灵性需求在终末期肾病行血液透析患者治疗依从性与社会支持间的中介效应分析

Mediating effect of spiritual needs on social support and medical treatment adherence among patients on hemodialysis

目的探讨接受维持性血液透析患者中灵性需求在社会支持与治疗依从性的中介效应,为提高患者生存质量提供参考。方法选取171名维持性血液透析(maintenance hemodialysis,MHD)患者,采用治疗依从性量表、社会支持评定量表和中文版灵性需求量表进行问卷调查。结果MHD患者治疗依从性、社会支持、灵性需求总分分别为(89.51±13.32)分、(38.36±8.00)分、(91.78±14.60)分;MHD患者治疗依从性与社会支持总分(r=0.204,P=0.005)、灵性需求总分(r=0.184,P=0.018)呈正相关,社会支持与灵性需求总分(r=0.207,P=0.008)呈正相关;灵性需求在治疗依从性与社会支持之间起部分中介效应,中介效应值为0.203。结论尽量满足MHD患者的灵性需求,能够增强其社会支持,进而提高其治疗依从性。

Objective To explore the mediating effect of spiritual needs on social support and medical treatment adherence,and to provide references for improving quality of life in maintenance hemodialysis(MHD)patients.Method A total of 171 MHD patients were selected by convenience method.They were investigated using the Medical Treatment Adherence Scale,the Spiritual Needs Scale,and the Social Support Rating Scale.Result The total scores of medical treatment adherence,social support and spiritual needs were89.51±13.32,38.36±8.00 and 91.78±14.60 respectively in the MHD patients.The total score of medical treatment adherence was positively corelated with the total score of social support(r=0.204,P=0.005),and the total score of spiritual needs(r=0.184,P=0.018);the total score of social support was positively correlated with the total score of spiritual needs(r=0.207,P=0.008).Spiritual needs played a part of mediating effect between medical treatment adherence and social support,with the mediating effect of 0.203.Conclusion Sufficient spiritual needs carried to MHD patients will enhance their social support and improve their medical treatment adherence.