Mediating effect of self-perceived aging between family function and fear of disease progression among elderly patients with peptic ulcer disease
10.3760/cma.j.cn115682-20250315-01293
- VernacularTitle:自我感知老化在老年消化性溃疡患者家庭功能和疾病进展恐惧间的中介效应分析
- Author:
Ru YIN
1
;
Jinling WANG
;
Qun LOU
;
Chunmin LIN
Author Information
1. 吉林大学白求恩第三医院老年病科，长春 130000
- Publication Type:Journal Article
- Keywords:
Peptic ulcer disease;
Aged;
Self-perceived aging;
Family function;
Fear of disease progression;
Mediation effect analysis
- From:
Chinese Journal of Modern Nursing
2025;31(25):3484-3488
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To examine the status of self-perceived aging, family function, and fear of disease progression among elderly patients with peptic ulcer disease (PUD), and to explore the mediating role of self-perceived aging in the relationship between family function and fear of disease progression.Methods:This was a cross-sectional study. Using a convenience sampling method, a total of 307 elderly patients with PUD hospitalized in the Third Hospital of Bethune, Jilin University between December 2023 and May 2024 were included. Data were collected using the General Information Questionnaire, the Brief Ageing Perceptions Questionnaire (B-APQ), the Fear of Progression Questionnaire-Short Form (FoP-Q-SF), and the Chinese version of the Family Adaptability and Cohesion Evaluation Scales (FACES II-CV). The PROCESS macro in SPSS was used to construct and validate a mediation model to assess the mediating effect of self-perceived aging between family function and fear of disease progression among elderly patients with PUD.Results:A total of 307 questionnaires were distributed, with 276 valid responses obtained (effective response rate: 89.90%). The B-APQ score was (53.79±18.30), the FACES II-CV score was (92.17±16.39), and the FoP-Q-SF score was (30.16±6.02). Family function negatively predicted fear of disease progression directly, with a direct effect value of -0.083, accounting for 44.15% of the total effect (-0.083/-0.188). Self-perceived aging exerted a significant mediating effect between family function and fear of disease progression, with an indirect effect value of -0.105, representing 55.85% of the total effect (-0.105/-0.188) .Conclusions:This study reveals the mediating role of self-perceived aging in the relationship between family function and fear of disease progression in elderly PUD patients. The findings enrich the explanatory dimensions of psychosocial models in chronic disease management and underscore the importance of addressing family dynamics and aging perceptions in designing comprehensive interventions for elderly patients with digestive diseases.
