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Association between social support and health-related quality of life among Chinese rural elders in nursing homes: the mediating role of resilience

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Abstract

Purpose

This study aims to confirm the relationship between social support and health-related quality of life (HRQOL) among rural Chinese elders in nursing homes, and to examine the mediating role of resilience in the impact of social support on HRQOL.

Methods

A cross-sectional survey of 205 elders aged 60 and above was conducted in five rural public nursing homes. Sociodemographic characteristics, the SF-36 questionnaire, and information about social support and resilience were collected. The researchers administered the questionnaires to the participants in a face-to-face setting. Descriptive analysis and a correlation matrix were used to indicate characteristics of the participants and bivariate correlations, respectively. The mediation analyses, composed of regression analysis and PROCESS analysis, were preformed to test both direct and indirect effects of social support on HRQOL, namely the mediating role of resilience.

Results

Social support was positively related to HRQOL (β = 0.303, p < 0.001) among Chinese rural elders in nursing homes. The mediating role of resilience in the relationship between social support and HRQOL was confirmed (a*b bootstrapped 95% confidence interval = [0.098, 0.257]), which revealed that social support had an indirect effect on HRQOL through resilience.

Conclusions

Resilience partially mediates the relationship between social support and HRQOL. The mediation model provides a better understanding of how social support and resilience work together to affect HRQOL, and it could guide the interventions in health care for promoting HRQOL among Chinese rural elders in nursing homes.

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Acknowledgements

Deepest gratitude to Prof. Jihui Jia and Prof. Yonggang Su, who have provided professional guidance through all the stages of this work. Many thanks to Ms. Yang, Ms. Zhang, Miss. Zhao, Ms. Sun, and Dr. Li for their help and support. This study has been approved by the Shandong University Human Research Protections Program.

Funding

This work was supported by the Ministry of Education of China under Grant 14YJAZH068 and Youth Team of Shandong University under Grant IFYT15008.

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Authors and Affiliations

  1. School of Nursing, Shandong University, Jinan, 250012Shandong, China

    Menglian Wu, Yang Yang, Dan Zhang, Xia Zhao, Yaoyao Sun, Hui Xie, Jihui Jia & Yonggang Su

  2. School of Foreign Languages and Literature, Shandong University, 5 Hongjialou, Jinan, 250100, Shandong, China

    Yonggang Su

  3. School of Philosophy and Social Development, Shandong University, Jinan, 250100, Shandong, China

    Yuqin Li

  4. College of Humanities, Shandong Management University, Jinan, 250100, Shandong, China

    Yuqin Li

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  1. Menglian Wu
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  2. Yang Yang
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  3. Dan Zhang
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  4. Xia Zhao
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  5. Yaoyao Sun
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  7. Jihui Jia
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Correspondence to Yonggang Su.

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Wu, M., Yang, Y., Zhang, D. et al. Association between social support and health-related quality of life among Chinese rural elders in nursing homes: the mediating role of resilience. Qual Life Res 27, 783–792 (2018). https://doi.org/10.1007/s11136-017-1730-2

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