赋能在肾移植受者自我感受负担与服药依从性间的中介效应分析  

Mediating effect of empowerment between self-perceived burden and medication adherence in kidney transplant recipients

作　　者：管筱筠 王璇 钟蓓芬[2] 周意[2] 施雁[3] Guan Xiaoyun;Wang Xuan;Zhong Beifen;Zhou Yi;Shi Yan(School of Medicine,Tongji University,Shanghai 200082,China;Nursing Department,Shanghai General Hospital,Shanghai 200080,China;Nursing Department,Tenth People's Hospital of Tongji University,Shanghai 200072,China)

机构地区：[1]同济大学医学院,上海200082 [2]上海市第一人民医院护理部,上海200080 [3]同济大学附属第十人民医院护理部,上海200072

出　　处：《中华现代护理杂志》2024年第11期1470-1476,共7页Chinese Journal of Modern Nursing

基　　金：国家自然科学基金面上项目(71774117)。

摘　　要：目的探讨赋能在肾移植受者自我感受负担与服药依从性间的中介效应,为改善肾移植受者服药依从性提供借鉴。方法本研究为横断面调查。采用便利抽样法,选取2022年8—12月在上海市第一人民医院肾移植中心随访的240例肾移植受者为研究对象,使用一般资料调查表、自我感受负担量表(SPBS)、患者赋权量表(CES)和免疫抑制药物依从性Basel评估量表(BAASIS)对研究对象进行调查,分析患者自我感受负担、赋能与服药依从性的相关性及赋能在两者中的中介效应。结果共发放问卷240份,回收有效问卷226份,问卷有效回收率为94.2%(226/240)。226例肾移植受者SPBS总分为(27.34±8.03)分,CES总分为(159.86±13.45)分,BAASIS总分为(5.05±1.75)分。受者SPBS得分与CES得分呈负相关(r=-0.366,P<0.05),与BAASIS得分呈正相关(r=0.448,P<0.05);CES得分与BAASIS得分呈负相关(r=-0.456,P<0.05)。赋能在肾移植受者自我感受负担与服药依从性间发挥部分中介效应,中介效应比为38.7%。结论肾移植受者服药依从性较差,赋能是自我感受负担与服药依从间的中介变量。医护人员应重视并提高肾移植受者赋能水平,以期减轻自我感受负担的负面影响,提高受者服药依从性,改善其健康结局。Objective To explore the mediating effect of empowerment between self-perceived burden and medication adherence in kidney transplant recipients,so as to provide reference for improving medication adherence in kidney transplant recipients.Methods This study was a cross-sectional survey.From August to December 2022,convenience sampling was used to select 240 kidney transplant recipients who were followed up at the Kidney Transplantation Center of Shanghai General Hospital as the research subject.A survey was conducted on subjects using the General Information Questionnaire,Self-Perceived Burden Scale(SPBS),Client Empowerment Scale(CES),and Basel Assessment of Adherence with Immunosuppressive Medication Scale(BAASIS)to analyze the correlation between patient self-perceived burden,empowerment,and medication compliance,as well as the mediating effect of empowerment between the two.Results A total of 240 questionnaires were distributed,and 226 valid questionnaires were collected,with a valid response rate of 94.2%(226/240).Among 226 kidney transplant recipients,the total scores of SPBS,CES,and BAASIS were(27.34±8.03),(159.86±13.45),and(5.05±1.75),respectively.The SPBS score of the recipient was negatively correlated with the CES score(r=-0.366,P<0.05),and positively correlated with the BAASIS score(r=0.448,P<0.05).The CES score was negatively correlated with the BAASIS score(r=-0.456,P<0.05).The above differences were statistically significant.Empowerment partially mediated the association between self-perceived burden and medication adherence in kidney transplant recipients,with a mediating effect ratio of 38.7%.Conclusions Renal transplant recipients have poor medication adherence,and empowerment is a mediating variable between self-perceived burden and medication adherence.Medical and nursing staff should attach importance to and enhance the empowerment of kidney transplant recipients,in order to alleviate the negative impact of self-perceived burden,increase medication compliance of recipients,and improve their

关 键 词：肾移植 自我感受负担 赋能 服药依从性 中介效应 

分 类 号：R473.6[医药卫生—护理学]