School of Nursing, Southern Medical University, Guangzhou, China.
School of Public Health and Management, Guangzhou University of Chinese Medicine, Guangzhou, China.
Front Public Health. 2023 Apr 3;11:1079593. doi: 10.3389/fpubh.2023.1079593. eCollection 2023.
The study explored sources of meaning in older adults and the action path among family care, meaning in life, quality of life, and depression.
We investigated 627 older adults using the Sources of Meaning in Life Scale for the Elderly (SMSE), the Family Care Index (APGAR), the Center for Epidemiological Studies Depression Scale-10 (CES-D-10), and the EuroqOL-5 Dimensions (EQ-5D).
Scores categorized 454 older adults with good family function, 99 with moderate, and 47 with severe family dysfunction; 110 older adults had depression. The structural equation model showed that family care affected the quality of life and depression by influencing meaning, and depression had a significant negative effect on the quality of life ( < 0.05). The model was a good fit for the data (χ/df = 3.300, SRMR = 0.0291, GFI = 0.975, IFI = 0.971, TLI = 0.952, CFI = 0.971, RMSEA = 0.062).
Meaning in life is an intermediary factor that affects depression and quality of life in older adults. Family care had a significant positive impact on SMSE and a negative influence on depression. The SMSE effectively clarifies the sources of meaning in life and can be used to improve meaning and promote mental health in older adults.
本研究探讨了老年人意义的来源以及家庭关怀、生活意义、生活质量和抑郁之间的作用路径。
我们使用老年人生活意义源量表（SMSE）、家庭关怀指数（APGAR）、流行病学研究中心抑郁量表-10 项（CES-D-10）和 EuroqOL-5 维度（EQ-5D）对 627 名老年人进行了调查。
评分将 454 名家庭功能良好的老年人分为 4 组，99 名中度家庭功能不良的老年人，47 名严重家庭功能不良的老年人；110 名老年人患有抑郁。结构方程模型表明，家庭关怀通过影响意义来影响生活质量和抑郁，而抑郁对生活质量有显著的负面影响（<0.05）。该模型很好地适用于数据（χ/df=3.300，SRMR=0.0291，GFI=0.975，IFI=0.971，TLI=0.952，CFI=0.971，RMSEA=0.062）。
生活意义是一个中介因素，影响老年人的抑郁和生活质量。家庭关怀对 SMSE 有显著的积极影响，对抑郁有负面影响。SMSE 有效地阐明了生活意义的来源，可以用于提高老年人的意义，促进心理健康。
