The mediating effect of self-efficacy between social support and fear of dementia among middle-aged and elderly people in rural areas
10.3760/cma.j.cn115682-20230728-00242
- VernacularTitle:自我效能感在农村中老年人社会支持与痴呆恐惧间的中介效应
- Author:
Ruiying ZHANG
1
;
Hengxu WANG
;
Lihua LIU
Author Information
1. 湖南师范大学医学院，长沙 410000
- Keywords:
Dementia;
Fear;
Rural area;
Middle-aged and elderly people;
Social support;
Self-efficacy
- From:
Chinese Journal of Modern Nursing
2024;30(9):1218-1223
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the mediating effect of self-efficacy between social support and fear of dementia among middle-aged and elderly people in rural areas.Methods:This study was a cross-sectional study. A total of 271 middle-aged and elderly people from 5 rural villages in Hunan Province were selected as research objects by the convenient sampling method from January to March 2023. A questionnaire survey was conducted using General Information Questionnaire, Social Support Rating Scale (GSES), Social Support Rating Scale (SSRS), and Fear of Dementia Scale (FODS). Pearson correlation analysis was used to explore the correlation between self-efficacy, social support, and dementia fear of dementia among middle-aged and elderly people in rural areas. The mediation effect was tested using the SPSS macro program Process 4.1.Results:A total of 280 questionnaires were sent out, and 271 were effectively collected, with an effective recovery rate of 96.79% (271/280). The scores of GSES, SSRS, and FODS of 271 middle-aged and elderly people in rural areas were (22.86±6.94), (38.88±8.66) and (55.79±13.88), respectively. Pearson correlation analysis showed that social support was positively correlated with self-efficacy ( r=0.571, P<0.01), while fear of dementia was negatively correlated with social support and self-efficacy ( r=-0.368, -0.338; both P<0.01). Self-efficacy partially mediated between social support and fear of dementia, and the mediating effect was -0.111, accounting for 32.17% of the total effect. Conclusions:Self-efficacy partially mediates between social support and fear of dementia. Medical staff should pay attention to the improvement of self-efficacy of rural middle-aged and elderly people, provide continuous social support, and reduce the level of fear of dementia.
