Korean J Fam Pract. 2018; 8(4): 493-498  https://doi.org/10.21215/kjfp.2018.8.4.493
Influence of Social Support and Patient Activation Measure, Perceived by Chronic Patients Over Age 65 in Medical Center, to Quality of Life
Suekyoung Paek, Kiheon Lee*, Yoo-jin Um, Hye-Yeon Koo, Seon-Young Park, Insun Ryou
Department of Family Medicine, Seoul National University Hospital, Seoul, Korea
Kiheon Lee Tel: +82-31-787-2034, Fax: +82-31-787-2034 E-mail: keyhoney@gmail.com ORCID: http://orcid.org/0000-0002-7139-2342
Received: June 16, 2017; Revised: September 18, 2017; Accepted: October 7, 2017; Published online: August 20, 2018.
© The Korean Academy of Family Medicine. All rights reserved.

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Background: According to the 2010 report by the Organization for Economic Co-operation and Development, chronic disease is the primary cause of disabilities and deaths worldwide, and 60% of the world’s population is assumed to die from chronic disease. A domestic survey concerning senior individuals’ health state revealed that 88.5% of seniors over the age of 65 years have more than one chronic disease, and 54.8% of them have more than two chronic diseases. This study was conducted to identify whether self-care and social support, other than previously known sociodemographic factors, increase the quality of life of patients with chronic disease.
Methods: A sample of inpatients of Incheon Medical Center from September 10, 2016 to December 30, 2016 were recruited and surveyed. The survey was performed by 120 seniors over the age of 65 years who were diagnosed with more than one chronic disease, with their consent.
Results: Differences between the high- and low-quality-of-life groups were analyzed using the chi-square test and t-test, and significance levels were judged based on regression analysis to determine the relation between quality of life and each factor. As the patients’ age increased, their perceived quality of life decreased.
Conclusion: The scale of social support and self-care possibility perceived by Korean senior patients with chronic disease is indicated in the correlation with quality of life. Social suppot is deeply related to both factors, and efforts to improve support systems are needed with senior healthcare.
Keywords: Chronic Disease, Senior Patients, Lubben Social Network Scales, Patient Activation Measure, Quality of Life
  1. Statistics Korea. Results of the 2015 population and housing census for the Koreans aged 100 or more [Internet]. Daejeon: Statistics Korea [cited 2016 Aug 25].
  2. Organisation for Economic Co-operation and Development. Health care quality review [Internet]. OECD; 2012. [cited 2016 Dec 13].
  3. Chung K, Lee YK, Lee SJ, Lee YH. Analysis of the survey of living conditions and welfare needs of older Koreans. Seoul: Korea Institute for Health and Social Affairs; 2012. Report No.: Research Report 2012-47-14.
  4. Centers for Disease Control and Prevention. Deaths and mortality [Internet]. Atlanta (GA): Centers for Disease Control and Prevention; 2012. [cited 2017 Feb 15].
  5. Bodenheimer T, Wagner EH, Grumbach K. Improving primary care for patients with chronic illness: the chronic care model, Part 2. JAMA 2002; 288:1909-14.
    Pubmed CrossRef
  6. Norris SL, High K, Gill TM, Hennessy S, Kutner JS, Reuben DB, et al. Health care for older Americans with multiple chronic conditions: a research agenda. J Am Geriatr Soc 2008; 56: 149-59.
    Pubmed CrossRef
  7. Jang SH. A study on the relationship between health status, social support and life satisfaction in elderly. J of Korean Gerontological Nursing 2006; 8:36-46.
  8. Hibbard JH, Mahoney ER, Stockard J, Tusler M. Development and testing of a short form of the patient activation measure. Health Serv Res 2005; 40:1918-30.
    Pubmed KoreaMed CrossRef
  9. Hibbard JH, Cunningham PJ. How engaged are consumers in their health and health care, and why does it matter? Res Brief 2008; (8): 1-9.
  10. Lubetkin EI, Lu WH, Gold MR. Levels and correlates of patient activation in health center settings: building strategies for improving health outcomes. J Health Care Poor Underserved 2010; 21: 796-808.
    Pubmed CrossRef
  11. Kane RA. Assessment of social functioning: recommendations for comprehensive geriatric assessment. In: Rubenstein LZ, editor. Geriatric assessment technology: the state of the art. New York: Springer Publishing Company;1995. p. 93-9.
  12. Lee KW, Kim SY, Chung W, Hwang GS, Hwang YW, Hwang IH. The validity and reliability of Korean version of lubben social network scale. Korean J Fam Med 2009; 30: 352-8.
  13. Rabin R, de Charro F. EQ-5D: a measure of health status from the EuroQol Group. Ann Med 2001; 33: 337-43.
    Pubmed CrossRef
  14. EuroQol Group. EuroQol--a new facility for the measurement of health-related quality of life. Health Policy 1990; 16: 199-208.
  15. Korea Centers for Disease Control and Prevention. 2016 factbook: The status and issues of chronic disease [internet]. Cheongju: KCDC [cited 2017 Feb 4].
  16. Ahn YH, Kim BJ, Ham OK, Kim SH. Factors associated with patient activation for self-management among community residents with osteoarthritis in Korea. J Korean Acad Community Health Nurs 2015; 26: 303-11.
  17. Wilson RS, Krueger KR, Arnold SE, Schneider JA, Kelly JF, Barnes LL, et al. Loneliness and risk of Alzheimer disease. Arch Gen Psychiatry 2007; 64:234-40.
    Pubmed CrossRef
  18. Hendriks SH, Hartog LC, Groenier KH, Maas AH, van Hateren KJ, Kleefstra N, et al. Patient activation in type 2 diabetes: Does it differ between men and women? J Diabetes Res 2016;2016:7386532.
  19. Adler NE, Boyce WT, Chesney MA, Folkman S, Syme SL. Socioeconomic inequalities in health. No easy solution. JAMA 1993; 269: 3140-5.
    Pubmed CrossRef

This Article