Effects of social support on health self-management skill and depression of elderly patients with cardiovascular disease
10.3760/cma.j.issn.1674-2907.2017.02.010
- VernacularTitle:社会支持对老年心血管病患者健康自我管理能力和抑郁情绪的影响
- Author:
Shimei LIU
1
Author Information
1. 272100,山东省济宁市第一人民医院体检中心
- Keywords:
Depression;
Social support;
Cardiovascular disease;
Health self-management skill;
Mediation effect
- From:
Chinese Journal of Modern Nursing
2017;23(2):188-193
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo explore the effects of social support on health self-management skill of elderly patients with cardiovascular disease (CVD).Methods Totally 450 elderly CVD patients from three community health service centers in Rencheng district of Jining between January and March 2016 were selected by convenience sampling method and were investigated with social support rating scale (SSRS),adult′s health self-management skill rating scale(AHSMSRS)and self-rating depression scale (SDS).Results The total scores of SSRS,AHSMSRS and SDS for elderly CVD patients were (31.16±5.52),(133.37±17.41),(44.19±7.35);the positive rate of depression was 26.89%,and the social support and health self-management skill of depressive CVD patients were significantly lower than those of non-depressive CVD patients (P<0.01);there was a positive correlation between social support and health self-management skill (P<0.01) and a negative correlation between depression and health self-management skill (P<0.01);the mediation test showed that the mediation effect of social support was 0.1552,and the ratios of mediation effect and direct effect to the total effect were 0.4227 and 0.5773.Conclusions Social support has a significant mediation effect between health self-management skill and depression. Hence,we should enhance social support to elderly CVD patients so as to maintain their physical and psychological health.
