主管：国家卫生健康委员会
主办：国家卫生健康委医院管理研究所
中国科技核心期刊（中国科技论文统计源期刊）
中国科学引文数据库（CSCD）核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2026, Vol. 26 ›› Issue (5): 685-690.doi: 10.3969/j.issn.1672-1756.2026.05.010

• 论著 • 上一篇    下一篇

老年髋部骨折术后患者及照顾者生活质量主客体互倚模型分析

郭庆煜 于雁 苏秋菊 王升英 李玉峰 吕晓 孟静   

  1. 青岛大学护理学院，266021 山东省青岛市（郭庆煜）；青岛市市立医院东院区病人服务中心（于雁）；青岛市市立医院本部护理部（苏秋菊）；运动与骨关节外科（王升英，李玉峰）；创伤骨科（吕晓）；骨关节外科（孟静）
  • 出版日期:2026-05-15 发布日期:2026-05-15
  • 通讯作者: 于雁，硕士，主任护师，病人服务中心主任，E-mail:2000628@163.com
  • 作者简介:郭庆煜，硕士在读

Analysis of the actor-partner interdependence model in relation to the quality of life of elderly patients post-hip fracture surgery and their family caregivers

GUO Qingyu, YU Yan, SU Qiuju, WANG Shengying, LI Yufeng, LYU Xiao, MENG Jing   

  1. School of Nursing, Qingdao University, Qingdao, Shandong province, 266021, China
  • Online:2026-05-15 Published:2026-05-15
  • Contact: E-mail:2000628@163.com

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摘要： 目的：基于主客体互倚模型分析老年髋部骨折术后患者及照顾者自我效能、心理弹性、社会支持与生活质量的关系，为临床干预提供理论依据。方法：于2024年7月—12月，便利选取青岛市3所三级甲等医院门诊复查的221对老年髋部骨折术后患者及亲属照顾者，采用一般资料调查表、康复锻炼自我效能感量表、一般自我效能感量表、社会支持评定量表、心理弹性量表简化版、简明生活质量量表进行调查。构建主客体互倚模型，从二元水平分析主体效应和客体效应。结果：主体效应方面，患者及照顾者自我效能（β=0.697；β=0.536）、心理弹性（β=0.441；β=0.599）、社会支持（β=0.628；β=0.613）均可影响自身生活质量（均P<0.05）；客体效应方面，患者生活质量受照顾者心理弹性（β=0.300）和社会支持（β=0.309）的影响（均P<0.05），而照顾者生活质量受患者心理弹性（β=0.711）和社会支持（β=0.336）的影响（均P<0.05）。结论：老年髋部骨折术后患者及照顾者的生活质量与两者心理弹性和社会支持具有交互影响，提示护士可基于二元视角，以患者及其照顾者的心理弹性、社会支持为核心开展干预，从而有效提高两者生活质量水平。

关键词: 老年髋部骨折患者；照顾者；生活质量；主客体互倚模型

Abstract: Objective: Based on the actor-partner interdependence model, this study aims to explore the relationships between self-efficacy, resilience, social support, and Quality of Life (QOL) among elderly patients following hip fracture surgery and their family caregivers, so as to provide a theoretical basis for clinical interventions. Methods: From July to December 2024, 221 pairs of elderly patients who had undergone hip fracture surgery and their caregivers, who were conveniently selected from the outpatient clinics of three tertiary grade A hospitals in Qingdao for reexamination, were surveyed by using the General Information Questionnaire, the Self-Efficacy for Rehabilitation Exercise Scale, the General Self-Efficacy Scale, the Social Support Rating Scale, the 10-item Connor-Davidson Resilience Scale, and the Short Form 12 Health Survey. An actor-partner interdependence model was constructed to analyze actor effects and partner effects at the dyadic level. Results: In terms of the actor effect, both the self-efficacy (β=0.697; β=0.536), psychological resilience (β=0.441; β=0.599), and social support (β=0.628; β=0.613) of patients and caregivers influenced their own QOL (all P<0.05). In terms of the partner effect, the QOL of patients was affected by the psychological resilience (β=0.300) and social support (β=0.309) of caregivers (all P<0.05), while the QOL of caregivers was influenced by the psychological resilience (β=0.711) and social support (β=0.336) of patients (all P<0.05). Conclusion: The QOL of elderly patients after hip fracture surgery and their caregivers has an interactive influence on the psychological resilience and social support of both. This indicates that nurses can conduct interventions based on a dyadic perspective, taking into account the psychological resilience and social support of patients and their caregivers, so as to effectively enhance the QOL of both parties.

Key words: elderly patients with hip fracture; caregiver; quality of life; actor-partner interdependence model

中图分类号:  R47；R197
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