背景:在接受维持性血液透析(MHD)的患者中,躁动和抑郁是普遍存在的心理问题,严重影响他们的生活质量(QOL)。高水平的社会支持可以显着改善MHD患者的身心健康。目前,关于社会支持如何介导烦躁不安之间的关系的研究有限,沮丧,MHD患者的总体生活质量。必须研究这种中介作用,以减轻MHD患者的烦躁不安和沮丧。最终提高他们的整体生活质量。
目的:探讨社会支持在烦躁不安之间的中介作用。沮丧,MHD患者的生活质量。
方法:参与者包括289名接受MHD的患者,他们是使用随机抽样方法选择的。社会支持评定量表,焦虑自评量表,抑郁自评量表,并实施QOL量表。进行了相关分析,以检查社会支持,烦躁不安,沮丧,MHD患者的生活质量。评估社会支持对烦躁不安的中介影响,沮丧,MHD患者的生活质量,应用了Bootstrap方法。
结果:社会支持,烦躁不安,沮丧,观察MHD患者的质量(均P<0.01)。焦虑和抑郁与社会支持和生活质量呈负相关(P<0.01)。躁动和抑郁对MHD患者的生活质量具有负预测作用(P<0.05)。烦躁不安对QOL的直接影响有统计学意义(P<0.05)。社会支持介导了烦躁不安与生活质量之间的关系,这种中介效应显著(P<0.05)。同样,抑郁对生活质量的直接影响显著(P<0.05)。此外,社会支持在抑郁和生活质量之间起中介作用,具有显著的中介效应(P<0.05)。
结论:这些发现表明,社会支持在烦躁不安之间的关系中起着重要的中介作用。沮丧,MHD患者的生活质量。
BACKGROUND: Dysphoria and despondency are prevalent psychological issues in patients undergoing Maintenance Hemodialysis (MHD) that significantly affect their quality of life (QOL). High levels of social support can significantly improve the physical and mental well-being of patients undergoing MHD. Currently, there is limited research on how social support mediates the relationship between
dysphoria, despondency, and overall QOL in patients undergoing MHD. It is imperative to investigate this mediating effect to mitigate
dysphoria and despondency in patients undergoing MHD, ultimately enhancing their overall QOL.
OBJECTIVE: To investigate the mediating role of social support in relationships between dysphoria, despondency, and QOL among patients undergoing MHD.
METHODS: Participants comprised 289 patients undergoing MHD, who were selected using a random sampling approach. The Social Support Rating Scale, Self-Rating Anxiety Scale, Self-Rating Depression Scale, and QOL Scale were administered. Correlation analysis was performed to examine the associations between social support, dysphoria, despondency, and QOL in patients undergoing MHD. To assess the mediating impact of social support on dysphoria, despondency, and QOL in patients undergoing MHD, a bootstrap method was applied.
RESULTS: Significant correlations among social support, dysphoria, despondency, and quality in patients undergoing MHD were observed (all P < 0.01).
Dysphoria and despondency negatively correlated with social support and QOL (P < 0.01). Dysphoria and despondency had negative predictive impacts on the QOL of patients undergoing MHD (P < 0.05). The direct effect of
dysphoria on QOL was statistically significant (P < 0.05). Social support mediated the relationship between dysphoria and QOL, and this mediating effect was significant (P < 0.05). Similarly, the direct effect of despondency on QOL was significant (P < 0.05). Moreover, social support played a mediating role between despondency and QOL, with a significant mediating effect (P < 0.05).
CONCLUSIONS: These findings suggest that social support plays a significant mediating role in the relationship between dysphoria, despondency, and QOL in patients undergoing MHD.