Effects of Disability Acceptance on the Quality of Life of Elderly People with Spinal Cord Injury

Key Points

• This research aims to empirically verify the dual mediating effects of self-determination and social support on the relationship between disability acceptance and quality of life in elderly individuals with spinal cord injury.
• Convenience sampling was conducted with 257 elderly individuals with spinal cord injury living in K region through a survey.
• Data analysis included frequency analysis, descriptive statistics, and correlation analysis using SPSS 25.0.
• Hayes' PROCESS Macro (Model 6) was used to analyze the dual mediating effects of self-determination and social support.
• Disability acceptance significantly and positively affects the quality of life of elderly individuals with spinal cord injury.
• Self-determination and social support each independently mediate the relationship between disability acceptance and quality of life.
• A statistically significant sequential dual mediating pathway shows that disability acceptance enhances self-determination, which in turn strengthens social support, leading to improved quality of life.

Abstract