Factors Contributing to Active Aging in Older Adults, from the Framework of Roy’s Adaptation Model

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Martha Elba Salazar-Barajas1
Manuel Lillo Crespo2
Perla Lizeth Hernández Cortez3
María de los Ángeles Villarreal Reyna4
Esther Carlota Gallegos Cabriales5
Marco Vinicio Gómez Meza6
Bertha Cecilia Salazar Gonzalez7

Objective. To determine the variables contributing to the
explanation of active aging according to Roy’s adaptation
model. Methods. Descriptive correlational study, with
convenience and snowball sampling. Two hundred
older adults with chronic disease, were included. The
instruments used were: a) Yesavage’s Geriatric depression
scale, b) Pheiffer’s mental state questionnaire, c) basic
activities of daily living, d) instrumental activities of daily
living, e) Hope scale, f) coping mechanism items from the
Successful Aging Inventory (coping with aging), g) hours of
volunteer work, and h) The Duke-UNC Functional Social
Support Questionnaire. Coping with aging was composed
of independence in basic and instrumental activities of
daily living, free from symptoms of depression, good mental
state, and perception of health as good. Data were analyzed
by using descriptive and inferential statistics, and simple
and multiple linear regression models. Results. Fifty one
percent of the participants showed active aging (42%men, and 56% women).

Factors Contributing to Active Aging in Older Adults, from the Framework of Roy’s Adaptation Modelmen, and 56% women). Of the proposed variables, the variables showing effect on
the variables of active aging, in the generalized linear model, were years of suffering
the disease (Λ=0.922; p=0.008), coping with aging (Λ=0.582; p=0.001), and
perceived social support (Λ=0.885; p=0.001). These three variables explained
5% of basic activities of daily living, 41% of the instrumental activities, 12.5% of
health perception, 26% of mental state, and 21% of depression. Hope, and volunteer
work were not significant. When the variables of active aging were dichotomized, age
showed negative effect on global active aging and coping with aging positive effect.
Conclusion. Although, proposed variables explained individually active aging, only
coping with aging explained global active aging.
Descriptors: healthy aging; psychologic adaptation; depression; activities of daily
living; social support; chronic disease; nursing theory

Factors Contributing to Active Aging in Older Adults, from the Framework of Roy’s Adaptation Model


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