医学应对方式在维持性血液透析患者非理性信念与抑郁关系的中介效应  

Mediating Effects of Medical Coping Modes on the Relationship Between Irrational Beliefs and Depression Among the Maintenance Hemodialysis Patients

作　　者：何丽芳[1] 杨莺卿[2] 甘香[2] 郑玉仁[1] 林朝芹[1] 陈良英[1] 

机构地区：[1]莆田学院护理学院,351100 [2]莆田学院附属医院血液净化科

出　　处：《中国卫生统计》2014年第2期233-235,239,共4页Chinese Journal of Health Statistics

基　　金：福建省教育厅A类科技基金立项项目(JA12296)

摘　　要：目的探讨维持性血液透析患者的医学应对方式在非理性信念与抑郁之间的中介效应。方法采用医学应对方式问卷、非理性信念量表、抑郁自评量表对187例血透患者进行调查,并用中介效应检验方法分析医学应对方式在非理性信念与抑郁之间关系的中介作用。结果非理性信念中的"低挫折耐受"、"绝对化要求"与抑郁呈正相关,而"概括化评论"与抑郁相关无统计学意义。医学应对方式中的"面对"与抑郁呈负相关,"屈服"与抑郁呈正相关,"回避"与抑郁相关不显著。"面对"、"屈服"在"低挫折耐受"与抑郁之间起部分中介作用,中介效应分别为18.26%和22.79%,"屈服"在"绝对化要求"与抑郁之间的部分中介效应为39.60%。结论非理性信念、医学应对方式对血透患者抑郁情绪有一定的预测作用,不合理信念会导致消极应对方式的运用,使个体更易陷入抑郁,提示可以从矫正患者的非理性信念和改善应对方式来对抑郁进行干预。Objective To explore the mediating effects of medical coping modes on the relationship between the irra- tional beliefs and depression among the maintenance hemodialysis patients. Methods 187 maintenance hemodialysis patients were selected and their datas of medical coping modes, irrational beliefs and depression emotion were collected by using the Irra- tional Beliefs Scale（IBS） ,Medical Coping Modes Questionnaire（MCMQ） and Self-rating Depression Scale（SDS）. A media- tion analysis was performed. Results Among the three subscales of IBS, only＂ low frustration tolerance＂ and＂ absolutely de- mands＂ were positively correlated with SDS. The medical coping modes of ＂confront＂ and＂ surrender＂ partly mediated the rela- tionship between the irrational beliefs and depression. Conclusion Irrational beliefs and medical coping modes may be signifi- cant predictors of depression. Irrational beliefs led to negative coping modes, which may cause depression directly or indirectly. It suggested that correcting the patients＇ irrational beliefs and improving their medical coping modes can reduce patients＇ depression level.

关 键 词：维持性血液透析 非理性信念 医学应对方式 抑郁 中介效应 

分 类 号：R459.5[医药卫生—治疗学]