Factors Affecting Self- adaptation among Early Elderly People, Artsamat Subdistrict Health Promoting Hospital: Mixed Method Approach
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Abstract
OBJECTIVES: This study employed an explanatory sequential mixed method design to investigate factors influencing self-adaptation among early elderly individuals and to explore their opinions and lived experiences related to adaptation. The research was conducted among residents in the service area of Artsamat Health Promoting Hospital.
MATERIALS AND METHODS: The quantitative phase involved 130 elderly individuals aged 60–69 years residing in Artsamat Subdistrict, Nakhon Phanom Province. Data collection tools included questionnaires on personal information, spiritual well-being, stress, self-perceived abilities, quality of life, and elderly adaptation. Descriptive statistics (frequency, percentage, mean, and standard deviation) and multiple regression analysis were used to analyze the data. The qualitative phase used thematic analysis to examine participants’ narratives.
RESULTS: Quantitative findings revealed that the majority of participants were female (56.9%) and 60 years old (14%). Most were married or in a committed relationship (70.8%) and had completed primary education (77.7%). Multiple regression analysis indicated that spiritual well-being was a significant positive predictor of adaptation (β = 0.376, p < 0.001), while quality of life showed a significant negative correlation with adaptation (β = -0.313, p < 0.001). Thematic analysis of the qualitative data identified five major themes: spiritual well-being, factors influencing spiritual well-being, adaptation strategies, health status, and overall quality of life. The findings suggest that both spiritual well-being and quality of life play critical roles in elderly adaptation.
CONCLUSION: To enhance adaptation among early elderly individuals, nurses should implement programs that promote spiritual well-being—such as religious or mindfulness-based activities—and strengthen physical, psychological, and social dimensions of quality of life. Such initiatives can support elderly individuals in adjusting effectively to the aging process.
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