Liu Sainan, Zhang Ying, Miao Qi, Zhang Xu, Jiang Xiaoyu, Chang Tiantian, Li Xiaofei
The First Affiliated Hospital of China Medical University, Shenyang, 110000, People's Republic of China.
Transplantation and Hepatobiliary Department, The First Affiliated Hospital of China Medical University, Shenyang, 110000, People's Republic of China.
Psychol Res Behav Manag. 2023 Sep 4;16:3623-3633. doi: 10.2147/PRBM.S424844. eCollection 2023.
To explore the mechanism of social support and fear of progression (FoP) in renal transplant recipients (RTRs) and the self-perceived burden that acts as a mediator between social support and FoP.
Sociodemographic and clinical characteristics, the Social Support Rating Scale (SSRS), the Self-Perceived Burden Scale (SPBS), and the Fear of Progression-Questionnaire-Short Form (FoP-Q-SF) were used. Structural equation modeling (SEM) was used to examine the mediating role of self-perceived burden.
Our results showed that social support was negatively related to the self-perceived burden ( = -0.28, < 0.001) and FoP ( = -0.37, < 0.001). Moreover, we determined that self-perceived burden was positively related to FoP ( = 0.58, < 0.001) and that the indirect effect of social support on FoP via self-perceived burden was significant (β = -0.172, 95% CI: -0.253, -0.097), and with a mediating effect value of 36.9%.
The FoP in RTRs is a concern. Higher social support and lower self-perceived burden can reduce the risk of FoP. Healthcare professionals (HCPs) should assist RTRs in correctly evaluating an individual's social support system, helping them optimize social support to reduce the self-perceived burden and the development of FoP.
探讨肾移植受者（RTRs）社会支持与疾病进展恐惧（FoP）的机制，以及自我感知负担在社会支持与FoP之间的中介作用。
采用社会人口学和临床特征、社会支持评定量表（SSRS）、自我感知负担量表（SPBS）以及疾病进展恐惧问卷简表（FoP-Q-SF）。运用结构方程模型（SEM）检验自我感知负担的中介作用。
我们的结果显示，社会支持与自我感知负担呈负相关（β = -0.28，P < 0.001）以及与FoP呈负相关（β = -0.37，P < 0.001）。此外，我们确定自我感知负担与FoP呈正相关（β = 0.58，P < 0.001），并且社会支持通过自我感知负担对FoP的间接效应显著（β = -0.172，95%CI：-0.253，-0.097），中介效应值为36.9%。
RTRs中的FoP是一个值得关注的问题。更高的社会支持和更低的自我感知负担可以降低FoP的风险。医护人员（HCPs）应协助RTRs正确评估个人的社会支持系统，帮助他们优化社会支持以减轻自我感知负担并减少FoP的发生。
