保健医学研究与实践2024,Vol.21Issue(6) :5-11.DOI:10.11986/j.issn.1673-873X.2024.06.02

心理弹性在四川省社区老年人衰弱与生命意义感间的中介效应

Mediating effect of psychological resilience between frailty and sense of meaning in life among the elderly in communities of Sichuan province

张继权 徐帆 谢绍菊 卿伟 李乔 杜金磊
保健医学研究与实践2024,Vol.21Issue(6) :5-11.DOI:10.11986/j.issn.1673-873X.2024.06.02

心理弹性在四川省社区老年人衰弱与生命意义感间的中介效应

Mediating effect of psychological resilience between frailty and sense of meaning in life among the elderly in communities of Sichuan province

张继权 1徐帆 2谢绍菊 2卿伟 3李乔 2杜金磊4
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作者信息

  • 1. 四川省德阳市人民医院护理部,四川 德阳 618000
  • 2. 四川省德阳市人民医院肿瘤科,四川德阳 618000
  • 3. 四川省德阳市人民医院肾内科,四川德阳 618000
  • 4. 四川省自贡市第四人民医院重症医学科,四川 自贡 643000
  • 折叠

摘要

目的 了解四川省社区老年人衰弱、心理弹性及生命意义感现状,探讨心理弹性在社区老年人衰弱与生命意义感间的中介效应,为提升社区老年人的生命意义感水平提供参考.方法 采用便利抽样法,于2022年9-12月抽取四川省符合纳入和排除标准的307例社区老年人为研究对象,应用一般情况调查表、中文版Tilburg衰弱量表、中文版心理弹性量表、生命意义源量表对社区老年人进行面对面问卷调查,采用Pearson相关分析老年人衰弱、心理弹性与生命意义感的相关性,采用Process插件中的Model 4分析心理弹性在衰弱与生命意义感之间的中介效应.结果 社区老年人中文版Tilburg衰弱量表总分为(4.22±2.80)分,中文版心理弹性量表总分为(61.75±16.65)分,生命意义源量表总分为(143.98±24.45)分.Pearson相关分析结果显示,衰弱与心理弹性呈负相关(r=0.425,P<0.001),与生命意义感也呈负相关(r=-0.348,P<0.001),心理弹性与生命意义感呈正相关(r=0.494,P<0.001).中介效应检验结果表明,心理弹性在社区老年人衰弱和生命意义感之间起部分中介作用,中介效应占总效应的51.7%.结论 社区老年人衰弱发病率较高,心理弹性处于一般水平,生命意义感处于中等偏上水平,心理弹性在衰弱和生命意义感间起部分中介作用.应及时评估社区老年人的衰弱程度,制定针对性的干预措施缓解老年人的衰弱状况,提高老年人的心理弹性水平,提升其生命意义感,促进成功老龄化.

Abstract

Objective To investigate the current status of frailty,psychological resilience,and sense of meaning in life among the elderly in Sichuan province communities,and to explore the mediating effect of psychological resilience on frailty and sense of meaning in life,providing a reference for improving the sense of meaning in life among community-dwelling elderly.Methods A convenience sampling method was used to select 307 elderly residents in communities of Sichuan province who met the inclusion and exclusion criteria from September to December 2022.Data were collected using a general information questionnaire,the Tilburg Frailty Indicator(Chinese version),the Psychological Resilience Scale(Chinese version),and the Sources of Meaning in Life Scale through face-to-face interviews.Pearson correlation was used to analyze the correlation be-tween frailty,psychological resilience,and sense of meaning in life among the elderly.The mediating effect of psychological resilience between frailty and sense of meaning in life was analyzed using Model 4 in the Process macro.Results The total scores of the Tilburg Frailty Indicator(Chinese version),the Psychological Resilience Scale(Chinese version),and the Sources of Meaning in Life Scale among community-dwelling elderly were 4.22±2.80,61.75±16.65,and 143.98±24.45,respectively.Pearson correlation analysis showed that frailty was negatively correlated with psychological resilience(r=-0.425,P<0.001)and sense of meaning in life(r=-0.348,P<0.001),while psychological resilience was positively cor-related with the sense of meaning in life(r=0.494,P<0.001).The mediation effect test revealed that psychological resili-ence partially mediated the relationship between frailty and sense of meaning in life,accounting for 51.7%of the total effect.Conclusion The prevalence of frailty among community-dwelling elderly remains high,with moderate levels of psy-chological resilience and sense of meaning in life.Psychological resilience partially mediates the relationship between frailty and sense of meaning in life.It is hence crucial to assess the frailty status of community-dwelling elderly timely and develop targeted interventions to alleviate frailty,promote psychological resilience,and strengthen their sense of meaning in life,so as to promote successful aging.

关键词

心理弹性/衰弱/生命意义感/社区老年人/中介效应

Key words

Psychological resilience/Frailty/Sense of meaning in life/Community-dwelling elderly/Mediation effect

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基金项目

四川省科技厅科研项目(2023JDKP0041)

四川省哲学社会科学重点研究基地四川省老龄事业与产业发展研究中心项目(XJLL2024010)

四川应用心理学研究中心面上项目(CSXL-24221)

四川省老龄健康发展研究中心项目(24SCLN063)

出版年

2024
保健医学研究与实践
西南大学

保健医学研究与实践

CSTPCD
影响因子:0.512
ISSN:1673-873X
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