生命意义感在社区失能老人家庭照顾者家庭关怀度和主观幸福感之间的中介作用

The mediating effect of meaning in life between family care and subjective well-being of family caregivers of community disabled elderly

目的探讨生命意义感在社区失能老人家庭照顾者家庭关怀度和主观幸福感之间的中介作用,为改善家庭照顾者心理健康提供理论依据。方法2019年8月至2020年8月,采用一般资料调查表、家庭关怀度指数问卷、中文人生意义问卷和总体幸福感量表对广州市13个社区526名失能老人家庭照顾者进行入户调查,使用SPSS 22.0进行描述性分析、相关分析和中介效应分析,并使用AMOS 22.0软件构建结构方程模型,用Bootstrap法进行中介效应检验。结果失能老人家庭照顾者主观幸福感得分(69.41±19.17)分,家庭关怀度得分(6.42±2.56)分,生命意义感得分(42.96±7.61)分。家庭照顾者家庭关怀度与生命意义感、主观幸福感均呈正相关(r=0.275,0.289,均P<0.01),生命意义感与主观幸福感呈正相关(r=0.345,P<0.01)。生命意义感在失能老人家庭照顾者家庭关怀度和主观幸福感之间存在部分中介效应,中介效应值为4.304,中介效应占总效应的30.6%。结论家庭关怀度可直接或通过生命意义感间接影响失能老人家庭照顾者的主观幸福感。

Objective To explore the mediating effect of meaning in life between family care and subjective well-being of family caregivers of community disabled elderly,and provide reference for improving caregivers'mental health.Methods From August 2019 to August 2020,A total of 526 family caregivers of disabled elderly from several communities in Guangzhou were household surveyed by general information questionnaire,family APGRA index,Chinese meaning in life questionnaire and general well-being schedule.SPSS 22.0 software was used for descriptive analysis,correlation analysis and mediating effect analysis.AMOS 22.0 software was used for structural equation model construction,and Bootstrap method was used for mediation effect test.Results The score of subjective well-being,family care,meaning in life of family caregivers of disabled elderly were(69.41±19.17),(6.42±2.56),(42.96±7.61),respectively.The family care was positively correlated with meaning in life and subjective well-being(r=0.275,0.289,both P<0.01)and a positive correlation was found between meaning in life and subjective well-being(r=0.345,P<0.01).Meaning in life had a partial mediating effect between family care and subjective well-being.The mediating effect value was 4.304,accounting for 30.6%of the total effect value.Conclusion The family care can directly or indirectly affect caregivers'subjective well-being through meaning in life.