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老化期望及自我效能在家庭功能与孤独间的中介调节效应分析
引用本文:赖先婷,易子涵,李茜,张杰兰,徐铁飞,佘程宏,鞠梅. 老化期望及自我效能在家庭功能与孤独间的中介调节效应分析[J]. 护理学报, 2022, 29(15): 7-13. DOI: 10.16460/j.issn1008-9969.2022.15.007
作者姓名:赖先婷  易子涵  李茜  张杰兰  徐铁飞  佘程宏  鞠梅
作者单位:1.西南医科大学 护理学院,四川 泸州 646000;
2.德阳市人民医院 护理部,四川 德阳 618000;
3.四川大学华西医院 老年医学中心,四川 成都 610041;
4.西南医科大学附属医院 护理部,四川 泸州 646000
基金项目:国家社会科学基金项目(16XSH017); 四川医院管理和发展研究中心基金资助项目(SCYG2019-24)
摘    要:目的 探讨老化期望在社区老年人家庭功能与孤独间的中介作用,并分析自我效能对中介模型直接路径及间接路径的调节作用,以期探讨四者间的关系及作用机制,为预防和减少社区老年人孤独的发生提供理论支撑和实证依据。方法 采用便利抽样法,于2020年11—12月,选取泸州市380名社区老年人,采用一般资料调查表、家庭关怀指数问卷、孤独感量表简化版、老化期望量表、一般自我效能量表对其进行调查。采用PROCESS 3.3软件对中介效应和调节效应进行检验。结果 本组社区老年人家庭功能总分为8.0(6.0,9.0)分;孤独总分为10.0(7.0,14.0)分;老化期望总分为44.4(36.1,55.6)分;自我效能总分为23(18.0,29.0)分。家庭功能总分与自我效能、老化期望总分呈正相关(rs=0.400~0.511,均P<0.01),与孤独总分呈负相关(rs=-0.436,P<0.01);老化期望总分与孤独总分呈负相关(rs=-0.489,P<0.01)。家庭功能对孤独具有显著的负向预测作用(β=-0.851,P<0.001),老化期望对家庭功能和孤独的关系具有部分中介效应(β...

关 键 词:老年人  家庭功能  孤独  老化期望  自我效能
收稿时间:2022-02-02

Mediating Effect of Expectations Regarding Aging and Moderating Effect of Self-efficacy on Family Function and Loneliness
LAI Xian-ting,YI Zi-han,LI Qian,Zhang Jie-lan,XU Tie-fei,SHE Cheng-hong,JU Mei. Mediating Effect of Expectations Regarding Aging and Moderating Effect of Self-efficacy on Family Function and Loneliness[J]. Journal of Nursing, 2022, 29(15): 7-13. DOI: 10.16460/j.issn1008-9969.2022.15.007
Authors:LAI Xian-ting  YI Zi-han  LI Qian  Zhang Jie-lan  XU Tie-fei  SHE Cheng-hong  JU Mei
Affiliation:1. School of Nursing, Southwest Medical University, Luzhou 646000, China;
2. Dept. of Nursing Administration, Deyang Municipal People's Hospital, Deyang 618000, China;
3. Geriatric Center of West China Hospital, Sichuan University, Chengdu 610041, China;
4. Dept. of Nursing Administration, Affiliated Hospital of Southwest Medical University, Luzhou 646000, China
Abstract:Object To explore the mediating effect of expectations regarding aging (ERA) on family function and loneliness among older people in community, and to analyze the moderating effect of self-efficacy on the direct and indirect path of the mediation model, so as to explore the relationship among the four factors and the mechanism, and to provide theoretical support and empirical basis for preventing and reducing the occurrence of loneliness in older people in communities. Methods Convenience sampling was used to select 380 older people in communities in Luzhou, Sichuan Province and they were surveyed with general information questionnaire, the Family APGAR Index(APGAR), the 6-item Shortform Scale of University of California Los Angeles Loneliness Scale(ULS-6),the 12-item Expectations Regarding Aging (ERA-12) and the General Self-Efficacy Scale (GSES). PROCESS 3.3 software was used to test the mediating and moderating effect. Results The total score of family function, loneliness, ERA, and self-efficacy of older people in communities was 8.0(6.0,9.0), 10.0(7.0,14.0), 44.4(36.1,55.6), and 23.0(18.0,29.0), respectively. Family function had a significant negative predictive effect on loneliness(β=-0.851,P<0.001).Family function was positively correlated with self-efficacy and ERA(rs=0.400~0.511,P<0.01 for all), while negatively with loneliness (rs=-0.436,P<0.01). ERA was negatively correlated with loneliness(rs=-0.489,P<0.01). Family function played a significantly predictive role in loneliness and ERA has a partial mediating effect between family function and loneliness(β=4.325,P<0.001), accounting for 39.92% of the total. Self-efficacy has a moderating effect on the first half path of ERA(β=0.156,P<0.001). The influence of family function on ERA decreased with the increase of self-efficacy. Conclusion In this group, family function and self-efficacy of older people in the communities are relatively good; ERA is in the lower-middle level, and loneliness in a low level. Family function of older people in communities could affect loneliness through the mediating effect of ERA. Self-efficacy moderates the relationship between family function and ERA, and a moderated mediation model is established.
Keywords:older people  family function  loneliness  expectations regarding aging  self-efficacy  
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