维持性血液透析病人自我感受负担在家庭支持与健康行为间的中介效应研究

    Mediating effect of self-perceived burden on family support and health behavior in maintenance hemodialysis patients

    • 摘要:
      目的探讨血液透析病人自我感受负担在家庭支持与健康行为间的中介效应。
      方法选取血液透析病人96例,发放一般资料调查问卷、自我感受负担量表、家庭亲密度与适应量表和健康促进生活方式量表-Ⅱ,采用依次回归检验法和经典比值法分析自我感受负担在病人健康行为和家庭支持功能之间的中介效应。
      结果血液透析病人的家庭支持情况对健康行为有显著预测价值(β=0.542,t=6.14,P < 0.01);自我感受负担评分对家庭支持显示明显的反向预测价值(β=-0.582,t=-7.21,P < 0.01);以健康行为为因变量,自我感受负担的纳入使得家庭支持对健康行为的预测价值下降,但仍然显著(β=0.322,t=3.99,P < 0.01),并且自我感受负担了对病人健康行为的预测(β=-0.268,t=-4.05,P < 0.01)。
      结论自我感受负担在健康行为和家庭支持间具有一定的中介效应,通过干预血液透析病人家庭支持能改善病人自我感受负担。

       

      Abstract:
      ObjectiveTo explore the mediating effect of self-perceived burden on family support and health behavior in hemodialysis patients.
      MethodsA total of 96 hemodialysis patients were selected.The general information questionnaire, self-perceived burden scale, family adaptability and cohesion evaluation scale Ⅱ, health promoting lifestyle profile scale -Ⅱ were distributed.Sequential regression test and classical ratio method were used to investigate the mediating effect of self-perceived burden on family health behavior and support function.
      ResultsFamily support of hemodialysis patients had significant predictive value for health behavior(β=0.542, t=6.14, P < 0.01).Self-perceived burden score showed significant reverse predictive value for family support(β=-0.582, t=-7.21, P < 0.01).Taking health behavior as the dependent variable, the inclusion of self-perceived burden made the predictive value of family support to health behavior decline, but it was still significant(β=0.322, t=3.99, P < 0.01), and self-perceived burden predicted the health behavior of patients(β=-0.268, t=-4.05, P < 0.01).
      ConclusionsSelf-perceived burden has a mediating effect on health behavior and family support.Intervening family support can improve self-perceived burden in patients.

       

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