Mediating effects of loneliness between social support and readiness for discharge in elderly patients with diabetes mellitus type 2
10.3760/cma.j.cn115682-20230225-00710
- VernacularTitle:老年2型糖尿病患者孤独感在社会支持与出院准备度间的中介效应
- Author:
Nannan HAN
1
;
Annuo LIU
;
Zixuan WEI
;
Mei YOU
;
Yuan DING
Author Information
1. 安徽医科大学护理学院，合肥 230032
- Keywords:
Aged;
Diabetes mellitus, type 2;
Social support;
Loneliness;
Readiness for discharge;
Mediating effect
- From:
Chinese Journal of Modern Nursing
2023;29(23):3125-3130
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the current status of social support, readiness for discharge, and loneliness in elderly patients with diabetes mellitus type 2 (T2DM) and the relationship among them.Methods:A total of 230 elderly T2DM patients treated in the Endocrinology Department of the First Affiliated Hospital of Anhui Medical University from April to October 2022 were selected as research objects by the convenient sampling method. Patients were surveyed using a general information questionnaire, Readiness for Discharge Scale, Perceived Social Support Scale and UCLA Loneliness Scale. The Spearman correlation analysis was used to investigate the correlation between social support, loneliness and discharge readiness in elderly T2DM patients. Model 4 in SPSS Process 4.0 software was used to examine the mediating effects of discharge readiness, social support and loneliness in elderly patients with T2DM. A total of 230 questionnaires were sent out and 222 were effectively received, with effective recovery of 96.5% (222/230) .Results:The total scores of Readiness for Discharge Scale, Perceived Social Support Scale and UCLA Loneliness Scale in 222 elderly T2DM patients were 104.00 (91.00, 113.00), 65.00 (57.50, 72.00) and 36.50 (26.00, 44.25), respectively. Spearman correlation analysis showed that social support was positively correlated with discharge readiness ( r=0.448, P<0.05), and loneliness was negatively correlated with social support and readiness for discharge ( r=-0.563, -0.512, P<0.05). The mediating effect analysis showed that loneliness played a partial mediating role between social support and hospital readiness, with an effect ratio of 42.8%. Conclusions:Clinical medical staff should pay attention to the psychological state of patients, alleviate the loneliness of elderly T2DM patients, improve the level of social support, so as to improve the readiness of patients for discharge and increase the self-management ability of elderly diabetes mellitus type 2 patients after discharge.
