Community-Based Gerontic Nursing and Quality of Life Among Older Adults
DOI:
https://doi.org/10.62872/o.v3i1.485Keywords:
Community-based nursing, Gerontological nursing, Quality of life, Older adults, Functional statusAbstract
Population aging presents significant challenges to healthcare systems, particularly in maintaining the quality of life among older adults living with chronic conditions and functional limitations. Community-based gerontological nursing has emerged as a strategic approach to support healthy aging and promote independence. This study aimed to analyze the impact of structured community-based gerontological nursing interventions on the quality of life among older adults. A quasi-experimental pretest–posttest control group design was employed involving 80 participants aged 60 years and above. The intervention group received a twelve-week structured program including comprehensive geriatric assessment, individualized care planning, ADL support, chronic disease monitoring, psychosocial counseling, and family engagement, while the control group received usual care. Data were collected using validated instruments measuring multidimensional quality of life, functional status (ADL), and depressive symptoms. Statistical analysis revealed significant improvements in quality of life (p < 0.001), functional independence (p < 0.001), and reduced depressive symptoms (p < 0.001) in the intervention group compared to the control group. The findings indicate that community-based gerontological nursing significantly enhances holistic well-being among older adults and supports sustainable aging-in-place strategies.
References
Almotairi, S., Madkhali, A., Almrashi, M., Almarashi, B., Al-Amari, T., & Almutairi, K. (2023). Geriatric health care and nurses roles. Journal of Survey in Fisheries Sciences. https://doi.org/10.53555/sfs.v10i6.2289
Brownson, R., Shelton, R., Geng, E., & Glasgow, R. (2022). Revisiting concepts of evidence in implementation science. Implementation Science, 17. https://doi.org/10.1186/s13012-022-01201-y
Castro-Spila, J., González, D., Brea-Iglesias, J., & García, X. (2025). Social innovation and social care: Local solutions to global challenges. Social Sciences. https://doi.org/10.3390/socsci14080479
Cui, Y., Kim, S., Woo, S., & Choi, M. (2025). Gender differences in the association between community care and quality of life among older adults in China. Scientific Reports, 15. https://doi.org/10.1038/s41598-025-06040-7
Deng, Y., Yamauchi, K., Karako, K., & Song, P. (2025). Dual community-based care innovations in a super-aged population: The role of small-scale multifunctional in-home care and nursing small-scale multifunctional in-home care in Japan. Bioscience Trends. https://doi.org/10.5582/bst.2025.01217
Deng, Y., Yamauchi, K., Karako, K., & Song, P. (2025). Dementia strategies in an aging society: Policies, care, and global insights from the Japanese experience. Bioscience Trends. https://doi.org/10.5582/bst.2025.01309
Espinel-Jara, V., Tapia-Paguay, M., Tito-Pineda, A., López-Aguilar, E., & Fernández-Cusimamani, E. (2025). Humanized and community-based nursing for geriatric care: Impact, clinical contributions, and implementation barriers. Nursing Reports, 15. https://doi.org/10.3390/nursrep15080302
Ferretti-Rebustini, R., Souza-Talarico, J., Fhon, J., & Greenberg, S. (2022). The role of assessment in competence-based gerontological advanced practice nursing. Revista da Escola de Enfermagem da USP, 56(spe), e20220072. https://doi.org/10.1590/1980-220x-reeusp-2022-0072en
Hamaker, M., Wildiers, H., Ardito, V., Arsandaux, J., Barthod-Malat, A., Davies, P., et al. (2024). Study protocol for two stepped-wedge interventional trials evaluating the effects of holistic information technology-based patient-oriented management in older multimorbid patients with cancer: The GERONTE trials. Journal of Geriatric Oncology, 15(4), 101761. https://doi.org/10.1016/j.jgo.2024.101761
Hayes, C., Manning, M., FitzGerald, C., Condon, B., Griffin, A., O’Connor, M., et al. (2024). Effectiveness of community-based multidisciplinary integrated care for older adults with general practitioner involvement: A systematic review and meta-analysis. Health & Social Care in the Community. https://doi.org/10.1155/2024/6437930
Hayes, C., Yigezu, A., Dillon, S., FitzGerald, C., Manning, M., Leahy, A., et al. (2025). Home-based comprehensive geriatric assessment for community-dwelling, at-risk, frail older adults: A systematic review and meta-analysis. Journal of the American Geriatrics Society, 73, 1929–1939. https://doi.org/10.1111/jgs.19402
Hayes, C., Whiston, A., FitzGerald, C., Devlin, C., Condon, B., Manning, M., et al. (2025). Community specialist teams for older persons at risk of, or living with frailty in Ireland: A prospective cohort study of a new model of integrated care for community dwelling older adults. BMC Primary Care, 26. https://doi.org/10.1186/s12875-025-02895-x
Ho, L., Malden, S., McGill, K., Shimonovich, M., Frost, H., Aujla, N., et al. (2023). Complex interventions for improving independent living and quality of life amongst community-dwelling older adults: A systematic review and meta-analysis. Age and Ageing, 52. https://doi.org/10.1093/ageing/afad132
Ibrahim, A., & Zaghamir, D. (2025). Community-based nursing interventions for older adults with chronic diseases: A PRISMA-guided systematic review of effects on quality of life, depression, and patient activation. Salud, Ciencia y Tecnología. https://doi.org/10.56294/saludcyt20252317
Jin, F., & Chen, T. (2025). Community nursing on subjective well-being of the elderly: Evidence from CLASS data. BMC Nursing, 24. https://doi.org/10.1186/s12912-025-03205-7
Kasa, A., Drury, P., Traynor, V., Lee, S., & Chang, H. (2023). The effectiveness of nurse-led interventions to manage frailty in community-dwelling older people: A systematic review. Systematic Reviews, 12. https://doi.org/10.1186/s13643-023-02335-w
Kokoreva, M. (2023). Model of multidimensional social support of life activities of elderly people in gerontological centers. Society and Security Insights. https://doi.org/10.14258/ssi(2022)4-07
Kurniawan, D. (2024). Optimizing elderly management in improving functional independence. Journal of Community Nursing and Primary Care. https://doi.org/10.63202/jcnpc.v1i1.30
Kwok, W., Wong, F., Wong, A., & Bayuo, J. (2025). Community-based health-social partnership programme (C-HSPP) for enhancing self-care management among older adults: Protocol for a hybrid effectiveness-implementation trial. BMC Public Health, 25. https://doi.org/10.1186/s12889-025-22846-6
Liu, Q., Guo, Y., Zhang, Y., Zhou, X., Chen, W., Ni, J., et al. (2025). Optimizing chronic disease management through community-based pharmaceutical care for older adults in China: A systematic review and meta-analysis of randomized controlled trials. International Journal of Clinical Pharmacy, 47, 1150–1161. https://doi.org/10.1007/s11096-025-01951-x
Liu, Y., & Yang, S. (2025). The impact of community older adult care services on the quality of life of older adults in China: The mediating role of social adaptation. Frontiers in Public Health, 13. https://doi.org/10.3389/fpubh.2025.1544575
Mollaei, M., Javazm, A., Metanat, F., Shirozhan, S., & Motie, M. (2025). Community-based rehabilitation approach in older adult population: A scoping review protocol. BMJ Open, 15. https://doi.org/10.1136/bmjopen-2025-099916
Pan, J., Wang, P., & Wang, Y. (2021). Expanding role of nurses in management of dementia in geriatrics: Improving well-being of geriatric patients through quality nursing care. Psychology, Health & Medicine, 27, 707–714. https://doi.org/10.1080/13548506.2021.1939890
Ravaghi, H., Guisset, A., Elfeky, S., Nasir, N., Khani, S., Ahmadnezhad, E., & Abdi, Z. (2023). A scoping review of community health needs and assets assessment: Concepts, rationale, tools and uses. BMC Health Services Research, 23. https://doi.org/10.1186/s12913-022-08983-3
Ravi, P., Pfaff, K., Ralph, J., Cruz, E., Bellaire, M., & Fontanin, G. (2022). Nurse-pharmacist collaborations for promoting medication safety among community-dwelling adults: A scoping review. International Journal of Nursing Studies Advances, 4. https://doi.org/10.1016/j.ijnsa.2022.100079
Sharkiya, S. (2023). Quality communication can improve patient-centred health outcomes among older patients: A rapid review. BMC Health Services Research, 23. https://doi.org/10.1186/s12913-023-09869-8
Sum, G., Nicholas, S., Nai, Z., Ding, Y., & Tan, W. (2022). Health outcomes and implementation barriers and facilitators of comprehensive geriatric assessment in community settings: A systematic integrative review. BMC Geriatrics, 22. https://doi.org/10.1186/s12877-022-03024-4
Wei, C., Xu, Z., Meng, D., Wang, A., Hua, D., Zhu, Q., & Li, G. (2025). Association of home-and community-based services with health-related quality of life among Chinese older adults. BMC Public Health, 25. https://doi.org/10.1186/s12889-025-25324-1
Wong, A., Bayuo, J., Wong, F., Yuen, W., Lee, A., Chang, P., & Lai, J. (2022). Effects of a nurse-led telehealth self-care promotion program on the quality of life of community-dwelling older adults: Systematic review and meta-analysis. Journal of Medical Internet Research, 24. https://doi.org/10.2196/31912
Yi, Y., & Jia, C. (2025). Impact of community-based long-term care on the health of older adults: A quantitative study. Journal of Advanced Nursing. https://doi.org/10.1111/jan.70152
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Mustain Mustain (Author)
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
