全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...

一般自我效能感在社区老年人老化期望和生活质量中的中介效应分析
The Mediating Effect of Self-Efficacy between the Expectations Regarding Aging and Quality of Life among Community-Dwelling Elders in China

DOI: 10.12677/NS.2022.112041, PP. 228-236

Keywords: 老年人,老化期望,一般自我效能感,生活质量,中介效应
Elders
, Expectations Regarding Aging, Self-Efficacy, Quality of Life, Mediating Effect

Full-Text   Cite this paper   Add to My Lib

Abstract:

目的:探讨一般自我效能感在社区老年人老化期望和生活质量之间的中介效应。方法:方便抽取河北省唐山市社区老年人553例为研究对象,使用一般自我效能感量表(General Self -Efficacy Scale, GSES)、简版老化期望量表(Expectations Regarding Aging, ERA-12)、生活质量量表(The Short Form Health Survey, SF-12V2)进行调查。使用SPSS26.0进行双变量相关分析和多元线性逐步回归构建结构方程模型;AMOS 21.0进行结构方程模型验证,使用PROCESS 3.3.5插件进行Bootstrap中介效应检验。结果:1) 研究对象一般自我效能感得分(2.58 ± 0.78)分,老化期望(ERA-12)得分(33.64 ± 25.28)分,生活质量(SF-12V2)评分,其中生理健康得分(37.94 ± 6.97)分,心理健康得分(46.40 ± 6.01)分。2) 老化期望和一般自我效能感呈正相关(r = 0.476, P < 0.01),老化期望和生活质量呈正相关(r = 0.656, P < 0.01)。3) 结构方程模型、回归分析及中介效应检验证明了老化期望对生活质量有直接和间接效应。结论:社区老年人的老化期望对生活质量有直接和间接影响,一般自我效能感在老化期望和生活质量中起到中介作用,提升社区不同老化期望值老年人的自我效能感,可以提升社区老年人的生活质量。
Purpose: The study aims to investigate the relationship between Expectations Regarding Aging (ERA) and Quality of life among community dwelling Chinese elders, as well as to confirm the mediating role of self-efficacy on the association between ERA and Quality of life. Methods: A cross- sectional convenient sample of 553 elders was recruited from Tangshan City. A face-to-face interview was conducted to get information about socio-demographic detail, ERA, self-efficacy and quality of life of each participant. Mediating effect of self-efficacy was confirmed by hierarchical regression analysis and bootstrapping method. Results: ERA has a positive association with quality of life (
β = 0.656, P < 0.001). The mediating effect of self-efficacy between ERA and quality of life was confirmed. Conclusions: Self-efficacy was confirmed to play a mediate role in the links between ERA and quality of life. The association between ERA, self-efficacy and quality of life provides new perspective for ERA intervention research. The elders care giver should consider the impact of self-efficacy to improve the outcomes of ERA on quality of life.

References

[1]  León, L.P.D., Mangin, J.P.L. and Ballesteros, S. (2020) Psychosocial Determinants of Quality of Life and Active Aging. A Structural Equation Model. International Journal of Environmental Research and Public Health, 17, 6023.
[2]  Harper, S. (2014) Economic and Social Implications of Aging Societies. Science, 346, 587-591.
https://doi.org/10.1126/science.1254405
[3]  Fang, E.F., Scheibye-Knudsen, M., Jahn, H.J., Li, J., Ling, L., Guo, H., et al. (2015) A Research Agenda for Aging in China in the 21st Century. Ageing Research Reviews, 24, 197-205.
https://doi.org/10.1016/j.arr.2015.08.003
[4]  陈红梅, 黄石松. 全球性人口老龄化的挑战与中国应对[J]. 中国国情国力, 2019(9): 32-34.
[5]  Ingrand, I., Paccalin, M., Liuu, E., Gil, R. and Ingrand, P. (2018) Positive Perception of Aging Is a Key Predictor of Quality-of-Life in Aging People. PLoS ONE, 13, Article ID: e0204044.
https://doi.org/10.1371/journal.pone.0204044
[6]  Breda, A.I. and Watts, A.S. (2017) Expectations Regarding Aging, Physical Activity, and Physical Function in Older Adults. Gerontology and Geriatric Medicine, 3, Article ID: 2333721417702350.
https://doi.org/10.1177/2333721417702350
[7]  Sparks, C.R., Meisner, B.A. and Young, B.W. (2013) Investi-gating General and Self-Expectations Regarding Aging in a Physical Activity Context. International Journal of Sport Psychology, 44, 17-36.
[8]  Han, J. and Richardson, V.E. (2015) The Relationships among Perceived Discrimination, Self-Perceptions of Aging, and Depressive Symptoms: A Longitudinal Examination of Age Discrimination. Aging & Mental Health, 19, 747-755.
https://doi.org/10.1080/13607863.2014.962007
[9]  Menkin, J.A, Robles, T.F., Gruenewald, T.L., Tanner, E.K. and Seeman, T.E. (2017) Positive Expectations Regarding Aging Linked to More New Friends in Later Life. The Jour-nals of Gerontology Series B, Psychological Sciences and Social Sciences, 72, 771-781.
https://doi.org/10.1093/geronb/gbv118
[10]  Sarkisian, C.A., Steers, W.N., Hays, R.D. and Mangione, C.M. (2005) Development of the 12-Item Expectations Regarding Aging Survey. The Gerontologist, 45, 240-248.
https://doi.org/10.1093/geront/45.2.240
[11]  Levy, B. (2009) Stereotype Embodiment: A Psychosocial Approach to Aging. Current Directions in Psychological Science, 18, 332-336.
https://doi.org/10.1111/j.1467-8721.2009.01662.x
[12]  Goudarzian, A.H., Yaghoobzadeh, A., Heydarzadeh, F., Ghorbanpour, F., Sharif Nia, H., et al. (2021) the Predictive Factors of Expectation Regarding Aging: The Role of the Sense of Belonging. International Journal of Health and Life Sciences, 7, Article ID: e107044.
https://doi.org/10.5812/ijhls.107044
[13]  Park, M.H. and Kweon, Y. (2014) Testing the Validity and Reliability of Korean Version of the Expectations Regarding Aging (ERA-12) Instrument among Middle-Aged and Elderly Women. Journal of Korean Public Health Nursing, 28, 460-470.
https://doi.org/10.5932/JKPHN.2014.28.3.460
[14]  Peters, M., Potter, C.M., Kelly, L. and Fitzpatrick, R. (2019) Self-Efficacy and Health-Related Quality of Life: A Cross-Sectional Study of Primary Care Patients with Multi-Morbidity. Health and Quality of Life Outcomes, 17, Article No. 37.
https://doi.org/10.1186/s12955-019-1103-3
[15]  Thomson, P., Howie, K., Mohan, A.R.M. and Chung, M.L. (2019) Evaluating Perceptions of Self-Efficacy and Quality of Life in Patients Having Coronary Artery Bypass Grafting and Their Family Caregivers. Journal of Cardiovascular Nursing, 34, 250-257.
https://doi.org/10.1097/JCN.0000000000000553
[16]  Yao Jr., J.J. (2019) It’s a Matter of Perspective: The Role of Aging Expectations and Self-Efficacy Towards Engagement in Healthy Lifestyles among Older Adults. Asian/Pacific Is-land Nursing Journal, 4, 116-122.
[17]  Fritz, M.S. and Mackinnon, D.P. (2007) Required Sample Size to Detect the Mediated Effect. Psychological Science, 18, 233-239.
https://doi.org/10.1111/j.1467-9280.2007.01882.x
[18]  申继亮, 唐丹. 一般自我效能感量表(GSES)在老年人中的使用[J]. 中国临床心理学杂志, 2004, 12(4): 342-344.
[19]  Shu-Wen, S. and Dong, W. (2019) The Reliability and Validity of Short Form-12 Health Survey Version 2 for Chinese Older Adults. Iranian Journal of Public Health, 48, 1014-1024.
[20]  Hooper, D., Coughlan, J. and Mul-len, M. (2008) Evaluating Model Fit: A Synthesis of the Structural Equation Modelling Literature. Proceedings of the 7th European Conference on Research Methodology for Business and Management Studies, London, 19-20 June 2008, 3-6.
[21]  Hu, L.T. and Bentler, P.M. (1999) Cutoff Criteria for Fit Indexes in Covariance Structure Analysis: Conven-tional Criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6, 1-55.
https://doi.org/10.1080/10705519909540118
[22]  Maruyama, G. (1997) Basics of Structural Equation Modeling. Sage, Thousand Oaks.
https://doi.org/10.4135/9781483345109
[23]  Peugh, J. and Feldon, D. (2020) How Well Does Your Structural Equation Model Fit Your Data? Is Marcoulides and Yuan’s Equivalence Test the Answer? CBE—Life Sciences Educa-tion, 19, es5.
https://doi.org/10.1187/cbe.20-01-0016
[24]  Baron, R.M. and Kenny, D.A. (1986) The Modera-tor-Mediator Variable Distinction in Social Psychological Research: Conceptual, Strategic, and Statistical Considerations. Journal of Personality and Social Psychology, 51, 1173-1182.
https://doi.org/10.1037/0022-3514.51.6.1173
[25]  Sarkisian, C.A., Shunkwiler, S.M., Aguilar, I. and Moore, A.A. (2006) Ethnic Differences in Expectations for Aging among Older Adults. Journal of the American Geriatrics Society, 54, 1277-1282.
https://doi.org/10.1111/j.1532-5415.2006.00834.x
[26]  Joshi, V.D., Malhotra, R., Lim, J.F., ?stbye, T. and Wong, M. (2010) Validity and Reliability of the Expectations Regarding Aging (ERA-12) Instrument among Middle-Aged Sin-gaporeans. Annals of the Academy of Medicine, 39, 394-398.
[27]  Li, X., Lyu, Q., Li, C., Zhang, H., Li, C. and Jin, J. (2013) The Relationship Between Expectation Regarding Aging and Functional Health Status among Older Adults in China. Journal of Nursing Scholarship, 45, 328-335.
https://doi.org/10.1111/jnu.12036
[28]  Kim, G.M., Hong, M.S. and Noh, W. (2018) Factors Affecting the Health-Related Quality of Life in Community-Dwelling Elderly People. Public Health Nursing, 35, 482-489.
https://doi.org/10.1111/phn.12530
[29]  Huong, N.T., Ha, L.T.H. and Tien, T.Q. (2017) Determinants of Health-Related Quality of Life among Elderly: Evidence from Chi Linh Town, Vietnam. Asia-Pacific Journal of Public Health, 29, 84s-93s.
https://doi.org/10.1177/1010539517704041
[30]  Sun, W., Aodeng, S., Tanimoto, Y., Watanabe, M., Han, J., Wang, B., et al. (2015) Quality of Life (QOL) of the Community-Dwelling Elderly and Associated Factors: A Popula-tion-Based Study in Urban Areas of China. Archives of Gerontology and Geriatrics, 60, 311-316.
https://doi.org/10.1016/j.archger.2014.12.002
[31]  Su, S.W. and Wang, D. (2019) Health-Related Quality of Life and Related Factors among Elderly Persons Under Different Aged Care Models in Guangzhou, China: A Cross-Sectional Study. Quality of Life Research, 28, 1293-1303.
https://doi.org/10.1007/s11136-019-02107-x
[32]  Moieni, M., Seeman, T.E., Robles, T.F., Lieberman, M.D., Okimoto, S., Lengacher, C., et al. (2020) Generativity and Social Well-Being in Older Women: Expectations Regarding Aging Matter. The Journals of Gerontology Series B, Psychological Sciences and Social Sciences, 76, 289-294.
https://doi.org/10.1093/geronb/gbaa022
[33]  Wu, F. and Sheng, Y. (2019) Social Support Network, Social Sup-port, Self-Efficacy, Health-Promoting Behavior and Healthy Aging among Older Adults: A Pathway Analysis. Archives of Gerontology and Geriatrics, 85, Article ID: 103934.
https://doi.org/10.1016/j.archger.2019.103934

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133