社会支持和生命意义感在老年临终患者家庭功能对病人死亡质量的多重中介效应分析  

Analysis of the multiple mediating effects of social support and sense ofmeaning of life on the quality of death of elderly terminally ill patients

作　　者：黄佳洁 田雅丽[1] 黄敏[1] 王金娥[1] 鲍亚平 潘雪影 HUANG Jia-jie;TIAN Ya-li;HUANG Min;WANG Jin-e;BAO Ya-ping;PAN Xue-ying(The First Affiliated Hospital of Nanjing Medical University,Nanjing,Jiangsu 210029,China)

机构地区：[1]南京医科大学第一附属医院,江苏南京210029

出　　处：《现代预防医学》2024年第5期893-898,共6页Modern Preventive Medicine

基　　金：江苏省卫生健康委科研(BJ20019)。

摘　　要：目的 分析社会支持与生命意义感在老年临终患者家庭功能对病人死亡质量的多重中介效应。方法 采用便利抽样法,采用一般资料调查表、领悟社会支持量表、老年人生命意义源量表、家庭关怀度指数量表和ICU护士版QODD-14量表对276例老年患者及其责任护士进行问卷调查;采用Pearson分析相关关系;采用Amos软件建立结构方程模型(SEM)并进行中介效应检验。结果 (1)老年临终患者死亡质量评分(62.52±8.67)分、家庭功能评分(7.54±1.14)分、社会支持评分(52.53±7.64)分、生命意义感评分(107.54±13.58)分;(2)老年临终患者死亡质量与家庭功能、社会支持、生命意义感均呈正相关(r=0.762、0.886、0.795,P<0.05);家庭功能与社会支持、生命意义感均呈正相关(r=0.528、0.499,P<0.05);社会支持与生命意义感之间呈正相关性(r=0.665,P<0.05);(3)社会支持的特定中介效应占20.22%,生命意义感的特定中介效应占17.06%,社会支持-生命意义感的多重中介效应占6.54%。结论 家庭功能可以通过调节社会支持和生命意义感,间接影响死亡质量。Objective To analyze the multiple mediating effects of social support and sense of meaning of life on the quality of death in elderly terminally ill patients.Methods By using convenience sampling method,276 elderly patients and their attending nurses were investigated with general data questionnaire,perceived social support scale,life significance source scale for the elderly,family care index scale,and ICU nurse version QODD-14 scale.Pearson was used to analyze the correlation,and Amos software was used to establish structural equation model(SEM)and mediate effect test.Results(1)The scores of quality of death,family function,social support,and sense of life were 62.52±8.67,7.54±1.14,52.53±7.64,and 107.54±13.58,respectively.(2)The quality of death of elderly deathbed patients was positively correlated with family function,social support,and sense of life meaning(r=0.762,0.886,and 0.795,P<0.05).Family function was positively correlated with social support and sense of life meaning(r=0.528,0.499,P<0.05).There was a positive correlation between social support and sense of life meaning(r=0.665,P<0.05).(3)Specific intermediary effect of social support accounted for 20.22%,specific intermediary effect of sense of life meaning accounted for 17.06%,and multiple intermediary effect of social supportsense of life meaning accounted for 6.54%.Conclusion Family function can indirectly affect the quality of death by regulating social support and sense of life meaning.

关 键 词：死亡质量 家庭功能 社会支持 生命意义感 中介效应 

分 类 号：R48[医药卫生—临床医学]