摘要
目的通过主客体互倚模型分析慢性肾脏病(chronic kidney disease,CKD)患儿和照顾者心理一致感、积极应对方式对双方生活质量的影响。方法采用便利抽样法,选取广西百色市2所三级甲等医院肾内科、儿内科住院治疗的237例CKD患儿及其照顾者为研究对象,进行一般资料调查问卷、心理一致感、简易医学应对方式及生活质量问卷调查,构建心理一致感、积极应对方式与生活质量的主客体互倚模型。结果在主体效应方面,CKD患儿和照顾者的心理一致感、积极应对水平均可正向预测自身的生活质量(P<0.001);在客体效应方面,照顾者的心理一致感、积极应对水平均可正向预测患儿的生活质量(P<0.05),而患儿的心理一致感、积极应对水平不能有效预测照顾者的生活质量(P>0.05)。结论CKD患儿和照顾者的生活质量与二者心理一致感、积极应对方式存在交互影响,医护人员应及时评估和干预二者疾病应对方式和心理一致感,以提高双方生活质量。
Objective To analyze the impact of psychological congruence and positive coping styles on the quality of life of children with chronic kidney disease and their caregivers using a actor-partner interdependence model.Methods A convenience sampling method was used to select 237 pairs of children with chronic kidney disease and their caregivers receiving inpatient treatment in the Nephrology and Pediatrics departments of two tertiary hospitals in Baise City,Guangxi Province.General information questionnaires,surveys on psychological congruence,simple medical coping styles,and quality of life were conducted.A actor-partner interdependence model was constructed to examine the relationship between psychological congruence,positive coping styles,and quality of life.Results The results indicated that psychological congruence and positive coping levels of children with chronic kidney disease and their caregivers could positively predict their own quality of life(P<0.001)as the subject effect.In terms of the object effect,the psychological congruence and positive coping levels of caregivers positively predicted the children’s quality of life(P<0.05).However,the psychological congruence and positive coping levels of children did not significantly predict the quality of life of the caregivers(P>0.05).Conclusion The quality of life of children with chronic kidney disease and their caregivers is mutually influenced by their psychological congruence and positive coping styles.Therefore,timely assessment and intervention of disease coping styles and psychological congruence by medical professionals are essential to enhance the quality of life for both parties.
作者
马丽姣
罗秀状
梁英
薛毅
梁慧
王正翘
罗小米
黄瑞洁
Ma Lijiao;Luo Xiuzhuang;Liang Ying;Xue Yi;Liang Hui;Wang Zhengqiao;Luo Xiaomi;Huang Ruijie(Graduate School,Youjiang Medical University for Nationalities,Baise 533000,Guangxi,China;The Affiliated Hospital of Youjiang Medical University for Nationalities,Baise 533000,Guangxi,China;People’s Hospital of Baise,Southwest Hospital Affiliated to Youjiang Medical University for Nationalities,Baise 533000,Guangxi,China)
出处
《右江民族医学院学报》
2023年第3期522-527,531,共7页
Journal of Youjiang Medical University for Nationalities
基金
右江民族医学院附属医院高层次人才科研项目(R20196347)
广西中医药管理局自筹经费科研课题(GXZYZ20210416)。
关键词
慢性肾脏病
积极应对方式
生活质量
心理一致感
主客体互倚模型
chronic kidney disease
active coping style
quality of life
psychological congruence
actor-partner interdependence model
