摘要
目的:探讨维持性血液透析(MHD)患者领悟社会支持程度在疾病感知与疾病接受度之间的中介作用。方法:采用便利抽样法,选取2022年8月至2023年2月在广西医科大学第一附属医院血液净化部维持治疗的236例血液透析患者为研究对象,使用一般资料调查表、疾病接受度量表(AIS)、简易疾病感知问卷(BIPQ)、领悟社会支持量表(PSSS)对其进行调查。结果:MHD患者疾病接受度得分为19.00(15.00~26.00)分,疾病感知得分为53.00(40.00~61.00)分,领悟社会支持得分为48.50(41.00~60.00)分;领悟社会支持水平与疾病接受度呈正相关关系(r=0.797,P<0.001),与疾病感知呈负相关关系(r=-0.807,P<0.001),疾病接受度与疾病感知呈负相关关系(r=-0.917,P<0.001);领悟社会支持在疾病感知与疾病接受度之间存在部分中介效应,中介效应量为11.1%。结论:领悟社会支持是疾病感知与疾病接受度的中介变量,临床医务工作者可以通过提高患者领悟社会支持水平,改善患者消极的疾病感知,从而提高其疾病接受度。
Objective:To explore the mediating role of perceived social support between illness perception and illness acceptance in patients with maintenance hemodialysis(MHD).Methods:A total of 236 hemodialysis patients who were treated in the Blood Purification Department of the First Affiliated Hospital of Guangxi Medical University from August 2022 to February 2023 were selected as the research objects by the convenient sampling method.The patients were investigated with the general data questionnaire,acceptance of illness scale(AIS),brief illness perception questionnaire(BIPQ)and perceived social support scale(PSSS).Results:The MHD patients’disease acceptance score was 19.00(15.00-26.00),illness perception score was 53.00(40.00-61.00),and perceived social support score was 48.50(41.00-60.00);the level of perceived social support was positively correlated with illness acceptance(r=0.797,P<0.001),and negatively correlated with illness perception(r=-0.807,P<0.001)and illness acceptance was negatively with illness perception(r=-0.917,P<0.001);there was a partial mediating effect in perceived social support between illness perception and illness acceptance,with a mediating effect of 11.1%.Conclusion:Perceived social support is a mediating variable between illness perception and disease acceptance.Clinical medical workers can improve patients’negative illness perception by improving their perceived social support level,so as to improve their illness acceptance.
作者
杨洁
黄燕林
陈凤丹
吴一平
王涵
陈国伟
YANG Jie;HUANG Yanlin;CHEN Fengdan;WU Yiping;WANG Han;CHEN Guowei(The First Affiliated Hospital of Guangxi Medical University,Nanning 530021,China;Affiliated Stomatology Hospital of Guangzhou Medical University,Guangzhou 510000,China;Affiliated Hospital of Guilin Medical University,Guilin 541001,China)
出处
《广西医科大学学报》
CAS
2024年第5期769-774,共6页
Journal of Guangxi Medical University
基金
广西壮族自治区卫生健康委员会自筹经费科研课题资助项目(No.Z-A20220484)。
关键词
维持性血液透析
领悟社会支持
疾病接受度
疾病感知
中介效应
maintenance hemodialysis
perceived social support
illness acceptance
illness perception
mediating effect
