{"title":"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。","authors":"Ying Xia, Jialin Wang, Pengyu Yang, Shiya Yu, Qi Tang, Meng Yu, Qianqian Ren, Shuangshuang Feng","doi":"10.1111/phn.13569","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the relationship between social support and resilience in cognitive functioning in older adults with mild cognitive impairment (MCI).</p><p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The Impact of Social Support and Resilience on Cognitive Function in Older Adults With Mild Cognitive Impairment: A Cross-Sectional Study.\",\"authors\":\"Ying Xia, Jialin Wang, Pengyu Yang, Shiya Yu, Qi Tang, Meng Yu, Qianqian Ren, Shuangshuang Feng\",\"doi\":\"10.1111/phn.13569\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To evaluate the relationship between social support and resilience in cognitive functioning in older adults with mild cognitive impairment (MCI).</p><p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>\",\"PeriodicalId\":54533,\"journal\":{\"name\":\"Public Health Nursing\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2025-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Public Health Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1111/phn.13569\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Public Health Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/phn.13569","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
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.
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.