Li Xuejia, Yang Kaiqing, An Yangxin, Liu Min, Yan Chunyan, Huang Rong
School of Nursing, Dali University, Dali, Yunnan, China.
School of Nursing, Dali University, Dali, Yunnan, China; Department of Hospital Unions, Dali Bai Autonomous Prefecture People's Hospital, Dali, Yunnan, China.
Geriatr Nurs. 2022 Nov-Dec;48:315-319. doi: 10.1016/j.gerinurse.2022.10.019. Epub 2022 Nov 7.
This study aimed to explore the relationship between general self-efficacy and frailty in hospitalized older adults with chronic diseases, and to examine the mediating role of loneliness. A total of 327 hospitalized older patients aged 60 years or above with chronic diseases were recruited. Cross-sectional data on the patients' general self-efficacy, frailty and loneliness were collected using questionnaires. The PROCESS macro of the bias correction bootstrapping method was used to test the mediation model. The results showed that the significant mediating role of loneliness between general self-efficacy and frailty (B = -0.735, 95% CI [-0.923, -0.564]) explained 42.4% of the total effect of general self-efficacy on frailty. These findings highlighted the importance of loneliness in older patients with chronic diseases in hospital, especially those with low general self-efficacy.
本研究旨在探讨慢性病住院老年患者的一般自我效能感与衰弱之间的关系，并检验孤独感的中介作用。共招募了327名60岁及以上患有慢性病的住院老年患者。使用问卷收集患者的一般自我效能感、衰弱和孤独感的横断面数据。采用偏差校正Bootstrapping法的PROCESS宏程序来检验中介模型。结果显示，孤独感在一般自我效能感与衰弱之间具有显著的中介作用（B = -0.735，95%CI[-0.923，-0.564]），解释了一般自我效能感对衰弱总效应的42.4%。这些发现凸显了孤独感在住院慢性病老年患者中，尤其是一般自我效能感较低的患者中的重要性。
