摘要
目的探讨老年髋部骨折术后患者的社会支持、出院准备度和生活质量间的关系,并分析出院准备度在社会支持和生活质量间的中介作用。方法本研究为横断面研究。采用便利抽样法,选取2020年6月—2021年7月在山东第一医科大学附属省立医院创伤中心行手术治疗的220例老年髋部骨折患者为研究对象,采用一般资料调查表、社会支持评定量(SSRS)、出院准备度量表(RHDS)、12条简明健康状况调查问卷(SF-12)对患者进行调查。采用Pearson相关分析探讨各变量之间的相关性;采用AMOS 23.0软件构建结构方程模型,并应用Bootstrap法进行中介效应的检验。共发放问卷220份,回收有效问卷193份,问卷有效率为87.73%(193/220)。结果193例老年髋部骨折术后患者RHDS总分为(79.39±6.42)分,SSRS总分为(38.62±6.74)分,SF-12总分为(65.39±9.28)分。老年髋部骨折术后患者社会支持与出院准备度呈正相关(r=0.39,P<0.01),出院准备度与生活质量呈正相关(r=0.67,P<0.01),社会支持与生活质量呈正相关(r=0.56,P<0.01)。路径分析结果表明,老年髋部骨折术后患者的出院准备度能够正向预测生活质量(β=0.54,P<0.01),社会支持能够正向预测出院准备度(β=0.23,P<0.01)和生活质量(β=0.34,P<0.01),出院准备度在社会支持与生活质量之间起部分中介作用,中介效应为0.1242,占总效应的26.76%。结论老年髋部骨折术后患者的出院准备度处于较低水平,出院准备度在社会支持和生活质量之间起部分中介作用。护理人员应制订相应的干预措施提高老年髋部骨折术后患者的社会支持水平以及出院准备度,进而提高其生活质量。
Objective To explore the relationship among social support,discharge readiness and quality of life in elderly patients with hip fracture,and to analyze the mediating effect of discharge readiness on social support and quality of life.Methods This study was a cross-sectional study.From June 2020 to July 2021,220 elderly patients with hip fracture who underwent surgical treatment in the Trauma Center of the Shandong Provincial Hospital Affiliated to Shandong First Medical University were selected as the research object.The patients were surveyed using the General Information Questionnaire,Social Support Rate Scale(SSRS),Readiness for Hospital Discharge Scale(RHDS),and the 12-item Short From Health Survey(SF-12).Pearson correlation was used to explore the correlation among variables,and AMOS 23.0 software was used to construct structural equation model,and Bootstrap method was used to test the mediating effect.A total of 220 questionnaires were distributed,and 193 valid questionnaires were recovered,with a valid rate of 87.73%(193/220).Results Among 193 elderly patients after hip fracture surgery,the total scores of RHDS,SSRS and SF-12 were(79.39±6.42),(38.62±6.74),and(65.39±9.28),respectively.Social support was positively correlated with discharge readiness(r=0.39,P<0.01),discharge readiness was positively correlated with quality of life(r=0.67,P<0.01),and social support was positively correlated with quality of life(r=0.56,P<0.01).The results of path analysis showed that discharge readiness of elderly patients after hip fracture surgery could positively predict quality of life(β=0.54,P<0.01),and social support could positively predict discharge readiness(β=0.23,P<0.01)and quality of life(β=0.34,P<0.01).Discharge readiness played a partial mediating role between social support and quality of life,with a mediating effect of 0.1242,accounting for 26.76%of the total effect.Conclusions Discharge readiness of elderly patients after hip fracture surgery is low.Discharge readiness partially mediates the relationship between social support and quality of life.Nurses should formulate corresponding intervention measures to improve the social support and discharge readiness of elderly patients after hip fracture surgery,thereby improving their quality of life.
作者
王惠惠
李娜
魏民
宋玉芝
陈宝花
张皓
Wang Huihui;Li Na;Wei Min;Song Yuzhi;Chen Baohua;Zhang Hao(Trauma Center,Shandong Provincial Hospital Affiliated to Shandong First Medical University,Jinan 250021,China;School of Nursing,Shandong University of Traditional Chinese Medicine,Jinan 250355,China;Surgical Department,Shandong Provincial Hospital Affiliated to Shandong First Medical University,Jinan 250021,China)
出处
《中华现代护理杂志》
2022年第18期2431-2436,共6页
Chinese Journal of Modern Nursing
关键词
老年人
髋骨折
出院准备度
社会支持
生活质量
中介效应
Aged
Hip fractures
Discharge readiness
Social support
Quality of life
Mediating effect
作者简介
通信作者:李娜,Email:lina131468@163.com。
