Functional Limitation and Its Related Factors among Older Adults by Cancer Diagnosis
10.5388/aon.2025.25.4.239
- Author:
Eunmi OH
1
Author Information
1. Assistant Professor, School of Nursing, Shinhan University, Uijeongbu, Korea
- From:Asian Oncology Nursing
2025;25(4):239-249
- CountryRepublic of Korea
- Language:English
-
Abstract:
Purpose:This study aimed to compare the factors associated with functional limitations between older adults with and without cancer. By identifying both shared and distinct associated factors, this research sought to provide evidence for tailored geriatric nursing interventions.
Methods:A cross-sectional secondary analysis was conducted using data from the 2023 Korean National Survey of Older Adults, including 10,078 adults aged≥65 years. Functional limitation is defined as any need for assistance in activities of daily living (ADL) or instrumental activities of daily living (IADL). Participants were grouped by physician-diagnosed cancer status, and hierarchical logistic regression was performed. Model 1 included age and depression; Model 2 added gender; and Model 3 incorporated self-rated health, urinary incontinence, and hospitalization experience.
Results:Depression scores and functional limitations were found to increase with age. Functional limitations were more prominent in older adults with cancer except for those aged≥85 years, and depression scores were higher in the cancer group across all ages. Across models, age and depression were significantly associated with functional limitation in both groups. Among non-cancer participants, being female, poor self-rated health, urinary incontinence, and hospitalization experience were also related factors, whereas in the cancer group, only age and depression remained significant.
Conclusion:Age and depression were key factors associated with functional limitations across groups. Nursing interventions should take a comprehensive approach for the general older population, addressing both physical and psychological health, while prioritizing depression screening and management for older adults with cancer to prevent functional decline.
