老化期望在老年慢性阻塞性肺疾病患者社会支持与衰弱间的中介效应  

The mediating effect of expectations regarding aging between social support and frailty in elderly patients with chronic obstructive pulmonary disease

作　　者：段菲 马英芝 赵士红 肖江琴[1] Duan Fei;Ma Yingzhi;Zhao Shihong;Xiao Jiangqin(Department of Nursing,People′s Hospital of Xinjiang Uygur Autonomous Region,Urumqi 830000,China7)

机构地区：[1]新疆维吾尔自治区人民医院护理部,乌鲁木齐830000

出　　处：《中国实用护理杂志》2023年第15期1134-1139,共6页Chinese Journal of Practical Nursing

基　　金：新疆维吾尔自治区自然科学基金(2022D01C111)。

摘　　要：目的探讨老化期望在老年慢性阻塞性肺疾病(COPD)患者社会支持与衰弱间的中介作用,从而促使医护人员更好地开展健康教育,提高患者应对自身衰弱的能力。方法本研究为横断面调查。采用便利抽样法,使用一般资料调查表、衰弱表型评估工具、社会支持评定量表和老化期望量表对2021年11月至2022年4月在新疆维吾尔自治区人民医院呼吸内科、老年病科住院的258例老年COPD患者进行调查,分析社会支持、老化期望与衰弱的相关性,采用AMOS 26.0探讨老化期望在老年COPD患者社会支持与衰弱间的中介效应。结果老年COPD患者社会支持总分为(30.45±5.57)分,老化期望总分为(35.25±6.28)分,衰弱总分为(2.34±1.71)分;老年COPD患者社会支持与衰弱之间呈负相关(r=-0.541,P<0.01),与老化期望之间呈正相关(r=0.477,P<0.01),衰弱与老化期望之间呈负相关(r=-0.536,P<0.01)。老化期望在社会支持与衰弱间起部分中介作用,中介效应值为-0.229,占总效应的35.39%。结论老化期望是老年COPD患者社会支持与衰弱之间的中介变量,医护人员可以通过提高患者老化期望及社会支持水平,从而缓解甚至逆转其衰弱状态。Objective To explore the mediating effect of expectations regarding aging between social support and frailty in elderly patients with chronic obstructive pulmonary disease(COPD),so as to promote better health education among medical staff and improve patients′ability to cope with frailty.Methods This was a cross-sectional study,the convenience sampling method was used to select 258 elderly COPD patients hospitalized in the Department of Respiratory Medicine and Geriatrics of Xinjiang Uygur Autonomous Region People′s Hospital from November 2021 to April 2022.They were investigated by the general information questionnaire,Fried Scale,Social Support Scale and Expectations Regarding Aging-21.Analyzed the correlation among social support,expectations regarding aging and frailty.AMOS 26.0 was used to investigate the mediating effect of expectations regarding aging between social support and frailty in elderly COPD patients.Results The score of social support,expectations regarding aging and frailty in elderly patients with COPD was(30.45±5.57),(35.25±6.28)and(2.34±1.71)points,respectively.There was negative correlation between social support and frailty in elderly COPD patients(r=-0.541,P<0.01),while positive correlation between social support and expectations regarding aging(r=0.477,P<0.01).The negative correlation between social support and expectations regarding aging(r=-0.536,P<0.01).Expectations regarding aging played a partial mediating role between social support and frailty,with mediating effect value of-0.229,accounting for 35.39%of the total effect.Conclusions Expectations regarding aging is a mediator variable between social support and frailty in elderly COPD patients.Health care providers can alleviate or even reverse patients'debilitating condition by improving their expectations regarding aging and social support.

关 键 词：社会支持 肺疾病 慢性阻塞性 老化期望 衰弱 中介效应 

分 类 号：R563.9[医药卫生—呼吸系统]