A Longitudinal Study on the Relationship Between Family Size and Instrumental Activities of Daily Living: The Masking Effect of Depressive Symptoms.

IF 1.1 4区医学 Q3 NURSING

Research in Gerontological Nursing Pub Date : 2024-07-01 DOI:10.3928/19404921-20240626-01

Shiping Gu, Xinnan Du, Sangsang Li, Dan Han, Yunyi Wu, Jie Zhao, Mei Zhang, Jing Wang

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引用次数: 0

Abstract

Purpose: According to use and disuse theory, the decreasing size of families in China may have a considerable influence on older adults' health. However, research on the associations among family size, depression, and instrumental activities of daily living (IADL) in this population is limited. Thus, the current study examined the role of depression on the impact of family size on IADL and explored the differences between urban and rural areas.

Method: Mediation analyses were performed with data from 7,290 older adults aged ≥60 years from the Harmonized China Health and Retirement Longitudinal Study in 2011, 2013, 2015, and 2018, using stepwise regression and bootstrap methods.

Results: Family size had a positive impact on IADL limitations of older adults (0.29, p < 0.01), and the masking effects of depressive symptoms had a partial effect of family size on older adults' IADL. However, these effects only exist in rural areas.

Conclusion: Providing emotional support through psychological counseling and guiding caregivers to provide moderate care support is crucial, particularly in rural areas, for alleviating depressive symptoms due to changes in family size and maintaining independent living skills among older adults. [Research in Gerontological Nursing, 17(4), 165-175.].

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家庭规模与日常生活工具性活动之间关系的纵向研究：抑郁症状的掩蔽效应

目的：根据使用和废弃理论，中国家庭规模的缩小可能会对老年人的健康产生相当大的影响。然而，有关中国老年人家庭规模、抑郁和日常生活工具活动（IADL）之间关系的研究十分有限。因此，本研究探讨了抑郁对家庭规模对 IADL 影响的作用，并探讨了城市和农村地区的差异：方法：采用逐步回归和引导法，对2011年、2013年、2015年和2018年中国健康与退休纵向研究（Harmonized China Health and Retirement Longitudinal Study）中7290名年龄≥60岁的老年人的数据进行中介分析：家庭规模对老年人的 IADL 限制有正向影响（0.29，P＜0.01），抑郁症状的掩蔽效应对老年人的 IADL 有部分影响。然而，这些影响只存在于农村地区：结论：通过心理咨询提供情感支持，并指导护理人员提供适度的护理支持，对于减轻老年人因家庭规模变化而产生的抑郁症状和保持其独立生活能力至关重要，尤其是在农村地区。[老年护理研究》，17（4），165-175。］

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来源期刊

Research in Gerontological Nursing NURSING-

CiteScore

2.30

自引率

6.20%

发文量

审稿时长

>12 weeks

期刊介绍： Research in Gerontological Nursing is a forum for disseminating peer-reviewed, interdisciplinary, cutting-edge gerontological nursing research and theory to investigators, educators, academicians, clinicians, and policymakers involved with older adults in all health care settings. The Journal accepts manuscripts reporting research, theory, integrative and systematic reviews, instrument development, and research methods with the aims of improving the wellness and quality of care of the older adult population. Theory papers should advance gerontological knowledge, and integrative reviews should provide an analysis of the state of the science and provide direction for future research.