家庭功能在中青年维持性腹膜透析病人自我表露与病耻感间的中介效应  

Mediating effect of family function between self-disclosure and stigma in young and middle-aged patients with maintenance peritoneal dialysis

作　　者：张小云 卢琼娜 张笑萌 郑南岚[2] 陈玉 施楚君[1] ZHANG Xiaoyun;LU Qiongna;ZHANG Xiaomeng;ZHENG Nanlan;CHEN Yu;SHI Chujun(Shantou University Medical College,Guangdong 515041 China;The Second Affiliated Hospital of Shantou University Medical College)

机构地区：[1]汕头大学医学院,广东515041 [2]汕头大学医学院第二附属医院

出　　处：《循证护理》2024年第21期3843-3847,共5页Chinese Evidence-Based Nursing

摘　　要：目的:探讨家庭功能在中青年维持性腹膜透析病人自我表露与病耻感间的中介效应。方法:采用便利抽样法,选取2022年10月—2023年8月汕头市2所三级甲等医院收治的158例中青年维持性腹膜透析病人作为研究对象,采用社会影响量表、痛苦表露指数量表、家庭关怀度指数量表进行横断面调查及相关性分析、中介效应分析。结果:自我表露、家庭功能与病耻感呈负相关(r值分别为-0.537、-0.566,均P<0.001),自我表露与家庭功能呈正相关(r=0.557,P<0.001),Bootstrap检验结果显示,家庭功能在自我表露和病耻感间的效应值为-0.188[95%CI(-0.274,-0.110)],占总效应的43.7%。结论:家庭功能在自我表露与病耻感间起部分中介作用,可采取叙事家庭疗法鼓励病人表达情感,提高病人家庭满意度,降低病人的病耻感。Objective:To explore the mediating effect of family function between self-disclosure and stigma in young and middle-aged patients with maintenance peritoneal dialysis(PD).Methods:A total of 158 young and middle-aged patients with maintenance PD who were admitted to two tertiary grade A hospitals in Shantou from October 2022 to August 2023 were selected as the research subjects by convenience sampling method.The Social Influence Scale,Distress Disclosure Index Scale,and Family Adaptation Partnership Growth Affection and Resolve Index Scale were used for the cross-sectional survey,correlation analysis,and mediation effect analysis.Results:Self-disclosure and family function were negatively correlated with stigma(r values were-0.537 and-0.566,both P<0.001).Self-disclosure was positively correlated with family function(r=0.557,P<0.001).The Bootstrap test results showed that the mediating effect of family function between self-disclosure and stigma was-0.188(95%CI-0.274--0.110),accounting for 43.7%of the total effect.Conclusions:Family function plays a partial mediating role between self-disclosure and stigma.Narrative family therapy can be used to encourage patients to express their emotions,improve family satisfaction,and reduce stigma.

关 键 词：腹膜透析 病耻感 自我表露 家庭功能 中介效应 护理 

分 类 号：R473.5[医药卫生—护理学]