Satisfaction with care quality and anxiety among family members during nursing home visiting restrictions: The chain mediating effect of emotional regulation and perceived stress
IntroductionThis study aimed to investigate the psychological well-being (perceived stress and anxiety) of Chinese family members during nursing home visiting restrictions and to elucidate the relationships among satisfaction with care quality, emotion regulation, perceived stress, and anxiety.Metho...
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| Format: | Article |
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Frontiers Media S.A.
2023-04-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1117287/full |
| _version_ | 1797851396256563200 |
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| author | Zhaozhao Hui Xiaoqin Wang Xun Wang Jinping Zhao Yunjin Pan Feng Liu Ruishi Zheng Mingxu Wang |
| author_facet | Zhaozhao Hui Xiaoqin Wang Xun Wang Jinping Zhao Yunjin Pan Feng Liu Ruishi Zheng Mingxu Wang |
| author_sort | Zhaozhao Hui |
| collection | DOAJ |
| description | IntroductionThis study aimed to investigate the psychological well-being (perceived stress and anxiety) of Chinese family members during nursing home visiting restrictions and to elucidate the relationships among satisfaction with care quality, emotion regulation, perceived stress, and anxiety.MethodsAn online survey was conducted with a cross-sectional study design. From 18 to 29 January 2022, a total of 571 family members of nursing home residents completed online questionnaires comprising socio-demographic characteristics, satisfaction with care quality, emotion regulation, perceived stress, and anxiety. Mediation analyses were performed to estimate the direct and indirect effects of satisfaction with care quality on anxiety using the PROCESS macro for SPSS.ResultsThe results showed that approximately one-quarter of Chinese family members had anxiety symptoms during nursing home visiting restrictions. Satisfaction with care quality affected anxiety via three mediating paths: (a) through cognitive reappraisal (effect = 0.028); (b) through cognitive reappraisal and perceived stress sequentially (effect = −0.057); and (c) through perceived stress (effect = −0.212). The chain mediating effect (path b) accounted for 23.7% of the total effect.ConclusionsThese findings corroborated our hypothesis that cognitive reappraisal (a kind of emotion regulation strategy) and perceived stress mediated the relationship between satisfaction with care quality and anxiety during nursing home visiting restrictions. Efforts to address family members’ psychological well-being by focusing on cognitive reappraisal should be considered. |
| first_indexed | 2024-04-09T19:17:13Z |
| format | Article |
| id | doaj.art-c6b9ba86403e496e84d423e913082cdc |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-09T19:17:13Z |
| publishDate | 2023-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-c6b9ba86403e496e84d423e913082cdc2023-04-06T05:15:56ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-04-011110.3389/fpubh.2023.11172871117287Satisfaction with care quality and anxiety among family members during nursing home visiting restrictions: The chain mediating effect of emotional regulation and perceived stressZhaozhao Hui0Xiaoqin Wang1Xun Wang2Jinping Zhao3Yunjin Pan4Feng Liu5Ruishi Zheng6Mingxu Wang7School of Public Health, Xi’an Jiaotong University Health Science Center, Xi’an, ChinaSchool of Nursing, Xi’an Jiaotong University Health Science Center, Xi’an, ChinaSchool of Public Health, Xi’an Jiaotong University Health Science Center, Xi’an, ChinaSchool of Public Health, Xi’an Jiaotong University Health Science Center, Xi’an, ChinaSchool of Public Health, Xi’an Jiaotong University Health Science Center, Xi’an, ChinaShaanxi Provincial Hospital of Occupational Disease Control and Prevention, Tongchuan, ChinaSonghe Nursing Home, Xi’an Tangcheng Hospital, Xi’an, ChinaSchool of Public Health, Xi’an Jiaotong University Health Science Center, Xi’an, ChinaIntroductionThis study aimed to investigate the psychological well-being (perceived stress and anxiety) of Chinese family members during nursing home visiting restrictions and to elucidate the relationships among satisfaction with care quality, emotion regulation, perceived stress, and anxiety.MethodsAn online survey was conducted with a cross-sectional study design. From 18 to 29 January 2022, a total of 571 family members of nursing home residents completed online questionnaires comprising socio-demographic characteristics, satisfaction with care quality, emotion regulation, perceived stress, and anxiety. Mediation analyses were performed to estimate the direct and indirect effects of satisfaction with care quality on anxiety using the PROCESS macro for SPSS.ResultsThe results showed that approximately one-quarter of Chinese family members had anxiety symptoms during nursing home visiting restrictions. Satisfaction with care quality affected anxiety via three mediating paths: (a) through cognitive reappraisal (effect = 0.028); (b) through cognitive reappraisal and perceived stress sequentially (effect = −0.057); and (c) through perceived stress (effect = −0.212). The chain mediating effect (path b) accounted for 23.7% of the total effect.ConclusionsThese findings corroborated our hypothesis that cognitive reappraisal (a kind of emotion regulation strategy) and perceived stress mediated the relationship between satisfaction with care quality and anxiety during nursing home visiting restrictions. Efforts to address family members’ psychological well-being by focusing on cognitive reappraisal should be considered.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1117287/fullanxietyperceived stressemotion regulationcare qualitynursing home visiting restrictionmediation analysis |
| spellingShingle | Zhaozhao Hui Xiaoqin Wang Xun Wang Jinping Zhao Yunjin Pan Feng Liu Ruishi Zheng Mingxu Wang Satisfaction with care quality and anxiety among family members during nursing home visiting restrictions: The chain mediating effect of emotional regulation and perceived stress Frontiers in Public Health anxiety perceived stress emotion regulation care quality nursing home visiting restriction mediation analysis |
| title | Satisfaction with care quality and anxiety among family members during nursing home visiting restrictions: The chain mediating effect of emotional regulation and perceived stress |
| title_full | Satisfaction with care quality and anxiety among family members during nursing home visiting restrictions: The chain mediating effect of emotional regulation and perceived stress |
| title_fullStr | Satisfaction with care quality and anxiety among family members during nursing home visiting restrictions: The chain mediating effect of emotional regulation and perceived stress |
| title_full_unstemmed | Satisfaction with care quality and anxiety among family members during nursing home visiting restrictions: The chain mediating effect of emotional regulation and perceived stress |
| title_short | Satisfaction with care quality and anxiety among family members during nursing home visiting restrictions: The chain mediating effect of emotional regulation and perceived stress |
| title_sort | satisfaction with care quality and anxiety among family members during nursing home visiting restrictions the chain mediating effect of emotional regulation and perceived stress |
| topic | anxiety perceived stress emotion regulation care quality nursing home visiting restriction mediation analysis |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1117287/full |
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