Predictors of Psychosocial Adaptation Among Elderly Residents in Long-Term Care Settings

Chao, Shu-Yuan; Lan, Yii-Hwei; Tso, Hsiu-Ching; Chung, Chao-Ming; Neim, Yum-Mei; Clark, Mary Jo

doi:10.1097/01.jnr.0000387300.22172.c6

Cited by 41 publications

(46 citation statements)

References 14 publications

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“…Cuando el adulto mayor se interna de forma voluntaria, es frecuente que esto tenga más beneficios para su vida, pues en muchas ocasiones son personas que viven solas, han perdido su rol en el núcleo familiar o se consideran una carga para su familia, entre otras (28,37,38). De igual manera, las personas que se recluyen de forma voluntaria son casi siempre más autónomas e independientes en las actividades de su diario vivir, lo que también les permite mejores adaptaciones a la vida institucional (37).…”

Section: Discussionunclassified

Calidad de vida de los adultos mayores de Medellín

et al. 2011

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Introducción. Varios aspectos en el adulto mayor deterioran su calidad de vida, como son las relaciones familiares y de amigos, la soledad e, incluso, el mismo centro geriátrico. Objetivo. Explorar las condiciones asociadas con la calidad de vida de los ancianos en hogares geriátricos. Materiales y métodos. Estudio transversal de 276 ancianos de 39 Centros de Bienestar del Anciano de Medellín. Se excluyeron aquellos con grave deterioro cognitivo y los que no residían de forma permanente en la institución. La calidad de vida se evaluó mediante el World Health Organization Quality of Life of Older Adults (WHOQOL-OLD) de la Organización Mundial de la Salud; se utilizaron la escala de depresión de Yesavage, la de ansiedad de Goldberg, la de funcionalidad de Pfeffer, la minivaloración nutricional y, además, se evaluaron aspectos demográficos y sociales. La información se analizó con pruebas U de Mann-Whitney, Kruskal-Wallis, la correlación de Pearson y un modelo de regresión lineal múltiple. Resultados. El 59,4 % eran mujeres, la edad promedio fue de 79,2 ± 8,0 años, 71 % se consideraron independientes para realizar actividades de la vida diaria, 45,7 % presentaba sintomatología depresiva y 33 % mostraron riesgo de ansiedad, 28,3 % deterioro funcional y, 54,3 %, posible malnutrición. Se encontró una asociación negativa con la calidad de vida el ser mujer, presentar diabetes, altos puntajes en las escalas de capacidad funcional, depresión y ansiedad; el ir voluntariamente a la institución mostró una asociación positiva. Conclusión. Se halló deterioro en la calidad de vida cuando las condiciones de funcionalidad y autonomía limitaban la realización de actividades de la vida diaria, agravado por el hecho de ser mujer, tener sintomatología depresiva y de ansiedad, y sentirse maltratado por sus familiares.Palabras clave: calidad de vida, anciano, institucionalización, ansiedad, depresión. Quality of life in institutionalized elderly people of MedellínIntroduction. Many factors contribute to the deteriorating quality of life of elderly people living in care institutions. Some of these problems are a consequence of few contacts with relatives and friends, and being alone with a feeling of isolation. Objective. The conditions of quality of life are explored for elderly people living in care institutions. Materials and methods. In a cross sectional study, 276 subjects were selected from 39 long term institutions located in the city of Medellín, Colombia. The sex ratio was female:male 60:40% with a mean age of 79.2 ± 8.0. Elderly subjects with cognitive problems or not living in the institution were excluded. The World Health Organization Quality of Life of Older Adults (WHOQOL-OLD) questionnaire was applied; in additional, capacity and cognitive functional scales of Pfeffer, the anxiety scale of Goldberg, and the Geriatric Depression Scale of Yesavage were administered. Mininutritional assessment scales and complementary questionnaires about demographics, health perception, social support system were also included. The inform...

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Section: Discussionunclassified

Calidad de vida de los adultos mayores de Medellín

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“…Relevant characteristics identified in the literature include age, gender, education level, living arrangements, income sources, religion, marital status, and number of children (Liu, 2006;Nygren et al, 2005;Shi et al, 2005;Svidén, Wikstrom & Hjortsjo-Norberg, 2002). The effects and strength of demographic influences are inconclusive; different studies have yielded different findings.. For example, gender was found to be related to adaptation and life satisfaction in some studies (Cummings & Cockerham, 2004;Redfern & Ross, 2006), but not in others (Chao et al, 2008;Wu et al, 2010). Similarly, education level was found to be a significant factor by Chao et al (2008), but not by Wu et al (2010).…”

Section: Conceptual Modelmentioning

confidence: 85%

“…The effects and strength of demographic influences are inconclusive; different studies have yielded different findings.. For example, gender was found to be related to adaptation and life satisfaction in some studies (Cummings & Cockerham, 2004;Redfern & Ross, 2006), but not in others (Chao et al, 2008;Wu et al, 2010). Similarly, education level was found to be a significant factor by Chao et al (2008), but not by Wu et al (2010). Other demographic variables, such as marital status, living arrangements, income, and having children, have been more consistently related to life satisfaction as an element of adaptation (Liu, 2001a;Yen, 2011).…”

Section: Conceptual Modelmentioning

confidence: 94%

“…The continuity aspect of adaptation derives from continuity theory, which addresses adaptive choices designed to preserve and maintain existing internal and external structures using past strategies and approaches to life (Atchley, 1989). Continuity manifests in one's ability to maintain valued roles and interpersonal interactions (Chao et al, 2008). Psychosocial adaptation is influenced by a variety of factors internal and external to the aging person (Degazon & Parker, 2007).…”

Section: Conceptual Modelmentioning

confidence: 99%

“…Finally, the Geriatric Psychosocial Adaptation Scale (Chao et al, 2008) was used to measure adaptation. This scale was developed based on the conceptual definition of psychosocial adaptation, incorporating three aspects of adaptation: self-value -seven items (e.g.…”

Section: Instrumentsmentioning

confidence: 99%

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Life values, family support and psychosocial adaptation among older people in Taiwan: an institutional and community comparison

Hung

Chen

Lan

et al. 2013

Asia Pacific Journal of Social Work and Development

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The purpose of this study was to investigate the psychosocial adaptation among elderly persons in institutional and community settings, and to explore factors influencing their adaptation. A cross-sectional survey was conducted with a convenience sample of 165 residents of four institutions (two assisted-living facilities and two nursing homes) and 209 community-dwelling elders served by a primary care centre, all located in middle Taiwan. A structured interview questionnaire was used to collect data. Results: community-dwelling elderly had significantly higher adaptation scores than those in institutional settings. Factors related to adaptation differed between institutional and community settings, with more variables influencing adaptation in the community than in the institution. Physical functional status was the major influence on adaptation of the elderly in institutions. Dietary support from family was negatively associated with adaptation in this group. Influencing factors for community-dwelling elders were more complicated, including perceived family emotional and economic support, personal life values and physical functional status. Implications: greater support from government, including economic resources and assistance in community care are needed to achieve the policy goal of 'aging in place'. Further investigation of the influence of family interaction on elders' adaptation is needed.

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