Mediating effect of discharge readiness on social support and quality of life in elderly patients with hip fracture
10.3760/cma.j.cn115682-20210917-04238
- VernacularTitle:老年髋部骨折术后患者出院准备度在社会支持和生活质量间的中介效应分析
- Author:
Huihui WANG
1
;
Na LI
;
Min WEI
;
Yuzhi SONG
;
Baohua CHEN
;
Hao ZHANG
Author Information
1. 山东第一医科大学附属省立医院创伤中心，济南 250021
- Keywords:
Aged;
Hip fractures;
Discharge readiness;
Social support;
Quality of life;
Mediating effect
- From:
Chinese Journal of Modern Nursing
2022;28(18):2431-2436
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the relationship among social support, discharge readiness and quality of life in elderly patients with hip fracture, and to analyze the mediating effect of discharge readiness on social support and quality of life.Methods:This study was a cross-sectional study. From June 2020 to July 2021, 220 elderly patients with hip fracture who underwent surgical treatment in the Trauma Center of the Shandong Provincial Hospital Affiliated to Shandong First Medical University were selected as the research object. The patients were surveyed using the General Information Questionnaire, Social Support Rate Scale (SSRS) , Readiness for Hospital Discharge Scale (RHDS) , and the 12-item Short From Health Survey (SF-12) .Pearson correlation was used to explore the correlation among variables, and AMOS 23.0 software was used to construct structural equation model, and Bootstrap method was used to test the mediating effect. A total of 220 questionnaires were distributed, and 193 valid questionnaires were recovered, with a valid rate of 87.73 % (193/220) .Results:Among 193 elderly patients after hip fracture surgery, the total scores of RHDS, SSRS and SF-12 were (79.39±6.42) , (38.62±6.74) , and (65.39±9.28) , respectively. Social support was positively correlated with discharge readiness ( r=0.39, P<0.01) , discharge readiness was positively correlated with quality of life ( r=0.67, P<0.01) , and social support was positively correlated with quality of life ( r=0.56, P<0.01) . The results of path analysis showed that discharge readiness of elderly patients after hip fracture surgery could positively predict quality of life (β=0.54, P<0.01) , and social support could positively predict discharge readiness (β=0.23, P<0.01) and quality of life (β=0.34, P<0.01) . Discharge readiness played a partial mediating role between social support and quality of life, with a mediating effect of 0.124 2, accounting for 26.76% of the total effect. Conclusions:Discharge readiness of elderly patients after hip fracture surgery is low. Discharge readiness partially mediates the relationship between social support and quality of life. Nurses should formulate corresponding intervention measures to improve the social support and discharge readiness of elderly patients after hip fracture surgery, thereby improving their quality of life.
