摘要
目的:调查维持性血液透析老年人基本心理需要满足、家庭复原力和心理弹性与自我忽视的关系,分析家庭复原力和心理弹性在基本心理需要满足与自我忽视间的中介作用。方法:采用随机抽样法,于2021年7月至12月应用一般情况调查问卷、基本心理需要满足量表、Connor-Davidson心理弹性量表汉化版、家庭复原力问卷和老年人自我忽视量表在湖南省50家血液净化中心对623名维持性血液透析老年人进行调查。使用SPSS 28.0和AMOS 24.0对数据进行统计描述和中介路径分析。结果:血液透析老年人基本心理需要满足得分为(4.95±1.01)分,心理弹性得分为(23.24±8.19)分,家庭复原力得分为(78.60±12.49)分,自我忽视得分为(7.99±5.60)分。相关分析显示,自我忽视与基本心理需要满足、心理弹性和家庭复原力呈显著负相关( r=-0.398,-0.419,-0.451,均 P<0.001),基本心理需要满足与心理弹性和家庭复原力呈显著正相关( r=0.594,0.534,均 P<0.001),心理弹性与家庭复原力呈显著正相关( r=0.477, P<0.001)。中介效应分析显示,基本心理需要满足对自我忽视的总效应为-0.462。基本心理需要满足对自我忽视的直接效应-0.113,占总效应的25%;家庭复原力和心理弹性的中介效应分别为-0.189和-0.122,占总效应的41%和26%;家庭复原力和心理弹性的链式中介效应为-0.038,占总效应的8%。 结论:维持性血液透析老年人基本心理需要满足可直接或通过家庭复原力和心理弹性间接影响自我忽视,可以通过满足维持性血液透析老年人基本心理需要,提高家庭复原力和心理弹性,避免自我忽视。
Objective To investigate the relationship between basic psychological needs satisfaction,family resilience and psychological resilience with self-neglect in older adults on maintenance hemodialysis,and to analyze the mediating effect of family resilience and psychological resilience between basic psychological needs satisfaction and self-neglect.Methods The social demographic questionnaire,basic psychological needs satisfaction scale,the Connor-Davidson resilience scale 10-item,family resilience questionnaire and scale of the elderly self-neglect were applied to 623 older adults on maintenance hemodialysis randomized sampled from 50 hemodialysis centers in Hunan Province from July to December 2021.The data were statistically described and mediated pathway analysis was performed using SPSS 28.0 and AMOS 24.0.Results The scores of basic psychological needs satisfaction,psychological resilience,family resilience and elderly self-neglect in older adults on maintenance hemodialysis were(4.95±1.01),(23.24±8.19),(78.60±12.49)and(7.99±5.60),respectively.Correlation analysis showed that self-neglect was statistically negatively correlated with basic psychological needs satisfaction,psychological resilience and family resilience(r=-0.398,-0.419,-0.451,all P<0.001),basic psychological needs satisfaction was positively correlated with resilience and family resilience(r=0.594,0.534,both P<0.001),and psychological resilience was positively correlated with family resilience(r=0.477,P<0.001).Analysis psychological of mediation effects showed that basic psychological needs satisfaction had a total effect of-0.462 on self-neglect.The direct effect was-0.113,accounting for 25%of the total effect.The mediating effects of family resilience and psychological resilience were-0.189 and-0.122 respectively,accounted for 41%and 26%of the total effect.The chain mediating effect was-0.038,with an effect size of 8%.Conclusion Basic psychological needs satisfaction for older adults on maintenance hemodialysis can affect self-neglect either
作者
刘亮
张慧琳
黄玉婷
袁芳
周彩虹
Liu Liang;Zhang Huilin;Huang Yuting;Yuan Fang;Zhou Caihong(Department of Hospital Infection Management,Changsha Hospital,Hunan Normal University,Changsha 410006,China;Department of Clinical Nursing,The Second Xiangya Hospital,Central South University,Changsha 410011,China;Research Institute of Nephrology,The Second Xiangya Hospital,Central South University,Changsha 410011,China)
出处
《中华行为医学与脑科学杂志》
CAS
CSCD
北大核心
2024年第5期458-463,共6页
Chinese Journal of Behavioral Medicine and Brain Science
基金
湖南省卫生健康委科研计划项目(202214023762)。
关键词
基本心理需要满足
自我忽视
心理弹性
家庭复原力
中介作用
维持性血液透析
老年人
Basic psychological needs satisfaction
Self-neglect
Psychological resilience
Family resilience
Mediating effect
Maintenance hemodialysis
Older adults
