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Brief CommunicationBrief Communication
Open Access

Determining the predictors associated with the difficulty of adaptation to ageing of hospitalized older adults. Difficulty of older adult to aging

Canan D. Barutcu and Hale T. Damar
Saudi Medical Journal March 2024, 45 (3) 317-321; DOI: https://doi.org/10.15537/smj.2024.45.3.20230267
Canan D. Barutcu
From the Department of Internal Medicine Nursing (Barutcu), Faculty of Health Sciences, Mehmet Akif Ersoy University; from the Elderly Care Program (Damar), Health Services Vocational School, Izmir Democracy University, Burdur, Turkey.
PhD
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  • For correspondence: [email protected]
Hale T. Damar
From the Department of Internal Medicine Nursing (Barutcu), Faculty of Health Sciences, Mehmet Akif Ersoy University; from the Elderly Care Program (Damar), Health Services Vocational School, Izmir Democracy University, Burdur, Turkey.
PhD
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Article Figures & Data

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    Table 1

    - The difficulties of older adult patients adapting to old age according to socioeconomic and clinical characteristics.

    VariablesRole and Self-Actualization modeInterdependence modePhysiological modeSelf-concept
    TestP-valuesTestP-valuesTestP-valuesTestP-value
    Gender
    Femalet=0.4870.627t=0.7520.453t=-0.3140.754t=0.3550.723
    Male        
    Marital status
    Marriedt=-3.3570.000t=-1.5880.114t=-3.3930.001t=-3.9700.000
    Single        
    Education level
    LiterateKW=12.1660.007KW=16.8450.001KW=9.9830.191KW=5.5240.137
    Primary School
    High School
    University
    Chronic disease
    Presentt=3.6710.000t=4.4850.000    
    Absent    t=2.2890.023t=2.3910.018
    Living alone
    YesU=1326,5000.062U=1397,0000.012U=1352,50.043U=1334,5000.048
    No
    Fall History (within the last year)
    Yest=-3.0990.002t=-2.7410.007t=-1.3230.187t=-1.6040.110
    No
    Fall History (in hospital)
    YesU=3218,5000.102U=2753,5000.817U=3223,5000.096U=3210,0000.095
    No
    Use of walking aids
    Yest=-7.8890.000t=-4.4950.000t=-7.3950.000t=-6.9810.000
    No

    *p<0.05, KW= Kruskal-Wallis (KW) test, t=Student’s t test; F=one-way Anova, U=Mann Whitney U-test

      • View popup
      Table 2

      - Relationships between adaptation of elderly patients and age, pain, fear of falling, anxiety, and depression.

      ModeAgeVASFESHADS-AHADS-D
      rP-valuesrP-valuesrP-valuesrP-valuesrP-values
      Role and Self-Actualization mode0.2900.0000.2400.0000.6700.0000.4260.0000.2310.000
      Interdependence mode0.2310.0000.1250.0490.5440.0000.3450.0000.1220.055
      Physiological mode0.2310.0000.2880.0000.5720.0000.3720.0000.2460.000
      Self-concept mode0.2420.0000.3090.0000.5210.0000.3690.0000.2420.000

      VAS: Visual Analog Scale, FES: Falls Efficacy Scale International, HADS-A: Hospital Anxiety and Depression Scale-Anxiety, HADS-D: Hospital Anxiety and Depression Scale- Depression

        • View popup
        Table 3

        - Predictors of the adaptation difficulty for the older adults.

        VariablesSEBetatP SE: stan
        Role and Self-Actualization mode    
        Marital status0.5480.0140.2900.772
        Education level0.284-0.077-1.7520.081
        Chronic disease0.4630.1002.0170.045*
        Fall History (last one year)0.5200.0080.1620.871
        Use of walking aids0.5030.1612.9770.003*
        Age0.0320.0180.3530.725
        VAS0.1710.0691.3800.169
        FES0.0240.5449.555<0.001*
        HADS-A0.0980.2525.160<0.001*
        HADS-D0.1130.0060.1150.908
        Model R2: 0.565, Adjusted R2: 0.546, F: 30.618, p<0.001
        Interdependence mode    
        Marital status0.236-0.108-2.0370.043
        Chronic disease0.383-0.027-0.4470.655
        Living alone0.9760.0921.6960.091
        Fall History (within the last year)0.4330.0090.1670.868
        Use of walking aids0.4190.0200.3110.756
        Age0.0250.0470.8250.410
        VAS0.1420.0570.9440.346
        FES0.0200.4115.971<0.001*
        HADSA0.0780.1863.312<0.001*
        Model R2 : 0.359, Adjusted R2 :0.335, F: 14.760, p<0.001
        Physiological mode    
        Marital status0.2660.0460.8510.395
        Chronic disease0.2240.1392.5370.012*
        Living alone0.5700.0110.2110.833
        Use of walking aids0.2450.1582.6100.010*
        Age0.015-0.020-0.3580.721
        VAS0.0840.1232.1940.029*
        FES0.0110.4777.669<0.001*
        HADSA0.0470.2153.974<0.001*
        HADSD0.0550.0490.9180.359
        Model R2 : 0.454, Adjusted R2 : 0.433, F: 21.905, p<0.001
        Self-concept mode    
        Marital status0.2830.0951.6990.091
        Chronic disease0.2380.0941.6460.101
        Living alone0.6050.0140.2690.788
        Use of walking aids0.2610.1302.0680.040*
        Age0.0160.0050.3560.563
        VAS0.0890.1602.7470.006*
        FES0.0120.3926.056<0.001*
        HADS-A0.0500.2173.865<0.001*
        HADS-D0.0580.0551.0030.317
        Model R2 : 0.410 Adjusted R2 : 0.388, F:18.336, p<0.001

        VAS: Visual Analog Scale, FES: Falls Efficacy Scale, HADSA: Hospital Anxiety and Depression Scale –Anxiety, HADSD: Hospital Anxiety and Depression Scale – Depression, Beta: standardized beta coefficient, SE: standard error,

        • ↵* p<0.005

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      Determining the predictors associated with the difficulty of adaptation to ageing of hospitalized older adults. Difficulty of older adult to aging
      Canan D. Barutcu, Hale T. Damar
      Saudi Medical Journal Mar 2024, 45 (3) 317-321; DOI: 10.15537/smj.2024.45.3.20230267

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      Determining the predictors associated with the difficulty of adaptation to ageing of hospitalized older adults. Difficulty of older adult to aging
      Canan D. Barutcu, Hale T. Damar
      Saudi Medical Journal Mar 2024, 45 (3) 317-321; DOI: 10.15537/smj.2024.45.3.20230267
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      Keywords

      • anxiety
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      • older adult
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