腹膜透析病人中自我同情在肾病负担和心理健康之间的中介效应

    Mediating effect of self-compassion between kidney disease burden and mental health in patients receiving peritoneal dialysis

    • 摘要:
      目的: 调查腹膜透析病人肾病负担、心理健康和自我同情现状,探讨自我同情在肾病负担和心理健康的中介效应。
      方法: 采用便利抽样法选取172例门诊随访腹膜透析病人,采用一般资料调查表、健康调查简表(SF–12)的心理功能综合评分、肾脏疾病生活质量36项短表(KDQOL–36)的肾脏疾病负担模块、自我同情量表进行调查。
      结果: 腹膜透析病人自我同情得分84.00(79.00,93.75)分,肾病负担得分75.00(56.25,87.50)分,心理健康得分43.75(36.63,48.23)分。自我同情在疾病负担与心理健康之间有部分中介作用,其中介效应占总效应的18.29%(间接效应 = –0.032,95%CI: –0.062 ~ –0.003)。
      结论: 腹膜透析病人心理健康和自我同情水平较低,感知肾病负担水平较高,临床可开展自我同情相关干预,以缓解疾病负担对腹膜透析病人心理健康的不良影响。

       

      Abstract:
      Objective To investigate the current status of kidney disease burden, mental health and self-compassion among peritoneal dialysis patients, and to explore the mediating effect of self-compassion between kidney disease burden and mental health.
      Methods A convenience sampling method was used to select 172 peritoneal dialysis patients undergoing outpatient follow-up. Data were collected using a general information questionnaire, the Mental Component Summary of the 12-item Short-Form Health Survey (SF-12), the kidney disease burden module of the 36-item Kidney Disease Quality of Life Short Form (KDQOL-36) and the Self-Compassion Scale.
      Results Peritoneal dialysis patients scored 84.00 (79.00, 93.75) on the self-compassion scale, 75.00 (56.25, 87.50) on the kidney disease burden scale, and 43.75 (36.63, 48.23) on the mental health scale. Self-compassion exerted a partial mediating effect between disease burden and mental health. Self-compassion had a partial mediating effect between disease burden and mental health, with its mediating effect accounting for 18.29% of the total effect (indirect effect = –0.032, 95%CI: –0.062 to –0.003).
      Conclusion Patients receiving peritoneal dialysis have low levels of mental health and self-compassion and a high level of perceived disease burden. Clinical interventions targeting self-compassion should be implemented to alleviate the adverse effects of disease burden on mental health among peritoneal dialysis patients.

       

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