노인의 무료요양원 적응 척도 개발

Scale Development of Free Nursing Home-Adjustment for the Elderly

  • Lee, Ga-Eon (Department of Nursing, Dong-A University)
  • 발행 : 2007.08.31

초록

Purpose: The purpose of this study was to develop a scale of free nursing home adjustment for the elderly in Korea. Method: The developmental processes were construction of a conceptual framework, development of preliminary items, verification of content validity, twice data gathering, verification of construct validity, and reliability of final items. The first 53 preliminary items were obtained through review of literatures about nursing home adjustment and in depth interviews with 5 staffs of nursing home. These items were reviewed by five specialists for content validity and 39 items were chosen. The first data was collected from 107 elderly residing in 3 nursing homes and the second survey was from 147 residents who were living in five nursing homes. Finally this data was analyzed for construct validity and reliability. Result: There were 23 final items which were sorted into 5 factors. The factors were identified as 'Relocation distress symptom'(8items), 'Making friends'(4items), 'Acceptance of new residence'(6items), 'Difficulty in group life'(3items), and 'Having self-worth'(2items). The cumulative percent of variance was 53.466%. The reliability of the scale, Cronbach's alpha was .837. Conclusion: The result of this study could be used for measuring nursing home adjustment of the elderly. However, for further validity and reliability, repeated researches are needed.

키워드

참고문헌

  1. Aller, L. J., & Coeling, H. V. E. (1995). Quality of life: Its meaning to the long-term care resident. J Gerontol Nurs, 21(2), 20-25
  2. Barbara, K. H. (1995). Suicide risk in frail elderly people relocated to nursing homes. Geriatr Nurs, 16, 104-107 https://doi.org/10.1016/S0197-4572(05)80038-2
  3. Brooke, V. (1989). How elders adjust. Geriatr Nurs, 8, 66-68
  4. Brooke, V. (1987). Adjustment to living in a nursing home toward a nursing intervention. Unpublished doctoral dissertation, University of Utah, Salt Lake City
  5. Busan Council on Social Welfare (2005). List of Busan Social Welfare facility. Web site: http://www.bswin.net
  6. Chi, K. S. (2001). Relationships among the elderly's self-esteem and life-adjustement according to decistion-making power in their family. J Korean Living Science Assoc, 10(1), 127-139
  7. Eam, H. J. (2001). Methodological comparisons between principal component and common factor models: Use, misuse and abuse. Korean J Measurement Eval Physic Educ Sport Science, 3(1), 101-130
  8. Harrington, C., Mullan, J., Woodruf, L. C., Burger, S. G., Carrillo, H., & Bedney, B. (1999). Stakeholders' opinions regarding important measures of nursing home quality for consumers. Am J Med Qual, 14(3), 124-132 https://doi.org/10.1177/106286069901400304
  9. Johnson, B. D., Stone, G. L., Altmaier, E. M., & Berdahl. L. D. (1998). The relationship of demographic factors, locus of control and self-efficacy to successful nursing home adjustment. Geronologist, 38(2), 209-216 https://doi.org/10.1093/geront/38.2.209
  10. Jung, I. K., Kwak, D. I., Shin, D. K., Lee, M. S., Lee, H. S., & Kim, J. Y. (1997). A reliability and validity study of geriatric depression scale. J Korean Neuropsychiatr Assoc, 36(1), 103-112
  11. Kaisik, B. H., & Ceslowitz, S. B. (1996). Easing the fear of nursing home placements: The value of stress inoculation. Geriatr Nurs, 17(4), 182-186 https://doi.org/10.1016/S0197-4572(96)80069-3
  12. Kang, Y. J. (2003). How do korean elderly women adapt to old age? Themes and sources of meaning in their later lives from life stories. J Korean Home Econo Assoc, 41(3), 131-146
  13. Korea National Statistical Office (2007). Number of Social Welfare Institute. Web site: http://kosis.nso.go.kr/cgi-bin
  14. Kruzich, J. M., Clinton, J. F., & Kelber, S. T. (1992). Personal and environmental influences on nursing home satisfaction. Gerontologist, 32(3), 342-350 https://doi.org/10.1093/geront/32.3.342
  15. Lee, E. O., Lim, N. Y., & Park, H. A. (1998). Statistical Analysis and Nursing . Medical Research. Seoul: Soomoon Publishing Company
  16. Lee, G. E. (2002). A grounded theory approach to the adjustment process of the institutionalized elderly: The Control of Reluctance. J Korean Acad Nurs, 32(5), 624-632 https://doi.org/10.4040/jkan.2002.32.5.624
  17. Lee, K. M. (1999). New Korean Dictionary(3rd version). Seoul: Doosan Corporation
  18. Lee, S. S., & Lee, K. J. (2002). The stress, social support and psychological well-being of the elderly. J Korea Gerontol Soc, 22(1), 1-20
  19. Min, Y. S., Jo, E. S., & Lee, Y. H. (1993). Educational Psychology. Seoul: Sookmyung University press
  20. Mosher-Ashley, P. M., & Lemay, E. P. (2001). Improving residents' life satisfaction. Nurs Homes, 50(5), 50-54
  21. Osgood, N. J. (1992). Environmental factors in suicide in long-tern care facilities. Suicide Life Threat Behav, 22, 98-106
  22. Park, K. R., Jae, M. K., & Oh, C. C. (1996). Comparative study of life adaptation of elderly according to the marital status. Injenonchong, 12(2), 637-656
  23. Shin, S. Y. (2002). The study on the impact of decisionmaking process on the adjustment of relocation to a nursing home in the elderly. J Korean Society of Welfare for the Aged, Winter, 111-129
  24. Simms, L. M., Jones, S. J., & Yoder, K. K. (1982). Adjustmetn of older persons in nursing home. J Gerontol Nurs, 8(7), 383-386 https://doi.org/10.3928/0098-9134-19820701-05
  25. Thomasma, M., Yeaworth, R. C., & McCabe, B. W. (1990). Moving day:relocation and anxiety in institutionalized elderly. J Gerontol Nurs, 16, 18-25
  26. Wilson, S. A. (1997). The transition to nursing home life: A comparison of planned and unplanned admissions. J Adv Nurs, 26, 864-871 https://doi.org/10.1046/j.1365-2648.1997.00636.x
  27. Yesvage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, V., Adey, M., & Von Otto (1983). Development and validation of a geriatric depression screening scale: A preliminary report. J Psychiatr Res, 17, 37-49 https://doi.org/10.1016/0022-3956(82)90033-4
  28. Youn, H. H., & Kim, M. C. (1994). The stress, coping behavior and well-being of older adults. J Korea Gerontol Soc, 14(1), 17-32