Volume 20 Issue 2
Feb.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(2): 255-258, 289
RAO Hai-ying, YE Bai-ru, JIN Ling-wei, ZHANG Jing. The chain mediating effect between illness perception and self-management behavior in maintenance hemodialysis patients[J]. Chinese Journal of General Practice, 2022, 20(2): 255-258, 289. doi: 10.16766/j.cnki.issn.1674-4152.002326
Citation: RAO Hai-ying, YE Bai-ru, JIN Ling-wei, ZHANG Jing. The chain mediating effect between illness perception and self-management behavior in maintenance hemodialysis patients[J]. Chinese Journal of General Practice, 2022, 20(2): 255-258, 289. doi: 10.16766/j.cnki.issn.1674-4152.002326
shu

The chain mediating effect between illness perception and self-management behavior in maintenance hemodialysis patients

doi: 10.16766/j.cnki.issn.1674-4152.002326

  • Blood Purification Center, the Second Hospital of Wenzhou Medical University, Wenzhou, Zhejiang 325000, China

Funds:

 2020KY648

 Y20170494

  • Received Date: 2021-03-15
    Available Online: 2022-03-04
    Abstract
  •   Objective  To explore the relationship amongst illness perception, cognitive fusion, rumination, and self-management behaviour in patients with maintenance haemodialysis and to provide some reference and basis for clinical nursing intervention.  Methods  A total of 312 patients who underwent haemodialysis were selected from the haemodialysis centre of a tertiary hospital in Zhejiang Province between April and October 2020 through convenience-sampling method. The basic data questionnaire, Brief Illness Perception Questionnaire, Chinese version of Nolen-Hoeksema Ruminative Responses Scale, cognitive fusion questionnaire, and haemodialysis patients' self-management behaviour questionnaire were used in the investigation. Amos17.0 software was used to construct the structural equation-model diagram and perform the intermediary effect test.  Results  The scores of illness perception, cognitive fusion, and rumination were (50.12±13.78) points, (63.15±14.58) points, and (47.63±10.30) points, respectively. The score of self-management behaviour was (66.73±13.18) points at a lower level overall. The specific mediating effect and chain-mediating effect of rumination and cognitive fusion between illness perception and self-management behaviour were all established. The specific mediating effect of rumination accounted for 30.7% of the total indirect effect, and that of cognitive fusion accounted for 19.2% of the total indirect effect. The chain-mediating effect accounted for 7.7% of the total indirect effect.  Conclusion  In the nursing intervention of maintenance hemodialysis patients, medical personnel should pay attention to help them objectively face the disease and treatment, reduce their rumination thinking, ease their negative emotions, block their cognitive integration and psychological rigidity, improve their self-management behavior and quality of life.

     

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