Factors influencing the adaptation to skilled nursing facilities among older Korean adults

Abstract

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.

Effects of individual reminiscence therapy for older women living alone

“…It is thought that the memory selfefficacy score increased through the individual reminiscence therapy, and that the achievement experienced through the memory recall exercise had the largest effect. Memory decline in older people has been recognized as a natural phenomenon of the aging process (Choi & Sok 2014;Pinquart & Forstmeier 2012;J.H. Yun, unpublished).…”

“…Kim, unpublished). Among these, the most serious problem may be the decline of cognitive function, which includes memory decline, miscalculation, disorientation, impaired judgment and inability to comprehend (Choi & Sok 2014;Pinquart & Forstmeier 2012;Subramaniam & Woods 2012). The loss of cognitive function interrupts the independent activities of older women in their daily lives, and it eventually causes role loss, increased dependence, declining selfesteem and low quality of life (Choi & Sok 2014;Fujiwara et al 2012;George 2007;J.H.…”

“…They also have a considerably lower quality of life than older people living in the Western countries (Bohlmeijer et al. ; Choi & Sok ; Jang & Lee ). This reflects the gravity of this problem, which our society must face in the future.…”

“…Older women in Korea live in unhealthy conditions with chronic diseases for approximately 10 years out of their average lifespan. They also have a considerably lower quality of life than older people living in the Western countries (Bohlmeijer et al 2007;Choi & Sok 2014;Jang & Lee 2006). This reflects the gravity of this problem, which our society must face in the future.…”

Examining practical nursing experiences to discover ways in which to retain and invigorate the remaining functions of the elderly with a demented and complex disability in nursing homes

“…Recently, South Korea has been greatly contributing to the aging population in Asia because of its improved medical and welfare systems (Choi & Sok, ; OECD, ; United Nations, ). Since 2008, the Korean Government has been implementing a new welfare policy, referred to as “National Long‐Term Care Insurance,” for providing financial support for elderly residents admitted to long‐term care facilities (Choi & Sok).…”