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预防医学  2025, Vol. 37 Issue (10): 1059-1064    DOI: 10.19485/j.cnki.issn2096-5087.2025.10.017
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老年阿尔茨海默病患者社会支持在家庭弹性与生命质量间的中介效应分析
黄望, 朱珊珊, 林婉曼, 徐顺徭, 王晓芒
温州市第七人民医院,浙江 温州 325000
Mediating effect of social support between family resilience and quality of life among elderly patients with Alzheimer's disease
HUANG Wang, ZHU Shanshan, LIN Wanman, XU Shunyao, WANG Xiaomang
Wenzhou Seventh People's Hospital, Wenzhou, Zhejiang 325000, China
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摘要 目的 分析老年阿尔茨海默病(AD)患者社会支持在家庭弹性与生命质量间的中介效应,为改善老年AD患者生命质量提供依据。方法 选择2017年8月—2021年6月温州市第七人民医院收治的>60岁AD患者为研究对象,通过问卷调查收集人口学信息、AD病情严重程度和主要照护者情况等资料,采用社会支持评定量表、家庭弹性评定量表中文简化版和阿尔茨海默病生命质量测评量表中文版评估社会支持、家庭弹性和生命质量。采用Process宏程序分析社会支持在家庭弹性与生命质量间的中介效应。结果 调查老年AD患者137例,年龄为(69.26±10.93)岁;其中男性63例,占45.99%,女性74例,占54.01%。社会支持得分为(27.93±4.28)分,家庭弹性得分为(97.34±10.06)分,生命质量得分为(27.82±7.27)分。中介效应分析结果显示,家庭弹性可直接正向影响生命质量,效应值为0.319(95%CI:0.122~0.491);也可通过社会支持间接正向影响生命质量,效应值为0.118(95%CI:0.030~0.248);中介效应占总效应的26.42%。结论 社会支持在老年AD患者家庭弹性与生命质量间发挥正向中介作用。
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黄望
朱珊珊
林婉曼
徐顺徭
王晓芒
关键词 阿尔茨海默病家庭弹性社会支持生命质量老年人中介效应    
AbstractObjective To analyze the mediating effect of social support between family resilience and quality of life among elderly patients with Alzheimer's disease (AD), so as to provide the basis for improving the quality of life among elderly patients with AD. Methods Elderly patients with AD who aged >60 years admitted to Wenzhou Seventh People's Hospital from August 2017 to June 2021 were selected. Data on demographic information, the severity of AD, and the profile of the primary caregivers were collected through questionnaire surveys. Social support, family resilience, and quality of life were assessed using the Social Support Rating Scale, the Shortened Chinese Version of the Family Resilience Assessment Scale, and the Chinese Version of the Quality of Life in Alzheimer's Disease Scale, respectively. The Process macro program was used to analyze the mediating effect of social support between family resilience and quality of life. Results A total of 137 elderly patients with AD were surveyed. The mean age of the participants was (69.26±10.93) years. Among them, there were 63 males (45.99%) and 74 females (54.01%). The mean scores for social support, family resilience, and quality of life were (27.93±4.28), (97.34±10.06), and (27.82±7.27) points, respectively. The results of the mediating effect analysis indicated that family resilience could directly and positively affect the quality of life, with an effect value of 0.319 (95%CI: 0.122-0.491). It could also indirectly and positively affect the quality of life through social support, with an effect value of 0.118 (95%CI: 0.030-0.248). The mediating effect accounted for 26.42% of the total effect. Conclusion Social support plays a positive mediating role between family resilience and quality of life among elderly patients with AD.
Key wordsAlzheimer's disease    family resilience    social support    quality of life    the elderly    mediating effect
收稿日期: 2025-04-08      修回日期: 2025-08-18     
中图分类号:  R74  
基金资助:温州市基础性科研项目(Y20190303)
作者简介: 黄望,本科,护师,主要从事老年精神相关工作
通信作者: 王晓芒,E-mail:13968963432@163.com   
引用本文:   
黄望, 朱珊珊, 林婉曼, 徐顺徭, 王晓芒. 老年阿尔茨海默病患者社会支持在家庭弹性与生命质量间的中介效应分析[J]. 预防医学, 2025, 37(10): 1059-1064.
HUANG Wang, ZHU Shanshan, LIN Wanman, XU Shunyao, WANG Xiaomang. Mediating effect of social support between family resilience and quality of life among elderly patients with Alzheimer's disease. Preventive Medicine, 2025, 37(10): 1059-1064.
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http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2025.10.017      或      http://www.zjyfyxzz.com/CN/Y2025/V37/I10/1059
[1] 孙翠云,朱奕,吴含,等.阿尔茨海默病临床前期患者步行+词语记忆双重任务下步行能力与认知功能的相关性研究[J].实用心脑肺血管病杂志,2021,29(3):46-51.
SUN C Y,ZHU Y,WU H,et al.Correlation between walking ability under Walking+Word memory dual task and cognitive function in pre-clinical stage patients with Alzheimer's disease[J].Pract J Card Cereb Pneumal Vasc Dis,2021,29(3):46-51.(in Chinese)
[2] 杨路静,范雪,张旭东.社会支持对轻度认知功能障碍患者自我效能及生活质量的影响[J].神经损伤与功能重建,2022,17(12):757-760,812.
YANG L J,FAN X,ZHANG X D.Effect of social support on self-efficacy and quality of life in patients with mild cognitive impairment[J].Neural Inj Funct Reconstr,2022,17(12):757-760,812.(in Chinese)
[3] 张相醇,王安妮,管婷玉,等.照顾者照顾能力与失能老人抑郁:家庭弹性与心理弹性链式中介作用分析[J].军事护理,2023,40(6):43-47,52.
ZHANG X C,WANG A N,GUAN T Y,et al.Caregivers' caring ability and disabled elderly's depression:a chain mediating effect analysis of family resilience and psychological resilience[J].Mil Nurs,2023,40(6):43-47,52.(in Chinese)
[4] 王瑾,许凤琴,吕娜,等.宫颈癌患者心理弹性及家庭关怀度在社会支持与家庭韧性间的中介作用[J].安徽医学,2024,45(3):360-366.
WANG J,XU F Q,LYU N,et al.The mediating role of psychological resilience and family caring in the relationship between social support and family resilience in patients with cervical cancer[J].Anhui Med J,2024,45(3):360-366.(in Chinese)
[5] 王婧,罗艳,Lily Dongxia Xiao,等.痴呆症病人家庭照顾者社会支持及相关因素研究[J].护理研究,2019,33(14):2460-2463.
WANG J,LUO Y,XIAO L D,et al.Study on social support and its related factors of family caregivers of patients with dementia[J].Chin Nurs Res,2019,33(14):2460-2463.(in Chinese)
[6] 中华医学会精神医学分会老年精神医学组.神经认知障碍精神行为症状群临床诊疗专家共识[J].中华精神科杂志,2017,50(5):335-339.
Geriatric Psychiatry Group of the Psychiatry Branch of the Chinese Medical Association.Expert consensus on clinical diagnosis and treatment of psychobehavioral symptom group of neurocognitive disorder[J].Chin J Psychiatry,2017,50(5):335-339.(in Chinese)
[7] JIA X F,WANG Z H,HUANG F F,et al.A comparison of the Mini-Mental State Examination(MMSE)with the Montreal Cognitive Assessment(MoCA)for mild cognitive impairment screening in Chinese middle-aged and older population:a cross-sectional study[J/OL].BMC Psychiatry,2021,21[2025-08-18].https://doi.org/10.1186/s12888-021-03495-6.
[8] LI Y L,ZHAO Y,ZHANG J,et al.Psychometric properties of the shortened Chinese version of the family resilience assessment scale[J].J Child Fam Stud,2016,25(9):2710-2717.
[9] 肖水源. 《社会支持评定量表》的理论基础与研究应用[J].临床精神医学杂志,1994,4(2):98-100.
XIAO S Y.Theoretical basis and research application of Social Support Rating Scale[J].J Clin Psychiatry,1994,4(2):98-100.(in Chinese)
[10] 张慧敏,艾永梅,吴燕萍,等.阿尔茨海默病生命质量测评量表(QOL-AD)中文版信度和效度分析[J].中国卫生统计,2013,30(1):57-59.
Reliability and validity analysis of the Chinese version of the Alzheimer's Disease Quality of Life Assessment Scale(QOL-AD)[J].Chin J Health Stat,2013,30(1):57-59.(in Chinese)
[11] BARON R M,KENNY D A.The moderator-mediator variable distinction in social psychological research:conceptual,strategic,and statistical considerations[J].J Pers Soc Psychol,1986,51(6):1173-1182.
[12] PREACHER K J,HAYES A F.SPSS and SAS procedures for estimating indirect effects in simple mediation models[J].Behav Res Methods Instrum Comput,2004,36(4):717-731.
[13] 张小满,刘凯,李伟,等.轻中度阿尔茨海默病老年人自评生活质量及影响因素[J].职业与健康,2021,37(15):2079-2083.
ZHANG X M,LIU K,LI W,et al.Analysis on self-assessment quality of life and its influencing factors among elderly with mild-to-moderate Alzheimer's disease[J].Occup Health,2021,37(15):2079-2083.(in Chinese)
[14] SEAMAN A T.“Like He's a kid”:relationality,family caregiving,and Alzheimer's disease[J].Med Anthropol,2020,39(1):29-40.
[15] 陈圆圆,董路嘎,吴月瑛,等.老年失智症家庭照顾者管理策略现状及影响因素分析[J].护理学杂志,2021,36(9):87-91.
CHEN Y Y,DONG L G,WU Y Y,et al.Dementia management strategies and its influencing factors among family caregivers of elderly dementia patients[J].J Nurs Sci,2021,36(9):87-91.(in Chinese)
[16] 杨晓迪,李曾荣,刘素贞.中青年2型糖尿病患者心理弹性的影响因素分析[J].预防医学,2021,33(7):665-669.
YANG X D,LI Z R,LIU S Z.Influencing factors for resilience of young and middle-aged patients with type 2 diabetes mellitus[J].China Prev Med J,2021,33(7):665-669.(in Chinese)
[17] 谢睿,胡菊莲,喻喆.妊娠糖尿病患者生活质量的影响因素研究[J].预防医学,2023,35(2):162-165.
XIE R,HU J L,YU Z.Factors affecting the quality of life among patients with gestational diabetes mellitus[J].China Prev Med J,2023,35(2):162-165.(in Chinese)
[18] SHEN L X,YANG Y X,KUO K,et al.Social isolation,social interaction,and Alzheimer's disease:a mendelian randomization study[J].J Alzheimers Dis,2021,80(2):665-672.
[19] 邓天瑞,王志勇,叶青,等.老年代谢综合征患者健康相关生命质量研究[J].预防医学,2025,37(4):325-330.
DENG T R,WANG Z Y,YE Q,et al.Health-related quality of life among elderly patients with metabolic syndrome[J].China Prev Med J,2025,37(4):325-330.(in Chinese)
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