家庭关怀在老年慢性病患者身心舒适与幸福感的中介效应研究

Research on the mediating role of family care on the physical and mental comfort and well-being of elderly patients with chronic diseases

目的探讨家庭关怀在老年慢性病患者身心舒适与幸福感中的中介作用。方法选取2020年5—7月在济宁市第一人民医院治疗的326例老年慢性病患者,应用家庭关怀度指数问卷(APGAR)、老年慢性病简化舒适状况量表(CEPCS)和纽芬兰大学幸福度量表(MUNSH)进行调查。结果 326例慢性病患者的APGAR总分评分为(6.31±1.18)分,CEPCS总分评分为(76.38±11.25)分,MUNSH总分评分为(28.49±5.35)分。相关分析显示,家庭关怀度、舒适度和幸福感之间两两均存在正相关性(P<0.01);中介效应分析显示,家庭关怀度的中介效应为0.139;Bootstrap检验结果显示,家庭关怀度至主观幸福感的中介效应的95%置信区间为0.112~0.169。结论家庭关怀在老年慢性病患者身心舒适与幸福感具有中介作用,能够中介两者之间的关系。

Objective To explore the mediating role of family care in the physical and mental comfort and well-being of elderly patients with chronic diseases.Methods A total of 326 elderly patients with chronic diseases who were treated in Jining No.1 People′s Hospital from May to July in 2020 were selected.The Family Care Index Questionnaire(Adaptation,Partnership,Growth,Affection and Resolve Index scale,APGAR),Simplified Comfort Status Scale for Elderly Chronic Diseases(CEPCS)and the Memorial University of Newfoundland Scale of Happiness(MUNSH)were used to investigate them.Results The APGAR total score of 326 patients with chronic diseases were(6.31±1.18)points,the CEPCS total score were(76.38±11.25)points,and the MUNSH total score were(28.49±5.35)points.Correlation analysis showed that there was a positive correlation between family care,comfort and happiness(P<0.01).The mediating effect analysis showed that the mediating effect of family care was 0.139.The Bootstrap test results showed that the mediating effect in 95%confidence interval of family care to subjective well-being was 0.112-0.169.Conclusion Family care plays a mediating role in the physical and mental comfort and well-being of elderly patients with chronic diseases,and can mediate the relationship between the two.