在老年关节炎患者中,社会参与,抑郁症状和活动障碍之间的纵向关系:调节调解分析
Zeping Yan1,2,3, Xiaorong Luan4, LiJun Meng2
1School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, China.
BMC geriatrics
|February 7, 2024
概括
社会参与保护关节炎患者免受活动障碍,抑郁症状作为部分调解者. 这种效应在女性中更为明显,这凸显了老年人社会参与的重要性.
科学领域:
- 老年学是指老年学的学科.
- 类风湿病学 类风湿病学
- 精神病学是一个精神病学.
背景情况:
- 关节炎是老年人活动障碍的主要原因之一.
- 在这个人口群体中,社会参与对于保持功能能力至关重要.
- 抑郁症症状可能会将社会参与与功能限制联系起来.
研究的目的:
- 研究抑郁症症状在关节炎患者的社会参与和活动障碍之间的关系中的调解作用.
- 为了检查性是否能缓和这种调解效应.
主要方法:
- 利用来自中国健康与退休长度研究 (2015-2018) 的2247名老年关节炎患者的数据.
- 使用PROCESS宏观的雇员调解和调节调解模型.
- 分析了社会参与对活动障碍的直接和间接影响,考虑了抑郁症状和性别.
主要成果:
- 抑郁症状部分调解了社会参与与活动障碍之间的联系 (28.6%的间接影响).
- 性别显著减轻了中介作用,在女性患者中观察到更强烈的间接效应.
- 社会参与与抑郁症状和活动障碍有着保护性的关联.
结论:
- 在关节炎患者中,社会参与是预防抑郁症状和活动障碍的关键保护因素.
- 促进社会参与和解决抑郁症状的干预措施可以减少活动障碍,特别是在女性中.
- 调查结果强调了社会支持网络对老年人关节炎的重要性.
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