老年慢性呼吸系统疾病患者日常生活活动能力与抑郁的关系研究被引量：1

Study on the relationship between daily living activity ability and depression in elderly patients with chronic respiratory diseases

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摘要目的探讨生活满意度与亲子关系满意度在老年慢性呼吸系统疾病患者日常生活活动能力与抑郁之间的平行中介作用,为提高老年慢性呼吸系统疾病患者生命质量提供参考。方法选用中国健康与养老追踪调查(CHARLS)2020年数据,选取≥60岁的慢性呼吸系统疾病患者为研究对象,采用PROCESS 4.1程序对日常生活活动能力与抑郁之间的中介效应进行分析,采用偏差校正的非参数百分位bootstrap法对中介变量进行验证。结果日常生活活动能力受损与亲子关系满意度、生活满意度呈负相关(r=-0.08,P<0.01;r=-0.16,P<0.001),与抑郁呈正相关(r=0.35,P<0.001);中介效应分析显示日常生活活动能力对抑郁的总效应值为0.231 (95%CI:0.600~0.944),直接效应值为0.183 (95%CI:0.451~0.773);生活满意度与亲子关系满意度在日常生活活动能力与抑郁之间起平行中介作用,中介效应值分别为0.040(95%CI:0.018~0.062)、0.009(95%CI:0.002~0.017),总中介效应占效应总量的20.78%(95%CI:0.023~0.074)。结论老年慢性呼吸系统疾病患者日常生活活动能力与抑郁存在关联,生活满意度与亲子关系满意度在其中发挥平行中介作用,关注日常生活活动能力的改善并提高生活满意度与亲子关系满意度,有助于缓解老年慢性呼吸系统疾病患者的抑郁。 Objective To explore the parallel mediating effects of life satisfaction and parent-child relationship satisfaction on the relationship between daily living activity ability and depression in elderly patients with chronic respiratory diseases,pro-viding references for improving their quality of life.Methods Data from the China Health and Retirement Longitudinal Study(CHARLS) 2020 were used,involving patients aged 60 and older with chronic respiratory diseases.The PROCESS 4.1 macro was employed to analyze the mediating effects between daily living activity ability and depression,and the bias-corrected nonparametric percentile Bootstrap method was used to validate the mediating variables.Results Impaired daily living activity ability was negatively correlated with parent-child relationship satisfaction(r=-0.08,P < 0.01) and life satisfaction(r=-0.16,P < 0.001),while positively correlated with depression(r=0.35,P < 0.001).The mediating effect analysis indicated that the total effect value of daily living activity ability on depression was 0.231(95%CI:0.600-0.944),with a direct effect value of 0.183(95%CI:0.451-0.773).Life satisfaction and parent-child relationship satisfaction played parallel mediating roles between daily living activity ability and depression,with mediating effect values of 0.040(95% CI:0.018-0.062) and 0.009(95%CI:0.002-0.017),respectively.The total mediating effect accounted for 20.78%(95%CI:0.023-0.074) of the overall effect.Conclusion There is a relationship between daily living activity ability and depression in elderly patients with chronic respiratory diseases.Life satisfaction and parent-child relationship satisfaction serve as parallel mediators in this relationship.Focusing on improving daily living activity ability and enhancing life satisfaction and parent-child relationship satisfaction may help alleviate depression in older patients with chronic respiratory diseases.

作者张宝轩孙嘉颖罗金萍牟艺帆耿铭慧尹文强陈钟鸣马东平 ZHANG Bao-xuan;SUN Jia-ying;LUO Jin-ping;MOU Yi-fan;GENG Ming-hui;YIN Wen-qiang;CHEN Zhong-ming;MA Dong-ping(School of Management,Shandong Second Medical University,Weifang,Shandong 261053,China;不详)

机构地区山东第二医科大学管理学院 “健康山东”重大社会风险预测与治理协同创新中心健康风险预警治理协同创新中心

出处《现代预防医学》 CAS 北大核心 2024年第21期3961-3966,4001,共7页 Modern Preventive Medicine

基金国家自然科学基金青年项目(72004164)。

关键词慢性呼吸系统疾病日常生活活动能力生活满意度亲子关系满意度抑郁 Chronic respiratory diseases Daily living activity ability Life satisfaction Parent-child relationship satisfaction Depression

分类号 R592 [医药卫生—老年医学] R749.4 [医药卫生—神经病学与精神病学]

作者简介张宝轩(2001-),男,硕士在读,研究方向:卫生管理与政策研究;通信作者:马东平,E-mail:anqiuma123@163.com。