维持性血液透析患者社会支持、应对方式与希望关系的结构方程模型

Structural equation model of relationship of coping style and social support with hope in maintenance hemodialysis patients

目的 探讨维持性血液透析患者社会支持、应对方式与希望水平的关系.方法 采用自行设计的患者一般情况调查表、中文版Herth希望量表、简易应对方式问卷、社会支持量表对广州市3所三甲医院血液透析中心的177例维持性血液透析患者进行调查.采用结构方程建模法建立维持性血液透析患者社会支持、应对方式与希望水平关系的结构方程模型.结果 患者希望总体均分为（31.83±177;3.69）分;社会支持总分及各维度得分分别为（42.24±177;4.09）,（23.72±177;2.33）,（10.82±177;2.26）,（7.70±177;1.36）分;积极应对、消极应对均分分别为（2.15±177;-0.28）,（1.56±177;0.33）分;社会支持对希望水平有直接正效应,积极、消极应对方式对希望水平有间接正、负效应.结论 维持性血液透析患者社会支持可直接影响希望水平.积极、消极应对方式通过社会支持间接影响希望水平.

Objective To explore the relationship of coping style and social support with hope in maintenance hemodialysis patients.Methods A total of 177 maintenance hemodialysis patients were recruited from 3 dialysis centers in Guangzhou and were investigated with the self-designed questionnaire,the Herth Hope Scale,Simplified Coping Scale and Social Support Scale.Structural equation model was used to establish the model of relationship of coping style and social support with hope level.Results The average score of hope in maintenance hemodialysis patients was （31.83＆#177;3.69） points.The total score and all the sub-scores of social support were （42.24＆#177;4.09） points,（23.72＆#177;2.36） points,（10.82＆#177;2.26） points,（7.70＆#177;1.36） points respectively.And the average scores of positive coping style and the negative coping style were （2.15＆#177;0.28） points,（1.56＆#177;0.33） points,respectively.Social support had direct positive effect on hope level,and the positive and neg-ative coping style had indirect positive and negative effect on hope level respectively.Conclusions Social support has a direct effects on hope level in maintenance hemodialysis patients.Positive and negative cop-ing styles have indirect effects on hope level through social support.