Mediating role of anxiety and depression between social support and sleep quality in mid-long term survivors after liver transplantation
10.3760/cma.j.cn115682-20210702-02900
- VernacularTitle:焦虑抑郁在肝移植术后中长期存活患者的社会支持和睡眠质量间的中介作用
- Author:
Qi ZHANG
1
;
Jingxian YU
;
Haiying ZHOU
;
Xiao CHEN
;
Yi ZHAO
Author Information
1. 复旦大学附属中山医院护理部，上海 200032
- Keywords:
Liver transplantation;
Sleep quality;
Anxiety;
Depression;
Social support
- From:
Chinese Journal of Modern Nursing
2022;28(11):1472-1478
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the relationship between anxiety and depression, social support and sleep quality in mid-long term survival patients after liver transplantation and to verify the mediating role of anxiety and depression between social support and sleep quality.Methods:Using the convenient sampling method, a total of 280 mid-long term survivors after liver transplantation who were followed up in the liver transplantation clinic of Zhongshan Hospital Affiliated to Fudan University from January to April 2020 were selected as the research objects. Questionnaires were conducted on the patients using general information questionnaire, Pittsburgh Sleep Quality Index (PSQI) , Hospital Anxiety and Depression Scale (HADS) and Social Support Rating Scale (SSRS) . Pearson correlation analysis and structural equation model were used to test the correlation and mediating effect of anxiety and depression, social support and sleep quality. A total of 280 questionnaires were distributed in this study, 280 valid questionnaires were recovered, and the effective recovery rate was 100%.Results:The total scores of PSQI, HADS and SSRS of 280 mid-long term survivors after liver transplantation were (9.76±4.86) , (15.40±4.87) and (35.70±7.22) , respectively. The sleep quality of patients was negatively correlated with social support ( r=-0.449, P<0.01) , and positively correlated with anxiety and depression ( r=0.558, P<0.01) . Social support was negatively correlated with anxiety and depression ( r=-0.419, P<0.01) . The mediating effect analysis showed that anxiety and depression played a complete mediating role in the relationship between sleep quality and social support in mid-long term survival patients after liver transplantation. Conclusions:Sleep quality of patients with long-term survival after liver transplantation is correlated with anxiety and depression and social support. Social support of patients with liver transplantation affects sleep quality through anxiety and depression and improving social support of patients is an important way to improve their sleep quality.
