摘要
目的:探索日常生活能力对老年慢性病患者抑郁程度的影响机制,对自我效能感与家庭支持满意度的作用进行分析,为预防和干预老年慢性病患者的抑郁行为提供参考依据。方法:2022年7~8月,采用自编老年慢性病健康管理问卷对郑州市辖区内的1290名老年慢性病患者进行调查。数据分析中采用Pearson相关系数检验、使用PROCESS程序中模型4和模型5进行中介效应和调节作用分析,并使用偏差矫正的百分位Bootstrap法进行中介效应检验。结果:日常生活能力是有效预测老年慢性病患者抑郁程度的危险因素(β=0.68,P<0.001),而且可以通过自我效能感的中介作用产生影响(β=-0.95,P<0.001),中介效应占总效应的比例为36.56%。除此之外,家庭支持满意度可以有效调节日常生活能力对老年慢性病患者抑郁程度的预测作用(β=-0.30,P<0.05)。结论:日常生活能力通过自我效能感影响老年慢性病患者的抑郁程度,且家庭支持满意度具有一定的调节作用。提高个人健康意识,增强自我效能感有助于减少日常生活能力受损对老年慢性病患者心理的负面影响,同时也需重视家庭支持潜在的积极效果。
Objective To explore the influence mechanism of activities of daily life(ADL)on depression in elderly patients with chronic diseases,analyze the effects of self-efficacy and family support satisfaction,and provide a references for the prevention and intervention of depressive behaviors in elderly with chronic diseases.Methods From July to August 2022,1,290 elderly patients with chronic diseases in Zhengzhou City were investigated by using the self-designed health management questionnaire of chronic diseases.Pearson correlation coefficient test,models 4 and 5 in the PROCESS were used to analyze the mediating effect and moderating effect,and percentile Bootstrap method with deviation correction was used to test the mediating effect.Results Activities of daily life is an effective risk factor for predicting the degree of depression in elderly patients with chronic diseases(β=0.68,P<0.001),and also influence it through the mediating effect of self-efficacy(β=-0.95,P<0.001).The mediating effect accounted for 36.56%of the total effect.In addition,family support satisfaction can effectively moderate the predictive effect of activities of daily life on the degree of depression in elderly patients with chronic diseases(β=-0.30,P<0.05).Conclusion Activities of daily life can affect the depression degree of elderly patients with chronic diseases through self-efficacy,and family support satisfaction has a moderating effect.Improving the personal health awareness and self-efficacy is helpful to reduce the negative influence of impairment of activities of daily life on the psychological health of elderly patients with chronic diseases.The latent effect of family support should be valued.
作者
李晓芳
丁天
万荔
闫生方
Li Xiaofang(School of Politics and Public Administration,Zhengzhou University,Zhengzhou,P.R.China)
出处
《中国卫生事业管理》
北大核心
2025年第4期467-471,共5页
Chinese Health Service Management
基金
中国博士后科学基金资助项目“城市老年慢性病群体饮食管理的影响机制与社会工作干预路径”(2024T170836)。
关键词
日常生活能力
慢性病
抑郁
自我效能
家庭支持
activities of daily life
chronic disease
depression
self-efficacy
family support
作者简介
第一作者:李晓芳,博士,硕士生导师;通讯作者:闫生方,博士,正高级经济师,yshengfang@163.com。
