■老年人搬迁到住宅护理设施已经变得非常普遍。然而，老年人是否通过感知来适应长期护理住宿设施中的生活，反射,有意识的行为选择是一个具有挑战性的社会问题。以前的研究表明，适应受身体的影响，心理，心理,社会制度,和其他碎片因素。然而,现有知识通常基于这些因素和适应之间的单向关系。很少有研究正式检查这些因素之间的二元关系，这些因素之间的适应影响内部尚不清楚。因此,有必要研究受以下因素影响的住宅护理设施适应的结构因果关系：情感,社会和心理因素，生活满意度,和社会支持。
■本横断面研究招募了河南省三个家庭护理机构的老年人，中国,通过方便的抽样。中国养老院调整量表(NHAS),老年抑郁量表-15（GDS-15）和社会支持量表（SSRS），生活满意度量表(SWLS)，和Barthel指数被用来衡量老年人的调整水平，抑郁水平,社会支持,对生活的满意度，以及BMC的自理能力，分别。抑郁症之间的关系，社会支持,自我照顾,对生活的满意度，和适应性分析，建立了结构方程模型。
■共有210名参与者完成了问卷。该模型证明了数据的可接受拟合。结果显示,生活满意度和抑郁在适应水平上的差异分别为60%和23%,分别。社会支持和生活满意度对适应水平有积极的直接影响，两者都与适应水平呈正相关。抑郁症,另一方面,对适应水平有直接影响，与适应水平呈负相关。自我护理能力间接影响社会支持介导的适应。
■社会支持对生活满意度和抑郁都有积极影响，反过来促进适应。作为社会支持的主要来源，家庭成员和疗养院的工作人员可以通过改善互动来加强对老年人的社会支持，这可以对调整水平产生有意义和积极的影响。该模型展示了社会支持的强化和弱化,自我照顾,生活满意度,和抑郁水平，这有助于为老年人制定相关的护理健康策略，以促进调整水平和改善生活质量。
It has become very common for older adults to relocate to residential care facilities. Yet whether older adults adapt to life in a long-term care residential facility through perception, reflection, and conscious behavioral choices is a challenging social issue. Previous research has shown that adaptation is influenced by physical, mental, psychological, social systems, and other debris factors. However, existing knowledge is often based on unidirectional relationships between these factors and adaptation. Few studies have formally examined bivariate relationships between these factors, and the influence of adaptation between these factors internally remains unclear. Therefore, there is a need to examine the structural causality of adaptation in residential care facilities influenced by a combination of physical, emotional, social and psychological factors, life satisfaction, and social support.
The present cross-sectional study recruited older adults from three residential care facilities in Henan province, China, through convenience sampling. The Chinese Nursing Home Adjustment Scale (NHAS), Geriatric Depression Scale-15 (GDS-15) and Social Support Scale (SSRS), Satisfaction with Life Scale (SWLS), and Barthel Index were employed to measure the older adult\' adjustment level, depression level, social support, satisfaction with life, and self-care ability of the BMC, respectively. The relationships between depression, social support, self-care, satisfaction with life, and adaptation were analyzed and a structural equation model was developed.
A total of 210 participants completed the questionnaire. The model demonstrated an acceptable fit of the data. The results showed that the difference between life satisfaction and depression on the level of adaptation was 60 and 23%, respectively. Social support and life satisfaction had a positive direct effect on the level of adaptation, both showing a positive correlation with the level of adaptation. Depression, on the other hand, have a direct effect on the level of adaptation and showed a negative correlation with the level of adaptation. Self-care ability indirectly influenced adaptation mediated by social support.
Social support has a positive impact on both life satisfaction and depression, which in turn promotes adaptation. As a major source of social support, family members and nursing home staff in residential care facilities can enhance social support for older people through improved interaction, which can have a meaningful and positive impact on levels of adjustment. The model demonstrates the strengthening and weakening of social support, self-care, life satisfaction, and depression levels, which can help inform the development of relevant care health strategies for older people to promote levels of adjustment and improve quality of life.
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