益处发现在老年慢性病患者自我感知老化与预立医疗照护计划准备度间的中介作用OA
The mediating role of benefit finding in relationship between self-perceived aging and advance care planning readiness among elderly patients with chronic diseases
目的 为了解老年慢性病患者预立医疗照护计划(ACP)准备度现状,分析益处发现在自我感知老化和ACP准备度间的中介作用.方法 采用便利抽样法,对山西省7所社区的160名老年慢性病患者进行调查,运用ACP准备度量表、简版自我感知老化问卷及益处发现问卷,分别评估ACP准备度、自我感知老化及益处发现.采用Spearman相关性分析对ACP准备度、自我感知老化及益处发现的相关关系进行检验,采用非参数检验Bootstrap法检验益处发现的中介作用.结果 老年慢性病患者ACP准备度的总分为(78.44±13.35)分,自我感知老化与益处发现呈负相关(r=-0.519,P<0.01),益处发现与ACP准备度呈正相关(r=0.582,P<0.01).益处发现在自我感知老化与ACP准备度间起中介作用,中介效应占比48.21%.结论 老年慢性病患者ACP准备度处于中等偏上水平,可通过提升益处发现、改善消极老化感知,进一步提高其ACP准备度.
Objective To investigate the current status of Advance Care Planning(ACP)readiness among elderly patients with chronic diseases and to examine the mediating role of benefit finding in the relationship between self-perceived aging and ACP readi-ness.Methods A convenience sampling method was used to recruit 160 elderly patients with chronic diseases from seven communi-ties in Shanxi Province.The ACP Readiness Scale,the Brief Self-Perceived Aging Questionnaire,and the Benefit Finding Question-naire were employed to assess ACP readiness,self-perceived aging,and benefit finding,respectively.Spearman's correlation analysis was performed to examine the bivariate relationships among ACP readiness,self-perceived aging,and benefit finding.The mediating role of benefit finding was tested using the nonparametric Bootstrap method.Results The total score of ACP readiness among elderly patients with chronic diseases was 78.44±13.35.Self-perceived aging showed a negative correlation with benefit finding(r=-0.519,P<0.01),while benefit finding was positively correlated with ACP readiness(r=0.582,P<0.01).Benefit finding significantly mediated the relationship between self-perceived aging and ACP readiness,accounting for 48.21%of the total effect.Conclusion The ACP readi-ness among elderly patients with chronic diseases is at a moderately high level.The ACP readiness can be further enhanced by foster-ing benefit finding and addressing negative self-perceived aging.
王奥;王梓瑜;黄月;朱彪;薛云珍
山西医科大学人文社会科学学院医学心理学教研室,太原 030001山西医科大学人文社会科学学院医学心理学教研室,太原 030001山西医科大学人文社会科学学院医学心理学教研室,太原 030001山西医科大学人文社会科学学院医学心理学教研室,太原 030001山西医科大学人文社会科学学院医学心理学教研室,太原 030001
医药卫生
老年人慢性病益处发现自我感知老化预立医疗照护计划准备度中介模型
elderly patientschronic diseasesbenefit findingself-perceived agingadvance care planning(ACP)readinessmediating model
《山西医科大学学报》 2026 (2)
223-227,5
国家社会科学基金一般项目(19BSH168)
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