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中国广州养老院中复原力与社会信任的关系:一项横断面研究。

Relationship between resilience and social trust in nursing homes in Guangzhou, China: a cross-sectional study.

作者信息

Shen Zhenrong, Guo Bing, Yin Mei, Liang Minyu, Li Hongman, Ye Zeng Jie

机构信息

School of Nursing, Guangzhou University of Chinese Medicine, Guangzhou, China.

Home FOR The Aged Guangzhou, Guangzhou, China.

出版信息

BMJ Open. 2025 Jun 20;15(6):e094601. doi: 10.1136/bmjopen-2024-094601.

Abstract

OBJECTIVES

To identify latent resilience profiles among older adults residing in nursing homes and to examine the mediating role of perceived social support in the relationship between resilience and social trust.

DESIGN

A cross-sectional survey conducted between January and May 2023.

SETTING

Three nursing homes in urban Guangzhou, China.

PARTICIPANTS

A total of 233 older adults aged 60 years or above living in nursing homes.

PRIMARY AND SECONDARY OUTCOME MEASURES

Identification of latent profiles of resilience and the mediating effect of perceived social support on the relationship between resilience and social trust.

RESULTS

Of the 254 participants, 233 (91.7%) completed the survey. The sample comprised 60% females, with 55% aged 80 or older. Three distinct latent profiles of resilience were identified: low resilience (55.8%), moderate resilience (12.0%) and high resilience (32.2%). Moreover, perceived social support significantly mediated the relationship between resilience and social trust (=0.72, SE=0.23, 95% CI (0.3, 1.21)).

CONCLUSION

Perceived social support mediates the link between resilience and social trust in institutionalised older adults. Tailored care strategies based on individual resilience profiles may enhance social support and foster trust, contributing to active ageing in nursing home residents.

摘要

目的

识别居住在养老院的老年人的潜在复原力特征,并检验感知社会支持在复原力与社会信任关系中的中介作用。

设计

2023年1月至5月进行的横断面调查。

地点

中国广州城区的三家养老院。

参与者

共有233名60岁及以上居住在养老院的老年人。

主要和次要结局指标

识别复原力的潜在特征以及感知社会支持在复原力与社会信任关系中的中介作用。

结果

254名参与者中,233名(91.7%)完成了调查。样本中女性占60%,55%的人年龄在80岁及以上。识别出三种不同的复原力潜在特征:低复原力(55.8%)、中等复原力(12.0%)和高复原力(32.2%)。此外,感知社会支持显著中介了复原力与社会信任之间的关系(=0.72,标准误=0.23,95%置信区间(0.3,1.21))。

结论

感知社会支持在机构养老老年人的复原力与社会信任之间起中介作用。基于个体复原力特征的个性化护理策略可能会增强社会支持并促进信任,有助于养老院居民实现积极老龄化。

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