Structural Equation Modeling on Successful Aging in Elders with Chronic Obstructive Pulmonary Disease Based on Selection-Optimization-Compensation Strategy.
10.4040/jkan.2017.47.4.488
- Author:
Young Mi JANG
1
;
Rhayun SONG
Author Information
1. Department of Nursing, Daejeon Institute of Science and Technology, Daejeon, Korea.
- Publication Type:Original Article
- Keywords:
Chronic obstructive pulmonary disease;
Aging;
Dyspnea;
Coping skill;
Social support
- MeSH:
Adaptation, Psychological;
Adult;
Aging*;
Data Collection;
Dyspnea;
Humans;
Nursing;
Outpatients;
Pulmonary Disease, Chronic Obstructive*
- From:Journal of Korean Academy of Nursing
2017;47(4):488-498
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The focus of the study was on the selection-optimization-compensation (SOC) strategy to predict successful aging mediated by dyspnea symptoms in older adults with chronic obstructive pulmonary disease. The model was constructed based on the hypotheses that coping strategy and social support of the elders predict successful aging through the SOC strategies. METHODS: Participants were 218 outpatients with chronic obstructive pulmonary disease recruited for the study. Data collection was done from March 25 to September 11, 2015, and analyzed using SPSSWIN 22.0 and AMOS 21.0. RESULTS: The hypothetical model appeared to be fit to the data. Seven of eight hypotheses selected for hypothetical model were statistically significant. The SOC strategy has only significant indirect effects through dyspnea symptoms on successful aging. Coping strategy, social support, SOC strategies and dyspnea symptoms explained 62% of variance in successful aging. CONCLUSION: The SOC strategies with social support and dyspnea symptoms significantly explained successful aging among patients with chronic obstructive pulmonary disease. Nursing strategies should be focused on social support and coping strategies to optimize SOC strategies so that older adults with chronic obstructive pulmonary disease are able to manage dyspnea symptoms and eventually achieve successful aging.
