Summary: | 碩士 === 臺北醫學大學 === 護理學研究所 === 97 === The major purposes of this study were to 1) translate the Resilience Scale (RS) into Chinese version and examine its reliability and validity, and 2) explore the predictors of depressive symptoms for older adults with cancer. A cross-sectional research design with convenience sampling technique was used in this study. Participants included 101 older adults with cancer recruited from one local teaching hospital in Taipei and 60 older adults without cancer recruited from community. A set of structured questionnaire was used that included: 1) Demographic and disease characteristics; 2) the Geriatric Depression Scale—short form; 3) the Rosenberg Self-Esteem Scale , and 4) the Resilience Scale. Data were analyzed by descriptive statistics, correlation, independent sample t-tests, Chi-square test, analysis of covariance, factor analysis, and multiple regression analysis. Results revealed that the Chinese version of the RS owned appropriate reliability and validity. After controlling for gender, education level and number of chronic illness, depressive symptoms and resilience differed significantly between older adults with cancer and their counterpart. Number of complication, self-esteem, and resilience significantly predicted depressive symptoms for older adults with cancer. Religious, number of chronic illness, self-esteem and resilience significantly predicted depressive symptoms for community older adults without cancer.
Results from this study could provide important implications to clinical staff for investigating mental health issues in older adults with cancer and community older adults without cancer. Due to the important effect of resilience on older adults, mental health strategy should incorporate the concept of resilience in order to enhance mental health for older adults.
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