中国血液净化

中国血液净化 ›› 2024, Vol. 23 ›› Issue (08): 636-640.doi: 10.3969/j.issn.1671-4091.2024.08.014

• 护理研究 • 上一篇    

自我感受负担在腹膜透析患者授权能力与生活质量间的中介效应分析

张 瑛    施学芝   管玉香   郑 静   王 超   

  1. 230031 合肥，安徽中医药大学第一附属医院 1肾内科 3护理部
    237000 六安，2安徽医科大学附属六安医院护理部
    230012 合肥，4安徽中医药大学护理学院
  • 收稿日期:2023-12-04 修回日期:2024-05-09 出版日期:2024-08-12 发布日期:2024-08-12
  • 通讯作者: 管玉香 E-mail:892113643@qq.com
  • 基金资助:
    安徽省教育厅重大课题项目(2022AH040095)；安徽省卫生健康委科研项目(AHWJ2021b068)

The mediating effect of self-perceived burden on empowerment and quality of life in peritoneal dialysis patients

ZHANG Ying, SHI Xue-zhi, GUAN Yu-xiang, ZHENG Jing, WANG Chao   

  1. Department of Nephrology and 3Department of Nursing, The First Affiliated Hospital of Anhui University of Chinese Medicine, Hefei 230031, China; 2Department of Nursing, Lu'an Hospital Affiliated to Anhui Medical University, Luan 237000, China; 4College of Nursing, Anhui University of Chinese Medicine, Hefei 230031, China
  • Received:2023-12-04 Revised:2024-05-09 Online:2024-08-12 Published:2024-08-12
  • Contact: 230031 合肥，安徽中医药大学第一附属医院 3护理部 E-mail:892113643@qq.com

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摘要： 目的 调查腹膜透析患者授权能力、自我感受负担及生活质量的现状，分析自我感受负担在其间的中介效应。 方法 采用便利抽样方法，选取2022年11月─2023年5月于安徽中医药大学第一附属医院的住院腹膜透析患者为研究对象，采用腹膜透析简化授权量表、自我感受负担量表、肾脏病生活质量量表对其进行调查。采用SPSS 26.0分析授权能力、自我感受负担和生活质量的相关性，采用AMOS2 4.0建立结构方程模型，并用Bootstrap法检验模型。 结果 235名患者授权能力总分为(22.83±4.20)分，自我感受负担总分为(33.03±6.18)分，生活质量总分为(45.35±5.26)分。自我感受负担与授权能力总分(r=-0.401，P＜0.001)、生活质量总分(r=-0.426，P＜0.001)呈负相关。腹膜透析患者授权能力直接正向影响生活质量水平；自我感受负担在授权能力与生活质量之间起部分中介作用(β=0.203，P＜0.001)，中介效应占总效应27.78%。 结论 本研究腹膜透析患者授权能力、自我感受负担处于中等水平，生活质量处于中等偏下水平，自我感受负担在授权能力与生活质量之间有部分中介作用。建议医务人员要加强患者授权教育，挖掘内在力量，减轻患者感受负担，提高生活质量。

关键词: 腹膜透析, 授权能力, 自我感受负担, 生活质量, 中介效应

Abstract: Objective  To investigate the status quo of empowerment, self-perceived burden and quality of life in peritoneal dialysis (PD) patients, and to analyze the mediating effect of self-perceived burden.  Methods  A total of 235 PD patients hospitalized in the First Affiliated Hospital of Anhui University of Chinese Medicine from November 2022 to May 2023 were selected by convenience sampling method as the study objects. Simplified peritoneal dialysis empowerment scale, self-perceived burden scale and kidney disease quality of life scale were used for the investigation. SPSS 26.0 was used to analyze the correlation between empowerment, self-perceived burden, and quality of life. AMOS24.0 was used to establish a structural equation model, and bootstrap method was used to test the model.   Results  The total score of empowerment in PD patients was 22.83±4.20, the total score of self-perceived burden was 33.03±6.18, and the total score of quality of life was 45.35±5.26. The self-perceived burden was negatively correlated with the total score of empowerment (r=-0.401, P<0.001) and the total score of quality of life (r=-0.426, P<0.001). Empowerment ability of the PD patients directly and positively affected the quality of life. Self-perceived burden played a partial mediating role between empowerment and quality of life (β=0.203, P<0.001), and the mediating effect accounted for 27.78% of the total effect.  Conclusion  The empowerment ability and self-perceived burden of the PD patients were in the medium level, and the quality of life was in the lower middle level. The self-perceived burden had a partial mediating effect between the empowerment ability and the quality of life. We suggest that medical staff should strengthen the empowerment education of the patients, stimulate their inner strength, reduce the self-perceived burden of patients, and improve their quality of life.

Key words: Peritoneal dialysis, Empowerment, Self-perceived burden, Quality of life; , Mediating effect

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