الفهرس 
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Abstract
Older adults as a diverse group of individuals with various sociocultural backgrounds but there are many functioning and well-being are influenced by the acquisition of age-related changes and risk factors, they need more preventive care and a high level of promotion and wellness. Preforming of activities of daily living increase physical activity older adults need to maintain health, and improve the general quality of life, the benefits of this physical activity including the prevention of heart disease and diabetes, reduction of elevated blood pressure, reduce risk of osteoporosis, promotion of appropriate weigh, reduction of depressed mood, reduced risk of cancer, and promotion of restful sleep, increase, self-satisfaction.
Aim of the study:
This study aims to assess activities of daily living and its effect on quality of life among older adults.
Setting:
This study was carried out at geriatric out-patient clinics of Alshahid Ahmed Shawke hospital of older adults in Eldemerdash hospital affiliated to Ain Shams University hospital in Cairo.
Subjects:
327 Older adults people aged (60- 80 years) were included in the study.
Data collection tools:
The current study was conducted using the following tool:
First tool: an Interviewing questionnaire sheet: which composed of the following parts:
Part I: Socio-demographic data of older adults as gender, age, occupation, monthly income, martial status, have children or no, number of they, place of resident.
Part II: Health needs and health problems of older adults (Rector, 2018)
Second tool :
Activities of daily living checklist of which includes an assessment of basic & instrumental activities of daily living of older adults.(Lawton and Brody, 2008)
Third tool:
Quality of life domains among older adults (physical, social, emotional, psychological, environmental).
Operational design:
The operational design of the study entails the following:
-Preparatory phase:
It included reviewing related literature and theoretical knowledge of various aspects of study using books, articles, magazines, and the internet to developed tools of data collection.
-Pilot study:
A pilot study was carried out on 10% from older adults to ensure clarity and applicability of the tools and was excluded from the sample modification was done if needed and then the final format was developed.
-Field work:
Before starting the work and taking permission to conduct this study, formal letter was issued from the faculty of nursing, Ain Shams University to the administrator of the geriatric hospital of Ain shams selected for the study describing the aim of the study. The researcher visited the selected area of the study regularly to collect data. The researcher interviewed older adults women and men three days per week each interview took about 30 min to fill it after taking oral approval consent from them.
-Results:
Findings of the current study can be summarized as the following:
- The mean age of all participants was 69.05±6.246 years with most of them (78.9%) between 60 and 74 years old. More than half of the participants were male (67.9%) and 32.1% were females.
- Most of participants were married (61.8%), 18.7% were divorced and 19.6% were widow(er)s. Most of them (70.6%) were living in urban areas. More than half of the participants (54.4%) had work.
- Regarding Health needs of elder adults, most of them (86.2%) reported that their total health needs were enough while 13.8% of them reported that their health needs were not enough.
- Regarding chronic Diseases, more than half (68.8%) of participants had diabetes mellitus and (41.9%) of participants had hypertension.
- Regarding total daily living activities of participants, more than half of them (52.3%) were dependent on others while (47.7%) of them were independent on performing their daily living activities.
- Only more than one third (38.5%) of participants had good levels regarding total quality of life them
- There were significantly positive associations between age and the total QoL. also, there were significant associations between marital status, income as well as place of residence and the total QoL.
- There were high significant positive correlation between health need and total QoL.
- There were high significant positive correlation between daily living activities and total QoL.
Conclusion: The conclusion of present study support research question. Assess activities of daily living and it’s effect on quality of life.
- The result of present study showed that there were significantly positive associations between age and the total QoL. also, there were significant associations between marital status, income as well as place of residence and the total QoL.
- There were high significant positive correlation between health need and total QoL.
- There were high significant positive correlation between daily living activities and total QoL