Basic psychological needs satisfaction and self-neglect in older adults on maintenance hemodialysis:chain mediation of family resilience and psychological resilience
Objective To investigate the relationship between basic psychological needs satisfac-tion,family resilience and psychological resilience with self-neglect in older adults on maintenance hemodial-ysis,and to analyze the mediating effect of family resilience and psychological resilience between basic psy-chological needs satisfaction and self-neglect.Methods The social demographic questionnaire,basic psy-chological needs satisfaction scale,the Connor-Davidson resilience scale 10-item,family resilience question-naire and scale of the elderly self-neglect were applied to 623 older adults on maintenance hemodialysis ran-domized sampled from 50 hemodialysis centers in Hunan Province from July to December 2021.The data were statistically described and mediated pathway analysis was performed using SPSS 28.0 and AMOS 24.0.Results The scores of basic psychological needs satisfaction,psychological resilience,family resilience and elderly self-neglect in older adults on maintenance hemodialysis were(4.95±1.01),(23.24±8.19),(78.60±12.49)and(7.99±5.60),respectively.Correlation analysis showed that self-neglect was statisti-cally negatively correlated with basic psychological needs satisfaction,psychological resilience and family re-silience(r=-0.398,-0.419,-0.451,all P＜0.001),basic psychological needs satisfaction was positively correlated with resilience and family resilience(r=0.594,0.534,both P＜0.001),and psychological resili-ence was positively correlated with family resilience(r=0.477,P＜0.001).Analysis psychological of media-tion effects showed that basic psychological needs satisfaction had a total effect of-0.462 on self-neglect.The direct effect was-0.113,accounting for 25％of the total effect.The mediating effects of family resili-ence and psychological resilience were-0.189 and-0.122 respectively,accounted for 41％and 26％of the total effect.The chain mediating effect was-0.038,with an effect size of 8％.Conclusion Basic psycho-logical needs satisfaction for older adults on maintenance hemodialysis can affect self-neglect either directly or indirectly through family resilience and psychological resilience,and self-neglect can be reduced in the fu-ture by increasing family resilience and psychological resilience through meeting the basic psychological needs of older adults on maintenance hemodialysis.
NETL
NSTL
万方数据
