陈星彤,安逸群,罗娜,丁淑贞.知觉压力在维持性血液透析患者病耻感与应对方式间的中介作用[J].上海护理,2022,22(8):
知觉压力在维持性血液透析患者病耻感与应对方式间的中介作用
Mediating role of perceived stress between stigma and coping styles of patients with maintenance hemodialysis patients
DOI:
中文关键词:  血液透析  应对方式  病耻感  知觉压力
英文关键词:Maintenance hemodialysis  Coping styles  Stigma  Perceived stress
基金项目:
作者单位E-mail
陈星彤 大连医科大学附属第一医院 284788792@qq.com 
安逸群 大连医科大学附属第一医院  
罗娜 大连医科大学附属第一医院  
丁淑贞* 大连医科大学附属第一医院 dsz51@163.com 
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中文摘要:
      【摘要】 目的 探讨知觉压力在维持性血液透析(MHD)患者应对方式与病耻感间的中介效应。 方法 采用便利抽样方法抽取2020年6月~2020年12月在大连医科大学附属第一医院进行维持性血液透析的患者179例,使用一般资料调查表、医学应对方式问卷、社会影响量表、中文版知觉压力量表对患者进行问卷调查。结果 维持性血液透析患者病耻感总分为(60.20±14.57)分;知觉压力的总分为(47.51±12.27)分;应对方式中面对维度得分为(19.84±5.13) 分,回避维度得分为(14.44±2.97) 分,屈服维度得分为(12.00±3.33) 分。知觉压力在病耻感与应对方式的面对、回避和屈服三个维度间均起部分中介作用,分别占总效应的15.3%、17.6%、34.1%。结论 医护人员可通过降低患者的知觉压力,降低患者的病耻感,从而使患者选择有效的应对方式。
英文摘要:
      Abstract Objective To explore the Mediating effect of perceived stress between stigma and coping styles of patients with maintenance hemodialysis(MHD) patients. Methods A total of 179 MHD patients treated in The First Affiliated Hospital of Dalian Medical University from June 2020 to December 2020 were selected by means of the convenience sampling method. Questionnaires, including Medical Coping Modes Questionare(MCMQ)、the Social Impact Scale(SIS)、the Chinese Perceived Stress Scale(CPSS)were used. Results The total score of stigma for MHD patients was (60.20±14.57),that of perceived stress was (47.51±12.27),that of coping style of confrontation was (19.84±5.13) and that of coping style of avoidance(14.44±2.97) and that of coping styles of resignation was(12.00±3.33).Perceived stress play a partial mediating role between stigma and the three dimensions of coping style,accounted to 15.3%,17.6% and 34.1% of the total effect,respectively. Conclusion It was suggested that medial staff could relief the perceived stress of MHD patients to relief their stigma,thus patients can choose effective copinng methods.
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