The Effect of Family Relationship on Facility Adaptation of Long-Term Care Facility Residents

노인장기요양기관 입소노인의 가족관계가 시설적응에 미치는 영향

  • Kim, Yun-Jeong (Department of Health, Counselling and Welfare, Hanseo University) ;
  • Lee, Sang-Jin (Department of the Elderly Welfare, Hanseo University)
  • 김윤정 (한서대학교 보건상담복지학과) ;
  • 이상진 (한서대학교 노인복지학과)
  • Received : 2018.02.23
  • Accepted : 2018.04.20
  • Published : 2018.04.28


The purpose of this study is to investigate the effect of family relations on facility adaptation of the elderly. In January and February of 2018, a questionnaire survey was conducted on 5 ~ 6 elderly residents of each long-term care facility, and finally 353 data were used for analysis. The main results of the study were as follows: First, the adaptation level of the elderly was high. As for 'maladjustment of group behavior' and 'movement shock', the level of maladjustment is low as 2 points, and adaptation dimension such as 'accept of new residence' and 'making friend' is above the middle level. Second, the influence of family variables was more influential than the demographic characteristics of the elderly and the influence of the facility-related variables. Among them, the closeness with family is the most influential. Therefore, it is suggested that the elderly need active support and efforts to maintain the intimacy with the family from the entrance to the facility and the time after the entrance.


Supported by : National Research Foundation of Korea


  1. NHIS. (2017). Statistical Yearbook of Long-term Care Insurance for the Elderly of 2016, NHIS
  2. NHIS. (2016). Long-term care (facility salary) evaluation result of 2015, NHIS.
  3. D. Heliker & A. Scholler-Jaquish. (2006). Transition of new residents to long-term care: basing practice on residents' perspective. Journal of Gerontological Nursing, 32(9), 34-42.
  4. G. J. Park. J. H. Lee. K. E. Bae. Y. H. Kang & H. S. Song. (2007). Self-esteem and Depression of Elders in Welfare Facilities. Journal of Korean Gerontological Nursing, 9, 51-59.
  5. R. A. Johnson. (1996). The meaning of relocation among elderly religious sisters. Western. Journal of Nursing Research, 18(2), 172-185. DOI : 10.1177/019394599601800205
  6. C. Walker. L. C. Curry & M. O. Hogstel. (2007). Relocation stress syndrome in older adults transitioning from home to a long-term care facility: Myth or reality?. Journal of Psychosocial Nursing and Mental Health Services, 45(1), 38-45.
  7. G. C. Shin. (2010). An Exploratory Study on the Experience of the female Elderly using a Long-Term Care: Centering on Users of Home-Visit Bath. Journal of Korea Gerontological Society, 30(4), 1345-1357.
  8. Y. S. Shin. S. J. Kim & J. W. Kim. (2013). Grounded Theory Approach on the Adaptation Process in Facility of Long-Term Care Elderly, Korean journal of social welfare, 65(3), 155-182. DOI : 10.20970/kasw.2013.65.3.007
  9. G. E. Lee.(2002). A Grounded Theory Approach to the Adjustment Process of the Institutionalized Elderly : The Control of Reluctance, Journal of Korean Academy of Nursing, 32(5), 624-632. DOI :
  10. J. Y. Jeong. (2006). A Phenomenological Study on the Adaptation Experience on Nursing Home Admission of Senior Patients, Catholic University of Pusan Master's Dissertation, Korea.
  11. A. K. Chang & Y. H. Park. (2010). Sense of Control, Social Support, Depression, and Adjustment of Nursing Home Residents, Journal of Korean Academy of Adult Nursing, 22(5), 519-528.
  12. Y. J. Jung & J. H. Seomun. (2011). A Qualitative Study on Caregivers' Burden Experiences for the Long-term Care Qualified Elderly, Journal of Social Science, 22(4), 3-30. DOI : 10.16881/jss.2011.
  13. H. J. Kwon. Y. U. Cho & J. Y. Ko. (2011). The Effects of Long-term Care Insurance on the Life Satisfaction and Satisfaction in Family Relationships - The DD Method Combined with Propensity Score Matching, Korean Journal of Social Welfare, 63(4), 301-326. DOI : 10.20970/kasw.2011.63.4.013
  14. Y. K. Kang. (2010). The effect of activity of daily living, social support, and lenth of stay on adaptation to nursing homes, Yonsei University Master's Dissertation, Korea.
  15. G. L. Brandburg. L. Symes. B. Mastel-Smith. G. Hersch & T. Walsh. (2013). Resident strategies for making a life in a nursing home: A qualitative study. Journal of Advanced Nursing, 69(4), 862-874. DOI: 10.1111/j.1365-2648.2012.06075.x
  16. B. Jackson. C. Swanson. L. E., Hicks. L. Prokop & J. Laughlin. (2000). Bridge of continuity from hospital to nursing home--Part I: A proactive approach to reduce relocation stress syndrome in the elderly. Continuum (Society for Social Work Leadership in Health Care), 20(1), 3-8.
  17. K. H. Jung & H. S. Jo. (2012). Factors Affecting Adaptation for Elders in Long-term Care Facilities, Korea contents Association, 12(11), 215-224. DOI: 10.5392/jkca.2012.12.11.215
  18. H. S. Yu & W. Kim. (2012). A Comparative Study on the Adaptation of the Elderly Living in Residential Facilities and Nursing Homes, The Kyonggi Journal of Public Administration, 24, 182-218.
  19. S. Hauge & H. Kristin. (2008). The nursing home as a home: a field study of residents' daily life in the common living rooms. Journal of clinical nursing, 17(4), 460-467. DOI : 10.1111/j.1365-2702.2007.02031.x
  20. K. T. Kim. (2010). A Study on Process of Resident Adjustment in Nursing Home, Hanseo University Master's Dissertation, Korea.
  21. H. K. Lee. (2009). A Study of the Effects of the Elderly's Social Exclusion on Their Psychological Well-Being, Korean Journal of Gerontological Social Welfare, 46, 315-336.
  22. H. F. S., Kao, S. S., Travis, & G. J. Acton, (2004). Relocation to a long-term care facility: Working with patients and families before, during, and after. Journal of Psychosocial Nursing and Mental Health Services, 42(3), 10-16. DOI : 10.3928/02793695-20040301-06
  23. M. J. Mallick & T. W. Whipple. (2000). Validity of the nursing diagnosis of relocation stress syndrome, Nursing Research, 49(2), 97-100. DOI : 10.1097/00006199-200003000-00006
  24. V. Brooke. (1989). Nursing home life: How elders adjust, Geriatric Nursing, 10(2), 66-68. DOI : 10.1016/S0197-4572(89)80054-0
  25. H. K. Lee. H. Y. Lee & J. A. Lee. (2009). Predictors of Facility Adaptation in Nursing Home Residents, Journal of Korean Academic Nurse, 39(2), 177-185. DOI : 10.4040/jkan.2009.39.2.177
  26. B. S. Lee. (2012). A study on factors affecting the life satisfaction of elderly nursing home residents, master's theasis, Korea University.
  27. E. S. An & S. M. Song. (2017). The Effects of Welfare Services Experience by the Low-Income Seniors on the Satisfaction of Life - Focusing on Mediating Effects of Family Conflicts and Depression. Journal of Digital Convergence, 15(10), 9-18.
  28. G. L. Brandburg. (2009). Making a life in a nursing home, Doctoral dissertation, Texas Woman's University.
  29. Iwasiw, C., Goldenberg, D., Bol, N. & MacMaster, E. (2003). Resident and family perspectives: The first year in a long-term care facility. Journal of Gerontological Nursing, 29(1), 45-54. DOI: