自我感知老化在老年2型糖尿病患者家庭关怀与生命质量间的中介效应  

Mediating effect of self-perceived aging on the relationship between family care and quality of life among elderly patients with type 2 diabetes mellitus

作　　者：钱金平 吴丹[1] 米钰 王淼淼[2] Qian Jinping;Wu Dan;Mi Yu;Wang Miaomiao(Office of Health Promotion and Education,the Second Hospital of Anhui Medical University,Hefei 230601,China;Department of Endocrinololgy,the Second Hospital of Anhui Medical University,Hefei 230601,China)

机构地区：[1]安徽医科大学第二附属医院健康促进与教育办公室,合肥230601 [2]安徽医科大学第二附属医院内分泌科,合肥230601

出　　处：《中国实用护理杂志》2020年第7期490-494,共5页Chinese Journal of Practical Nursing

基　　金：安徽省高校省级人文社会科学研究重大项目(SK2014ZD038)。

摘　　要：目的探讨自我感知老化在老年2型糖尿病患者家庭关怀与生命质量间的中介作用,为改善老年2型糖尿病患者生命质量提供参考依据。方法采用便利抽样法,运用简版自我感知老化量表、家庭关怀度指数问卷、糖尿病患者生命质量特异性量表对215名老年2型糖尿病患者进行调查,运用SPSS 20.0软件进行统计分析。结果老年2型糖尿病患者自我感知老化得分为(49.90±12.11)分,家庭关怀得分为(7.17±2.53)分,生命质量得分为(65.89±12.07)分。老年2型糖尿病患者家庭关怀得分与生命质量得分呈负相关(r值为-0.480,P<0.01),自我感知老化得分与家庭关怀得分呈负相关(r值为-0.472,P<0.01),与生命质量得分呈正相关(r值为0.688,P<0.01)。中介效应检验表明自我感知老化在老年2型糖尿病患者家庭关怀与生命质量间起完全中介作用,中介效应占总效应的86.51%。结论自我感知老化是家庭关怀和生命质量的中介变量,树立积极的自我感知老化有利于提高老年2型糖尿病患者的生命质量。Objective To explore the mediating effect of self-perceived aging between family care and quality of life(QOL)of elderly type 2 diabetes patients,and to provide the evidence for improving the QOL of elderly type 2 diabetes patients.Methods The convenience sampling method was used to investigate 215 elderly patients with type 2 diabetes by using the Brief Ageing Perceptions Questionnaire,the Family APGAR Index and the Diabetes Specific Quality of Life Scale,and statistical analysis was performed using SPSS20.0 software.Results The self-perceived aging score of the elderly patients with type 2 diabetes was(49.90±12.11),the family care score was(7.17±2.53),and the QOL score was(65.89±12.07).Family care score was negatively correlated with QOL score in elderly patients with type 2 diabetes(r value was-0.480,P<0.01),self-perceived aging score was negatively correlated with family care score(r value was-0.472,P<0.01),and positively correlated with QOL score(r value was 0.688,P<0.01).The mediating effect test showed that self-perceived aging played a complete mediating role between family care and QOL in elderly type 2 diabetes patients,and the mediating effect accounted for 86.51%of the total effect.Conclusions Self-perceived aging is the mediating variable of family care and QOL,and establishing positive self-perceived aging is conducive to improving the QOL of elderly patients with type 2 diabetes.

关 键 词：老年人 糖尿病 2型 生活质量 家庭关怀 自我感知老化 中介作用 

分 类 号：R587[医药卫生—内分泌] R473[医药卫生—内科学]