摘要
目的探讨血液透析患者社会功能与特质应对方式对自我管理能力的影响分析。方法选取2018年1～5月在温州医科大学附属第一医院进行维持性血液透析患者为研究对象,应用社会功能缺陷筛选表、特质应对方式问卷、自我管理能力量表对146例维持性血液透析患者进行调查,分析三者路径关系。结果血液透析患者社会功能总分(13.59±3.27)分,14.38%(21/146)社会功能正常、46.58%(68/146)社会功能轻度缺陷,39.04%(57/146)社会功能严重缺陷;研究对象自我管理能力总分(53.78±7.22)分,积极应对得分(30.61±6.44)分,消极应对(26.84±5.37)分。血液透析患者社会功能与积极应对(r=0.962,P=0.000)、自我管理能力(r=0.397,P=0.001)呈正相关;消极应对与社会功能(r=-0.952,P=0.000)、积极应对(r=-0.787,P=0.000)、自我管理能力(r=-0.392,P=0.001)呈负相关。积极应对在社会功能与自我管理能力间中介效应占总效应为16.35%。消极应对在社会功能与自我管理能力间中介效应占总效应为33.81%。结论血液透析患者自我管理能力较差,社会功能、特质应对方式是影响血液透析患者自我管理能力重要因素。
Objective To discuss the impact of social function and personal trait coping style on self-management ability of patients with hemodialysis. Methods A total of 146 patients with maintaining hemodialysis in the First Affiliated Hospiatal of Wenzhou Medical University from January to May 2018 were enrolled into the study.A questionnaire survey was conducted by using social disability screening scale, personal trait coping style questionnaire and self-management ability scale. Results The overall score of social function was(13.59±3.27).14.38% of cases were normal in social function, while 46.58% and 39.04% of cases were found to have minor and critical social dysfunction.The total score of self-management ability was(53.78±7.22), and the scores of positive coping strategy and negative coping strategy were(30.61±6.44) and(26.84±5.37), respectively.The social function of patients was positively correlated with the positive coping strategy(r=0.962, P=0.000)and self-management ability(r=0.397, P=0.001), while negative coping style was negatively correlated with social function(r=-0.952, P=0.000), positive coping strategy(r=-0.787, P=0.000)and self-management ability(r=-0.392, P=0.001).The mediating effect of positive coping strategy between social function and self-management ability was 16.35%, while the mediating effect of negative coping strategy was 33.81%. Conclusions The self-management ability of patients with maintaining hemodialysis is poor,social function and trait personal coping style are important factors affecting the selfmanagement ability.
作者
吴玉娟
叶霖
林薛群
WU Yu-jian;YE Lin;LIN Xue-qun(Department of Nephrology,The First Affiliated Hospital of Wenzhou Medical University,Wenzhou,Zhejiang 325000,China)
出处
《中国预防医学杂志》
CAS
CSCD
2019年第4期330-333,共4页
Chinese Preventive Medicine
基金
温州市科技局项目(Y20180443)
关键词
血液透析
终末期肾病
社会功能
特质应对方式
自我管理能力
Hemodialysis
End stage renal disease
Social function
Trait coping style
Self-management ability
