The Relevant Research Among Social Support,Self-efficacy For Chronic Disease And Well-being In Community Elderly

Objective By understanding community elderly with chronic disease status of social support and well-being,then analyze the impact factors of these two variables and explore the correlation between these two variables.Meanwhile,we introduce self-efficacy for chronic disease variables,then investigate on mediating effect of self-efficacy for chronic disease between social support and well-being of elderly.These studies have theoretical significance to enrich social support,self-efficacy for chronic disease and well-being.Methods A convenience sampling was conducted during the period April to June 2015.Totally 442 community elderly with chronic disease from Jining city in Shandong province(Shizhong area,Rencheng area and Zoucheng city)were selected and surveyed by questionnaire.Self-made elderly in general questionnaire,Social Support Rating Scale,Self-efficacy for Chronic Disease 6-Item Scale,the 15-item Version of the Social Production Function Instrument for the Level of Well-being were used to measure demographic data of elderly with social support,self-efficacy for chronic disease and well-being.After collecting the questionnaires,using SPSS17.0 double data entry to establish a database and analyzing validity,reliability,descriptive statistical analysis,correlation analysis and hierarchical multiple linear regression analysisby SPSS17.0 and Amos 17.0.Results SPF-IL(s)were translated into Chinese,testing the reliability and validity.Item-to-total correlation analysis showed that all of the item-to-total correlations were statistically significant.Item-to-factor correlation analysis showed that all of the item-to-factor correlations were statistically significant.The I-CVI were 0.80~1.00,the S-CVI/UA was 0.80 and S-CVI/Ave was 0.96.Five common factors model was get from principal axis factoring in exploratory factor analysis,and the communalities of the items were 0.482~0.878.Confirmatory factor analysis showed the CMIN/DF was 2.142,the RMSEA was 0.072,the GFI was 0.907,the TLI was 0.941,the IFI was 0.956,the CFI was 0.955 and the PGFI was 0.604.The Cronbach coefficient was 0.914,each dimension cronbach coefficients were 0.779,0.814,0.853,0.938 and 0.690.The test-retest reliability was 0.902 and the split-half reliability was 0.861.SPF-IL(s)is a reliable and valid instrument.The results about demographic data affects for three research variables:different age,gender,spouse,education,monthly income,living status and the number of disease has significant effects on social support(P<0.05);different education,monthly income and the number of disease has significant effects on self-efficacy for chronic disease(P<0.05);different gender,spouse,education,monthly income,living status and the number of disease has significant effects on well-being(P<0.05).Community elderly’s social support was positively associated with self-efficacy for chronic disease(P<0.01),community elderly’s social support was positively associated with well-being(P<0.01),community elderly’s self-efficacy for chronicdisease was positively associated with well-being(P<0.01).Community elderly with chronic disease’s social support(subject support,objective support and the usage of support)were positively associated with subject-wellbeing(affection,behavioral confirmation,status,comfort and stimulation)(P<0.01);social support(subject support,objective support and the usage of support)were positively associated with self-efficacy for chronic disease(self-efficacy to manage symptom and self-efficacy to manage disease in general)(P<0.01);self-efficacy for chronic disease(self-efficacy to manage symptom and self-efficacy to manage disease in general)were positively associated with wellbeing(affection,behavioral confirmation,status,comfort and stimulation)(P<0.01).Self-efficacy for chronic disease played a partly mediating role in the relationship between social support and well-being among elderly.Conclusions The 15-item Version of the Social Production Function Instrument for the Level of Well-being were used for Chinese well.The effect of different demographic data on part dimensions of the study variables:in terms of social support score,male,spouses living,younger in age,high-cultural degree,high monthly income,living with their families and at number three or less of diseases scored higher in the elderly;in terms of self-efficacy for chronic disease score,high-cultural degree,high monthly income and at number three or less of diseases scored higher in the elderly;in terms of well-being score,male,spouses living,high-cultural degree,high monthly income,living with their families and at number three or less of diseases scored higher in the elderly.The higher level of social support,the self-efficacy for chronic disease level would increase in elderly;the higher level of social support,the well-being level would increase in elderly;the higher level of self-efficacy for chronic disease,the well-being level would increase in elderly.Self-efficacy for chronic disease played a partly mediating role in the relationship between social support and wellbeing among elderly.The intervention of chronic disease self-efficacy factors,reduced social support effect on well-being.