摘要
目的探讨自我效能感在农村中老年人社会支持与痴呆恐惧间的中介效应。方法本研究为横断面研究。采用便利抽样法, 选取2023年1—3月湖南省5个农村地区的271名中老年人为研究对象。采用一般资料调查表、一般自我效能量表(GSES)、社会支持评定量表(SSRS)、痴呆恐惧量表(FODS)进行问卷调查。采用Pearson相关分析探讨农村中老年人自我效能感、社会支持与痴呆恐惧的相关性。采用SPSS软件宏程序Process 4.1检验中介效应。结果共发放问卷280份, 回收有效问卷271份, 问卷有效回收率为96.79%(271/280)。271名农村中老年人的GSES得分为(22.86±6.94)分, SSRS得分为(38.88±8.66)分, FODS得分为(55.79±13.88)分。Pearson相关分析结果显示, 社会支持与自我效能感呈正相关(r=0.571, P<0.01), 痴呆恐惧与社会支持、自我效能感呈负相关(r值分别为-0.368、-0.338, P均<0.01)。自我效能感在社会支持与痴呆恐惧间起部分中介作用, 中介效应值为-0.111, 占总效应的32.17%。结论自我效能感在社会支持与痴呆恐惧间起部分中介作用。医护人员应重视农村中老年人自我效能感的提升, 提供持续的社会支持, 降低痴呆恐惧水平。
Objective To explore the mediating effect of self-efficacy between social support and fear of dementia among middle-aged and elderly people in rural areas.Methods This study was a cross-sectional study.A total of 271 middle-aged and elderly people from 5 rural villages in Hunan Province were selected as research objects by the convenient sampling method from January to March 2023.A questionnaire survey was conducted using General Information Questionnaire,Social Support Rating Scale(GSES),Social Support Rating Scale(SSRS),and Fear of Dementia Scale(FODS).Pearson correlation analysis was used to explore the correlation between self-efficacy,social support,and dementia fear of dementia among middle-aged and elderly people in rural areas.The mediation effect was tested using the SPSS macro program Process 4.1.Results A total of 280 questionnaires were sent out,and 271 were effectively collected,with an effective recovery rate of 96.79%(271/280).The scores of GSES,SSRS,and FODS of 271 middle-aged and elderly people in rural areas were(22.86±6.94),(38.88±8.66)and(55.79±13.88),respectively.Pearson correlation analysis showed that social support was positively correlated with self-efficacy(r=0.571,P<0.01),while fear of dementia was negatively correlated with social support and self-efficacy(r=-0.368,-0.338;both P<0.01).Self-efficacy partially mediated between social support and fear of dementia,and the mediating effect was-0.111,accounting for 32.17%of the total effect.Conclusions Self-efficacy partially mediates between social support and fear of dementia.Medical staff should pay attention to the improvement of self-efficacy of rural middle-aged and elderly people,provide continuous social support,and reduce the level of fear of dementia.
作者
张睿莹
王恒旭
刘丽华
Zhang Ruiying;Wang Hengxu;Liu Lihua(School of Medicine,Hunan Normal University,Changsha 410000,China)
出处
《中华现代护理杂志》
2024年第9期1218-1223,共6页
Chinese Journal of Modern Nursing
关键词
痴呆
恐惧
农村
中老年人
社会支持
自我效能感
Dementia
Fear
Rural area
Middle-aged and elderly people
Social support
Self-efficacy
