Unveiling the Dynamics of Elderly Life in Nursing Homes in China: A Study on Quality of Life, Life Satisfaction, Loneliness, and Quality of Care
This study investigates the intricate relationships between loneliness, quality of care, quality of life, and life satisfaction among elderly nursing home residents in China. In the realm of contemporary gerontological research, understanding the psychosocial factors that influence well-being in ins...
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| Format: | Thesis |
| Language: | English English English |
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UNIMAS
2025
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| Online Access: | http://ir.unimas.my/id/eprint/49595/ |
| Abstract | Abstract here |
| Summary: | This study investigates the intricate relationships between loneliness, quality of care, quality of life, and life satisfaction among elderly nursing home residents in China. In the realm of contemporary gerontological research, understanding the psychosocial factors that influence well-being in institutional settings is of paramount significance for the sustainable development of eldercare. The purpose of this study is to examine how loneliness impacts life satisfaction through direct and indirect pathways. More specifically, this research investigates the mediating role of quality of life and the moderating effect of quality of care in these relationships. A systematic survey was conducted across 12 nursing facilities in four Chinese cities, resulting in 439 respondents after data screening. Structural equation modeling with bootstrapping revealed that loneliness significantly diminished life satisfaction both directly (β = -0.285, p < .001) and indirectly through quality of life (β = -0.181, 95% CI [-0.239, -0.128]). Quality of care emerged as a significant protective factor, with the negative impact of loneliness being substantially weaker in high-quality care environments (β = -0.128 at +1SD) compared to low-quality settings (β = -0.235 at -1SD). Notably, residents receiving counseling services demonstrated markedly better outcomes across all measures (Cohen's d = 0.67-0.90). The results show that quality of care moderates all pathways in the model, explaining substantial variance in both life satisfaction (48.7%) and quality of life (39.2%). These findings provide crucial insights for enhancing institutional care quality and implementing targeted interventions that address the complex determinants of well-being among nursing home residents.
Key words: Quality of life, Loneliness, Life Satisfaction, Quality of Care, Elderly, Nursing homes, China. |
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