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Person-Centered Climate, Garden Greenery and Well-Being among Nursing Home Residents: A Cross-Sectional Study

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  • Lijuan Xu

    (Medicine College, Lishui University, No. 1 Xueyuan Road, Lishui 323000, China)

  • Yan Lou

    (Medicine College, Lishui University, No. 1 Xueyuan Road, Lishui 323000, China)

  • Caifu Li

    (Medicine College, Lishui University, No. 1 Xueyuan Road, Lishui 323000, China)

  • Xuemei Tao

    (Medicine College, Lishui University, No. 1 Xueyuan Road, Lishui 323000, China)

  • Maria Engström

    (Faculty of Health and Occupational Studies, Department of Caring Science, University of Gävle, 801 76 Gävle, Sweden)

Abstract

Nursing home residents’ well-being is often proxy-rated in studies, and few studies have explored the association between resident-rated person-centered climate, garden greenery, and resident-rated well-being. A cross-sectional study was conducted. Questionnaire data from a convenient sample of 470 nursing home residents in a city in Southeast China in 2021 were analyzed using multiple linear regressions, with block-wise models. The instruments used were the Person-centered Climate Questionnaire-Patient version, the Nursing Home Greenery Index, and, for well-being, the EuroQol-Visual Analogue Scale, the Life Satisfaction Questionnaire, and the 9-item Patient Health Questionnaire (depression symptoms). In the unadjusted models, the person-centered climate was positively associated with general health (β 0.29, p < 0.001), person-centered climate and greenery with life satisfaction (β 0.39, and 0.18; both p < 0.001), and negatively with depression (β −0.28, and β −0.23, both p < 0.001). After adjusting for personal and nursing home characteristics, the associations between person-centered climate, greenery, and well-being remained statistically significant. The three models explained 36%, 35%, and 21% of the variance in general health, life satisfaction, and depression, respectively. This study provides knowledge on person-centered climate in long-term care and the access to greenery.

Suggested Citation

  • Lijuan Xu & Yan Lou & Caifu Li & Xuemei Tao & Maria Engström, 2022. "Person-Centered Climate, Garden Greenery and Well-Being among Nursing Home Residents: A Cross-Sectional Study," IJERPH, MDPI, vol. 20(1), pages 1-12, December.
    • Handle: RePEc:gam:jijerp:v:20:y:2022:i:1:p:749-:d:1021291
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    References listed on IDEAS

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    2. Hania Rahimi-Ardabili & Thomas Astell-Burt & Phi-Yen Nguyen & Juan Zhang & Yu Jiang & Guang-Hui Dong & Xiaoqi Feng, 2021. "Green Space and Health in Mainland China: A Systematic Review," IJERPH, MDPI, vol. 18(18), pages 1-22, September.
    3. Phi-Yen Nguyen & Thomas Astell-Burt & Hania Rahimi-Ardabili & Xiaoqi Feng, 2021. "Green Space Quality and Health: A Systematic Review," IJERPH, MDPI, vol. 18(21), pages 1-38, October.
    4. Huimin Xiao & Ju Young Yoon & Barbara Bowers, 2017. "Quality of life of nursing home residents in China: A mediation analysis," Nursing & Health Sciences, John Wiley & Sons, vol. 19(2), pages 149-156, June.
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