal Projects Approach. Journal of Housing For the Elderly, 30(1), pp.1–17.

Gamya, T., Prasetya, I., Utami, P., & Agrina, A., 2014. Perbandingan Kualitas Hidup Lansia Di Panti Sosial Tresna Werdha Dengan Lansia Di Keluarga. Jurnal Online Mahasiswa (JOM) Bidang Ilmu Keperawatan, 1(2), pp.1–8.

Hajek, A., & König, H.H., 2017. The Association of Falls with Loneliness and Social Exclusion: Evidence from the DEAS German Ageing Survey. BMC Geriatrics, 17.

Ministry of Health Republic Indonesia., 2016. Situasi Lanjut Usia 2016, 1.

Palumbo, P., Palmerini, L., Bandinelli, S., & Chiari, L., 2015. Fall Risk Assessment Tools for Elderly Living in the Community: Can We Do Better? PLoS One, 10(12), pp.1–13.

Putra, I. P., Agrina, A., & Utami, G. T., 2014. Perbandingan Kualitas Hidup Lansia di Panti Sosial Tresna Werdha dengan Lansia di Keluarga. Jom Psik, 1(2), pp.1–8.

Putri, S. T., Fitriana, L. A., Ningrum, A., & Sulastri, A., 2015. Studi Komparatif Kualitas HidupLansia Yang Tinggal Bersama Keluarga dan Panti (Comparative Study on Quality of Life of The Elderly Living with Their Family and Elderly Home). Jurnal Pendidikan Eperawatan Indonesia, 1(1), pp.9–56.

Reenan, M.V., & Oppe, M., 2015. EQ-5D-3L User Guide Basic Information on how to use EQ-5D-3L. (M. Van Reenan & M. Oppe, Eds.). Netherland: EuroQol Research Foundation Marten, 5(1).

Riskesdes., 2018. Riskesdas 2018 (National Basic Health Reserach 2018). Kementrian Kesehatan Republik Indonesia (Ministry of Helath Republic Indonesia). Jakarta.

Sincihu, Y., Maramis, W., & Rezki, N., 2018. Improving Elderly’s Quality of Life Through Family Role. Jurnal Kesehatan Masyarakat, 13(3), pp.374–381.

Sováriová, S. M., 2016. Determinants of Quality of Life in Elderly. Central European Journal of Nursing and Midwifery, 7(3), pp.484–493.

Talarska, D., Tobis, S., Kotkowiak, M., Strugała, M., Stanisławska, J., & Wieczorowska-Tobis, K., 2018. Determinants of Quality of Life and the Need for Support for the Elderly with Good Physical and Mental Functioning. Medical Science Monitor, 24, pp.1604–1613.

UNDESA (United Nation for Departement of Economic and Social Affair)., 2019. World Population Prospect 2019. New York, USA.

Vitorino, L.M., Paskulin, L.M.G., & Vianna, L.A.C., 2013. Quality of Life of Seniors Living in the Community and in Long Term Care Facilities: A Comparative Study. Revista Latino-Americana de Enfermagem, 21, pp.3–11.

WHO., 2012. Programme on Mental Health - WHOQOL User Manual (Revsion 20). Geneva: WHO Press.

Wilson, V.V.C.R., & Morgan, B.L., 2007. Understanding Power and Rules of Thumb for Determining Sample Sizes. Tutorials in Quantitative Methods for Psychology, 3(2), pp.43–50.

Wongsawat, S., 2017. Predicting Factors for Quality of Life of Elderly in the Rural Area. International Journal of Art & Sciences, 9(4), pp.363–371.

Yuliastuti, C., & Anggoro, S.D., 2017. The Overview of The Elderly Lifestyle Profile in Surabaya. Jurnal Kesehatan Masyarakat, 12(2), pp.304–313.

Yuliati, A., Baroya, N., & Ririanty, M., 2014. Perbedaan Kualitas Hidup Lansia yang Tinggal di Komunitas dengan di Pelayanan Sosial Lanjut Usia (The Different of Quality of Life Among the Elderly who Living at Community and Social Services). Pustaka Kesehatan, 2(1), pp.87–94.

Zubritsky, C., Abbott, K.M., Hirschman, K.B., Bowles, K.H., Foust, J.B., & Naylor, M.D., 2013. Health-related Quality of Life: Expanding a Conceptual Framework to Include Older Adults who Receive Long-term Services and Supports. Gerontologist, 53(2), pp.205–210.


  • There are currently no refbacks.