The factors of adaptation to nursing homes in mainland China: a cross-sectional study

Sun, Chao; Yu, Yiting; Li, Xuxu; Cui, Yan; Ding, Yaping; Zhu, Shuqin; Li, Xianwen; Chen, Shen; Zhou, Rong

doi:10.1186/s12877-020-01916-x

Cited by 20 publications

(18 citation statements)

References 33 publications

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“…The literature confirmed the value of social support as having direct and moderate effects in the elderly who had psychological problems such as loneliness, 95 96 depression, 93 97–99 suicidal idea 100 and poor sleep quality. 101 Social support has been reported as an influencing factor to promote positive outcomes such as social integration, 83 physical function, 93 resilience, 96 self-esteem, 99 social contact, 102 good adaptation 103 and adjustment to nursing homes. 104 …”

Section: Discussionmentioning

confidence: 99%

Integrating social support into interventions among the elderly in nursing homes: a scoping review

et al. 2023

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ObjectivesThis study aimed to understand the evidence related to integration of social support into interventions, to identify literature gaps related to social support interventions, and to clarify dimensions of supportive functions, outcomes, and providers among the elderly in nursing homes.DesignThis scoping review followed the approach by Arksey and O’Malley. The Mixed Methods Appraisal Tool V.2018 was used for quality assessment of the studies.Data sourcesSearches were conducted of the PubMed, ScienceDirect, Public Library of Science, SocioHub, Wiley Online Library and PsycINFO databases for publications from 2010 to 2021.Eligibility criteria for selecting studiesWe searched for primary studies and heterogeneous study designs published in English. Eligible studies took place in nursing and care homes and had study populations of elderly adults (older adults, geriatrics, ageing, seniors, older people and those aged 60 years and older).Data extraction and synthesisA data extraction form based on Joanna Briggs Institute’s recommendations for scoping reviews was used. Two reviewers independently extracted data and performed quality assessment of the studies. Then, extracted data and quality assessment reports were discussed by all authors.ResultsThirty-one eligible studies were included in this review. 54.8% of the studies provided interventions for cognitively impaired residents. The top-three outcomes were neuropsychiatric symptoms, physical function and quality of life, respectively. The interventions were performed by nursing home staff (83.9%), other persons with specific qualifications (58.1%) and health volunteers (6.5%). Most studies (90.3%) depicted the integration of emotional and instrumental supportive functions into interventions.ConclusionThe appropriate dimensions of supportive function, mainly emotional and instrumental support, are important to integrate into the social care of elderly people living in nursing homes.

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Section: Discussionmentioning

confidence: 99%

Integrating social support into interventions among the elderly in nursing homes: a scoping review

et al. 2023

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“…On the one hand, elderly people who co-reside with adult children have more intergenerational communication, and get more filial piety from adult children [26]. It is obvious that financial support is an easier way to express filial piety, which could meet elderly people's daily economic needs [12]. On the other hand, in China, many elderly people who co-reside with adult children tend to provide intergenerational care to their grandchildren, which makes adult children return the favor in the form of financial support.…”

Section: Discussionmentioning

confidence: 99%

“…Since 2015, after the government provided subsidies of long-term care, the general price structure of formal care was revised to 170 CNY to 200 CNY per day for care in hospitals, 65 CNY per day for nursing homes, 50 CNY per day for home care staffs [11]. Elderly people with better economic conditions, especially those in urban areas, could purchase market-based care services to meet their needs for personalized care services [12]. China has launched a series of policy initiatives to develop a system of services for elderly people, which consists of three tiers of social services: home-based care as the "basis", community-based services as "backing", and institutional care as "support" [13].…”

Section: Introductionmentioning

confidence: 99%

The association between financial support of adult children to their parents and informal care provision in China and its differences in household registration, residence arrangement and community-based care services: 2008 ~ 2018

Liang

Wang

et al. 2023

Int J Equity Health

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Background The changes in demographic and family structures have weakened the traditional norms of filial piety and intergenerational relationships dramatically. This study aims to examine the dynamic association between financial support of adult children to their parents and informal care provision in China and its differences in household registration, residence arrangement and community-based care services. Methods Data was derived from the 2008–2018 Chinese Longitudinal Healthy Longevity Survey (CLHLS), which is a longitudinal survey of a nationally representative sample of individuals aged 60 and over. Random effects model was used to assess the association between financial support and informal care provision of adult children to their parents. Results It was found that financial support showed an upward trend while informal care provision showed a download trend from 2008 to 2018. The result indicated a significant and negative association between financial support and informal care provision of adult children to their parents (B = -0.500, 95% confidence interval (CI) = -0.761 to -0.239). And the association was significant among elderly people who were from urban areas (B = -0.628, 95% CI = -0.970 to -0.287), co-resided with adult children (B = -0.596, 95% CI = -0.939 to -0.253), and had community-based services (B = -0.659, 95% CI = -1.004 to -0.315). Conclusion Financial support was negatively associated with informal care provision of adult children to their parents in China, and the association has differences in household registration, residence arrangement and community-based care services. It is suggested that policymakers should prioritize planning interventions for elderly care services and establish a family caregiver support system.

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“…Negative emotions, which in turn increase suicidal ideation in the elderly. Because social exclusion or denial by social groups not only hinders the need to belong, but also reduces the relational value between individuals, and this often causes intense anxiety (too potential rejection) and depression (too actual rejection), and other negative emotions (Leary Mark, 1990;Sun et al, 2020), ultimately leading to adverse cognitive, emotional and physical effects on the individual (Pickett et al, 2004;Baumeister et al, 2005). Even excluded individuals will experience a significant increase in selfdefeating behavior due to cognitive disintegration (Twenge et al, 2007).…”

Section: Discussionmentioning

confidence: 99%

The role of social exclusion in the formation of suicidal ideation among the elderly in rural pension institutions

2022

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IntroductionSocial exclusion as well as a sense of belonging and depression have been identified as risk factors for suicide among older adults in pension institutions. In particular, the elderly living in rural pension institutions is more likely to have poor mental health and a higher incidence of suicidal ideation. This study explored the mechanism of social exclusion on suicidal ideation among the elderly in rural pension institutions, and the moderating effect of interpersonal trust.MethodsThe social exclusion experience scale, sense of belonging, depression self-rating scale (CES-D), suicidal ideation scale (BSI-CV), and interpersonal trust scale (ITS) were used to investigate the elderly in rural pension institutions. A total of 1,387 samples (53.35% female) were collected, ranging in age from 65 to 95 years (M = 72.8, SD = 6.173).ResultsThe results of the study found that: (1) social exclusion increases the suicidal ideation of the elderly in rural pension institutions, and the sense of belonging and depression play a significant chain-mediated role in the relationship between social exclusion and suicidal ideation in the elderly. (2) Interpersonal trust moderates the impact of social exclusion on the sense of belonging, depression, and suicidal ideation. Specifically, interpersonal trust can alleviate the promotion effect of social isolation on suicidal ideation and depression, and can also reduce the adverse effect of social exclusion on the sense of belonging.DiscussionThis study validates that social exclusion is a risk factor for suicidal ideation in the rural elderly and identifies interpersonal trust as a protective factor against social exclusion and its negative outcomes in the elderly. This study provides a scientific basis for improving the depression status of the elderly in rural China and formulating suicide prevention measures.

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The factors of adaptation to nursing homes in mainland China: a cross-sectional study

Cited by 20 publications

References 33 publications

Integrating social support into interventions among the elderly in nursing homes: a scoping review

Integrating social support into interventions among the elderly in nursing homes: a scoping review

The association between financial support of adult children to their parents and informal care provision in China and its differences in household registration, residence arrangement and community-based care services: 2008 ~ 2018

The role of social exclusion in the formation of suicidal ideation among the elderly in rural pension institutions

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