노인요양시설 입소노인의 시설적응에 영향을 미치는 요인 = Predictors of Facility Adaptation in Nursing Home Residents

다국어 초록 (Multilingual Abstract)

Purpose: The purposes of this study were to examine the relationships among activities of daily living, self-efficiency, nursing
home care quality and nursing home adaptation, and to identify the influencing factors of nursing home adaptation in
nursing home residents. Methods: The study employed a descriptive correlational design. The data were collected from
148 older adults without dementia by interview from six nursing homes in three cities from February 1, 2008 to February
28, 2008. Results: Levels of nursing home adaptation in older adult residents were different by type of decision maker of
nursing home admission, reason of nursing home admission, type of payment and length of nursing home stay. The nursing
home adaptation was significantly correlated with self-efficiency and nursing home care quality. The strongest predictor of
nursing home adaptation was type of decision maker of nursing home admission followed by the self-efficiency. Conclusion:
The study suggested that during the decision making period of nursing home admission, older adults should have enough
time and careful considerations of their families to decide by themselves in positive ways. Nursing home staff should be
able to identify reasons of nursing home admission and demands or expectations of older adults and their families.

다국어 초록 (Multilingual Abstract)

Purpose: The purposes of this study were to examine the relationships among activities of daily living, self-efficiency, nursing
home care quality and nursing home adaptation, and to identify the influencing factors of nursing home adaptation in
nursing home residents. Methods: The study employed a descriptive correlational design. The data were collected from
148 older adults without dementia by interview from six nursing homes in three cities from February 1, 2008 to February
28, 2008. Results: Levels of nursing home adaptation in older adult residents were different by type of decision maker of
nursing home admission, reason of nursing home admission, type of payment and length of nursing home stay. The nursing
home adaptation was significantly correlated with self-efficiency and nursing home care quality. The strongest predictor of
nursing home adaptation was type of decision maker of nursing home admission followed by the self-efficiency. Conclusion:
The study suggested that during the decision making period of nursing home admission, older adults should have enough
time and careful considerations of their families to decide by themselves in positive ways. Nursing home staff should be
able to identify reasons of nursing home admission and demands or expectations of older adults and their families.

참고문헌 (Reference)

1 이지아, "한국형 노인요양시설 질 관찰평가도구의 타당도와 신뢰도 분석" 한국간호과학회 38 (38): 474-482, 2008

2 이가언, "시설노인의 적응과정에 대한 근거이론적 접근 : 거부감 다스리기" 한국간호과학회 32 (32): 624-632, 2002

3 전명희, "시설 입소에 의한 생활환경의 변화가 치매노인의 일상생활 수행능력에 미치는 영향에 관한 연구" 대한건축학회 22 (22): 107-114, 2006

4 김상규, "스포츠 참여 종목과 참여자 특성에 따른 신체적 자기효능감의 차이" 한국체육교육학회 7 (7): 104-113, 2002

5 이가언, "노인의 무료요양원 적응 척도 개발" 한국간호과학회 37 (37): 736-743, 2007

6 Shin, S. Y., "The study on the impact of decision-making process on the adjustment of relocation to a nursing home in the elderly" 18 : 111-129, 2002

7 Sherer, M., "The self-efficacy scale: Construction and validation" 51 : 663-671, 1982

8 Johnson, B. D., "The relationship of demographic factors, locus of control and self-efficacy to successful nursing home adjustment" 38 : 209-216, 1998

9 Haight, B. K., "Suicide risk in frail elderly people relocated to nursing homes" 16 : 104-107, 1995

10 Harrington, C., "Stakenholders’ opinions regarding important measures of nursing home quality for consumers" 14 : 124-132, 1999

11 Reinardy, J. R., "Relocation to a new environment: Decisional control and the move to a nursing home" 20 : 31-38, 1995

12 Munro, B. H., "Regression. in: Statistical methods for health care research" Lippincott Williams & Wilkins 246-286, 2000

13 Laughlin, A., "Predictors of mortality: Following involuntary interinstitutional relocation" 33 (33): 20-26, 2007

14 Korea Ministry of Health and Welfare, "National status of elder care facilities 2008" Author 2008

15 Glenn, S., "Information and communication technologies (ICT) in nursing education: Is there a need for a more philosophical analysis?" 22 : 99-101, 2002

16 Mosher-Ashley, P. M., "Improving residents’ life satisfaction" 50 : 50-54, 2001

17 Brooke, V., "How elders adjust" 10 (10): 66-68, 1989

18 Oh, H. S., "Health promotion and quality of life in Korean women with arthritis" 23 : 617-630, 1993

19 Erdfelder, E., "GPOWER: A general power analysis program" 28 : 1-11, 1996

20 Mahoney, F. I., "Functional evaluation: The Barthel Index" 14 : 61-65, 1965

21 Rantz, M. J., "Field testing, refinement, and psychometric evaluation of a new measure of nursing home care quality" 14 : 129-148, 2006

22 Kaisik, B. H., "Easing the fear of nursing home placements: The value of stress inoculation" 17 : 182-186, 1996

23 Choi, J. S., "Comparative study on health state of the aged resident in free of charged institution" Kyung Hee University 1992

24 Kim, Y. K., "A study on the influence factors related to health status and life satisfaction of the elderly accommodated in welfare facility" Keimyung University 2008

25 Choi, H. E., "A study on the activities of daily living and satisfaction of the resident’s paid welfare facilities" Chung Ang University 2002

26 Lee, S. K., "A study on relationships among activities of daily living, self-efficacy and life satisfaction in nursing home eld" Kyung Hee University 2007

27 Jeong, J. Y., "A phenomenological study on the adaptation experience on nursing home admission of senior patients" Catholic University of Pusan 2006

28 Park, J. H., "A Qualitative research about institutional adaptation of the elderly person in free asylum for the aged" Sungkonghoe University 2006

29 Korea National Statistical Office, "2007 Statistics on the aged" Author 2007