Factors Influencing Resilience Among Community-Dwelling Older Adults with Chronic Illness: A Causal Model Testing
Keywords:
Resilience, social support, optimism, well-being, life-satisfaction, community-dwelling older adults with chronic illnessAbstract
Abstract
This research aimed to determine factors influencing resilience among community-dwelling older adults with chronic illness. A multi-stage random sampling was used to recruit a sample of 400 older adults aged 60 years or older with chronic illness. They were both males and females living in communities of Rayong and Chantaburi provinces. Research instruments included a demographic questionnaire, and questionnaires about health status, perceived stress, perceived self-efficacy, optimism, well-being, life satisfaction, social support, and resilience. Their Cronbach’s alpha reliabilities were .94, .80, .94, .77, .77, .84, .93, and .97, respectively. Descriptive statistics and structural equation modeling were used to analyze the data.
The results revealed that resilience among the sample was at a high level (M = 116.49, SD = 17.17). The model accounted for 32.0 % of variance in explanation for resilience (χ2 = 196.75, df = 92, p = .00, GFI = .95, CFI = .98, RMSEA = .053, R2 = .32). Resilience had positive and direct effect on social support (b = .23), optimism (b = .18), well-being (b = .18), and life satisfaction (b = .17). Nurses and other health care providers should utilize these findings to develop an intervention or a program to promote resilience among community-dwelling older adults with chronic illness by emphasizing on social support, optimism, well-being, and life satisfaction.
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