社会支持在慢性病社区老年患者抑郁与生活质量间的中介作用
Social support as a mediator between depression and quality of life in Chinese community-dwelling older adults with chronic disease.
机构信息
School of Nursing, Chongqing Medical University, Chongqing 400016, PR China; School of Nursing, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, PR China.
Department of Neurology, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, PR China.
出版信息
Geriatr Nurs. 2019 May-Jun;40(3):252-256. doi: 10.1016/j.gerinurse.2018.10.014. Epub 2018 Nov 29.
The older adults with chronic disease usually show poor mental health and experience low quality of life (QOL). This study aimed to examine the mediating role of social support in the relationship between depression and QOL in community-dwelling older adults with chronic disease. A total of 387 Chinese older adults aged 60 or above with chronic disease were included in this cross-sectional study. Social support was negatively associated with depression and positively associated with physical component scale (PCS) and mental component scale (MCS). Depression and social support were all predictors of PCS and MCS. Mediation analysis suggested that social support partially mediated the impact of depression on PCS and MCS. Understanding the mediating role of social support might be beneficial in reducing the adverse impact of depression on QOL in community-dwelling older adults with chronic disease.
患有慢性病的老年人通常表现出较差的心理健康状况和较低的生活质量（QOL）。本研究旨在探讨社区中患有慢性病的老年人中，社会支持在抑郁与生活质量之间的关系中所起的中介作用。共有 387 名年龄在 60 岁及以上患有慢性病的中国老年人参与了这项横断面研究。社会支持与抑郁呈负相关，与生理成分量表（PCS）和心理成分量表（MCS）呈正相关。抑郁和社会支持都是 PCS 和 MCS 的预测因素。中介分析表明，社会支持部分中介了抑郁对 PCS 和 MCS 的影响。了解社会支持的中介作用可能有助于减轻社区中患有慢性病的老年人中抑郁对生活质量的不利影响。
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