Korean Journal of Adult Nursing (성인간호학회지)

Korean Society of Adult Nursing (한국성인간호학회)
권호 표지

Sense of Control, Social Support, Depression, and Adjustment of Nursing Home Residents

장기요양시설 입소노인의 자기 통제감, 사회적 지지, 우울과 적응

  • Chang, Ae-Kyung (College of Nursing, Seoul National University) ;
  • Park, Yeon-Hwan (College of Nursing & The Research Institute of Nursing Science, Seoul National University)
  • 장애경 (서울대학교 간호대학) ;
  • 박연환 (서울대학교 간호대학.간호과학연구소)
  • Received : 2010.07.01
  • Accepted : 2010.09.29
  • Published : 2010.10.29
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purposes of this study were to examine the relationships among the sense of control, social support, depression and nursing home adjustment, and to identify the influencing factors of nursing home adjustment in nursing home residents. Methods: The study design was a cross-sectional descriptive study. Data were collected from May to June of 2010 using structured questionnaires from 212 elderly residents without dementia from 15 nursing homes. Results: The levels of nursing home adjustment depended on the self-rated health, the voluntary institutionalization, and the length of stay. The nursing home adjustment was significantly correlated with a sense of control, social support and depression. The five most influential factors affecting adjustment were self-rated health, placement decision maker, the length of stay, a sense of control and depression, which explained about 51.5% of the variances. Conclusion: The findings reflect the importance of voluntary institutionalization, a sense of control, avoiding depressive mood and social support which facilitate residents' adjustment. These results can provide guidance for nursing interventions to facilitate nursing home adjustment.

Keywords

References

  1. Armer, J. M. (1993). Elderly relocation to a congregate setting: factors influencing adjustment. Issues in Mental Health Nursing, 14 (2), 157-172. https://doi.org/10.3109/01612849309031614
  2. Boyce, A., Wethington, E., & Moen, P. (2003). Continuity and change in subjective well-being. In J. A. Krout & Wethington, E. (Ed.), Residential choices and experiences of older adults: pathways to life quality (pp. 173-193). New York: Springer.
  3. Chao, S. Y., Lan, Y. H., Tso, H. C., Chung, C. M., Neim, Y. M., & Clark, J. M. (2008). Predictors of psychosocial adaptation among elderly residents in long-term care settings. Journal of Nursing Research, 16 (2), 149-158. https://doi.org/10.1097/01.JNR.0000387300.22172.c6
  4. Chung, S. D. (2003). Living and life satisfaction in the lowincome elderly. Korean Journal of Family Social Work, 11, 59-79.
  5. Groger, L. (2002). Coming to terms: African-Americans complex ways of coping with life in a nursing home. International Journal of Aging and Human Development, 55, 183-205. https://doi.org/10.2190/MDLP-UDE7-P376-QXE3
  6. Han, S. J., Han, J, S., & Moon, Y. S. (2009). Factors influencing successful aging in elders. Journal of Korean Academy of Adult Nursing, 21 (4), 423-434.
  7. Kang, J. H., Kim, J. A., Oh, K. S., Oh, K. O., Lee, S. O., Lee, S. J., et al. (2008). Health status, depression and social support of elderly beneficiaries of the national basic livelihood security system. Journal of Korean Academy of Adult Nursing, 20 (6), 866-882.
  8. Ki, B. S. (1996). A preliminary study on the standardization of contracting the measurement of depression of Korean seniles. Neuropsychiatry, 35 (2), 298-307.
  9. Kim, C. G., & Park, H. J. (2007). Factors influencing life satisfaction among the senior welfare center elderly. Journal of Korean Academy of Adult Nursing, 19 (4), 535-546.
  10. Korea Ministry of Health and Welfare (2009). National status of elder care facilities 2009. Seoul: Author.
  11. Ku, J. H. (2009). A study on the factors influencing the adaptation for the old in the residential care facilities for the old. Unpublished master's thesis, Hanman University, Daejeon.
  12. Lee, H. S. (2009). A study on life satisfactions of the aged in the elderly facilities. Unpublished master's thesis, Wonkwang University, Iksan.
  13. Lee, G. E. (2002). A Grounded theory approach to the adjustment process of the institutionalized elderly: The control of reluctance. Journal of Korean Academy of Nursing, 32, 624-632. https://doi.org/10.4040/jkan.2002.32.5.624
  14. Lee, G. E. (2007). Scale development of free nursing home adjustment for the elderly. Journal of Korean Academy of Nursing, 37, 736-743. https://doi.org/10.4040/jkan.2007.37.5.736
  15. Lee, G. E. (2010). Predictors of adjustment to nursing home life of elderly residents: A cross-sectional survey. International Journal of Nursing Studies, 47 (8), 957-964. https://doi.org/10.1016/j.ijnurstu.2009.12.020
  16. Lee, H. J. (2006). The relationships among depression, selfesteem and life satisfaction of elderly institution residents. Nursing Science, 18 (2), 31-38.
  17. Lee, H. K. (2008). Predictors of facility adaptation in nursing home residents. Unpublished master's thesis, Kyung Hee University, Seoul.
  18. Morse, D. (2000). Relocation stress syndrome is real. American Journal of Nursing, 100 (8), 24A-24D.
  19. Onishi, C., Yuasa, K., Sei, M., Ewis, A. A., Nakano, T., Munakata, H., et al. (2010). Determinants of life satisfaction among Japanese elderly women attending health care and welfare service facilities. The Journal of Medical Investigation, 57, 69-80. https://doi.org/10.2152/jmi.57.69
  20. Pearlin, L. I., Liberman, M. A., Menaghan, E. G., & Mullan, J. T. (1981). The stress process. Journal of Health and Social Behavior, 22 , 337-356. https://doi.org/10.2307/2136676
  21. Patterson, B. J. (1995). The process of social support: Adjusting to life in a nursing home. Journal of Advanced Nursing, 21, 682-689. https://doi.org/10.1046/j.1365-2648.1995.21040682.x
  22. Rehfeldt, R. A., Steel, A., & Dixon, M. R. (2001). Transitioning the elderly into long-term care facilities: A search for solutions. Activities, Adaptation & Aging, 24 (4), 27-40. https://doi.org/10.1300/J016v24n04_03
  23. Ron, P. (2002). Suicidal ideation and depression among institutionalized elderly: The influence of residency of duration. Illness, Crisis & Loss, 10 (4), 334-343. https://doi.org/10.1177/105413702236513
  24. Sheikh, J . I., & Yesavage, J . A. (1986). Geriatric depression scale (GDS): Recent evidence and development of a shorter version. In: Brink, T. L., ed. Clinical Gerontology: A guide to assessment and intervention. New York: The Harworth Press, 165-173.
  25. Shin, S. Y. (2001). The study on the impact of decision-making process on the adjustment of relocation to a nursing home in the elderly. Journal of Welfare of the Aged, 18, 111-129.
  26. So, H. Y. (2005). The effects of environmental enrichment program on cognitive function among institutionalized elderly. Journal of Korean Academy of Adult Nursing, 17 (1), 128-138.
  27. Wethington, E. (2003). Residential differences in life stress and perceived health. In J. A. Krout & E. Wethington (ed.), Residential choice and experiences of older adults: pathways to life quality (pp. 157-176). New York: Springer
  28. Yang, S., & Kim, N. C. (2001). Depression of the elderly in Korean urban area by BDI-II. Journal of Academy of Korean Psychiatric Mental Health Nursing, 10 (4), 463-472.
  29. Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The multidimensional scale of perceived social support. Journal of Personality Assessment, 52 (1), 30-41. https://doi.org/10.1207/s15327752jpa5201_2