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Effect of Self-transcendence, Self-distancing, and Family Functionality on Self-care Agency in Older Adults.

Josué Medina-Fernández, Claudia Nelly Orozco-González, Nissa Yaing Torres-Soto, Diana Cortes-Montelongo, Antonio Yam-Sosa, Isaí Medina-Fernández

Investigacion y educacion en enfermeria June 1, 2024 DOI: 10.17533/udea.iee.v42n2e08 (opens in new tab) via PubMed

Summary

AI-generated from the abstract

Self-transcendence, self-distancing, and family functioning together explain 37% of the capacity for self-care among Mexican older adults. In a sample of 253 elderly participants (mean age 68 years, 60% female, 51% with primary education or less), those with chronic diseases showed lower self-distancing but greater self-transcendence and self-care ability compared to those without chronic conditions. The findings suggest that psychological and family factors are important contributors to self-care in aging populations, which could inform nursing interventions aimed at preventing functional, cognitive, and social decline.

Study at a glance

Characteristics Correlational-explanatory Peer reviewed
Sample size 253
Population Mexican older adults aged 60+
Keywords Adult health Aged Family relations Selfcare
Key finding Self-transcendence, self-distancing, and family functioning together have a positive effect explaining 37% of self-care agency in older adults.

Abstract

To determine the effect of self-distancing, self-transcendence, and family functioning on self-care agency in Mexican older adults. Correlational-explanatory design, with a sample of 253 elderly, collecting data through a simple random sampling. A personal data questionnaire was applied, the scale of: self-transcendence, the self-distancing subscale, the family APGAR and the ability to self-care in Mexican population from different demographic groups. Descriptive and inferential statistics were applied (Mann-Whitney U and a structural equation model) and the study was approved by a registered ethics committee. The study had participation from 253 elderly, with a mean age of 68.02 years, with prevalence of the female sex (60.1%); the level of education was primary school or lower (51.4%). It was observed that the group of chronic diseases had lower self-distancing (U = 4.449.5, p = 0.038) and greater self-transcendence (U = 4177.0, p = 0.008), and selfcare (U = 4365.5, p = 0.024) than the group without chronic diseases. It was also found that self-transcendence, self-distancing, and family functionality produce a positive effect of 37% on selfcare. Self-distancing, self-transcendence, and family functionality explain an important proportion of selfcare in the elderly. Said knowledge permits understanding the care behavior of the elderly and, thus, propose future educational interventions by nursing to prevent or avoid functional, cognitive loss and social effects.

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