BackgroundLoneliness is a significant public health problem due to the physical, cognitive and psychosocial changes that occur with ageing. Social support and empowerment can be particularly important for older people, alleviating loneliness and improving mental well‐being.PurposeThe present study aimed to investigate the mediating role of health empowerment in the relationship between perceived social support and loneliness among nursing home residents.Study DesignThe study was conducted with a correlational design and reported based on STROBE checklist.MethodsThe study was completed with 277 older adults aged 65 years and over residing in nursing homes. Process Macro Model 4 was conducted to verify the mediating role.ResultsThe response rate was 95.6%. Most older adults experienced a feeling of loneliness, and the level of social support and empowerment perceived by most of them was high. The study found a mediating role of health empowerment in the relationship between social support and loneliness. Social support was significantly positively correlated with health empowerment and negatively correlated with loneliness. The significant standardised indirect effect of health empowerment on loneliness evidenced a partial mediating role.ConclusionThis study concluded that health empowerment has a partial mediating role in the effect of perceived social support and loneliness.Implications for the Profession and/or Patient CareNurses could develop effective strategies for preventing psychosocial problems in nursing home residents. Nurses could contribute significantly as educators, counsellors and leaders in planning interventions to empower older adults.ImpactBy empowering older adults regarding healthcare, nurses could increase their perception of social support, improving mental health by increasing effective coping with loneliness. Nurses could design intervention programmes to increase perceived social support, as well as health empowerment levels, and reduce older adults' loneliness in nursing homes.Patient or Public ContributionOlder adults completed the instruments.

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健康赋权在养老院居民社会支持与孤独感关系中的中介作用：一项相关研究


背景孤独是一个重大的公共卫生问题，因为随着年龄的增长，身体、认知和社会心理会发生变化。社会支持和赋权对老年人尤其重要，可以减轻孤独感并改善心理健康。目的本研究旨在探讨健康赋权在疗养院居民感知社会支持与孤独感之间关系中的中介作用。研究设计该研究采用相关设计进行，并根据 STROBE 检查表进行报告。方法该研究是在 277 名居住在疗养院的 65 岁及以上的老年人中完成的。进行过程宏模型 4 以验证中介作用。结果回复率为 95.6%。大多数老年人都感到孤独，他们中的大多数人感受到的社会支持和赋权水平很高。研究发现，健康赋权在社会支持与孤独感之间的关系中起中介作用。社会支持与健康赋权呈显著正相关，与孤独度呈负相关。健康赋权对孤独感的显著标准化间接影响证明了部分中介作用。结论本研究得出结论，健康赋权在感知社会支持和孤独感的影响中起部分中介作用。对专业和/或患者护理的影响护士可以制定有效的策略来预防疗养院居民的社会心理问题。护士可以作为教育者、咨询师和领导者在规划干预措施以增强老年人权能方面做出重大贡献。影响通过赋予老年人医疗保健方面的权力，护士可以提高他们对社会支持的看法，通过提高对孤独感的有效应对来改善心理健康。护士可以设计干预计划，以增加感知到的社会支持和健康赋权水平，并减少老年人在疗养院的孤独感。患者或公众贡献老年人完成了这些工具。