功能障碍在社区居住的老年人疼痛和抑郁之间的关系中起中介作用：年龄和性别为调节因素。
Functional disability mediates the relationship between pain and depression among community-dwelling older adults: Age and sex as moderators.
机构信息
School of Nursing, Peking University, Beijing 100191, China.
School of Nursing, Shandong University, Jinan, China.
出版信息
Geriatr Nurs. 2021 Jan-Feb;42(1):137-144. doi: 10.1016/j.gerinurse.2020.12.010. Epub 2021 Jan 2.
OBJECTIVE
To examine the moderating effects of age and sex in the role of functional disability as a mediator between pain and depression.
METHODS
Participants were 1917 community-dwelling older adults from Jinan, China. Data were collected on pain intensity, functional disability in activities of daily living and instrumental activities of daily living, depressive symptoms and covariates.
RESULTS
Functional disability partially mediated the relationship between pain intensity and depressive symptoms (estimate = 0.015, SE = 0.007, 95% CI [0.004, 0.030]). Age and sex moderated both the direct and indirect effect of the mediation model. The mediating effect of functional disability was significant in the old-old men, young-old men, and young-old women, but not in the old-old women.
CONCLUSIONS
Interventions should target both pain and pain-related functional disability to improve their emotional well-being among community-dwelling older adults. Importantly, strategies should be tailored across different age and sex groups to improve their effectiveness.
目的
探讨年龄和性别在功能障碍作为疼痛和抑郁之间的中介作用中的调节作用。
方法
参与者为来自中国济南的 1917 名社区居住的老年人。收集了疼痛强度、日常生活活动和工具性日常生活活动的功能障碍、抑郁症状和协变量的数据。
结果
功能障碍部分中介了疼痛强度与抑郁症状之间的关系（估计值=0.015，SE=0.007，95%CI [0.004，0.030]）。年龄和性别调节了中介模型的直接和间接效应。在老老年男性、年轻老年男性和年轻老年女性中，功能障碍的中介作用是显著的，但在老老年女性中则不显著。
结论
干预措施应针对疼痛和与疼痛相关的功能障碍，以改善社区居住的老年人的情绪健康。重要的是，应根据不同的年龄和性别群体制定策略，以提高其效果。
Zotero 插件