自我效能,社会支持和抑郁症:在透析患者中药物坚持的调解者 透析患者
Reynita Saguban1, Sumathi Robert Shanmugam2, Evalynn Rondilla1
1College of Nursing, University of Hail, Hail 55473, Saudi Arabia.
Healthcare (Basel, Switzerland)
|February 25, 2025
概括
抑郁症显著影响透析患者的药物坚持,即使具有高的自我效能和社会支持. 医疗保健提供者应对抑郁症进行查,以改善慢性病 (CKD) 管理和患者的治疗结果.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 精神病学是一个精神病学.
- 健康心理学 心理健康心理学
背景情况:
- 药物坚持和抑郁症是慢性病 (CKD) 患者接受透析的关键问题.
- 自我有效性和社会支持被认为是影响CKD患者结果的潜在因素.
- 了解这些因素之间的相互作用对于开发有效的干预措施至关重要.
研究的目的:
- 调查自我效能和社会支持对透析患者药物坚持和抑郁症状之间的关系的间接影响.
- 探索自我效能和社会支持在CKD患者药物坚持和抑郁症的背景下扮演的调解角色.
主要方法:
- 在沙特阿拉伯进行了一项横截面观察性研究,其中668名CKD患者接受透析.
- 使用验证的问卷来收集数据,评估自我效能,社会支持,药物服药以及抑郁症状.
- 进行了统计分析来检查相关性和调解效应.
主要成果:
- 患者报告了高的自我效能和社会支持,但很大一部分患者表现出不坚持药物治疗.
- 抑郁症状很普遍,与不服药有积极的相关性.
- 自我有效性和社会支持都与抑郁症有负相关性,并部分调解了抑郁症和不坚持之间的关系.
结论:
- 尽管有足够的自我效能和社会支持,但药物不服仍然是CKD透析患者面临的挑战.
- 抑郁症在药物坚持中发挥着关键作用,这强调了它在CKD管理中的重要性.
- 医疗保健提供者应优先考虑对CKD患者的抑郁症查和管理,以提高治疗坚持和整体健康结果.
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