A Study on the Mediating Effect of Family Care on Disease Perception and Medical Coping Strategies in Maintenance Hemodialysis Patients
10.13241/j.cnki.pmb.2025.20.008
- VernacularTitle:维持性血液透析患者家庭关怀度在疾病感知与医学应对方式间的中介效应研究
- Author:
Jun-na HU
1
;
Yan-dong WEI
1
;
Min ZHANG
1
Author Information
1. 山西省中西医结合医院肾病科 山西太原 030013
- Publication Type:Journal Article
- Keywords:
Maintenance hemodialysis;
Family care;
Disease perception;
Medical coping strategies;
Mediation effect
- From:
Progress in Modern Biomedicine
2025;25(20):3262-3268
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the mediating effect of family care on disease perception and medical coping strategies in maintenance hemodialysis(MHD)patients,and to provide theoretical basis for clinical intervention.Methods:This study was a prospective study,136 patients who received MHD treatment at Shanxi Integrated Traditional Chinese and Western Medicine Hospital from January 2023 to January 2025 as the research subjects were selected.The family adaptation,partnership,growth,affection,resolve index(APGAR)questionnaire was used to evaluate family care,the brief illness perception questionnaire(BIPQ)was used to assess disease perception,and medical coping modes questionnaire(MCMQ)was used to evaluate medical coping strategies.The correlation between family care,disease perception,and medical coping strategies was analyzed by Pearson correlation analysis,and the mediating effect of family care on disease perception and medical coping strategies was tested by Bootstrap method(5000 repeated samples).Result:Family care was negatively correlated with disease perception(r=-0.428,P＜0.05),positively correlated with positive coping(r=0.513,P＜0.05),and negatively correlated with negative coping(r=-0.397,P＜0.05).The mediation effect analysis shows that family care partially mediates the relationship between disease perception and positive coping(mediation effect value-0.173,accounting for 35.67％of the total effect),and also partially mediates the relationship between disease perception and negative coping(mediation effect value 0.184,accounting for 41.26％of the total effect).Conclusion:Family care is an important mediating variable in the impact of disease perception on medical coping strategies,clinical practice can improve patients' disease perception and promote the adoption of positive coping strategies by enhancing family care.
