Manchana Varalakshmi
School of Medical Sciences, University of Hyderabad, Gachibowli, Hyderabad, Telangana, India.
J Educ Health Promot. 2023 May 31;12:150. doi: 10.4103/jehp.jehp_735_22. eCollection 2023.
Subjective health and well-being are closely linked with quality of life (QoL) in older adults. Self-reported health, happiness, satisfaction with life and interpersonal relationships, social support, loneliness, and social isolation make robust indicators for the psychological well-being of older adults. This study aimed to explore subjective health, psychological well-being and associated factors, and their relationship with QoL in older adults.
This was a cross-sectional, community-based survey that included adults aged 60 years and above ( = 260) who were living in selected communities. A semi-structured questionnaire was used to collect data on self-reported health, happiness, satisfaction with family and marital relationships, and felt loneliness and isolation. The relationship between psychological well-being and QoL was identified. Data analysis was carried out by descriptive and analytical statistical applications using Statistical Package for the Social Sciences (SPSS) version 20 at ≤ 0.05.
Study findings showed that a significant number of older adults (56%) reported poor general health; 56.4% of men and 59.2% of women were "not at all happy" with their family and interpersonal relationships, and 13.5% of respondents were not at all happy in general. Self-reported health (0.277**) and happiness (0.506**) were positively correlated with the psychological domain of QoL ( ≤ 0.01).
The study findings identified the interrelationship between changing family and social relationships and psychological well-being of older adults, which is an immediate public health concern. Inadequate social support and deficient quality of interpersonal relationships predispose loneliness and isolation in later life. Strategies to promote social support and age-friendly social and healthcare resources are urgent needs for healthy aging.
主观健康和幸福感与老年人的生活质量密切相关。自我报告的健康状况、幸福感、对生活和人际关系的满意度、社会支持、孤独感和社会隔离是老年人心理健康的有力指标。本研究旨在探讨老年人的主观健康、心理健康及其相关因素，以及它们与生活质量的关系。
这是一项基于社区的横断面调查，纳入了居住在选定社区的60岁及以上成年人（n = 260）。使用半结构化问卷收集有关自我报告的健康状况、幸福感、对家庭和婚姻关系的满意度以及感到孤独和孤立的情况的数据。确定了心理健康与生活质量之间的关系。使用社会科学统计软件包（SPSS）20版进行描述性和分析性统计应用，以α≤0.05进行数据分析。
研究结果表明，相当数量的老年人（56%）报告总体健康状况较差；56.4%的男性和59.2%的女性对其家庭和人际关系“一点也不开心”，13.5%的受访者总体上一点也不开心。自我报告的健康状况（0.277**）和幸福感（0.506**）与生活质量的心理领域呈正相关（α≤0.01）。
研究结果确定了老年人家庭和社会关系变化与心理健康之间的相互关系，这是一个紧迫的公共卫生问题。社会支持不足和人际关系质量低下易导致晚年孤独和孤立。促进社会支持以及提供适合老年人的社会和医疗资源的策略是健康老龄化的迫切需求。
