自我感受负担在腹膜透析患者授权能力与生活质量间的中介效应分析  

The mediating effect of self-perceived burden on empowerment and quality of life in peritoneal dialysis patients

作　　者：张瑛 施学芝 管玉香[3] 郑静 王超 ZHANG Ying;SHI Xue-zhi;GUAN Yu-xiang;ZHENG Jing;WANG Chao(Department of Nephrology,The First Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230031,China;Department of Nursing,Lu'an Hospital Affiliated to Anhui Medical University,Luan 237000,China;Department of Nursing,The First Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230031,China;College of Nursing,Anhui University of Chinese Medicine,Hefei 230031,China)

机构地区：[1]安徽中医药大学第一附属医院肾内科,合肥230031 [2]安徽医科大学附属六安医院护理部,六安237000 [3]安徽中医药大学第一附属医院护理部,合肥230031 [4]安徽中医药大学护理学院,合肥230012

出　　处：《中国血液净化》2024年第8期636-640,共5页Chinese Journal of Blood Purification

基　　金：安徽省教育厅重大课题项目(2022AH040095);安徽省卫生健康委科研项目(AHWJ2021b068)。

摘　　要：目的调查腹膜透析患者授权能力、自我感受负担及生活质量的现状,分析自我感受负担在其间的中介效应。方法采用便利抽样方法,选取2022年11月—2023年5月于安徽中医药大学第一附属医院的住院腹膜透析患者为研究对象,采用腹膜透析简化授权量表、自我感受负担量表、肾脏病生活质量量表对其进行调查。采用SPSS 26.0分析授权能力、自我感受负担和生活质量的相关性,采用AMOS24.0建立结构方程模型,并用Bootstrap法检验模型。结果235名患者授权能力总分为(22.83±4.20)分,自我感受负担总分为(33.03±6.18)分,生活质量总分为(45.35±5.26)分。自我感受负担与授权能力总分(r=-0.401,P<0.001)、生活质量总分(r=-0.426,P<0.001)呈负相关。腹膜透析患者授权能力直接正向影响生活质量水平;自我感受负担在授权能力与生活质量之间起部分中介作用(β=0.203,P<0.001),中介效应占总效应27.78%。结论本研究腹膜透析患者授权能力、自我感受负担处于中等水平,生活质量处于中等偏下水平,自我感受负担在授权能力与生活质量之间有部分中介作用。建议医务人员要加强患者授权教育,挖掘内在力量,减轻患者感受负担,提高生活质量。Objective To investigate the status quo of empowerment,self-perceived burden and quality of life in peritoneal dialysis(PD)patients,and to analyze the mediating effect of self-perceived burden.Methods A total of 235 PD patients hospitalized in the First Affiliated Hospital of Anhui University of Chinese Medicine from November 2022 to May 2023 were selected by convenience sampling method as the study objects.Simplified peritoneal dialysis empowerment scale,self-perceived burden scale and kidney disease quality of life scale were used for the investigation.SPSS 26.0 was used to analyze the correlation between empowerment,self-perceived burden,and quality of life.AMOS24.0 was used to establish a structural equation model,and bootstrap method was used to test the model.Results The total score of empowerment in PD patients was 22.83±4.20,the total score of self-perceived burden was 33.03±6.18,and the total score of quality of life was 45.35±5.26.The self-perceived burden was negatively correlated with the total score of empowerment(r=-0.401,P<0.001)and the total score of quality of life(r=-0.426,P<0.001).Empowerment ability of the PD patients directly and positively affected the quality of life.Self-perceived burden played a partial mediating role between empowerment and quality of life(β=0.203,P<0.001),and the mediating effect accounted for 27.78% of the total effect.Conclusion The empowerment ability and self-perceived burden of the PD patients were in the medium level,and the quality of life was in the lower middle level.The self-perceived burden had a partial mediating effect between the empowerment ability and the quality of life.We suggest that medical staff should strengthen the empowerment education of the patients,stimulate their inner strength,reduce the self-perceived burden of patients,and improve their quality of life.

关 键 词：腹膜透析 授权能力 自我感受负担 生活质量 中介效应 

分 类 号：R473[医药卫生—护理学]