Impact of productive engagement on demoralization syndrome and its threshold effect in elderly patients with chronic diseases and nursing enlightement
10.3761/j.issn.0254-1769.2025.13.012
- VernacularTitle:参与生产性活动对老年慢性病患者失志综合征的影响及护理启示
- Author:
Rui LIU
1
;
Min WU
;
Yunfeng ZHAO
;
Caijie XU
;
Yue WANG
;
Aihong PAN
Author Information
1. 230601 合肥市 安徽医科大学护理学院
- Publication Type:Journal Article
- Keywords:
Aged;
Chronic Disease;
Demoralization Syndrome;
Productive Engagement;
Threshold Effect;
Nursing Care
- From:
Chinese Journal of Nursing
2025;60(13):1610-1616
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the impact and threshold effect of productive engagement on the elderly patients with chronic diseases with demoralization syndrome,and to provide theoretical basis for further improving the elderly patients with chronic diseases with demoralization syndrome.Methods A total of 350 elderly patients with chronic diseases from July to December 2024 in a tertiary hospital in Hefei were selected as the research subjects by convenience sampling method,and the general information questionnaire,Productive Engagement Scale and Demoralization Scale-Ⅱ were used for investigation.Using multiple stratified regression analysis to explore the impact of participation in productive activities on dementia syndrome in elderly patients with chronic diseases,and conducting threshold effect analysis.Results 341 valid questionnaires were collected.The score of demoralization syndrome in elderly patients with chronic diseases was 14.00(11.00,17.00),and the score of productive engagement was 37.00(29.50,46.00).Stratified regression analysis showed that productive engagement could independently explain 8.7％of the variance(P＜0.05).Curve fitting and threshold effect analysis showed that the degree of demoralization syndrome was not affected when the score of productive engagement of elderly patients with chronic diseases was ≤27 points(P＞0.05),and it was decreased with the increasing of productive engagement score＞27 points(P＜0.001).Conclusion The demoralization syndrome of elderly patients with chronic diseases were in the middle level,and productive engagement is negatively correlated with demoralization syndrome.Healthcare professionals can improve the level of demoralization syndrome by encouraging elderly patients with chronic diseases to actively participate in productive engagement activities.
