养老院老年人的孤独感和脆弱性：社会支持和适应力的多重中介作用。
Loneliness and frailty among nursing home older adults: the multiple mediating role of social support and resilience.
机构信息
Department of Health Management, Heze Medical College, Heze, China.
School of Nursing, Peking University, Beijing, China.
出版信息
Psychogeriatrics. 2021 Nov;21(6):902-909. doi: 10.1111/psyg.12765. Epub 2021 Sep 20.
BACKGROUND
Loneliness has been considered as a risk factor for frailty. Social support (as an external protective resource) and resilience (as an inner protective resource) might play protective roles on the association between loneliness and frailty. In this study, the mediating roles of social support and resilience between loneliness and frailty were explored among older adults living in nursing homes.
METHODS
Older adults (N = 210) from three nursing homes in China were recruited in this cross-sectional study. Information for sociodemographic variables, frailty, loneliness, social support and resilience were collected. The bootstrap analyses by PROCESS macro were conducted to test the multiple mediating role of social support and resilience between loneliness and frailty.
RESULTS
The prevalence of frailty was 34.8% among older adults in nursing homes. Also, social support and resilience mediated the association between loneliness and frailty, respectively. Furthermore, the multiple mediating testing results showed that social support and resilience played sequential mediating roles in the link of loneliness to frailty.
CONCLUSIONS
The findings underscore the protective role of social support and resilience of loneliness and frailty among nursing home older adults.
背景
孤独感被认为是衰弱的一个风险因素。社会支持（作为外部保护资源）和韧性（作为内部保护资源）可能在孤独感与衰弱之间的关系中发挥保护作用。本研究旨在探讨养老院老年人中孤独感与衰弱之间的社会支持和韧性的中介作用。
方法
本横断面研究招募了来自中国三所养老院的 210 名老年人。收集了社会人口统计学变量、衰弱、孤独感、社会支持和韧性的信息。通过 PROCESS 宏进行了 Bootstrap 分析，以检验孤独感和衰弱之间社会支持和韧性的多重中介作用。
结果
养老院老年人中衰弱的患病率为 34.8%。此外，社会支持和韧性分别介导了孤独感和衰弱之间的关联。此外，多重中介测试结果表明，社会支持和韧性在孤独感与衰弱之间的联系中发挥了序列中介作用。
结论
这些发现强调了社会支持和韧性在养老院老年人中对孤独感和衰弱的保护作用。
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