【摘要】目的探讨中青年维持性血液透析患者(maintenance hemodialysis，MHD)的心理弹性、领悟社会支持和生活质量三者间的关系，为该类患者提高生活质量提供理论依据。方法使用心理弹性量表(Connor- Davidson resilience scale,CD- RISC)、领悟社会支持量表(perceived social support scale, PSSS)及肾脏病专用生活质量量表(kidney disease quality of life，KDQOL-36TM)对四川大学华
西医院血液透析中心110 例中青年MHD 患者进行问卷调查，并运用描述性统计、Pearson 相关分析、中介效应检验等方法分析其中的相关性。结果中青年MHD 患者的心理弹性总分为(64.75±18.57)分，处于中等水平，坚韧性得分最低；领悟社会支持总分(62.63 ± 12.83)分，处于中等水平，朋友支持得分最低；生活质量各条目均分(58.37±15.46)分，处于较低水平，肾脏负担得分最低。中青年MHD 患者社会支持与生活质量呈正相关(r=0.238，P=0.017)，心理弹性与生活质量呈正相关(r=0.413，P=0.001)，领悟社会
支持与心理弹性呈正相关(r=0.421，P=0.001)，且心理弹性在社会支持和生活质量中起中介作用，中介效应占主效应的89.4%。结论中青年MHD 患者可通过提高心理弹性及社会支持改善患者的生活质量。
【Abstract】Objective To explore the psychological elasticity of young and middle-aged maintenance hemodialysis (MHD) patients and to understand the relationship between social support and quality of life, so as to provide theoretical basis for improving the quality of life of young and middle- aged MHD patients. Methods Connor- Davidson Resilience Scale, Perceived Social Support Scale (PSSS) and Kidney Disease Quality of Life Scale (KDQOL-36TM) were used to investigate 110 young and middle-aged MHD patients in a hemodialysis center of the university hospital in Chengdu city. Descriptive statistics, Pearson correlation analysis and intermediary effect test were used to analyze the correlation. Result The total CD-RISC score in the middle-aged and young MHD patients was 64.75 ±18.57, among which the score of resilience was the lowest; the total score of perceived social support was 62.23±12.83, and the score of friend support was the lowest; the average score of quality of life was 58.37±15.46, among which the score of kidney burden was the lowest. Social support and quality of life (r=0.238, P= 0.017), psychological resilience and quality of life(r=0.413,P=0.001), and perceived social support and psychological resilience (r = 0.421, P = 0.001) were positively correlated in young and middle-aged MHD patients. Psychological elasticity played an intermediary role in social support and quality of life, and the intermediary effect accounted for 89.4% of the main effect. Conclusion The quality of life in young and middle-aged MHD patients can be improved by promoting their psychological elasticity and social support.
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