Department of Nursing, Shingyeong University, Hwasung-si, Gyeonggi-do 18274, Korea.
College of Nursing Science, Kyung Hee University, Seoul 02447, Korea.
Int J Environ Res Public Health. 2020 Jan 2;17(1):317. doi: 10.3390/ijerph17010317.
This study aimed to model and examine the relationship between the factors influencing the adaptation ability and life satisfaction of the elderly people living in long-term care facilities. This study used a cross-sectional descriptive design and relation prediction modeling. Participants were 229 older adults over 65 years old, who had lived for more than six months in the long-term care facilities of the Gyeonggi and Gyeongsang provinces, South Korea. The model construction was based on the Ecological model developed by Lawton (1982). The data were included demographics, physical health status, emotional health status, self-efficacy, and social support. The analysis of collected data was done by using the SPSS 22.0 and AMOS 22.0 programs. The model fit index for the modified model was χ = 15.561, χ/df = 2.223, GFI = 0.980, AGFI = 0.920, NFI = 0.967, CFI = 0.970, and RMRS = 0.018, RMSEA = 0.021. Life satisfaction was influenced by the factors of adaptation, depression, anxiety, friend support, self-efficacy, and staff support. In addition, adaptation was affected by the factors of staff support, depression, anxiety, and friend support. This study suggests that life satisfaction and adaptation for Korean elderly in long-term facilities were primarily influenced by of the factors of anxiety, depression, friend support, and staff support. In the nursing practice, nurses need to pay attention to these factors to improve the life satisfaction and adaptation ability of Korean elderly in long-term facilities.
本研究旨在建立和检验影响长期照护机构老年人适应能力和生活满意度的因素之间的关系。本研究采用横断描述性设计和关系预测建模。参与者为 229 名 65 岁以上的老年人，他们在韩国京畿道和庆尚道的长期照护机构居住了超过 6 个月。模型构建基于 Lawton（1982）提出的生态模型。数据包括人口统计学资料、身体健康状况、情绪健康状况、自我效能感和社会支持。收集的数据采用 SPSS 22.0 和 AMOS 22.0 程序进行分析。修正模型的模型拟合指数为 χ=15.561，χ/df=2.223，GFI=0.980，AGFI=0.920，NFI=0.967，CFI=0.970，RMRS=0.018，RMSEA=0.021。生活满意度受适应能力、抑郁、焦虑、朋友支持、自我效能感和员工支持等因素的影响。此外，适应能力受员工支持、抑郁、焦虑和朋友支持等因素的影响。本研究表明，韩国长期照护机构老年人的生活满意度和适应能力主要受焦虑、抑郁、朋友支持和员工支持等因素的影响。在护理实践中，护士需要关注这些因素，以提高韩国长期照护机构老年人的生活满意度和适应能力。
