Health motivation and satisfaction with primary care in edlerly clients who receive services at a Nursing center




Haq, Mary

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A descriptive-correlational study was conducted to test whether or not a significant relationship existed between health motivation (HM) and satisfaction with primary care (SPC) in elderly clients who received services at a nursing center (NC). The purposes of the study were to describe the demographic characteristics and their effects on HM and SPC; validate the relationship between HM and SPC; and describe the level of SPC and HM in elderly NC clients. The Interaction Model of Client Health Behavior (Cox, 1982) was the conceptual framework which guided the study. Data were collected using the Client Satisfaction Survey (CSS), (Haq, 1988) and the Health Self-Determinism Index (HSDI) (Cox, 1985). Using a nonprobability sampling method, two separate mailing sequences were completed. One hundred fifty-six (69.9%) NC clients returned the completed instruments. The typical NC client was white (92%), female (71%), married (49%), between the age of 70 to 74 (27%), with some high school education (54%), and a yearly income of less than $15,999 (62%). Subjects were more extrinsically than intrinsically motivated and had experienced high levels of SPC. Only 4.2% ({\it n/} = 7) of the NC clients were dissatisfied with the primary care. Chi square analyses determined that the proportion of cases among the two levels of satisfaction and seven demographic variables were not significantly different. Chi square analyses between the two types of HM and seven demographic variables revealed that HM and education level were dependent variables. Stepwise regression analyses showed age accounted for 4% of the variance within the total CSS scores. None of the demographic variables accounted for the variance within total HSDI scores. A low positive relationship existed between HM and SPC ({\it r/} = .067, {\it p/} = .20). The HSDI and CSS were found to be reliable and had moderate to high internal consistency. Factor analyses of the HSDI and CSS were completed. Although no significant correlation was determined between HM and SPC, the study contributed to the validation of the IMCHB. A stringent replication of the study with a larger, more heterogeneous sample is needed to provide a better understanding of the relationships among the variables.



Elderly clients, Nursing center, Health motivation, Primary care