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Abstract：
UNASSIGNED: The aim of this study was to investigate the sleep quality as well as the influence of social support on the sleep quality of elderly people in nursing homes in northeast China, and analyze the chain-mediating role of psychological adjustment and coping styles in social support and sleep quality, thereby to provide a scientific basis for the development of effective intervention measures in this direction.
UNASSIGNED: This study was conducted during January-March 2023 and adopted a cluster sampling method to select 5 elderly care institutions from across the Jilin, Liaoning, and Heilongjiang provinces in Northeast China. A questionnaire survey was conducted using the Self-mate General Situation Questionnaire, Pittsburgh Sleep Quality Index, Nursing Home Adjustment Scale for the Elderly, Social Support Rating Scale, and Medical Coping Modes Questionnaire. Statistical analysis methods, including ANOVA, logistic multi-factor regression, and Pearson\'s correlation were employed in SPSS 26.0, while Amos 26.0 was used to build a structural equation model to analyze the interaction path and the mediating role between the variables.
UNASSIGNED: The sleep quality of elderly individuals in elderly care institutions was relatively low 8.43(3.456). Social support of elderly individuals in elderly care institutions affected their sleep quality through i) both psychological adjustment and face-to-face coping style (B = 0.493, P < 0.001, 95% CI = 0.050-0.122) and ii) both psychological adjustment and avoidance coping style (B = -0.302, P < 0.001, 95% CI = -0.119 to -0.048). Psychological adjustment, confrontation coping, and avoidance coping played a mediating role in the sequential relationship between social support and the sleep quality of elderly individuals in elderly care institutions.
UNASSIGNED: Psychological adjustment and coping styles have a chain-mediating effect between social support and sleep quality of the elderly in northeast China\'s elderly care institutions.
UNASSIGNED: This study was conducted during January-March 2023 and adopted a cluster sampling method to select 5 elderly care institutions from across the Jilin, Liaoning, and Heilongjiang provinces in Northeast China. A questionnaire survey was conducted using the Self-mate General Situation Questionnaire, Pittsburgh Sleep Quality Index, Nursing Home Adjustment Scale for the Elderly, Social Support Rating Scale, and Medical Coping Modes Questionnaire. Statistical analysis methods, including ANOVA, logistic multi-factor regression, and Pearson\'s correlation were employed in SPSS 26.0, while Amos 26.0 was used to build a structural equation model to analyze the interaction path and the mediating role between the variables.
UNASSIGNED: The sleep quality of elderly individuals in elderly care institutions was relatively low 8.43(3.456). Social support of elderly individuals in elderly care institutions affected their sleep quality through i) both psychological adjustment and face-to-face coping style (B = 0.493, P < 0.001, 95% CI = 0.050-0.122) and ii) both psychological adjustment and avoidance coping style (B = -0.302, P < 0.001, 95% CI = -0.119 to -0.048). Psychological adjustment, confrontation coping, and avoidance coping played a mediating role in the sequential relationship between social support and the sleep quality of elderly individuals in elderly care institutions.
UNASSIGNED: Psychological adjustment and coping styles have a chain-mediating effect between social support and sleep quality of the elderly in northeast China\'s elderly care institutions.
摘要：
■这项研究的目的是调查中国东北地区养老院老年人的睡眠质量以及社会支持对睡眠质量的影响，并分析心理调节和应对方式在社会支持和睡眠质量中的连锁中介作用,从而为朝着这一方向制定有效的干预措施提供科学依据。
■这项研究是在2023年1月至3月进行的，采用整群抽样的方法，从吉林省各地选择了5家养老机构，辽宁,和中国东北的黑龙江省。采用自交一般情况调查表进行问卷调查,匹兹堡睡眠质量指数，老年人养老院调整量表,社会支持评定量表,和医学应对方式问卷。统计分析方法，包括方差分析,Logistic多因素回归，SPSS26.0采用Pearson相关性，Amos26.0建立结构方程模型，分析变量之间的相互作用路径和中介作用。
■养老机构老年人的睡眠质量相对较低，为8.43（3.456）。养老机构中老年人的社会支持通过i）心理调整和面对面应对方式（B=0.493，P<0.001，95％CI=0.050-0.122）和ii）影响其睡眠质量。心理调整和回避应对方式（B=-0.302，P<0.001，95％CI=-0.119至-0.048）。心理调整,对抗应对，回避应对在养老机构老年人社会支持与睡眠质量的时序关系中起中介作用。
■东北养老机构老年人的心理调节和应对方式在社会支持与睡眠质量之间存在连锁中介效应。
■这项研究是在2023年1月至3月进行的，采用整群抽样的方法，从吉林省各地选择了5家养老机构，辽宁,和中国东北的黑龙江省。采用自交一般情况调查表进行问卷调查,匹兹堡睡眠质量指数，老年人养老院调整量表,社会支持评定量表,和医学应对方式问卷。统计分析方法，包括方差分析,Logistic多因素回归，SPSS26.0采用Pearson相关性，Amos26.0建立结构方程模型，分析变量之间的相互作用路径和中介作用。
■养老机构老年人的睡眠质量相对较低，为8.43（3.456）。养老机构中老年人的社会支持通过i）心理调整和面对面应对方式（B=0.493，P<0.001，95％CI=0.050-0.122）和ii）影响其睡眠质量。心理调整和回避应对方式（B=-0.302，P<0.001，95％CI=-0.119至-0.048）。心理调整,对抗应对，回避应对在养老机构老年人社会支持与睡眠质量的时序关系中起中介作用。
■东北养老机构老年人的心理调节和应对方式在社会支持与睡眠质量之间存在连锁中介效应。
