School of Nursing, Shandong University, Jinan, 250012Shandong, China.
School of Foreign Languages and Literature, Shandong University, 5 Hongjialou, Jinan, 250100, Shandong, China.
Qual Life Res. 2018 Mar;27(3):783-792. doi: 10.1007/s11136-017-1730-2. Epub 2017 Nov 9.
This study aims to confirm the relationship between social support and health-related quality of life (HRQOL) among rural Chinese elders in nursing homes, and to examine the mediating role of resilience in the impact of social support on HRQOL.
A cross-sectional survey of 205 elders aged 60 and above was conducted in five rural public nursing homes. Sociodemographic characteristics, the SF-36 questionnaire, and information about social support and resilience were collected. The researchers administered the questionnaires to the participants in a face-to-face setting. Descriptive analysis and a correlation matrix were used to indicate characteristics of the participants and bivariate correlations, respectively. The mediation analyses, composed of regression analysis and PROCESS analysis, were preformed to test both direct and indirect effects of social support on HRQOL, namely the mediating role of resilience.
Social support was positively related to HRQOL (β = 0.303, p < 0.001) among Chinese rural elders in nursing homes. The mediating role of resilience in the relationship between social support and HRQOL was confirmed (a*b bootstrapped 95% confidence interval = [0.098, 0.257]), which revealed that social support had an indirect effect on HRQOL through resilience.
Resilience partially mediates the relationship between social support and HRQOL. The mediation model provides a better understanding of how social support and resilience work together to affect HRQOL, and it could guide the interventions in health care for promoting HRQOL among Chinese rural elders in nursing homes.
本研究旨在确认社会支持与农村养老院中老年人健康相关生活质量（HRQOL）之间的关系，并检验韧性在社会支持对 HRQOL 的影响中的中介作用。
对 5 所农村公立养老院的 205 名 60 岁及以上的老年人进行了横断面调查。收集了社会人口统计学特征、SF-36 问卷以及社会支持和韧性的信息。研究人员在面对面的环境中向参与者发放问卷。描述性分析和相关矩阵分别用于表示参与者的特征和进行二元相关性分析。使用回归分析和 PROCESS 分析进行中介分析，以检验社会支持对 HRQOL 的直接和间接效应，即韧性的中介作用。
社会支持与养老院中农村老年人的 HRQOL 呈正相关（β=0.303，p<0.001）。韧性在社会支持与 HRQOL 之间的关系中起到了中介作用（a*b bootstrap 95%置信区间=[0.098, 0.257]），表明社会支持通过韧性对 HRQOL 产生间接影响。
韧性部分中介了社会支持与 HRQOL 之间的关系。该中介模型更好地理解了社会支持和韧性如何共同影响 HRQOL，这可以为促进养老院中农村老年人 HRQOL 的医疗保健干预提供指导。
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