社会支持和心理弹性对老年人轻度认知障碍认知功能的影响:一项横断面研究。

IF 1.7 4区 医学 Q2 NURSING
Ying Xia, Jialin Wang, Pengyu Yang, Shiya Yu, Qi Tang, Meng Yu, Qianqian Ren, Shuangshuang Feng
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引用次数: 0

摘要

目的:探讨社会支持与老年人轻度认知障碍(MCI)认知功能恢复的关系。背景:老年轻度认知障碍患者数量的增加构成了一个严重的公共卫生问题。现有的研究表明,社会心理因素,如社会支持和恢复力,可以维持或延缓认知能力下降,但其背后的机制尚不完全清楚。方法:采用一般信息问卷、蒙特利尔认知评估量表(MoCA)、康诺-戴维森弹性量表(CD-RISC-10)、老年抑郁量表(GDS-5)和社会支持评定量表(SSRS),对2022年2月至12月筛选出的330例社区MCI患者进行方便抽样调查。采用SPSS 25.0和AMOS26.0软件进行描述性分析、相关性分析、结构方程模型和验证性因子分析。结果:认知功能、心理弹性、社会支持得分分别为22.56±1.40分、25.15±3.60分、35.96±3.76分。心理弹性、社会支持和认知功能均呈强相关,心理弹性在社会支持和认知功能之间起中介作用。结论:我国老年轻度认知损伤患者的社会支持和心理韧性得分较低,受多种社会人口因素的影响。此外,研究结果表明,社会支持通过心理弹性的中介作用影响认知功能。因此,我们应该更加重视老年认知障碍患者的社会支持程度,提高恢复力水平,促进健康行为,延缓MCI的发生。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Impact of Social Support and Resilience on Cognitive Function in Older Adults With Mild Cognitive Impairment: A Cross-Sectional Study.

Objective: To evaluate the relationship between social support and resilience in cognitive functioning in older adults with mild cognitive impairment (MCI).

Background: The increase in the number of older adults with MCI poses a serious public health problem. Existing studies suggest that psychosocial factors, such as social support and resilience, can maintain or delay cognitive decline, but the mechanism behind this is not entirely clear.

Methods: A convenient sampling survey of 330 patients with MCI in the community, who were screened from February 2022 to December 2022, was conducted using the General Information Questionnaire, the Montreal Cognitive Assessment Scale (MoCA), the Connor-Davidson Resilience Scale (CD-RISC-10), the Geriatric Depression Scale (GDS-5), and the Social Support Rating Scale (SSRS). SPSS 25.0 and AMOS26.0 software were used for descriptive analysis, correlation analysis, structural equation model, and confirmatory factor analysis.

Results: The scores of cognitive function, resilience, and social support were 22.56 ± 1.40, 25.15 ± 3.60, and 35.96 ± 3.76, respectively. Resilience, social support, and cognitive function were all strongly correlated, and resilience mediated between social support and cognitive function.

Conclusion: Social support and resilience scores are relatively low among Chinese older adults with MCI, which is influenced by various sociodemographic factors. In addition, the findings suggest that social support affects cognitive function through the mediating effect of resilience. Therefore, we should pay more attention to the degree of social support for the elderly with cognitive impairment, enhance the level of resilience, promote healthy behaviors, and delay the occurrence of MCI.

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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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