目的性反刍性沉思在维持性血液透析患者病耻感与生活质量间的中介作用  

The mediating role of purposeful rumination in stigma and quality of life in maintenance hemodialysis patients

作　　者：魏萍[1] 何平[1] 王明莉[1] 胡艳华[1] 陈勇琴 WEI Ping;HE Ping;WANG Mingli;HU Yanhua;CHEN Yongqin(Department of Nephrology,the People's Hospital of Jianyang,Jianyang 641400,China)

机构地区：[1]简阳市人民医院肾内科,641400

出　　处：《护理管理杂志》2022年第4期246-250,共5页Journal of Nursing Administration

摘　　要：目的探讨维持性血液透析患者病耻感、生活质量与目的性反刍性沉思之间的关系。方法采用简明健康调查量表、社会影响量表和事件相关性反刍性沉思问卷对256例维持性血液透析患者进行问卷调查。结果维持性血液透析患者生活质量总分为(422.54±46.45)分,病耻感总分为(56.16±7.16)分,目的性反刍性沉思总分为(16.54±5.65)分;维持性血液透析患者生活质量与病耻感呈负相关,与目的性反刍性沉思呈正相关(P<0.01);维持性血液透析患者病耻感与目的性反刍性沉思呈负相关(P<0.01);目的性反刍性沉思在维持性血液透析患者的病耻感与生活质量之间起部分中介作用,中介效应为21.98%。结论目的性反刍性沉思在维持性血液透析患者病耻感与生活质量之间具有中介作用,医护人员可促进患者进行目的性反刍性沉思降低病耻感,从而提高生活质量。Objective To explore the relationship among stigma,quality of life and purposeful rumination in maintenance hemodialysis(MHD)patients.Methods A total of 256 patients with MHD were investigated by the MOS 36-item Short Form Health Survey,Social Impact Scale and Event Related Ruminantion Inventory.Results The total score of quality of life in MHD patients was(422.54±46.45),the total score of stigma was(56.16±7.16),and the total score of purposeful rumination was(16.54±5.65).The quality of life in MHD patients was negatively correlated with stigma,and positively correlated with purposeful rumination(P<0.01).There was a negative correlation between stigma and purposeful rumination in MHD patients(P<0.01).Purposeful rumination played a partial mediating role between stigma and quality of life,and the mediating effect was 21.98%.Conclusion The purposeful rumination plays a mediating role between stigma and quality of life in MHD patients.Medical staff can promote purposeful rumination in MHD patients,so as to effectively reduce stigma and improve quality of life.

关 键 词：维持性血液透析 病耻感 生活质量 目的性反刍性沉思 

分 类 号：R473.5[医药卫生—护理学]