Intrinsic Capacity and Instrumental Activity of Daily Living Among Community Dwelling Elderly in China: The Mediating Effect of Two-Way Social Support and Sense of Coherence.

IF 1.7 4区 医学 Q2 NURSING
Qingqing Hu, Jiajia Xu, Yifei Ren, Jie Ding, Ting Chu
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引用次数: 0

Abstract

Objectives: To explore the influence of intrinsic capacity (IC) on instrumental activities of daily living (IADL) among community-dwelling elderly and to analyze the chain-mediated effects of two-way social support, and sense of coherence (SOC).

Design: This study was a cross-sectional research design. Participants were recruited from September 2023 to December 2023 from Hangzhou City, Zhejiang Province, China, using a multistage sampling method.

Sample: Participants in this study were at least 60 years old and had been currently living in the community for at least 1 year (n = 458).

Measurements: The Integrated Care for Older People screening tool, the Brief Two-Way Social Support Scale, the Sense of Coherence Scale-13, and the Functional Activities Questionnaire were used to collect relevant data, which were statistically tested using structural equation modeling and multiple mediation effects.

Results: There were correlations between IC, two-way social support, SOC and IADL in community-dwelling elderly (all p < 0.01). IC predicted two-way social support (β = 0.570, p < 0.001), SOC (β = 0.544, p < 0.001) and IADL (β = -0.492, p < 0.001); two-way social support had a positive predictive effect on SOC (β = 0.363, p < 0.001) but a negative predictive effect on IADL (β = -0.193, p < 0.001); SOC negatively predicted IADL (β = -0.150, p < 0.05).

Conclusions: To mitigate the impact of declining IC on IADL among community-dwelling elderly, to sustain independent living, and to reduce the risk of progression to illness and disability, this study proposes two-way social support and SOC as potential effective intervention targets. This conclusion holds implications for the assessment and intervention of elderly health, as well as the formulation of public health policies.

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来源期刊
Public Health Nursing
Public Health Nursing 医学-公共卫生、环境卫生与职业卫生
CiteScore
3.50
自引率
4.80%
发文量
117
审稿时长
6-12 weeks
期刊介绍: Public Health Nursing publishes empirical research reports, program evaluations, and case reports focused on populations at risk across the lifespan. The journal also prints articles related to developments in practice, education of public health nurses, theory development, methodological innovations, legal, ethical, and public policy issues in public health, and the history of public health nursing throughout the world. While the primary readership of the Journal is North American, the journal is expanding its mission to address global public health concerns of interest to nurses.
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