Mediating effects of self-efficacy and loneliness on health promoting behavior and frailty in elderly patients with proliferative diabetic retinopathy / 沈阳医学院学报
Journal of Shenyang Medical College
; (6): 25-29,94, 2024.
Article
in Zh
| WPRIM
| ID: wpr-1020582
Responsible library:
WPRO
ABSTRACT
Objective:
To investigate the relationship between health promoting behavior and frailty in elderly patients with proliferative diabetic retinopathy(PDR),and the mediating effects of self-efficacy and loneliness.Methods:
In an eye hospital of Anhui Province,214 elderly patients with PDR were selected from May 2021 to Nov 2022 by convenient sampling method.The Frailty Scale,Chinese Version of Health-Promoting Lifestyle Profile-Ⅱ,Self-Efficacy Scale and Simplified Loneliness Scale were used in this survey.Bootstrap method of Process software was used to analyze the mediating effect of self-efficacy on the relationship between health promoting behaviors and frailty in elderly PDR patients and the moderating effect of loneliness on the relationship between self-efficacy and frailty.Results:
A total of 220 questionnaires were distributed and 214 valid questionnaires were returned,with valid response rate of 97.27% .Moderated mediation effect analysis suggested that health-promoting behaviors negatively predicted frailty(β=-0.508,P<0.01).Health promoting behaviors and self-efficacy had significant predictive effects on frailty(β=-0.191 and-0.433,P<0.01),and health promoting behaviors also had a significant predictive effect on self-efficacy(β=0.063,P<0.01).Self-efficacy played a partially mediating role between health promoting behaviors and frailty,and the mediating effect accounted for 14.76% of the total effect.The product term of loneliness and self-efficacy significantly predicted frailty(β=0.255,P<0.01),the mediating effect of self-efficacy on frailty was moderated by loneliness.Conclusions:
The health-promoting behaviors of elderly patients with PDR affect frailty through self-efficacy,and loneliness moderates the relationship between self-efficacy and frailty.The moderated mediation model is established.
Full text:
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Index:
WPRIM
Language:
Zh
Journal:
Journal of Shenyang Medical College
Year:
2024
Type:
Article