Escola Anna Nery Revista de Enfermagem
https://eanjournal.org/article/doi/10.1590/2177-9465-EAN-2025-0166en
Escola Anna Nery Revista de Enfermagem
Pesquisa

Self-care skills and quality of life in older adults: factors that promote healthy aging

Habilidades de autocuidado y calidad de vida en adultos mayores: factores que promueven un envejecimiento saludable

Capacidades de autocuidado e qualidade de vida em pessoas idosas: fatores favoráveis ao envelhecimento saudável

Anicheriene Gomes de Oliveira; José Vitor da Silva; Murilo César do Nascimento; Namie Okino Sawada; Eliza Maria Rezende Dázio; Rogério Silva Lima; Silvana Maria Coelho Leite Fava

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Abstract

Objective  to evaluate self-care capacity and quality of life in older adults and their associations with sociodemographic and health variables.

Method  this is a quantitative, cross-sectional study with a sample of 302 older adults, in which sociodemographic characteristics, health conditions, and satisfaction with aging were analyzed using instruments such as the WHOQOL-BREF, WHOQOL-OLD, and the Appraisal of Self-Care Agency Scale (ASA-A).

Results  these indicate that most older adults had good self-care capacity, associated with better quality of life, especially among those with higher education and a positive self-perception of health. It was observed that factors such as marital status, religious practice, and participation in health programs influence quality of life, although they are not directly related to self-care.

Conclusions and implications for the practice  health programs for older adults should integrate preventive practices and social support to ensure active and healthy aging. The research reinforces the importance of integrated approaches that consider both physical, emotional, and social aspects to promote autonomy and well-being in old age.

Keywords

Self Care; Self-Perception; Aging; Older Adults; Quality of Life

Resumen

Objetivo: evaluar las capacidades de autocuidado y la calidad de vida en adultos mayores y su asociación con variables sociodemográficas y de salud.

Método: estudio cuantitativo transversal con una muestra de 302 adultos mayores, en el que se analizaron las características sociodemográficas, las condiciones de salud y la satisfacción con el envejecimiento, mediante instrumentos como el WHOQOL-bref, el WHOQOL-OLD y la Escala de Autocuidado (ASA-A).

Resultados: estos indican que la mayoría de los adultos mayores presentan buenas capacidades de autocuidado, asociadas con una mejor calidad de vida, especialmente entre aquellos con mayor nivel educativo y una autopercepción positiva de la salud. Se observó que factores como el estado civil, la práctica religiosa y la participación en programas de salud influyen en la calidad de vida, aunque no se relacionan directamente con el autocuidado.

Conclusiones e implicaciones para la práctica: los programas de salud para adultos mayores deben integrar prácticas preventivas y apoyo social para asegurar un envejecimiento activo y saludable. La investigación refuerza la importancia de los enfoques integrados que consideran los aspectos físicos, emocionales y sociales para promover la autonomía y el bienestar en la vejez.
 

Palabras clave

Autocuidado; Autoimagen; Envejecimiento; Anciano; Calidad de Vida

Resumo

Objetivo: avaliar a capacidade de autocuidado e a qualidade de vida em idosos e suas associações com variáveis sociodemográficas e de saúde.

Método: trata-se de um estudo quantitativo e transversal, realizado com uma amostra de 302 idosos, no qual se analisaram as características sociodemográficas, condições de saúde e satisfação com o envelhecimento, utilizando-se instrumentos como o WHOQOL-BREF, WHOQOL-OLD e a Escala de Autocuidado (ASA-A).

Resultados: indicaram que a maioria dos idosos apresentava boa capacidade de autocuidado, a qual se associa a uma melhor qualidade de vida, especialmente entre aqueles que possuem maior escolaridade e uma autopercepção positiva de saúde. Observou-se que fatores como o estado civil, a prática religiosa e a participação em programas de saúde influenciam a qualidade de vida, embora não se relacionem diretamente com o autocuidado.

Conclusões e implicações para a prática: os programas de saúde destinados aos idosos devem integrar práticas preventivas e suporte social para assegurar um envelhecimento ativo e saudável. A pesquisa reforça a importância de abordagens integradas, que contemplem tanto os aspectos físicos quanto os emocionais e sociais, para promover a autonomia e o bem-estar na velhice.

Palavras-chave

Autocuidado; Autopercepção; Envelhecimento; Idosos; Qualidade de Vida

Referências

1 Araújo SRS, Magalhães JRHR, Frazão CR, Santos GFM, Borba SDP, Borssari LA et al. Safety of the elderly in health services. Seven Editora eBooks. 2024;2:383-401. https://doi.org/10.56238/sevened2024.001-030.

2 Orem DE. Teory self-care develope of nursing. New York: Mosby; 2006.

3 Teixeira F, Pestana H, Mesquita A. Indicadores preditivos da capacidade de autocuidado da pessoa idosa – revisão sistemática da literatura. RIAGE. 2024;5. https://doi.org/10.61415/riage.241.

4 Couto AM, Castro EAB, Caldas CP. Experiences to be a family caregiver of dependent elderly in the home environment. Revista da Rede de Enfermagem do Nordeste. 2016 Apr 1;17(1):76-85. https://doi.org/10.15253/2175-6783.2016000100011.

5 Coutinho LSB, Tomasi E. Déficit de autocuidado em idosos: características, fatores associados e recomendações às equipes de Estratégia Saúde da Família. Interface (Botucatu). 2020;24(Supl. 1):e190578. https://doi.org/10.1590/interface.190578.

6 Lindolpho MC, Sá SPC, Valente GSC, Reis LB, Silva MHA, Barros NKRO. Self-care and quality of life in elderly caregivers. RSD. 2020;9(9):e183996731. https://doi.org/10.33448/rsd-v9i9.6731.

7 Ventura MM, Bottino CM. Avaliação cognitiva em pacientes idosos. In: Papaleo Netto M, editor. Gerontologia: a velhice e o envelhecimento em visão globalizada. São Paulo, Atheneu; 2002. p. 174-189.

8 The WHOQOL Group. Development of the World Health Organization WHOQOL-BREF Quality of Life Assessment. Psychol Med. 1998;28(3):551-8. https://doi.org/10.1017/S0033291798006667. PMid:9626712.

9 The WHOQOL Group. WHOQOL-bref: introduction, administration, scoring and generic version of assessment [Internet]. Geneva: World Health Organization; 1996 [citado 2025 Jun 11]. 16 p. Disponível em: https://www.who.int/publications/i/item/WHOQOL-BREF

10 Chachamovich E. Qualidade de vida em idosos: desenvolvimento e aplicação do WHOQOL-OLD e teste do desempenho do instrumento WHOQOL-BREF em uma população idosa brasileira [Internet]. Porto Alegre: Universidade Federal do Rio Grande do Sul; 2005 [citado 2025 Jun 11]. 197 p. Disponível em: https://lume.ufrgs.br/bitstream/handle/10183/5779/000520088.pdf?sequence=1&isAllowed=y

11 Silva JV, Domingues EAR. Adaptação cultural e validação da escala para avaliar as capacidades de autocuidado. Rev Arquivos Ciências Saúde. 2017;24(4):30-6. https://doi.org/10.17696/2318-3691.24.4.2017.686.

12 Silva FR, Maria S. Evidence of the psychometric properties of the feelings of the informal primary family caregiver scale. Int J Innov Res Multidiscip Educ. 2024 Oct;03(10). https://doi.org/10.58806/ijirme.2024.v3i10n08.

13 Leal AC, Dantas KB, Reis FP, Santos MAA, Lima ES, Corey MT et al. Exploring the nexus of functional autonomy, depression, and resilience among elderly individuals. Cuerpo, Cultura y Movimento. 2024;14(1). https://doi.org/10.15332/2422474X.9885.

14 Wrosch C, Heckhausen J. Control strategies for managing health threats in older adulthood. Curr Opin Psychol. 2023;55:101750. https://doi.org/10.1016/j.copsyc.2023.101750. PMid:38039949.

15 Zapater-Fajarí M, Crespo-Sanmiguel I, Pulopulos MM, Hidalgo V, Salvador A. Resilience and psychobiological response to stress in older people: the mediating role of coping strategies. Front Aging Neurosci. 2021;13:63214. https://doi.org/10.3389/fnagi.2021.632141. PMid:33692681.

16 Wu YC, Shen SF, Chen LK, Tung HH. A web-based resilience-enhancing program to improve resilience, physical activity and well-being in geriatric population: randomized controlled trial. J Med Internet Res. 2024;26:e53450. https://doi.org/10.2196/53450. PMid:39052335.

17 Musich S, Wang S, Schaeffer JM, Kraemer S, Wicker EW, Yeh CS. The association of increasing resilience with positive health outcomes and quality of life among older adults. Am J Geriatr Psychiatry. 2022 Apr;30(4):S70-1. https://doi.org/10.1016/j.jagp.2022.01.065.

18 Pignolo RJ. Successful aging: the longer one lives, the better one has eaten? Mayo Clin Proc. 2023 Dec;98(12):1751-2. https://doi.org/10.1016/j.mayocp.2023.10.010. PMid:38043990.

19 González-González E, Requena C. Practices of self-care in healthy old age: a field study. Geriatrics (Basel). 2023;8(3):54. https://doi.org/10.3390/geriatrics8030054. PMid:37218834.

20 Basnet R, Shakya N. Factors influencing successful aging among older adults. J Nepal Health Res Counc. 2023 Mar 10;20(3):708-11. https://doi.org/10.33314/jnhrc.v20i3.4112. PMid:36974861.

21 Marzo RR, Khanal P, Shrestha S, Mohan D, Myint PK, Su TT. Determinants of active aging and quality of life among older adults: systematic review. Front Public Health. 2023 Jun 26;11:1193789. https://doi.org/10.3389/fpubh.2023.1193789. PMid:37435519.

22 Cohen MT, Rosenblum S, Meyer S. Self-tailored successful aging: older adults’ points of view. Innov Aging. 2022 Nov;6(Supplement_1):842. https://doi.org/10.1093/geroni/igac059.3018.

23 Meynet S, Beaudoin M, Smeding A. Personnes âgées à domicile avec limitations fonctionnelles: étude préliminaire d’une intervention centrée sur le bien-être et l’autonomie. Can J Aging. 2021 Jun;40(2):224-37. https://doi.org/10.1017/S0714980820000379. PMid:33077020.

24 De Jesus SR, Aguiar HJR. Self-perception of health among the elderly in the northeast region of Brazil: a population-based study. In: Uniting nowledge: integrated scientific research for global development [Internet]. São José dos Pinhais: Seven Editora; 2023 [citado 2025 Jan. 18]. Disponível em: https://sevenpublicacoes.com.br/editora/article/view/2621

25 Lu J, Liu L, Zheng J, Zhou Z. Interaction between self-perceived disease control and self-management behaviours among Chinese middle-aged and older hypertensive patients: the role of subjective life expectancy. BMC Public Health. 2022 Apr 13;22(1):733. https://doi.org/10.1186/s12889-022-12990-8. PMid:35418023.

26 Wang Y, Chen T. Perceived control, control strategies, and subjective well-being in the elderly: a longitudinal study of health behavior. Am J Health Behav. 2023 Jun 30;47(3):549-57. https://doi.org/10.5993/AJHB.47.3.12. PMid:37596744.

27 Nyende A, Ellis-Hill C, Mantzoukas S. A sense of control and wellbeing in older people living with frailty: a scoping review. J Gerontol Soc Work. 2023 Nov-Dec;66(8):1043-72. https://doi.org/10.1080/01634372.2023.2206438. PMid:37139581.

28 Khalid J, Ijaz R, Abdullah A, Safdar S, Nisar A. A comprehensive study on elderly self-care model: integrating functionality, concept analyses, and care needs. Pakistan Journal of Scientific Research. 2024;3(2):217-23. https://doi.org/10.57041/pjosr.v3i2.1055.

29 Wani D, Saragih J, Yunia EA, Purba E. Edukasi pentingnya melakukan perawatan diri dengan pemenuhan personal higien pada lanjut usia. Indonesia Berdaya. 2023 Jul;4(4):1447-52. https://doi.org/10.47679/ib.2023578.

30 Cauchi J, Gerhardt PF, Leaf JB, Weiss MJ. Health and hygiene. In: Cauchi J, Gerhardt PF, Leaf JB, Weiss MJ, editores. Clinician’s Guide to Sexuality and Autism. Cambridge, MA: Academic Press; 2024. p. 53–60. https://doi.org/10.1016/B978-0-323-95743-4.00004-7.

31 Paramita WK. Systematic review: affecting behaviour of hygiene and health care of the elderly. Journal PROMKES. 2021 Mar 30;9(1):69. https://doi.org/10.20473/jpk.V9.I1.2021.69-78.

32 Vivarakanon P. Perspectives of self-care experiences of aging individuals living independently: a focused ethnography in the community setting. Glob J Health Sci. 2021;13(6):81. https://doi.org/10.5539/gjhs.v13n6p81.

33 Johnsson N, Strandberg S, Tuvesson H, Fagerström C, Ekstedt M, Lindberg C. Delineating and clarifying the concept of self-care monitoring: a concept analysis. Int J Qual Stud Health Well-being. 2023 Jul 28;18(1):2241231. https://doi.org/10.1080/17482631.2023.2241231. PMid:37506372.

34 El Menshawy N. Investigating the relevance of monitoring health domains using technology among older adults: health, technology and older adults [dissertação]. Enschede: University of Twente; 2016. Disponível em: https://essay.utwente.nl/70015/

35 Awad S, Bano S, Aslam MA, Ezzy T, Fatima I, Mansoor M. Understanding the link between social support and psychological well-being in aging communities. J Popul Ther Clin Pharmacol. 2024;31(3):251-7. https://doi.org/10.53555/jptcp.v31i3.4816.

36 Ruperti-Lucero E, López-Granero C, Barrasa A. Healthy aging: impact of social interaction on psychological well-being in older adults: longitudinal study. Preprints. 2023;2023:2023081309. https://doi.org/10.20944/preprints202308.1309.v1.

37 Mäki-Opas T. Effective promotion of sustainable wellbeing among older people: the social quality approach. Eur J Public Health. 2023;33(Suppl 2):160-76. https://doi.org/10.1093/eurpub/ckad160.176.

38 Gerlach LB, Solway ES, Malani PN. Social Isolation and Loneliness in Older Adults. JAMA. 2024 Jun 18;331(23):2058. https://doi.org/10.1001/jama.2024.3456. PMid:38780951.

39 Liu L. Analysis of the relationship between mental health and social support systems in old age. Academic Journal of Management and Social Sciences. 2023 Oct 11;4(3):10-3. https://doi.org/10.54097/ajmss.v4i3.12391.

40 An H, Kim MK, Lee HM, Yun S, Kim I, Park H. Effects of the social network on health in community‐dwelling older adults: a systematic review. Alzheimers Dement. 2023 Dec;19(S24):e082296. https://doi.org/10.1002/alz.082296.

41 Stojanović G, Vlaisavljević Ž, Terzić N, Maričić M, Stojanović D, Paunović V. Social isolation and loneliness among the elderly. Annals of Nursing. 2023 Jan 1;1(4):34-54. https://doi.org/10.58424/annnurs.krv.o5t.mo2.

42 Dantas Oliveira ME, Ribeiro ACM, Oliveira CC, Santos DS, Santos H, Lima NV et al. Envelhecimento saudável: estratégias integradas para a promoção da saúde da pessoa idosa. Anais do 27th Congresso Brasileiro de Periodontologia; 2017 Apr 19-22; São Paulo, SP. Belo Horizonte (MG): Sociedade Brasileira de Periodontologia; 2017. https://doi.org/10.58871/conimaps24.c25.

43 Chiriți G, Dimulescu DM. Gait disorders in the elderly and the risk of falls. Romanian Journal of Medical Rehabilitation Physical Medicine and Balneoclimatology. 2024 Apr 12;1(1):49-52. https://doi.org/10.59277/RJMRPMB.2024.1.09.

44 Resolução do Conselho de Ministros n.º 14/2024 (PT). Aprova o Plano de Ação do Envelhecimento Ativo e Saudável 2023-2026. Diário da República [Internet], Lisboa, 12 Jan 2024 [citado 2025 Jan. 18]: 1ª Série: 9. Disponível em: https://portugal2030.pt/wp-content/uploads/sites/3/2024/01/rcm14_2024.pdf

45 Cenedesi MA Jr, Silva ACB, Santos PHS, Pinto PRF, Saldaña YA, Figueira EL et al. Academic essay on elderly functionality: aspects of autonomy and independence in daily life activities. Rev Contemporânea. 2023 Dec 5;3(12):1. https://doi.org/10.56083/RCV3N12-030.

46 Rahaei Z, Mehrjoyan N, Barzegr F, Anbari-Nogyni Z. Is higher health literacy associated with better self-care in the elderly? J Health Literacy. 2020;14(1):1135-43. https://doi.org/10.22038/JHL.2020.53305.1135.

47 Chaga VO, De Almeida NB, Lucas BL, Assis DL. Influence of spirituality on quality of life in community-dwelling elderly: integrative literature review. Int Seven Multidisciplinary J. 2024 Jun 29;3(3):1146. https://doi.org/10.56238/isevmjv3n3-023.

48 Yoshizawa T, Makram AM, Elsheikh R, Nakamura S, Makram EM, Kubota K et al. Spirituality, quality of life, and health: a japanese cross-sectional study. Eur J Investig Health Psychol Educ. 2024;14(3):767-781. https://doi.org/10.3390/ejihpe14030050. PMid:38534911.

49 Nakamura J, Hong JH, Smith J, Chopik WJ, Chen Y, VanderWeele TJ et al. Associations between satisfaction with aging and health and well-being outcomes among older US adults. JAMA Netw Open. 2022;5(2):e2147797. https://doi.org/10.1001/jamanetworkopen.2021.47797. PMid:35138398.

50 Tang YY, Tang R, Gross JJ. Promoting psychological well-being through an evidence-based mindfulness training program. Front Hum Neurosci. 2019;13:237. https://doi.org/10.3389/fnhum.2019.00237. PMid:31354454.

51 Solly K, Pachana NA. An integrative perspective on positive ageing in later life. In: Rieger E, Constanza R, Kubiszewski I, Dugdale P. Toward an integrated science of wellbeing. Oxford: Oxford University Press; 2023. p. 260-83. https://doi.org/10.1093/oso/9780197567579.003.0012.

52 Weber L, Craveiro I, Colussi CF. Comprehensive and integrated care in healthy aging policies: comparison between Portuguese and Brazilian health systems. Physis. 2023;34:e34042. https://doi.org/10.1590/s0103-7331202434042en.
 


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05/03/2026

6a26f0bea9539513d4035c02 ean Articles

Esc. Anna Nery

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