College of Nursing, University of Santo Tomas, España, Manila 1015, Philippines.
Nurse Educ Pract. 2022 Oct;64:103419. doi: 10.1016/j.nepr.2022.103419. Epub 2022 Jul 21.
To determine the parsimonious model of the interrelationships of personal resilience, social support, loneliness and quality of life (QoL) and to identify the mediating effect of loneliness among nursing students amidst the pandemic.
The coronavirus 2019 (COVID-19) pandemic led to control measures which increased loneliness among students due to disrupted social connections and sudden shift to virtual learning. During these changes, resilience and social support can significantly influence how learners deal with pandemic-related stresses thus, minimizing loneliness and enhancing QoL. Although studies posited the influence of resilience and social support with loneliness and QoL, these were conducted prior the COVID-19 pandemic wherein loneliness and feelings of isolation play a crucial part.
Correlational, theory testing using covariance-based structural equation modeling METHODS: A total of 550 nursing students from a comprehensive university in Manila, Philippines were recruited from September to October 2021 and answered four standardized, validated scales.
A good and parsimonious model (x/df = 2.84, RMSEA = 0.058, GFI = 0.999, CFI = 0.999, PNFI = 0.048) highlighted the mediating effect of loneliness between social support, personal resilience and QoL. While personal resilience positively influenced the physical and psychological domains of QoL, social support positively affected the social relationships and environmental domains. Loneliness was a strong, negative predictor of the psychological and social domains of QoL and had a moderate, negative effect on the physical domain. Personal resilience also mediated the influence of social support on loneliness and QoL.
Social support and personal resilience positively affected QoL, while loneliness had a negative effect. Through the mediation of loneliness, the effects of social support on QoL decreases. However, the mediation of resilience further decreases loneliness and improves QoL. The presented model assists nurse educators and administrators in developing strategies to enhance social support, resilience and QoL among students while mitigating the negative effects loneliness during the pandemic.
Loneliness and Resilience are mediators of student nurses' quality of life during COVID-19 pandemic. Social support is the common predictor.
确定个人韧性、社会支持、孤独感和生活质量（QoL）之间相互关系的简约模型，并确定在大流行期间护理学生孤独感的中介作用。
2019 年冠状病毒（COVID-19）大流行导致控制措施增加了学生的孤独感，因为社交联系中断和突然转向虚拟学习。在这些变化中，韧性和社会支持可以极大地影响学习者如何应对与大流行相关的压力，从而最大限度地减少孤独感并提高生活质量。尽管有研究提出了韧性和社会支持对孤独感和生活质量的影响，但这些研究是在 COVID-19 大流行之前进行的，当时孤独感和孤立感起着至关重要的作用。
相关性，使用基于协方差的结构方程建模的理论检验方法。
2021 年 9 月至 10 月，从菲律宾马尼拉的一所综合性大学招募了 550 名护理专业学生，他们回答了四个标准化的、经过验证的量表。
一个良好且简约的模型（x/df=2.84，RMSEA=0.058，GFI=0.999，CFI=0.999，PNFI=0.048）突出了孤独感在社会支持、个人韧性和生活质量之间的中介作用。虽然个人韧性积极影响生活质量的身体和心理领域，但社会支持积极影响社会关系和环境领域。孤独感是生活质量心理和社会领域的强烈负面预测因素，对身体领域有中度负面影响。个人韧性也中介了社会支持对孤独感和生活质量的影响。
社会支持和个人韧性积极影响生活质量，而孤独感则产生负面影响。通过孤独感的中介作用，社会支持对生活质量的影响会降低。但是，韧性的中介作用进一步降低了孤独感并提高了生活质量。所提出的模型有助于护理教育者和管理人员制定策略，在大流行期间提高学生的社会支持、韧性和生活质量，同时减轻孤独感的负面影响。
孤独感和韧性是护理学生在 COVID-19 大流行期间生活质量的中介因素。社会支持是共同的预测因素。
