知识与财富的链接
目的 分析维持性血液透析患者主观幸福感与领悟社会支持、自我接纳的关系,为提高维持性血液透析患者主观幸福感水平干预措施研究提供依据。方法 2020年8月至2021年1月,采用便利抽样法选取收治于衡阳市某三级甲等医院血液净化中心的248例维持性血液透析患者作为研究对象。采用总体幸福感量表、领悟社会支持量表、自我接纳问卷对其进行调查。通过结构方程模型分析三者的关系,并应用Bootstrap方法对中介作用进行验证。结果 维持性血液透析患者的主观幸福感、领悟社会支持、自我接纳得分分别为（55.41±12.21）分、（49.26±13.29）分、（36.25±8.39）分;领悟社会支持、自我接纳得分与主观幸福感得分均呈正相关（P<0.05）;自我接纳在领悟社会支持与主观幸福感间起部分中介作用,占总效应的65.34%。结论 维持性血液透析患者主观幸福感较低,加强社会支持、提高自我接纳水平有助于提高维持性血液透析患者主观幸福感。
Abstract: Objective To investigate the relationship between subjective well-being and perceived social support and self-acceptance in the patients with maintenance hemodialysis, and to provide evidence for the study of improving their subjective well-being. Methods From August 2020 to January 2021, convenient sampling method was used to investigate 248 in the patients with maintenance hemodialysis who met the inclusion criteria in the blood purification center in a third class a hospital in Hengyang by using the general well-being scale, perceived social support scale and Self-acceptance Questionnaire. The relationship among the scores of above three scales was analyzed by structural equation model, and the Bootstrap method was applied to verify the mediation effect. Results The total scores of subjective well-being, social support and self-acceptance in the patients with maintenance hemodialysis were respectively (55.41±12.21), (49.26±13.29), and (36.25±8.39). Perceived social support, self-acceptance and subjective well-being were positively correlated (P <0.05). Self-acceptance partially mediated the relationship between perceived social support and subjective well-being, accounting for 65.33% of the total effect. Conclusion The subjective well-being in maintenance hemodialysis patients is low. Strengthening social support and enhancing the level of self-acceptance can help to improve the subjective well-being in the patients with maintenance hemodialysis.
