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Nursing home adjustment in China: mediating and moderating effects
Binbin Yong1, Yanyan Zhang1, Huimin Xiao2
1School of Nursing, Fujian Medical University, NO 1 Xuefu North Road, University Town, Fuzhou City, Fujian Province, China.
BMC Geriatrics
|January 28, 2023
Summary
Stress negatively impacts nursing home adjustment. Enhancing learned resourcefulness, self-efficacy, and social support can improve psychological adjustment for older adults in nursing homes.
Area of Science:
- Gerontology
- Psychology
- Healthcare Management
Background:
- Successful aging in older adults is linked to effective adjustment to nursing home environments.
- The specific impact of stress on the psychological adjustment of nursing home residents remains inadequately understood.
Purpose of the Study:
- To investigate the relationship between stress and psychological adjustment among residents in nursing homes.
- To elucidate the mediating and moderating factors influencing this relationship.
Main Methods:
- A cross-sectional, multicenter survey involving 386 residents from 11 nursing homes.
- Path analysis utilizing bootstrapping with resampling strategies to examine mediators and moderators.
- Adherence to the STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) checklist.
Main Results:
- Stress was found to directly and negatively predict psychological adjustment in nursing home residents.
- Learned resourcefulness and self-efficacy acted as significant mediators, both individually and in a chain, in the stress-adjustment pathway.
- Social support moderated the relationship between stress and learned resourcefulness.
Conclusions:
- The study identified key mechanisms through which stress affects psychological adjustment in cognitively unimpaired nursing home residents without walking difficulties.
- Findings suggest that interventions focusing on enhancing learned resourcefulness, self-efficacy, and social support are crucial for improving nursing home adjustment in older adults.
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