摘要
目的探讨慢性肝衰竭患者社会支持与自我表露、疲乏的关系,为采取针对性措施减轻患者的疲乏提供参考。方法采用一般资料调查表、多维疲乏量表-20、痛苦表露指数量表修订版、领悟社会支持量表对126例慢性肝衰竭患者进行调查分析。结果慢性肝衰竭患者社会支持得分(56.30±5.96)分,疲乏(58.39±3.15)分,自我表露(36.79±2.45)分;患者的社会支持与自我表露呈正相关,与疲乏呈负相关(均P<0.05);社会支持在自我表露与疲乏间起部分中介作用,中介效应占总效应的34.59%。结论慢性肝衰竭患者的自我表露对疲乏有直接预测作用,社会支持在自我表露与疲乏间起部分中介作用。促进患者的自我表露,提高社会支持是降低患者疲乏感的有效途径。
Objective To explore the relationship between social support,self-disclosure and fatigue in patients with chronic liver failure,and to provide reference for taking targeted measures to reduce patients′fatigue.Methods A total of 126 patients with chronic liver failure were surveyed using the general information questionnaire,Multidimensional Fatigue Scale-20,revised Distress Disclosure Index,and Perceived Social Support Scale.Results The social support score of patients with chronic liver failure was 56.30±5.96,the fatigue score was 58.39±3.15,and the self-disclosure score was 36.79±2.45.The social support of patients was positively correlated with self-disclosure and negatively correlated with fatigue(both P<0.05).Social support partially mediated the relationship between self-disclosure and fatigue,and the mediating effect accounted for 34.59%of the total effect.Conclusion Self-disclosure of patients with chronic liver failure has a direct predictive effect on fatigue,and social support plays a partial mediating role between self-disclosure and fatigue.Promoting patient self-disclosure and improving social support are effective ways to reduce patients′fatigue.
作者
申丽香
王晶晶
杨琳
赵聪
Shen Lixiang;Wang Jingjing;Yang Lin;Zhao Cong(Department of Gastroenterology,Henan Provincial People′s Hospital,Zhengzhou 450003,China)
出处
《护理学杂志》
CSCD
北大核心
2023年第14期34-37,共4页
Journal of Nursing Science
关键词
慢性肝衰竭
社会支持
自我表露
疲乏
中介效应
chronic liver failure
social support
self-disclosure
fatigue
mediation effect
