在新冠疫情背景下，抑郁在我国老年人社会资本与健康相关生活质量之间起中介作用：一项横断面研究。
Depression mediates the relationship between social capital and health-related quality of life among Chinese older adults in the context of the COVID-19 pandemic: A cross-sectional study.
作者信息
Zhang Ping, Liu Xiao-Li, Zhang Rong-Mei, Xia Ning
机构信息
Department of Transplantation, Second Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China.
出版信息
Nurs Open. 2023 Sep;10(9):6517-6526. doi: 10.1002/nop2.1904. Epub 2023 Jul 3.
AIM
To explore the association between social capital and health-related quality of life (HRQoL) and to determine whether depression mediates the association among Chinese older adults in the context of the COVID-19 pandemic.
DESIGN
A descriptive cross-sectional research design.
METHODS
The Geriatric Depression Scale-15, Social Capital Questionnaire and 12-item Short-Form Health Survey were used to investigate 1201 older adults selected from Jinan, Shandong Province, China, using a multistage stratified cluster random sampling method.
RESULTS
Pearson's correlation analysis revealed a significant positive correlation between social capital and HRQoL (r = 0.269, p < 0.01). Multivariate linear regression analyses demonstrated that social capital was significantly negatively associated with depression (β = -0.072, p < 0.001) and that depression was associated with HRQoL (β = -1.031, p < 0.001). The mediation analyses showed that depression mediated the association between social capital and HRQoL, and the indirect effect size was 0.073 (95% confidence interval: 0.050, 0.100).
目的
探讨社会资本与健康相关生活质量（HRQoL）之间的关联，并确定在2019冠状病毒病疫情背景下，抑郁是否在中国老年人中介导了这种关联。
设计
描述性横断面研究设计。
方法
采用多阶段分层整群随机抽样方法，选取中国山东省济南市的1201名老年人，使用老年抑郁量表-15、社会资本问卷和12项简短健康调查问卷进行调查。
结果
Pearson相关分析显示，社会资本与健康相关生活质量之间存在显著正相关（r = 0.269，p < 0.01）。多元线性回归分析表明，社会资本与抑郁显著负相关（β = -0.072，p < 0.001），抑郁与健康相关生活质量相关（β = -1.031，p < 0.001）。中介分析表明，抑郁介导了社会资本与健康相关生活质量之间的关联，间接效应大小为0.073（95%置信区间：0.050，0.100）。
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