Functional Capacity and Life Satisfaction in Older Adult Residents Living in Long-Term Care Facilities: The Mediator of Autonomy

Li-Hsing LIU ； Chia-Chan KAO ； Jeremy C. YING

《The Journal of Nursing Research》 28卷4期 (2020/08) Pp. 1-7

https://doi.org/10.1097/JNR.0000000000000362

摘要

Background: Although relationships among functional capacity, autonomy, and life satisfaction have been identified, little is known about how the mechanism of autonomy mediates functional capacity and life satisfaction in older adult residents of long-term care (LTC) facilities. Purpose: The objectives of the study were to examine the relationship between functional capacity and life satisfaction in older adult residents living in LTC facilities and to test the extent to which autonomy mediated that relationship. Methods: A cross-sectional and correlational study was conducted with a convenience sample. Two hundred twenty-eight participants were recruited from 10 LTC facilities in Kaohsiung City. Four structured instruments were used to collect data: the life satisfaction questionnaire, the Chinese version of Perceived Enactment Autonomy Scale, the Barthel Activity Daily Living Index, and a personal profile datasheet. Descriptive statistics, t tests, analysis of variance, Pearson correlations, and both simple and hierarchical linear regression models were analyzed. Results: Positive associations between life satisfaction and functional capacity (r = .183, p = .003) and autonomy (r = .469, p ＜ .001) were identified. Autonomy and functional capacity were significantly correlated (r = .278, p ＜ .001). After controlling for autonomy, the beta values reduced from .193 (p = .003) to .08 (p ＞ .05), and the explained variance reduced from 3.7% to 0.1% between functional capacity and life satisfaction. The results indicate that autonomy is significant as a mediator. Conclusions/Implications for Practice: To improve the life satisfaction of older adult residents of LTC facilities, facility managers and staff should develop a self-support program that encourages older adult residents to participate in physical activities and maintain autonomy.

關鍵字

life satisfaction ； functional capacity ； autonomy ； elderly residents ； long-term care facility

參考文獻

Hwang, H. L., & Lin, H. S. (2002). Psychometric assessment of the perceived enactment autonomy scale on an elderly Taiwanese sample. Psychological Testing, 49(2), 183-197. https://doi.org/10.7108/PTA.200207.0183

Bangerter, L. R., Heid, A. R., Abbott, K., & Van Haitsma, K. (2017). Honoring the everyday preferences of nursing home residents: Perceived choice and satisfaction with care. The Gerontologist, 57(3), 479-486. https://doi.org/10.1093/geront/gnv697

Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173-1182. https://doi.org/10.1037//0022-3514.51.6.1173

Borg, C., Hallberg, I. R., & Blomqvist, K. (2006). Life satisfaction among older people (65+) with reduced self-care capacity: The relationship to social, health, and financial aspects. Journal of Clinical Nursing, 15(5), 607-618. https://doi.org/10.1111/j.1365-2702.2006.01375.x

Candela, F., Zucchetti, G., & Magistro, D. (2013). Individual correlates of autonomy in activities of daily living of institutionalized elderly individuals: An exploratory study in a holistic perspective. Holistic Nursing Practice, 27(5), 284-291. https://doi.org/10.1097/HNP.0b013e31829b9483