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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    • References(25)
  • [1]
    侯瑞, 宋明芬, 亢俊俊, 等. 维持性血液透析患者疲乏影响因素及其与心理弹性、希望之间的相关性分析[J]. 中华全科医学, 2021, 19(2): 266-269. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY202102029.htm
    [2]
    刁贺, 李香玉, 纪妙音, 等. 维持性血液透析患者自我管理研究进展[J]. 中国临床护理, 2019, 11(6): 542-545. doi: 10.3969/j.issn.1674-3768.2019.06.024
    [3]
    吴晔. 自我管理干预对腹膜透析患者遵医行为及并发症的影响[J]. 护理实践与研究, 2017, 14(18): 31-32. doi: 10.3969/j.issn.1672-9676.2017.18.012
    [4]
    刘桂霞, 张慧, 孟云. 化疗肺癌患者自我感受负担与疾病感知、疾病不确定感、心理弹性的关系[J]. 中国心理卫生杂志, 2019, 33(11): 816-821. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS201911005.htm
    [5]
    贾莉莉, 朱康宁, 张国增, 等. 癌症患者疾病感知的研究进展[J]. 中华护理教育, 2020, 17(8): 765-768. doi: 10.3761/j.issn.1672-9234.2020.08.021
    [6]
    马蕙. 冠心病PCI患者D型人格、疾病感知、自我效能与自我管理的关系[D]. 青岛: 青岛大学, 2019.
    [7]
    杨翠茹, 刘健, 刘露, 等. 抑郁症患者认知融合和经验性回避与抑郁水平的关系[J]. 中国心理卫生杂志, 2019, 33(3): 182-186. doi: 10.3969/j.issn.1000-6729.2019.03.005
    [8]
    李雯. 农村中学生认知融合、认知情绪调节策略与睡眠质量之间的关系研究[D]. 扬州: 扬州大学, 2019.
    [9]
    郭素然, 伍新春. 反刍思维: 理论解释、产生机制与测量工具[J]. 中国特殊教育, 2011(3): 89-93. doi: 10.3969/j.issn.1007-3728.2011.03.019
    [10]
    梁秀娥, 巫织娥, 许研, 等. 慢性胃溃疡患者反刍思维与睡眠质量和健康行为的相关性分析[J]. 齐鲁护理杂志, 2020, 26(15): 80-83. doi: 10.3969/j.issn.1006-7256.2020.15.026
    [11]
    孙洋洋. 高中艺考生思维反刍与认知融合对抑郁情绪的影响及教育启示[D]. 开封: 河南大学, 2020.
    [12]
    BROADBENT E, PETRIE K J, MAIN J, et al. The brief illness perception questionnaire[J]. J Psychosom Res, 2006, 60(6): 631-637. doi: 10.1016/j.jpsychores.2005.10.020
    [13]
    李艳艳, 单岩, 刘赛赛, 等. 终末期肾脏病患者疾病感知的研究进展[J]. 中华护理教育, 2018, 15(8): 584-588. doi: 10.3761/j.issn.1672-9234.2018.08.005
    [14]
    韩秀, 杨宏飞. Nolen-Hoeksema反刍思维量表在中国的试用[J]. 中国临床心理学杂志, 2009, 17(5): 550-551, 549. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY200905010.htm
    [15]
    张维晨, 吉阳, 李新, 等. 认知融合问卷中文版的信效度分析[J]. 中国心理卫生杂志, 2014, 28(1): 40-44. doi: 10.3969/j.issn.1000-6729.2014.01.007
    [16]
    王爱平, 冯茂玲. 血液透析患者自我管理行为问卷的开发[J]. 中国卫生统计, 2005(6): 368-372. doi: 10.3969/j.issn.1002-3674.2005.06.005
    [17]
    陈作伟. 维持性血液透析患者症状负担、自我管理行为与生存质量相关性研究[D]. 延吉: 延边大学, 2018.
    [18]
    徐二喜, 顾丽嫦, 梁霞英, 等. 慢重症患者的反刍思维水平及其影响因素研究[J]. 临床与病理杂志, 2016, 36(12): 2010-2016. doi: 10.3978/j.issn.2095-6959.2016.12.022
    [19]
    王梦. 老年2型糖尿病患者低血糖恐惧感现状及其影响因素研究[D]. 开封: 河南大学, 2019.
    [20]
    韩娟, 张小丽, 汪滢, 等. 认知情绪调节策略对女性ICU转出患者创伤后应激障碍的影响[J]. 护理学杂志, 2019, 34(2): 56-59. doi: 10.3870/j.issn.1001-4152.2019.02.056
    [21]
    徐亮, 谢晓媛, 闫沛, 等. 条件性恐惧泛化的性别差异[J]. 心理学报, 2018, 50(2): 197-205. https://www.cnki.com.cn/Article/CJFDTOTAL-XLXB201802006.htm
    [22]
    许辉, 于静, 叶茂. 老年2型糖尿病患者认知融合评估与糖尿病相关心理痛苦的研究[J]. 职业与健康, 2016, 32(8): 1073-1075, 1078. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJK201608021.htm
    [23]
    LIVIA P, ELIANA B, TONCI B. Prevalence and severity of pain in adult end-stage renal disease patients on chronic intermittent hemodialysis: A systematic review[J]. Patient Prefer Adherence, 2016, 10: 1131-1150. http://europepmc.org/articles/PMC4922783?pdf=render
    [24]
    陈侠, 陈琰琰, 李洁, 等. 腰椎间盘突出症患者恐动症的影响因素分析[J]. 中国医刊, 2019, 54(12): 1364-1367. doi: 10.3969/j.issn.1008-1070.2019.12.027
    [25]
    段莉霞, 曾洁. 慢性心力衰竭患者疾病感知水平与患者自我护理能力的相关性[J]. 吉林医学, 2015, 36(13): 2906-2907. doi: 10.3969/j.issn.1004-0412.2015.13.153
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