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All Journal Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Journal of Law Science Indonesian Journal of Global Health research Journal of Applied Nursing and Health Indonesian Journal of Innovation Studies Prosiding University Research Colloquium Jurnal Riset Rumpun Ilmu Teknik (JURRITEK) Indonesian Journal of Health Research and Development IJF (Indonesia Jurnal Farmasi) Jurnal Teknologi dan Manajemen Industri
Anny Rosiana Masithoh
STIKES MUHAMMADIYAH KUDUS
Humanities Biochemistry, Genetics & Molecular Biology Chemistry Civil Engineering, Building, Construction & Architecture Computer Science & IT Control & Systems Engineering Dentistry Education Engineering Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary

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Happiness and Physical Discomfort as Determinants of Quality of Life Among Nursing Home Residents: A Cross-Sectional Study Masithoh, Anny Rosiana; Murdhiono, Wahyu Rochdiat; Nordin, Rusli Bin Nordin; Rahmawati, Ashri MaulidaRahmawati
Journal of Applied Nursing and Health Vol. 8 No. 1 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i1.555

Abstract

Background: QoL assessment is essential in delivering person-centered care for institutionalized older adults. However, evidence on the combined influence of happiness and physical discomfort on their QoL remains limited. This study aimed to examine the associations between happiness, physical discomfort, and QoL among nursing home residents. Methods: This cross-sectional study followed the STROBE guideline and was conducted at Nursing Home A in Jepara Regency. Of the 81 elderly residents, 68 participants were selected using Slovin’s formula and recruited through purposive sampling. Inclusion criteria were age ≥60 years, permanent residence in the nursing home, willingness to participate, and ability to communicate effectively. The independent variables were happiness and physical discomfort, while QoL was the dependent variable. The questionnaires were administered through face-to-face interviews to ensure comprehension. QoL was assessed using the SF-36, happiness using the Oxford Happiness Questionnaire (OHQ), and physical discomfort using the Visual Analogue Scale (VAS). Associations between variables were analyzed using Spearman’s rank correlation test. Results: The majority of elderly participants reported experiencing severe physical discomfort (33.8%) and demonstrated poor QoL (58.8%). A significant association was identified between physical discomfort and QoL (Spearman’s ρ = −0.37, 95% CI −0.56 to −0.14, p = 0.003). In addition, happiness was significantly correlated with QoL (Spearman’s ρ = 0.35, 95% CI 0.12 to 0.54, p = 0.004), with most participants who exhibited low happiness scores also reporting poor QoL. Conclusion: The findings underscore the importance of integrated nursing strategies that address both physical discomfort management and emotional well-being to improve elderly QoL. Routine assessment of discomfort and happiness should be incorporated into daily nursing care and institutional policies within nursing homes.
Co-Authors Achir Yani S Hamid Achir Yani S. Hamid Amalia Rahmawati Ana Zumrotun Nisak, Ana Zumrotun Andriyani, A Bambang Tri Bawono Budi Ana Keliat Budi Anna Keliat Dewi Hartinah Dwi Astuti Edi Wibowo Suwandi Firmansyah, Nunung Agus Intakoris, Sam'ani Intakoris, Samani Izzah, Nailatul Kukuh Mukti Wibowo Lukiyanto, Dadang Vivit Luknis Sabri Luknis Subri Mochamad Zaenal Fanani Montairo, Elisabeth Onna Muhamad Jauhar Muhammad Firman Murdhiono, Wahyu Rochdiat Mustikasari Mustikasari Mustikasari Mustikasari Muttaqim, M N Nurhayati Nadhifah, Tuti Nafaza, Firna Malinda Putri Naimah, Yuyun Noor Hidayah Nor Asiyah Nordin, Rusli Bin Nordin Pusparatri, Edita Rahmawati, Ashri Maulida Rahmawati, Ashri MaulidaRahmawati Ramadhani, Hanifah Ulya Rendi Ary Syarifuddin Rina Yuliana Risbiyanti, Ria Rizka Himawan Rochmawati, Lia Rozaq, Muhammad Abdur SHOLIHAH SHOLIHAH, SHOLIHAH Sri Endah Wahyuningsih Sri Karyati Sulistyaningsih, S Teguh Umbarsemi Umi Faridah Wariana, Mariza Kusuma Wibowo, Kukuh Mukti Wijaya, Lily Tanu Yulisetyaningrum Yundari, Yundari