Multidimensional factors affecting care needs in daily living among community‐dwelling older adults: A structural equation modelling approach

Abstract

Aims To develop a model illustrating the factors that can influence care needs in daily living (CNDL) of older adults and the pathways between these. Background The care needs in community‐dwelling older adults have increased sharply. A better understanding of the elderly's CNDL would thus help policymakers define which types of support and services should be given. Methods A multicentre study with structural equation modelling was conducted in this study. We recruited 3,448 community‐dwelling older adults in China by using a stratified random cluster sampling technique. Results Physical and mental health was the strongest predictor of CNDL. Both age and living situation had positive effects on CNDL, while economic factors, social support and family support were the major risk factors for CNDL. Conclusion The presented model provides a better understanding of how to address CNDL in the targeted population. The older adults who are the oldest, low‐income, non‐empty nesters, and with poor self‐rated health or the signs of loneliness should be firstly targeted for daily assistance. Implications for Nursing Management Using this model could provide health authorities and managers with the information of distinguishing between the priority group and the strategies for easing the caregiving burden in older adults care, and thus improving resource utilization.

Experiences and expectations of receiving volunteer services among home‐based elderly in Chinese urban areas: A qualitative study

“…This may indicate that the experience of being assisted among the home‐based elderly is affected by their characteristics and level of perception. Thus, it may be necessary to direct more volunteers to understand deeply the actual needs of the elderly to provide practical assistance 13 . Furthermore, negative experiences associated with receiving volunteer services may affect their willingness to ask for help.…”

“…In addition, in some cases the present care institutions and home‐based care service centres fail to meet the diversified needs of the elderly, such as spiritual comfort and health guidance 10,11 . Furthermore, some older adults are unwilling or unable to seek professional care services due to economic constraints 12,13 . It has been reported that about 55% of the elderly in China do not have their care needs met 14 .…”

Study on Community Care Needs and Influencing Factors of the Urban Elderly in Shandong Province, China

“…According to the proportion of needs, the top six items of community nursing needs were regular health assessment, self-health monitoring guidance, general disease care, nutrition and diet, community emergency rescue, and dynamic management of filing information, which was similar to the research results of Jin L [6] and others. The nursing needs in the top six places were all more than 60%, which showed that people's health awareness is enhanced and more and more people pay attention to their own health problems [7]. Therefore, community health service centers should focus on health promo-tion projects, enhance the self-care and safety awareness of the elderly, and promote their physical and mental health; At the same time, institutions should carry out project services according to the needs of the elderly, especially health assessment, self-health monitoring guidance and general disease care, are carried out, so that every elderly person in the jurisdiction can truly feel the community health service.…”

Factors Associated with the Adult Children’s Willingness to Utilize Elderly Medical Escort Service for Outpatient Visit In China: A Mixed-methods Research

“…Furthermore, previous studies have only analyzed the elderly's willingness to use community home-based care services [13][14][15], and few surveys have shown the obstacles and in uencing factors (e.g. physiological and social disadvantages, age, economic level, family support, health status, and other related effects) of seniors in the community-initiated calls for help [16,17].…”