以质量求发展,以服务铸品牌

Journal of Nursing ›› 2024, Vol. 31 ›› Issue (18): 7-11.doi: 10.16460/j.issn1008-9969.2024.18.007

Previous Articles     Next Articles

Mediating effect of meaning in life and self-esteem between sense of control and sleep quality of elderly people

FU Li-ting1, ZHANG Xing-hai1, SUN Xuan2   

  1. 1. School of Marxism, Changchun University of Chinese Medicine, Changchun 130017, China;
    2. Mental Health Education Center, Tianjin Tianshi College, Tianjin 301700, China
  • Received:2024-03-03 Online:2024-09-25 Published:2024-10-08

Abstract: Objective To explore the effect of sense of control on sleep quality of the elderly, and the mediating effect of meaning in life and self-esteem between sense of control and sleep quality. Methods Convenience sampling was used to select 1,952 elderly people and they were surveyed by using Sense of Control Scale, Meaning in Life Scale, Self-esteem Scale and Athens Insomnia Scale. A mediating model was constructed and tested. Results The total score of sense of control, meaning in life, self-esteem and sleep quality of elderly people in this group was 55.80±10.46, 46.02±10.83, 30.62±4.16, and 4.68±3.67, respectively. Sense of control had a significant negative predictive effect on sleep quality (β=-0.270, P<0.001). Meaning in life played a partial mediating role between sense of control and sleep quality(β=-0.042, P<0.001), accounting for 15.56% of the total effect. Self-esteem moderated the mediated effect of meaning in life(β=0.058, P=0.003). Conclusion The mediating effect of meaning in life and self-esteem on sense of control and sleep quality of the elderly is established. Targeted intervention measures should be considered to promote sense of control, meaning in life and self-esteem of elderly people, so as to improve their sleep quality.

Key words: sense of control, meaning in life, self-esteem, sleep quality

CLC Number: 

  • R473.59
[1] 张佳弛,肖淑娟,薛雅卿,等.慢性病数量对老年人生命质量影响:睡眠质量的中介作用和社会参与的调节作用[J].中国预防医学杂志, 2023, 8(28):1-7.
[2] 谢韵梓,吴继霞,王诗成,等.儿童期情感忽视对大学生抑郁的影响:控制感与情绪调节自我效能感的链式中介作用[J].心理发展与教育,2022,38(3):407-417.DOI:10.16187/j.cnki.issn1001-4918.2022.03.12.
[3] 李丽萍,邓俊豪,肖蓉.医学生学习压力对抑郁的影响:睡眠质量的中介作用和生命意义感的调节作用[J].实用医学杂志,2021,37(16):2048-2052.DOI:10.16128/j.cnki.1005-3611.2021.05.029.
[4] 谢其利,张睿,兰文杰.歧视知觉对留守经历大学生焦虑的影响:自尊和反刍思维的纵向中介作用[J].中国临床心理学杂志,2023, 31(5):1117-1121.DOI:10.16128/j.cnki.1005-3611.2023.05.018.
[5] 周宗奎,曹敏,田媛,等.初中生亲子关系与抑郁:自尊和情绪弹性的中介作用[J].心理发展与教育,2021,37(6):864-872.DOI:10.16187/j.cnki.issn1001-4918.2021.06.13.
[6] 倪平,陈京立,刘娜.护理研究中量性研究的样本量估计[J].中华护理杂志, 2010, 45(4):378-380. DOI:10.3761/j.issn.0254-1769.2010.04.037.
[7] Lachman ME,Weaver SL.The sense of control as a moderator of social class differences in health and well-being[J].J Pers Soc Psychol, 1998, 74(3):763.DOI:10.1037/0022-3514.74.3.763.
[8] 李静. 不同社会阶层对贫富差距的归因倾向研究[D].武汉:华中师范大学,2012.DOI:10.27159/d.cnki.ghzsu.2012.000005.
[9] 马燕. 老年人控制感和生命意义感与主观幸福感的现状及关系研究[D]. 呼和浩特:内蒙古师范大学, 2022.DOI:10.27230/d.cnki.gnmsu.2022.000216.
[10] Steger MF, Frazier P, Oishi S, et al.The meaning in life questionnaire: assessing the presence of and search for meaning in life[J]. J Couns Psychol,2006,53(1):80.DOI:10.1037/0022-0167.53.1.80.
[11] 王孟成,戴晓阳.中文人生意义问卷(C-MLQ)在大学生中的适用性[J].中国临床心理学杂志,2008,16(5):459-461.DOI:10.16128/j.cnki.1005-3611.2008.05.020.
[12] 谢敏娟,肖康娇,杨腊梅,等.社区失能老人家庭照顾者主观幸福感现状及影响因素分析[J].护理学报,2022,29(9):5-10.DOI:10.16460/j.issn1008-9969.2022.09.005.
[13] Rosenberg M.Society and the adolescent self-image[M].Princeton,NJ:University Press,1965.
[14] 汪向东,王希林,马弘.心理卫生评定量表手册(增订版)[M].北京:中国心理卫生杂志社,1999:318-320.
[15] 吴欢,周建荣,谢世麒,等.社区老年人痴呆恐惧状况及影响因素研究[J].护理学杂志,2022,37(2):85-87.DOI:10.3870/j.issn.1001-4152.2022.02.085.
[16] 熊燕,杨星,杨敬源,等.贵州农村老年人社会支持与认知功能的关系及焦虑睡眠的中介作用[J]. 现代预防医学,2022,49(20):3717-3722.DOI:10.20043/j.cnki.MPM.202204492.
[17] 杨曦,杨星,杨敬源,等.贵州省农村老年人睡眠障碍对认知功能损害影响[J].中国公共卫生,2021,37(8):1233-1236.DOI:10.11847/zgggws1127829.
[18] 杨萌柳,曾燕,许浪等.老年人失眠及其类型对认知障碍患病影响[J].中国公共卫生,2023,39(6):734-739.DOI:10.11847/zgggws1140402.
[19] 冯富荣,朱呈呈,侯玉波.控制感与老年人生命意义感:自我认同和政策支持的作用[J].心理科学,2020,43(5):1087-1094.DOI:10.16719/j.cnki.1671-6981.20200509.
[20] 陈伟嘉,吴寒斌.关系流动性对老年人生活质量的影响:社会支持和生命意义感的链式中介作用[J].中国健康心理学杂志,2022, 30(2):186-190.DOI:10.13342/j.cnki.cjhp.2022.02.005.
[21] 唐莉,韩兹莹,张惠,等.四川省老年人自尊与身心健康的现状调查[J].中国健康心理学杂志,2021,29(10):1454-1457.DOI:10.13342/j.cnki.cjhp.2021.10.004.
[22] Kleinschmidt JJ, Trunnell EP, Reading JC, et al.The role of control in depression, anxiety, and life satisfaction among visually impaired older adults[J].J Health Educ,1995,26(1):26-36.DOI:10.1080/10556699.1995.10603073.
[23] Xiao SJ, Shi L, Zhang JC, et al.The role of anxiety and depressive symptoms in mediating the relationship between subjective sleep quality and cognitive function among older adults in China[J]. J Affect, 2023,325.DOI:10.1016/j.jad.2023.01.048.
[24] 涂薇,夏春.早期贫困经历对大学生睡眠质量的影响[J].中国学校卫生, 2019, 40(2):246-248,252.DOI:10.16835/j.cnki.1000-9817.2019.02.024.
[25] 梁韵仪,殷文君,申乔乔,等.老化态度在老年人家庭功能与生命意义感的中介效应分析[J].护理学报,2021,28(8):39-43.DOI:10.16460/j.issn1008-9969.2021.08.039.
[26] 凌冬莲,吴旻,宋文琦,等.累积情境风险与农村小学寄宿生亲社会行为:有调节的中介模型[J].中国健康心理学杂志,2023,31(11):1753-1760.DOI:10.13342/j.cnki.cjhp.2023.11.028.
[1] GUO Man-jie, LI Na, ZHAO Yu, WANG Pin, YOU Si-meng, WANG Qing, JI Hong. Mediating effect of loneliness between short video addiction and sleep quality among nursing undergraduates [J]. Journal of Nursing, 2023, 30(7): 20-24.
[2] ZHU Xiao, KUANG Zhi-hua. Mediating Effect of Achievement Motivation between Basic Psychological Needs and Meaning in Life among Medical and Nursing Students [J]. Journal of Nursing, 2022, 29(5): 1-5.
[3] WANG Rui-ying, XING Wei, FA Xian-en, CHEN Jun-zhuo. Latent Class Analysis of Fatigue of Pregnant Women in Late Pregnancy [J]. Journal of Nursing, 2022, 29(21): 11-16.
[4] HE Chun-yan, GUO Si-jin, LIN Ya-wei, DU Yan-ling, GAO li, CAO Bao-hua. Characteristics and Predictors of Social Isolation in Female Breast Cancer Patients [J]. Journal of Nursing, 2022, 29(13): 6-11.
[5] DING Cui-lu, LIU An-nuo, ZHU Gui-yue, ZHANG Meng, Ma Wen, LIU Min. Mediating Effect of Self-worth on Perceived Social Support and Meaning in Life among Nursing Undergraduates [J]. Journal of Nursing, 2021, 28(6): 38-42.
[6] LI Yin-cui, LIU Yun, LI Yin, HAN Xue, MENG Jia. Effect of Preoperative Sleep Quality on Early Recovery and Quality of Life after Total Knee Arthroplasty [J]. Journal of Nursing, 2020, 27(4): 42-47.
[7] . Mediating Effect of General Self-efficacy on Meaning in Life and Prosocial Behaviors of Nursing College and Undergraduate Students [J]. Journal of Nursing, 2020, 27(19): 47-51.
[8] GONG Hu-ping,WEI Qing-feng,ZHANG Shi-hu,XIE Zhi-fen. Effect of Mindfulness-based Stress Reduction on Sleep Quality and Quality of Life in Colostomy Patients [J]. Journal of Nursing, 2017, 24(6): 5-8.
[9] WANG Xiao-dan,ZHOU Zeng-li,GAO Yun-suo,CHEN Ming-wen,CHEN Tai-cai. A Multilevel Model Analysis of Intervention Effect of Sleep Quality of Nursing Interns [J]. Journal of Nursing, 2016, 23(7): 73-76.
[10] CHEN Li-xia,WANG Xiu-feng,PEI Ju-hong. SIeep QuaIity of ICU Patients and Its InfIuence Factors [J]. , 2016, 23(22): 5-8.
[11] YE Yan-sheng,ZHANG Zhi-xia,BAO Cui-yu,YE Lei. Influence of Emotional Flexibility Training on Sleep Quality of College Nursing Students [J]. , 2016, (2): 70-72.
[12] HU Rong,WANG Wei-hong,HE Cai-yun,LIU Yue-hui,XIONG Yu. Current Status of Sleep Quality in Knee Replacement Patients and Its influence Factors [J]. , 2016, 23(14): 12-15.
[13] GU Fen,LI Jin-ling,SUN Chun-yan,YAN Lei,HOU Li-li. SIeep QuaIity of Patients with PuImonary Hypertension and Its InfIuence Factors [J]. , 2016, 23(13): 35-37,38.
[14] DUAN Xia,SHI Yan. Status Quo of Occupational Stress and Sleep Quality and Its Correlations among ICU Nurses [J]. Journal of Nursing, 2015, (6): 1-5.
[15] TANG Chun-yuan,YE Xiao-qing,WANG Rao-ping. Relationship between Nutritional Status and Sleep Quality in Maintenance Hemodialysis Patients [J]. Journal of Nursing, 2013, (13): 18-21.
Viewed
Full text


Abstract

Cited

  Shared   
No Suggested Reading articles found!