积极与消极自我同情在维持性血液透析患者依恋风格与疾病接受度之间的平行中介效应  

Parallel Mediating Roles of Positive and Negative Self-compassion on the Relationship Between Attachment Styles and Disease Acceptance Among Maintenance Hemodialysis Patients

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作  者:杨瑶瑶 李玉荣 YANG Yaoyao;LI Yurong(Department of Urology Surgery,Henan Provincial Key Medicine Laboratory of Nursing,Henan Provincial People’s Hospital/Zhengzhou University People’s Hospital,Henan University People’s Hospital,Zhengzhou 450003,China;School of Nursing and Rehabilitation,Qilu College of Medicine,Shandong University,Jinan 250012,China)

机构地区:[1]河南省人民医院泌尿外科,河南省护理医学重点实验室,郑州大学人民医院,河南大学人民医院,河南郑州450003 [2]山东大学齐鲁医学院护理与康复学院,山东济南250012

出  处:《河南医学研究》2025年第6期991-998,共8页Henan Medical Research

基  金:河南省医学科技攻关计划项目(LHGJ20230026)。

摘  要:目的探讨积极及消极自我同情在维持性血液透析(MHD)患者依恋风格与疾病接受度关系中的中介效应,为患者的疾病适应及心理调适干预提供理论依据。方法采用疾病接受度量表、简化修订版亲密关系体验量表、自我同情量表测量301例MHD患者的疾病接受度、依恋风格、积极自我同情及消极自我同情情况,并基于结构方程模型,探索上述变量之间的关系。结果消极自我同情在MHD患者依恋风格与疾病接受度之间起完全中介作用,然而,积极自我同情却没有中介作用。结论依恋安全通过减少消极自我同情促进MHD患者的疾病接受度;依恋焦虑及依恋回避则通过增加消极自我同情降低患者的疾病接受度,临床医务工作者可通过减少消极自我同情的心理干预方式改善依恋焦虑及回避水平较高患者的疾病适应情况。Objective To examine the parallel mediating role of positive and negative self-compassion on the relationship between attachment styles and disease acceptance among maintenance hemodialysis(MHD)patients.Methods Totally 301 patients with MHD were enrolled through convenience sampling to complete acceptance of illness scale,Experiences in close relationships scale-modified short form,self-compassion scale.Structural equation modeling was conducted to examine the parallel mediation model.Results The parallel mediation model revealed that negative self-compassion completely mediated the relationship between attachment styles and disease acceptance.Attachment security demonstrated a positive indirect effect on disease acceptance through negative self-compassion,but not through positive self-compassion.Attachment anxiety and aviodance both reported an adverse indirect effect on disease acceptance through negative self-compassion,but not through positive self-compassion either.Conclusion Attachment anxiety and aviodance may limit adaptive capacities through negative self-compassion.It is meaningful to prepare tailored negative self-compassion interventions that can be adjusted for patient with insecure attachment style.

关 键 词:维持性血液透析 疾病接受度 依恋风格 积极自我同情 消极自我同情 

分 类 号:R459.5[医药卫生—治疗学]

 

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