The mediating effect of social support between adult attachment and family resilience in young and middle-aged patients undergoing peritoneal dialysis
10.3760/cma.j.cn211501-20220714-02226
- VernacularTitle:社会支持在中青年腹膜透析患者成人依恋和家庭抗逆力间的中介效应
- Author:
Rongjun ZHANG
1
;
Weiying CHEN
;
Lan XIAO
Author Information
1. 湖南省人民医院（湖南师范大学附属第一医院）肾内一病区，长沙 410005
- Keywords:
Peritoneal dialysis;
Social support;
Young and middle-age;
Adult attachment;
Family resilience
- From:
Chinese Journal of Practical Nursing
2023;39(12):902-908
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the mediating effect of social support between adult attachment and family resilience in young and middle-aged patients undergoing peritoneal dialysis, and to provide reference for psychological health care of young and middle-aged peritoneal dialysis patients.Methods:From September 2019 to February 2022, the prospective research method was adopted to investigate a total of 100 young and middle-aged patients undergoing peritoneal dialysis by general information questionnaire, Experiences in Close Relationship Scale-short form, Social Support Rating Scale, Family Resilience Scale, respectively. Multiple linear regression and structural equation model was used to evaluate the mediating effect of social support on adult attachment and family resilience.Results:The scores of attachment avoidance and attachment anxiety in Experiences in Close Relationship Scale-short form were (46.47 ± 10.23) points and (63.67 ± 10.37) points; Social Support Rating Scale scores were (36.40 ± 7.27) points; Family Resilience Scale scores were (94.21 ± 11.40) points. There was a negative correlation of attachment anxiety and attachment avoidance with total score and each dimension score of Social Support Rating Scale and total score and each dimension score of Family Resilience Scale ( r values were -0.844--0.373, all P<0.05). Attachment anxiety and attachment avoidance had a significantly indirect effect on the family resilience of young and middle-aged peritoneal dialysis patients through social support, which showed that the mediating effect of social support accounts for 41.6% and 48.8% of the total effect. Conclusions:Social support plays a mediating role in the relationship between adult attachment and family resilience in young and middle-aged peritoneal dialysis patients, nurses can focus on social support to reduce the adverse effects of adult attachment on family resilience.
