社会支持在住院老年患者焦虑水平与睡眠质量之间的中介效应分析
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摘要
目的分析社会支持在老年住院患者焦虑与睡眠质量之间的中介效应。方法应用汉密尔顿焦虑量表(HAMA)、社会支持量表(SSRS)、匹兹堡睡眠质量指数量表(PSQI)对220名老年住院患者进行分析。结果社会支持量表得分与汉密尔顿焦虑量表、匹兹堡睡眠量表得分均呈负相关(r=-0.39,P <0.05;r=-0.67,P <0.05)。汉密尔顿焦虑量表得分与匹兹堡睡眠量表得分呈正相关(r=0.37,P <0.05)。住院老年患者社会支持水平在焦虑与睡眠质量之间存在中介效应,中介效应为0.444。结论提高住院老年患者社会支持水平可以降低焦虑对睡眠质量的预测作用。
Objective To analyze the mediating effect of social support on anxiety and sleep quality in elderly inpatients. Methods The Hamilton Anxiety Scale(HAMA), Social Support Scale(SSRS) and Pittsburgh Sleep Quality Index(PSQI) were used to analyze 220 elderly inpatients.Results The scores of social support scale were negatively correlated with those of Hamilton Anxiety Scale and Pittsburgh Sleep Scale(r=-0.39, P<0.05; r=-0.67, P<0.05). The scores of Hamilton Anxiety Scale and Pittsburgh Sleep Scale were positively correlated(r=0.37, P<0.05).There was a mediating effect between anxiety and sleep quality, and the mediating effect was 0.444. Conclusion Increasing the level of social support in hospitalized elderly patients can reduce the predictive effect of anxiety on sleep quality.
Objective To analyze the mediating effect of social support on anxiety and sleep quality in elderly inpatients. Methods The Hamilton Anxiety Scale(HAMA), Social Support Scale(SSRS) and Pittsburgh Sleep Quality Index(PSQI) were used to analyze 220 elderly inpatients.Results The scores of social support scale were negatively correlated with those of Hamilton Anxiety Scale and Pittsburgh Sleep Scale(r=-0.39, P<0.05; r=-0.67, P<0.05). The scores of Hamilton Anxiety Scale and Pittsburgh Sleep Scale were positively correlated(r=0.37, P<0.05).There was a mediating effect between anxiety and sleep quality, and the mediating effect was 0.444. Conclusion Increasing the level of social support in hospitalized elderly patients can reduce the predictive effect of anxiety on sleep quality.
引文
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[2]刘雪梅,张慧,陈士昌.老年卒中后失眠发生现状及影响因素研究分析[J].世界最新医学信息文摘(连续型电子期刊),2018,18(78):19-20.
[3]贾珍珍,刘锦霞.中药足浴配合中医内科护理在老年失眠症中的应用效果[J].中国继续医学教育,2018,10(14):165-166.
[4]French KA,Dumani S,Allen TD,et al.A meta-analysis of workfamily conflict and social support[J].Psychological Bulletin,2018,144(3):284-314.
[5]侍成栋,潘永良.汉密尔顿抑郁及焦虑量表与正性负性情绪量表的相关性研究[J].全科护理,2019,17(2):140-142.
[6]刘东玮,周郁秋,李国华.社会支持与精神分裂症残疾:自尊与心理韧性的链式中介作用[J].中国临床心理学杂志,2019,27(1):78-82.
[7]黄幼卿.睡眠护理干预在原发性肝癌术后睡眠障碍患者中的应用效果分析[J].世界睡眠医学杂志,2019,6(1):83-85.
[8]王芳.不同养生功法对2型糖尿病伴失眠患者抑郁、焦虑和睡眠质量的影响[D].北京:中国中医科学院,2008.
[9]李远,魏志华.护理干预对老年神经衰弱患者失眠的影响[J].中国实用神经疾病杂志,2017,20(9):137-138.
[10]刘绍娟.老年糖尿病患者失眠原因及康复护理措施分析[J].中国继续医学教育,2015,7(16):221-222.
[11]崔洪波,毛婷,叶婷婷,等.神经质人格对海军官兵睡眠质量的影响:有调节的中介效应[J].中国临床心理学杂志,2017,25(3):539-542.
[12]ümit Sahran?,?elik E,Turan ME.Mediating and Moderating Effects of Social Support in the Relationship Between Social Anxiety and Hope Levels in Children[J].Journal of Happiness Studies,2018,19:1-17.
[13]陈胡丹,王娟,王新森,等.阻塞性睡眠呼吸暂停患者临床特征与焦虑抑郁的相关分析[J].四川精神卫生,2019,32(1):33-37.