Basic psychological needs satisfaction and self-neglect in older adults on maintenance hemodialysis: chain mediation of family resilience and psychological resilience
10.3760/cma.j.cn371468-20230907-00095
- VernacularTitle:血液透析老年人心理需要满足与自我忽视：家庭复原力和心理弹性的链式中介作用
- Author:
Liang LIU
1
;
Huilin ZHANG
;
Yuting HUANG
;
Fang YUAN
;
Caihong ZHOU
Author Information
1. 湖南师范大学附属长沙医院医院感染管理科，长沙 410006
- Keywords:
Basic psychological needs satisfaction;
Self-neglect;
Psychological resilience;
Family resilience;
Mediating effect;
Maintenance hemodialysis;
Older adults
- From:
Chinese Journal of Behavioral Medicine and Brain Science
2024;33(5):458-463
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the relationship between basic psychological needs satisfaction, family resilience and psychological resilience with self-neglect in older adults on maintenance hemodialysis, and to analyze the mediating effect of family resilience and psychological resilience between basic psychological needs satisfaction and self-neglect.Methods:The social demographic questionnaire, basic psychological needs satisfaction scale, the Connor-Davidson resilience scale 10-item, family resilience questionnaire and scale of the elderly self-neglect were applied to 623 older adults on maintenance hemodialysis randomized sampled from 50 hemodialysis centers in Hunan Province from July to December 2021. The data were statistically described and mediated pathway analysis was performed using SPSS 28.0 and AMOS 24.0.Results:The scores of basic psychological needs satisfaction, psychological resilience, family resilience and elderly self-neglect in older adults on maintenance hemodialysis were (4.95±1.01), (23.24±8.19), (78.60±12.49) and (7.99±5.60), respectively.Correlation analysis showed that self-neglect was statistically negatively correlated with basic psychological needs satisfaction, psychological resilience and family resilience ( r=-0.398, -0.419, -0.451, all P<0.001), basic psychological needs satisfaction was positively correlated with resilience and family resilience ( r=0.594, 0.534, both P<0.001), and psychological resilience was positively correlated with family resilience ( r=0.477, P<0.001).Analysis psychological of mediation effects showed that basic psychological needs satisfaction had a total effect of -0.462 on self-neglect. The direct effect was -0.113, accounting for 25% of the total effect. The mediating effects of family resilience and psychological resilience were -0.189 and -0.122 respectively, accounted for 41% and 26% of the total effect. The chain mediating effect was -0.038, with an effect size of 8%. Conclusion:Basic psychological needs satisfaction for older adults on maintenance hemodialysis can affect self-neglect either directly or indirectly through family resilience and psychological resilience, and self-neglect can be reduced in the future by increasing family resilience and psychological resilience through meeting the basic psychological needs of older adults on maintenance hemodialysis.
