Choi Jin Yi, Sok Sohyune R
Department of Nursing, Kon Kuk University, Chungju-si, Chungcheongbuk-do, South Korea.
Int J Nurs Pract. 2015 Apr;21(2):184-91. doi: 10.1111/ijn.12235. Epub 2014 Apr 2.
This study was conducted to identify the factors that influence the level of adaptation of older Korean adults to skilled nursing facilities. The subjects were 500 adults aged 65 or older who were living in six different skilled nursing facilities in Seoul and Gyeong-gi-do, South Korea. The measures were a demographic form, Health Self-Rating Scale, Activities of Daily Living Scale, Self-Efficacy Instrument, Korean Simple Depression Scale, Quality of the Facility Scale and Facility Adaptation Scale. The analyses showed that the prediction model was significant (F = 128.624, P < 0.001). The value of the adjusted R(2) was 0.435, which corresponds to the explanatory power of 43.5%. The factor that was found to have the greatest influence on the adaptation of older Korean adults to skilled nursing facilities was activities of daily living (β = -0.564), followed by self-efficacy (β = 0.321), quality of the facility (β = 0.164), depression (β = 0.133), decision to enter a skilled nursing facility (β = 0.122), perceived health status (β = 0.064) and age (β = -0.010). This cross-sectional study provides preliminary evidence that the level of adaptation of older Korean adults to skilled nursing facilities is related to their activities of daily living, self-efficacy, depression, decision to enter a skilled nursing facility, perceived health status and age, and to the quality of the facility.
本研究旨在确定影响韩国老年人对专业护理机构适应水平的因素。研究对象为500名65岁及以上的成年人，他们居住在韩国首尔和京畿道的六个不同专业护理机构中。测量工具包括一份人口统计学表格、健康自评量表、日常生活活动量表、自我效能量表、韩国简易抑郁量表、机构质量量表和机构适应量表。分析表明，预测模型具有显著性（F = 128.624，P < 0.001）。调整后的R(2)值为0.435，相当于解释力为43.5%。结果发现，对韩国老年人适应专业护理机构影响最大的因素是日常生活活动（β = -0.564），其次是自我效能感（β = 0.321）、机构质量（β = 0.164）、抑郁（β = 0.133）、入住专业护理机构的决定（β = 0.122）、感知健康状况（β = 0.064）和年龄（β = -0.010）。这项横断面研究提供了初步证据，表明韩国老年人对专业护理机构的适应水平与他们的日常生活活动、自我效能感、抑郁、入住专业护理机构的决定、感知健康状况和年龄以及机构质量有关。
