摘要
目的引入衰弱和抑郁2个中介变量,通过构建多元多重中介模型探索非正式护理满足情况对老年人生命质量的影响机制。方法采用一般资料问卷、老年人非正式护理满足情况量表、衰弱表型、老年人抑郁量表和SF-36简明健康量表对青岛市2个市区共6个社区210名年龄≥60岁老年人进行调查。结果非正式护理满足情况中日常生活照料维度对生命质量存在直接效应(β=0.160,P<0.01)和以衰弱为中介的间接效应(β=0.055,P<0.01);心理支持指导维度对生命质量存在直接效应(β=0.130,P<0.01)和以抑郁为中介的间接效应(β=0.132,P<0.01);疾病相关护理维度对生命质量存在直接效应(β=0.150,P<0.01)和以衰弱和抑郁为中介的间接效应(β=0.147,P<0.01)。结论非正式护理对老年人生命质量的影响应得到重视,采取相应措施促进非正式护理的使用并提高非正式护理的质量对提高老年人的生命质量、促进健康老龄化有重要意义。
Objective To investigate the impact of informal care satisfaction on quality of life on the elderly by establishing a structural equation model between them and introducing two mediating variables of frailty and depressive factors. Methods A total of 210 elderly over 60 years old from 6 communities of 2 urban areas in Qingdao were surveyed by general information questionnaire, the informal care satisfaction scale, frailty phenotype, depression scale and the SF-36 brief health scale. Results There was a direct effect on quality of life of daily life care dimension in informal nursing satisfaction (β=0.160, P<0.01) and an indirect effect of debilitating as intermediary (β=0.055, P<0.01). There was a direct effect on quality of life (β=0.130, P<0.01) and an indirect effect mediated by depression (β=0.132, P<0.01). There was a direct effect on quality of life (β=0.150, P<0.01) and an indirect effect mediated by debilitating and depression (β=0.147, P<0.01). Conclusions We should pay more attention to the impact of informal care on the quality of life on the elderly. Taking corresponding measures to promote the use of informal nursing and improving the quality of informal care is of great significance to improve the quality of life of the elderly and promote healthy aging.
作者
张宇辰
朱礼华
王爱敏
张玉钰
武玉洁
韩丽
刘盼盼
Zhang Yuchen;Zhu Lihua;Wang Aimin;Zhang Yuyu;Wu Yujie;Han Li;Liu Panpan(School of Nursing, Qingdao University, Qingdao 266021, China;Commercial College, Qingdao University, Qingdao 266071, China)
出处
《中国实用护理杂志》
2019年第16期1223-1228,共6页
Chinese Journal of Practical Nursing
基金
国家社会科学基金(17BRK013)
青岛市哲学社会科学规划项目(QDSKL601097).
