The factors of adaptation to nursing homes in mainland China: a cross-sectional study
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RESEARCH ARTICLE
Open Access
The factors of adaptation to nursing homes in mainland China: a cross-sectional study Changxian Sun1,2†, Yiting Yu1†, Xuxu Li3, Yan Cui1* , Yaping Ding1, Shuqin Zhu1, Xianwen Li1, Shen Chen1 and Rong Zhou1
Abstract Background: China is one of the most rapidly ageing countries and has the largest ageing population in the world. The demand for long-term care is increasing. Nursing home placement is one of the most stressful events in a person’s life. Although research on relocation adjustment has been conducted in many countries, few studies have been related to the predictors of nursing home adjustment in mainland China. This study aimed to identify the predictors of nursing home adjustment in the context of filial piety in mainland China. Methods: This was a descriptive study that employed a cross-sectional survey. A total of 303 residents from 22 nursing homes in Nanjing, China, were recruited. A structured questionnaire about residents’ characteristics, activities of daily living, social support, resilience, and nursing home adjustment was administered. Multiple linear regression was used to identify the predictors of adaptation to nursing homes. Results: The predictors of nursing home adjustment were the satisfaction with services(β = .158, P < .01), number of diseases(β = −.091, P < .05), length of stay(β = .088, P < .05), knowledge of the purpose of admission (β = .092, P < .05), resilience(β = .483, P < .001) and social support(β = .186, P < .001). The total explained variance for this model was 61.6%. Conclusion: Nursing staff members should assess the characteristics of residents to promote their better adjustment. Resilience had the most significant influence on the level of adaptation, which has been the primary focus of interventions to improve adjustment. The management of disease comorbidities in nursing homes should be standardized and supervised by the government. More volunteers from universities and communities should be encouraged to provide social support to residents. Moreover, a caring culture needs to be emphasized, and the value of filial piety should be advocated in nursing homes of East Asian countries. Keywords: Residential facilities, Adaptation, Resilience, Disease comorbidity, Social support
Background Population ageing is among the most critical global transformations. China is one of the fastest ageing countries and has the largest ageing population in the world. According to the latest report of the National Bureau of Statistics of China, older people aged over 60 accounted for 18.1% of the total population, and those over 65 * Correspondence: [email protected] † Changxian Sun and Yiting Yu joint first author. 1 Nanjing Medical University, Nanjing, China Full list of author information is available at the end of the article
represented 12.6% of the population by the end of 2019; this percentage is expected to rise to 26.9% of the total population by 2050 [1]. It was reported that there were nearly 30,000 aged care facilities and more than 7.46 millio
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