家庭功能与希望在维持性血液透析患者中的中介作用：一项横断面研究。 焦虑和抑郁在接受维持性血液透析患者家庭功能和希望之间的中介作用：一项横断面研究。
Mediating effect of anxiety and depression between family function and hope in patients receiving maintenance hemodialysis: a cross-sectional study.
机构信息
Nursing Department, Renmin Hospital of Wuhan University, Wuhan City, 430060, Hubei Province, China.
Hemodialysis Center, Renmin Hospital of Wuhan University, Wuhan City, 430060, Hubei Province, China.
出版信息
BMC Psychol. 2023 Apr 25;11(1):130. doi: 10.1186/s40359-023-01169-4.
OBJECTIVES
This study aimed to explore the levels of hope in patients receiving maintenance hemodialysis (MHD), and whether anxiety and depression mediate the relationship between family function and hope.
METHODS
The family APGAR index, hospital anxiety and depression scale, and Herth hope index were recorded using the self-reported questionnaires completed by 227 MHD patients.
RESULTS
The family function can directly predict hope, positively predict hope through depression (β = 0.052, p = 0.001), and positively predict hope through the chain mediating of anxiety and depression (β = 0.087, p = 0.001), according to chain mediation analysis. The total effect size was 28.31%. The total indirect effect value was 0.139, and the total effect value was 0.491.
CONCLUSIONS
Our findings suggest that family function had a direct impact on MHD patients' hope, and that lowering anxiety and depression can help to feel more hopeful.
目的
本研究旨在探讨接受维持性血液透析（MHD）治疗的患者的希望水平，以及焦虑和抑郁是否在家庭功能与希望之间起中介作用。
方法
通过自填问卷，记录 227 名 MHD 患者的家庭适应度评估量表（APGAR）、医院焦虑和抑郁量表（HADS）以及 Herth 希望指数（HHI）得分。
结果
根据链式中介分析，家庭功能可以直接预测希望，也可以通过抑郁（β=0.052，p=0.001）、通过焦虑和抑郁的链式中介作用（β=0.087，p=0.001）正向预测希望。总效应大小为 28.31%。总间接效应值为 0.139，总效应值为 0.491。
结论
本研究结果表明，家庭功能对 MHD 患者的希望有直接影响，降低焦虑和抑郁水平有助于提高希望感。
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