摘要
目的探析自尊水平在家庭功能和应对方式间的中介效应。方法采用家庭关怀度指数问卷(APGAR)、医学应对方式问卷(MCMQ)以及Rosenberg自尊量表(RSES)对245例腹膜透析(Peritoneal Dialysis,PD)患者进行问卷调查。结果结果显示自尊水平在家庭功能、屈服及面对应对方式起部分中介作用,在家庭功能与回避应对方式不存在中介效用,家庭功能对应对方式中屈服、面对应对方式的直接效应分别为-0.304(-0.397^-0.211)和0.561(0.377~0.744);通过自尊水平对其屈服、面对应对方式的间接效应分别为-0.165(-0.227^-0.113)和0.079(0.028~0.144),中介效应占比分别为64.82%和12.34%。结论家庭功能既可直接增益个体的应对方式,又能通过提升患者自尊水平的方式间接增益应对方式。因此家庭功能及自尊水平同样需给予足够重视,否则家庭功能难以将功效发挥极致。
Objective To analyze the mediating effect of self-esteem level between family function and coping style.Methods 245 peritoneal dialysis patients were investigated with APGAR,MCMQ and RSES.Results The results showed that the level of self-esteem played a partial mediating role in family function,submission and coping style,and there was no mediating effect in family function and avoidance coping style.The direct effects of family function correspondence on submission and coping style were-0.304(-0.397--0.211)and 0.561(0.377-0.744),respectively.The indirect effects of self-esteem level on yielding and coping styles were-0.165(-0.227--0.113)and 0.079(0.028-0.144),respectively.And the mediating effects accounted for 64.82%and 12.34%,respectively.Conclusion Family function can not only directly affect individual coping styles,but also indirectly affect coping styles by improving patients’self-esteem.Therefore,family function and self-esteem level also need to pay enough attention,otherwise the family function is difficult to maximize the effect.
作者
蔡利
单岩
李艳艳
杜理平
周越
蒋婷婷
高雅靖
蒋鑫鑫
CAI Li;SHAN Yan;LI Yan-yan;DU Li-ping;ZHOU Yue;JIANG Ting-ting;GAO Ya-jing;JIANG Xin-xin(The Nursing College of Zhengzhou University,Zhengzhou,Henan 450001,China)
出处
《现代预防医学》
CAS
北大核心
2020年第11期2085-2088,共4页
Modern Preventive Medicine
基金
河南省高等学校重点科研项目计划(19A320061)。
关键词
腹膜透析患者
自尊
家庭功能
应对方式
中介效应
Peritoneal dialysis patients
Self-esteem
Family functioning
Coping style
Mediating effect
作者简介
蔡利(1993-),女,在读硕士,护师,研究方向:临床护理;通讯作者:单岩,E-mail:sy110@sina.com。
