International journal of nursing practice · 2026
Perceived Social Support and Depressive Symptoms Among Discharged COVID-19 Survivors in Wuhan, China: A Moderated Mediation Model.
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Dai Zhenwei, Jing Shu, Wu Yijin, Wang Hao, Fu Jiaqi, Cui Dan, Mak Winnie W S, Su Xiaoyou
Аннотация
AIM: To explore the relationship between perceived social support, resilience, peace of mind and depressive symptoms among recovered COVID-19 patients, and to inform nursing assessment and intervention strategies for post-discharge mental health care.
METHODS: A cross-sectional study was conducted in Jianghan District, Wuhan, China, between 10 June and 25 July 2021, involving 1297 recovered COVID-19 patients. Researchers administered an online questionnaire to assess depressive symptoms, peace of mind, resilience and perceived social support. The study employed moderated mediation analysis to explore the relationship between perceived social support, resilience, peace of mind and depressive symptoms.
RESULTS: Of the recovered COVID-19 patients, 37.9% reported depressive symptoms to varying degrees. Resilience partially mediated the association between perceived social support and depressive symptoms (β = -0.011, p = 0.026). Peace of mind moderated the associations between perceived social support and resilience (β = 0.084, p < 0.001), perceived social support and depressive symptoms (β = 0.062, p = 0.006) and the mediation effect of resilience.
CONCLUSION: In the post-COVID era, tailored interventions that enhance perceived social support, resilience and peace of mind may be effective strategies to alleviate depressive symptoms among recovered COVID-19 patients. Nurses are well-positioned to lead or integrate these psychosocial strategies into patient care, from initial assessment to long-term follow-up, thereby playing a crucial role in mitigating depressive symptoms in this population.
METHODS: A cross-sectional study was conducted in Jianghan District, Wuhan, China, between 10 June and 25 July 2021, involving 1297 recovered COVID-19 patients. Researchers administered an online questionnaire to assess depressive symptoms, peace of mind, resilience and perceived social support. The study employed moderated mediation analysis to explore the relationship between perceived social support, resilience, peace of mind and depressive symptoms.
RESULTS: Of the recovered COVID-19 patients, 37.9% reported depressive symptoms to varying degrees. Resilience partially mediated the association between perceived social support and depressive symptoms (β = -0.011, p = 0.026). Peace of mind moderated the associations between perceived social support and resilience (β = 0.084, p < 0.001), perceived social support and depressive symptoms (β = 0.062, p = 0.006) and the mediation effect of resilience.
CONCLUSION: In the post-COVID era, tailored interventions that enhance perceived social support, resilience and peace of mind may be effective strategies to alleviate depressive symptoms among recovered COVID-19 patients. Nurses are well-positioned to lead or integrate these psychosocial strategies into patient care, from initial assessment to long-term follow-up, thereby playing a crucial role in mitigating depressive symptoms in this population.