Korean J Adult Nurs.  2020 Jun;32(3):235-247. 10.7475/kjan.2020.32.3.235.

Effects of Social Support, Family Support and Repulsion Related Nursing Home Use on the Well-Dying of Elderly

Affiliations
  • 1Ph.D., Candidate, College of Nursing, Jeonbuk National University, Jeonju, Korea
  • 2Ph.D., Candidate, College of Nursing, Chungnam National University, Daejeon, Korea
  • 3Assistant Professor, Department of Nursing, Wonkwang Health Science University, Iksan, Korea

Abstract

Purpose
This study aimed to explore the level of well-dying in the elderly and identify the effects of social support, family support, and repulsion related nursing home on that.
Methods
The sample for this cross-sectional study consisted of 110 community-dwelling elderly and 103 nursing home residents. Data were collected using a structured questionnaire from August to October 2019. SPSS/WIN 25.0 program was used to conduct statistical analyses, including descriptive statistics, an independent t-test, a one-way analysis of variance, and stepwise multiple linear regression.
Results
The mean score for well-dying was 2.63±0.28 (range 1~4). Well-dying had a statistically significant relationship with religion (t=5.56, p<.001), household income (F=14.04, p<.001) and perceived health status (F=44.59, p<.001). Furthermore, social support (r=.71, p<.001), family support (r=.42, p<.001), and repulsion related nursing home (r=-.56, p<.001) significantly correlated with well-dying. Stepwise multiple linear regression demonstrated that social support, repulsion related nursing home, and having a religion explained 62.0% of the variance in well-dying.
Conclusion
Social support was found to have the largest influence on well-dying, followed by repulsion related nursing home and religion. The results highlight the need to develop a detailed nursing intervention that considers these factors to promote well-dying in the elderly.

Keyword

Aged; Social support; Nursing home; Death
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