1 Department of Anthropology and Health Education, Faculty of Education, Palacký University Olomouc, Olomouc, Czech Republic 2 Centre for Research and Science, Faculty of Health Sciences, Palacký University Olomouc, Olomouc, Czech Republic 3 II. Internal Clinic of Gastroenterology and Geriatrics, University Hospital Olomouc, Olomouc, Czech Republic 4 Neurology Clinic, University Hospital Hradec Králové, Hradec Králové, Czech Republic

Fear of falling and physical performance among older Czech adults

Objectives: We examined how institution-dwelling older adults' depressive rumination was associated with their life satisfaction by taking perceived burdensomeness as a mediator and social support from individuals within the institution (SSII) as a moderator.Method: A total of 194 older adults from 24 institutions in four provinces of China completed a questionnaire survey.Results: Depressive rumination was negatively associated with life satisfaction, and perceived burdensomeness mediated this association. Moreover, SSII moderated the indirect association between depressive rumination and life satisfaction through perceived burdensomeness. Specifically, depressive rumination had a negative effect on life satisfaction through perceived burdensomeness only for older adults with less SSII.Conclusion: Our study indicated that depressive rumination could damage older adults' life satisfaction by increasing their perceived burdensomeness. Fortunately, older adults' perception of social support from individuals within the institution could attenuate this negative effect. This study has implications for designing intervention programs to improve the institution-dwelling older adults' life satisfaction.

Depressive rumination and life satisfaction among institution-dwelling Chinese older adults: the roles of perceived burdensomeness and social support from individuals within the institution

Background. life satisfaction may refer to one’s life evaluation, social skills and engagement in life activities. Objectives. evaluation of life satisfaction and functional fitness of people over 60 years of age living in a nursing home and home environment. Material and methods. a survey research was conducted at the turn of 2013 and 2014 in a group of 101 subjects over 60 years of age. This group comprised of 50 residents of the “kombatant” nursing home in ciechanow and 51 subjects staying in a home environment. in the research, the satisfaction With life scale (sWls) and barthel scale were used. Results. analysis of the results shows that the mean index of satisfaction with life among all subjects reached 20.7 ± 6.21 with a median of 23, which indicated an average level of satisfaction with life. in a home environment, 50.98% of the subjects reported a high level of satisfaction with life as compared to only 20% in the nursing home. as for evaluation of functional fitness, more than half of the subjects (53.47%) scored 21 to 85 points according to the barthel scale, and their condition was determined as “moderate to severe”. a high positive correlation (r = 0.7) was also observed between the functional state described as “moderate to severe” among the subjects staying in a home environment and their satisfaction with life. Conclusions. in the researched group, the level of satisfaction with life varied, with lower results among the residents of the nursing home, whereas for those living in a home environment, functional fitness was the key factor in its determination.

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Teresa Wróblewska

Papers

Evaluation of life satisfaction and functional fitness of people over 60 years of age living in a nursing home and home environment