探讨血液透析患者感知到的社会支持与心理弹性之间的关系：一项横断面研究。

Investigating the relationship between perceived social support and resilience in patients undergoing hemodialysis: a cross-sectional study.

作者信息

Karami Hosna, Rahmati Mahmoud, Abbasi Parvin

机构信息

Department of Nursing, Student Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Department of Psychiatry Nursing, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran.

出版信息

BMC Nephrol. 2025 Jun 4;26(1):278. doi: 10.1186/s12882-025-04204-1.

DOI:10.1186/s12882-025-04204-1

PMID:40468256

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12139138/

Abstract

BACKGROUND

Long-term hemodialysis significantly impacts the lives of patients and their families, creating a range of psychosocial and economic challenges. Social support and resilience are critical in enabling patients to navigate these difficulties and restore balance. This study investigated the relationship between perceived social support and resilience in patients undergoing hemodialysis.

METHODS

This inferential cross-sectional study was conducted from April to July 2022, involving patients undergoing hemodialysis at two major centers in western Iran. Three hundred patients were selected through convenience sampling based on specific inclusion and exclusion criteria. Data were gathered using a demographic information form, the Multidimensional Scale of Perceived Social Support, and the Connor-Davidson Resilience Scale. The data were analyzed using SPSS version 24 software, employing descriptive and analytical statistical methods.

RESULTS

The results indicated a significant positive correlation between perceived social support and patients' resilience (r = 0.391, p = 0.001). Multivariable linear regression analysis revealed that resilience was significantly associated with perceived social support (β = 0.384, p = 0.001), educational level (β = 0.151, p = 0.018), marital status (β = 0.139, p = 0.036), gender (β = 0.134, p = 0.014), and income level (β = 0.128, p = 0.025).

CONCLUSION

The study findings demonstrate a strong positive correlation between perceived social support and resilience in patients undergoing hemodialysis. Therefore, health professionals are recommended to enhance resilience through psychosocial interventions (e.g., support groups and counseling) and family empowerment models.

CLINICAL TRIAL NUMBER

Not applicable.

摘要

背景

长期血液透析对患者及其家庭的生活有重大影响，带来一系列心理社会和经济挑战。社会支持和心理韧性对于患者应对这些困难并恢复平衡至关重要。本研究调查了血液透析患者感知到的社会支持与心理韧性之间的关系。

方法

本推断性横断面研究于2022年4月至7月进行，涉及伊朗西部两个主要中心接受血液透析的患者。根据特定的纳入和排除标准，通过便利抽样选取了300名患者。使用人口统计学信息表、多维感知社会支持量表和康纳-戴维森心理韧性量表收集数据。使用SPSS 24版软件进行数据分析，采用描述性和分析性统计方法。

结果

结果表明，感知到的社会支持与患者的心理韧性之间存在显著正相关（r = 0.391，p = 0.001）。多变量线性回归分析显示，心理韧性与感知到的社会支持（β = 0.384，p = 0.001）、教育水平（β = 0.151，p = 0.018）、婚姻状况（β = 0.139，p = 0.036）、性别（β = 0.134，p = 0.014）和收入水平（β = 0.128，p = 0.025）显著相关。