Predictors of Perceived Social Support for Patients with Dementia: A Mixed-Methods Study

Siyuan Yang,1 Yunmei Zhang,2 Shiqi Xie,2 Yanhan Chen,2 Dengbi Jiang,3 Yetao Luo,4 Qinghua Zhao,1 Bing Yang2 1Nursing Department, The First Affiliated Hospital of Chongqing Medical University, Chongqing, Yuzhong District, People’s Republic of China; 2School of Nursing, Chongqing Medical Uni...

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Autores principales:	Yang S, Zhang Y, Xie S, Chen Y, Jiang D, Luo Y, Zhao Q, Yang B
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	dementia illness stages perceived social support psychosocial status Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/8d652ed7a1664a94917d9456870cc572
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spelling	oai:doaj.org-article:8d652ed7a1664a94917d9456870cc5722021-12-02T08:36:38ZPredictors of Perceived Social Support for Patients with Dementia: A Mixed-Methods Study1178-1998https://doaj.org/article/8d652ed7a1664a94917d9456870cc5722020-04-01T00:00:00Zhttps://www.dovepress.com/predictors-of-perceived-social-support-for-patients-with-dementia-a-mi-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Siyuan Yang,1 Yunmei Zhang,2 Shiqi Xie,2 Yanhan Chen,2 Dengbi Jiang,3 Yetao Luo,4 Qinghua Zhao,1 Bing Yang2 1Nursing Department, The First Affiliated Hospital of Chongqing Medical University, Chongqing, Yuzhong District, People’s Republic of China; 2School of Nursing, Chongqing Medical University, Chongqing, Yuzhong District, People’s Republic of China; 3Community Health Center of Daxigou, Chongqing, Yuzhong District, People’s Republic of China; 4Department of Biostatistics, School of Public Health and Management, Chongqing Medical University, Chongqing, Yuzhong District, People’s Republic of ChinaCorrespondence: Bing Yang; Qinghua Zhao Email yangb@hospital.cqmu.edu.cn; qh20063@163.comPurpose: Perceived social support (PSS) is closely linked to health outcomes in dementia patients. However, its continuous benefits are unclear. This mixed-methods study examined the impact of social support perceptions and differentiation among patients and carers during disease progression.Patients and Methods: Persons with dementia (PWDs), family caregivers, and community family physicians were recruited from nine community health centers. Semi-structured interviews conducted with 12 PWDs (7 PWDs in mild dementia and 5 in moderate dementia), 12 family caregivers, and 6 community family physicians and conventional content analysis were used to explore social support perspectives at different dementia stages. A total of 470 PWDs were divided into mild (n=224), moderate (n=190), and severe (n=56) groups. Demographic, physical, and psychological factors related to PSS were examined by the group using multiple regression analysis. The group-based characteristics were entered into three prediction models.Results: In the qualitative study, three themes of social support were identiﬁed: two viewpoints refer to social support; different needs and preferences in each stage; non-personalized support services. Quantitatively, the mild group scored lowest in perceived social support, while the severe group scored highest (χ2=64.70, P< 0.001). The mild group PSS was predicted by depression (β=− 0.07, P=0.04), cognitive capacity (β=− 0.18, P< 0.001), and instrumental ability (β=− 0.78, P< 0.001), which differed from the moderate and severe groups.Conclusion: This study provided comprehensive insight into PSS from PWDs’ perspective at different stages of the disease. Results indicated the need for a stratified care approach and direction for further research on intervention.Keywords: dementia, illness stages, perceived social support, psychosocial statusYang SZhang YXie SChen YJiang DLuo YZhao QYang BDove Medical Pressarticledementiaillness stagesperceived social supportpsychosocial statusGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 15, Pp 595-607 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	dementia illness stages perceived social support psychosocial status Geriatrics RC952-954.6
spellingShingle	dementia illness stages perceived social support psychosocial status Geriatrics RC952-954.6 Yang S Zhang Y Xie S Chen Y Jiang D Luo Y Zhao Q Yang B Predictors of Perceived Social Support for Patients with Dementia: A Mixed-Methods Study
description	Siyuan Yang,1 Yunmei Zhang,2 Shiqi Xie,2 Yanhan Chen,2 Dengbi Jiang,3 Yetao Luo,4 Qinghua Zhao,1 Bing Yang2 1Nursing Department, The First Affiliated Hospital of Chongqing Medical University, Chongqing, Yuzhong District, People’s Republic of China; 2School of Nursing, Chongqing Medical University, Chongqing, Yuzhong District, People’s Republic of China; 3Community Health Center of Daxigou, Chongqing, Yuzhong District, People’s Republic of China; 4Department of Biostatistics, School of Public Health and Management, Chongqing Medical University, Chongqing, Yuzhong District, People’s Republic of ChinaCorrespondence: Bing Yang; Qinghua Zhao Email yangb@hospital.cqmu.edu.cn; qh20063@163.comPurpose: Perceived social support (PSS) is closely linked to health outcomes in dementia patients. However, its continuous benefits are unclear. This mixed-methods study examined the impact of social support perceptions and differentiation among patients and carers during disease progression.Patients and Methods: Persons with dementia (PWDs), family caregivers, and community family physicians were recruited from nine community health centers. Semi-structured interviews conducted with 12 PWDs (7 PWDs in mild dementia and 5 in moderate dementia), 12 family caregivers, and 6 community family physicians and conventional content analysis were used to explore social support perspectives at different dementia stages. A total of 470 PWDs were divided into mild (n=224), moderate (n=190), and severe (n=56) groups. Demographic, physical, and psychological factors related to PSS were examined by the group using multiple regression analysis. The group-based characteristics were entered into three prediction models.Results: In the qualitative study, three themes of social support were identiﬁed: two viewpoints refer to social support; different needs and preferences in each stage; non-personalized support services. Quantitatively, the mild group scored lowest in perceived social support, while the severe group scored highest (χ2=64.70, P< 0.001). The mild group PSS was predicted by depression (β=− 0.07, P=0.04), cognitive capacity (β=− 0.18, P< 0.001), and instrumental ability (β=− 0.78, P< 0.001), which differed from the moderate and severe groups.Conclusion: This study provided comprehensive insight into PSS from PWDs’ perspective at different stages of the disease. Results indicated the need for a stratified care approach and direction for further research on intervention.Keywords: dementia, illness stages, perceived social support, psychosocial status
format	article
author	Yang S Zhang Y Xie S Chen Y Jiang D Luo Y Zhao Q Yang B
author_facet	Yang S Zhang Y Xie S Chen Y Jiang D Luo Y Zhao Q Yang B
author_sort	Yang S
title	Predictors of Perceived Social Support for Patients with Dementia: A Mixed-Methods Study
title_short	Predictors of Perceived Social Support for Patients with Dementia: A Mixed-Methods Study
title_full	Predictors of Perceived Social Support for Patients with Dementia: A Mixed-Methods Study
title_fullStr	Predictors of Perceived Social Support for Patients with Dementia: A Mixed-Methods Study
title_full_unstemmed	Predictors of Perceived Social Support for Patients with Dementia: A Mixed-Methods Study
title_sort	predictors of perceived social support for patients with dementia: a mixed-methods study
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/8d652ed7a1664a94917d9456870cc572
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Predictors of Perceived Social Support for Patients with Dementia: A Mixed-Methods Study

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