Analysis of perceived autonomy levels and influencing factors of 460 oldest old residents in nursing homes in Ningbo

Abstract

Abstract: Objective To investigate the current status of perceived autonomy among oldest old residents in nursing homes in Ningbo,and analyze its influencing factors,in order to provide a scientific basis for developing improvement strategies,relevant policies,and enhancing the quality of elderly care services. Methods A cross-sectional survey design was adopted to conduct a questionnaire survey on 460 oldest old residents from 11 nursing homes in Ningbo from July 2023 to January 2024 using convenience sampling method. The survey instruments included a general information questionnaire,the simplified Chinese version of the perceived enactment of autonomy scale,Barthel index,patient health questionnaire-9 items,mini-mental state examination,and social support rating scale. Multiple linear regression analysis was used to analyze the influencing factors of perceived autonomy. Results The total score of perceived autonomy for the oldest old residents in nursing homes in Ningbo was （66.52±18.54）points. Multiple linear regression analysis revealed that activities of daily living,depressive symptoms,cognitive function,and social support were significant influencing factors of perceived autonomy（all P<0.01）,explaining 91.0% of the total variance in perceived autonomy scores. Conclusion The level of perceived autonomy among the oldest old residents in nursing homes in Ningbo is relatively high. It is recommended that nursing homes provide personalized support and services based on the identified factors,such as improving self-care abilities,enhancing depression screening,conducting cognitive training,and establishing social support networks,to further enhance the level of perceived autonomy among the oldest old residents.

Key words: Oldest old, Nursing homes, Perceived autonomy, Geriatric nursing, Cross-sectional study

CLC Number:

R181.3⁺7

MA Linlin, WANG Jialu, FANG Yi, CHEN Huixian, LI Zhi, YIN Zhiqin. Analysis of perceived autonomy levels and influencing factors of 460 oldest old residents in nursing homes in Ningbo. [J]OCCUPATION AND HEALTH, 2025, 41(9): 1203-1208.

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