College of Nursing Science, Kyung Hee University, Seoul, Republic of Korea.
J Nurs Res. 2013 Sep;21(3):162-9. doi: 10.1097/01.jnr.0000432047.93802.df.
Adapting to a new environment is especially difficult for older adults relocating into professional nursing facilities or other specialized care centers. This relocation is a prominent life stressor in older adults.
This study examined the self-efficacy, depression, life satisfaction, and adaptation and the relationships among these four variables of older Korean adults residing in for-profit professional nursing facilities to provide preliminary information necessary to improve nursing interventions.
This was a cross-sectional and descriptive correlation study. The 322 participants were all over the age of 65 years and resided in one of three different for-profit professional nursing facilities in Seoul and Gyeonggi-do, South Korea. Measures used included a demographic characteristics form, Self-Efficacy Instrument, Korean Simple Depression Scale, Standard Life Satisfaction Instrument, and Facility Adaption Scale.
Results found positive self-efficacy, depression, life satisfaction, and adaptation among participants. We found significant positive correlations among self-efficacy, life satisfaction, and adaptation and significant negative correlations among depression, life satisfaction, and adaptation. Moreover, we found noticeable differences in the degree of adaptation to professional nursing facility placement in several variables, including gender, age, level of education, religious background, perceived health status, presence of a spouse, presence of a nonprofessional caregiver(s), and decision maker.
CONCLUSIONS/IMPLICATIONS FOR PRACTICE: This cross-sectional study provides preliminary evidence that older Korean adults in for-profit professional nursing facilities generally maintain a healthy level of well-being. However, nursing interventions to improve self-efficacy and life satisfaction and decrease depression in older adult residents are needed to help these older adults adapt to life in such facilities.
适应新环境对于搬到专业护理机构或其他专门护理中心的老年成年人来说尤其困难。这种搬迁是老年人生活中的一个突出压力源。
本研究调查了居住在营利性专业护理机构中的韩国老年成年人的自我效能感、抑郁、生活满意度和适应能力，以及这四个变量之间的关系，为改善护理干预提供必要的初步信息。
这是一项横断面和描述性相关性研究。322 名参与者的年龄均在 65 岁以上，居住在韩国首尔和京畿道的三家不同营利性专业护理机构之一。使用的测量工具包括人口统计学特征表、自我效能感量表、韩国简易抑郁量表、标准生活满意度量表和设施适应量表。
结果显示，参与者表现出积极的自我效能感、抑郁、生活满意度和适应能力。我们发现自我效能感、生活满意度和适应能力之间存在显著的正相关关系，而抑郁、生活满意度和适应能力之间存在显著的负相关关系。此外，我们还发现，在性别、年龄、教育程度、宗教背景、健康状况感知、配偶存在情况、非专业护理人员存在情况和决策者等几个变量方面，参与者对专业护理机构安置的适应程度存在显著差异。
结论/对实践的影响：这项横断面研究提供了初步证据，表明营利性专业护理机构中的韩国老年成年人普遍保持着健康的幸福感水平。然而，需要对老年居民进行护理干预，以提高自我效能感和生活满意度，降低抑郁程度，帮助这些老年人适应这些设施中的生活。
