Department of Nephrology and Dialysis, Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangdong Province Traditional Chinese Medical Hospital, Guangzhou, Guangdong, China (mainland).
Department of Dialysis, Hedong Hospital of Guangzhou Liwan District People's Hospital, Guangzhou, Guangdong, China (mainland).
Med Sci Monit. 2022 Mar 15;28:e935300. doi: 10.12659/MSM.935300.
BACKGROUND The recurrence of COVID-19 and the continuous escalation of prevention and control policies can lead to an increase in mental health problems. This study aimed to investigate the perceived stress, coping style, resilience, and social support among patients on maintenance hemodialysis (MHD) during the COVID-19 epidemic lockdown in China. MATERIAL AND METHODS This cross-sectional observational study enrolled 197 patients on MHD from the Guangdong Province Traditional Chinese Medical Hospital and the Hedong Hospital of Guangzhou Liwan District People's Hospital during July 2021. AMOS 24.0 and PROCESS Macro 3.1 model 6 were used for analyses of moderating mediating effects. RESULTS Perceived stress was negatively correlated with positive coping style (r=-0.305, P<0.001) and resilience (r=-0.258, P<0.001), whereas resilience (r=0.631, P<0.001) and social support (r=0.300, P<0.001) were positively correlated with positive coping style among patients on MHD. In the moderated mediating model, perceived stress had significant direct predictive effects on positive coping style (95% CI -0.33, -0.07), and perceived stress had significant indirect predictive effects on positive coping styles through resilience (95% CI -0.26, -0.06) or social support (95% CI 0.01, 0.06). Perceived stress had significant indirect predictive effects on positive coping style through both resilience and social support (95% CI -0.04, -0.01). CONCLUSIONS Perceived stress not only predicted coping style directly, but also indirectly predicted coping style through resilience and social support. Coping style was affected by internal and external factors during the COVID-19 pandemic lockdown period.
新冠疫情的反复和防控政策的不断升级可能会导致心理健康问题的增加。本研究旨在调查中国新冠疫情封锁期间维持性血液透析（MHD）患者的感知压力、应对方式、韧性和社会支持情况。
这是一项横断面观察性研究，纳入了 2021 年 7 月期间来自广东省中医院和广州市荔湾区河东医院的 197 名 MHD 患者。使用 AMOS 24.0 和 PROCESS Macro 3.1 模型 6 进行调节中介效应分析。
感知压力与积极应对方式（r=-0.305，P<0.001）和韧性（r=-0.258，P<0.001）呈负相关，而韧性（r=0.631，P<0.001）和社会支持（r=0.300，P<0.001）与 MHD 患者的积极应对方式呈正相关。在调节中介模型中，感知压力对积极应对方式有显著的直接预测作用（95%CI-0.33，-0.07），感知压力通过韧性（95%CI-0.26，-0.06）或社会支持（95%CI 0.01，0.06）对积极应对方式有显著的间接预测作用。感知压力通过韧性和社会支持对积极应对方式有显著的间接预测作用（95%CI-0.04，-0.01）。
感知压力不仅直接预测应对方式，还通过韧性和社会支持间接预测应对方式。在新冠疫情封锁期间，应对方式受到内部和外部因素的影响。
