Association Factors for Health of Older Long-Term Care Residents

Wednesday, 24 July 2013

Ruo-Nan Jueng, RN, MS
Nursing Department, National Yang-Ming University Hospital, I-Lan, Taiwan
I-Ju Chen, PhD, RN
School of Nursing, National Yang-Ming University, Taipei, Taiwan

Learning Objective 1: The learner will be able to know that sense of coherence and generalized resistant resources play a crucial role in the health promotion.

Learning Objective 2: The learner will be able to be familiar with Health Promotion 2.0 framework and be inspired to perform further studies using this model.


Using the salutogenic model-based HP 2.0 framework, we investigated the relationship among the sense of coherence (SOC), generalized resistant resources (GRR) and the self-reported health status in older long-term care (LTC) residents.


Design: cross-sectional, purposive sampling.

Setting: eleven LTC facilities in I-Lan City, Taiwan.

Participants: One hundred and four LTC residents (mean age 77.3 years old, 40 men) who were older than 65 years, stayed for at least 3 months and had no mental disturbance.

Measurements: The GRRs information (including 10 items for individual data, 5 for physical environment, and 4 for social environment), Sense of Coherence Scale (SOC-13) and Self Perceptions of Health Scale of all participants were collected completely at a facility visit.


The stepwise multiple regression analysis showed that SOC (P=0.004), presence of windows in the bedroom (P=0.011), and the frequency of family visit (P=0.034) have the significant effect on the self-reported health status, after controlling for other potential association factors.


SOC, physical environment and social environment are significantly associated with the self-reported health of the older LTC residents.