Xu Fei, Tong Xu, Niu Yanping, Lin Qin, Yao Anling, Yang Feng, Li Ling
School of Nursing, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, People's Republic of China.
School of Nursing, Bozhou College, Bozhou, Anhui, People's Republic of China.
Patient Prefer Adherence. 2025 Jul 21;19:2129-2146. doi: 10.2147/PPA.S529674. eCollection 2025.
This study investigated the relationship between mindfulness, self-acceptance and benefit-finding in SLE patients. Through structural equation models, we examined the mediating role of self-acceptance and self-evaluation between mindfulness and benefit-finding.
We used a convenient sampling method to investigate the demographics characteristics, mindfulness, self-acceptance, and benefit-finding of 319 SLE patients who were admitted to the rheumatology and immunology departments of tertiary, and Grade-A hospitals from December 2019 to December 2020.
Educational Levels, age, presence of other diseases besides SLE, medical expense payment method can affect mindfulness, and benefit-finding in SLE patients (p<0.05), monthly salary can also influence mindfulness (p<0.05), marital status also have impact on benefit-finding (p<0.05). Educational Levels, age and monthly salary can affect the self-acceptance of SLE patients (p<0.05). Mindfulness is positively correlated with the benefit-finding and has a significant positive impact on it (r=0.379, p<0.01). Mindfulness is positively correlated with self-acceptance, and self-evaluation (r = 0.124 and 0.130, p < 0.05), which are positively correlated with the benefit-finding (r = 0.256 and 0.255, p < 0.05) in turn. Self-acceptance, and self-evaluation played a partially mediating role in the relationship between mindfulness, and the benefit-finding in SLE patients, with the mediating effect accounting for 7.95% (The path coefficient was 0.0391, p < 0.01), and 7.74% of the total effect (The path coefficient was 0.0384, p < 0.01), respectively.
Mindfulness, self-acceptance, and benefit-finding in SLE patients are influenced by various sociodemographic factors. Self-acceptance and self-evaluation can mediate the relationship between mindfulness and benefit-finding in SLE patients. Clinical caregivers should pay more attention to improving patients' levels of mindfulness and their self-acceptance of the disease, and guide patients in cognitive reappraisal, so that they can benefit from the struggle with the disease.
本研究调查了系统性红斑狼疮（SLE）患者正念、自我接纳与益处发现之间的关系。通过结构方程模型，我们检验了自我接纳和自我评估在正念与益处发现之间的中介作用。
我们采用便利抽样法，对2019年12月至2020年12月期间在三级甲等医院风湿免疫科住院的319例SLE患者的人口统计学特征、正念、自我接纳和益处发现情况进行了调查。
教育程度、年龄、是否合并SLE以外的其他疾病、医疗费用支付方式可影响SLE患者的正念和益处发现（p<0.05），月工资也可影响正念（p<0.05），婚姻状况对益处发现也有影响（p<0.05）。教育程度、年龄和月工资可影响SLE患者的自我接纳（p<0.05）。正念与益处发现呈正相关，且对其有显著正向影响（r=0.379，p<0.01）。正念与自我接纳、自我评估呈正相关（r = 0.124和0.130，p < 0.05），而自我接纳、自我评估又与益处发现呈正相关（r = 0.256和0.255，p < 0.05）。自我接纳和自我评估在SLE患者正念与益处发现的关系中起部分中介作用，中介效应分别占总效应的7.95%（路径系数为0.0391，p < 0.01）和7.74%（路径系数为0.0384，p < 0.01）。
SLE患者的正念、自我接纳和益处发现受多种社会人口学因素影响。自我接纳和自我评估可介导SLE患者正念与益处发现之间的关系。临床护理人员应更加关注提高患者的正念水平及其对疾病的自我接纳程度，并指导患者进行认知重新评价，使其能从与疾病的抗争中获益。
