The Study On The Theoretical Model Of Residential Setting Senior Citizens’ Fatigue Experience And Its Influence Factors

ObjectiveExplore the fatigue experience of the residential setting senior citizens to establish the theoreticalmodel and to analyze the influence factors on it; clarified the influence of fatigue experience about lifeequality for the elderly. Then the management measures were put forward. It’s aim to promote the responsecapacity and congnitive level of multidisciplinary team led by nurses during the process of extendingservice; to improve quality of life to the elderly; to elevate the healthy aging.MethodsQualitative research and quantitative research were taken in this study. The fomer guided bygrounded theory was adopted to establish the theoretical model, while the later was employed to analyzethe influence factors.1.21senior citizens with complete health records were included to participate in the interviews fromJuly2012to May2013. With MAXQDA v10.4.15.1for3levels coding, the theoretical model of fatigueexperience about residential setting senior citizens was structured through constant comparison andin-depth analysis.2. The questionnaire for testing fatigue experience to the elderly was drafted based on the theoreticalmodel. With the addition of the informed consent and basic information designed by the researcher,Activity of Daily Living Scale,12-Item Short-Form Health Survey Questionnaire, Patient HealthQuestionnaire, Family APGAR Index,296old persons with complete health records were included fromMay to August2013. The data was input and analyzed by Epidata3.1and SPSS13.0respectively. Descriptive analysis,2analysis, nonparametric test and binary Logistic analysis were employed.Descriptive analysis was used to analyze the basic information and the fatigue situations of the elderly;2analysis and nonparametric test were utilized to screen the variables which were statistically significant;then the influence factors were determined by Binary Logistic analysis. Nonparametric test was applied toanalyze the effect of fatigue experience on the equality of life.Results1. Multi-response, self-management, safe and belonging, hitting rock bottom, accepting andtransferring formed the theoretical model.2. Judge whether the old people experience the fatigue or not by enquiring the following questions:①Do you feel tired much of time?②Are you satisfied with your sleeping?③Do have any feelings aboutmuscle weakness?④Do you feel life is boring?⑤Do you have confused thinking?⑥Are you reluctantto participate in group activities?3. Binary Logistic analysis results showed that the risk factors of the fatigue experience to residentialsetting senior citizens were venerable age, higher level of BMI and depression, more types of chronicdiseases, with OR values3.09,2.07,9.92,2.33; the protection factors were male, more education, higherincomes, regular physical exercise, low dose of alcohol, with OR values0.10,0.38,0.23,0.03,0.08.4. Nonparametric test results showed that the scores of SF-12(General Health, Physical Functioning,Role-Physical, Bodily Pain, Role-Emotional, Mental Health, Vitality and Social Functioning) between theelderly with fatigue experience and the ones without it had statistical difference. In addition, the former ishigher than the latter. ConclusionsMultidisciplinary teams should pay more attention to concern on the fatigue experience aboutresidential setting senior citizens based on the theoretical model, the influence factors, the measures andthe elderly-centered idea. All of these should be under the premise of learning experiences from developedcountries and senior citizens centered philosophy during medical service delivery.