家庭功能在中青年維持性腹膜透析病人自我表露與病恥感間的中介效應(yīng)

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Mediating effect of family function between self-disclosure and stigma in young and middle-aged patients with maintenance peritoneal dialysis

ZHANG Xiaoyun1，LU Qiongna1，ZHANG Xiaomeng1，ZHENG Nanlan2，CHEN Yu2，SHI Chujun1*1.Shantou University Medical College，Guangdong 515041 China;2.The Second Affiliated Hospital of Shantou University Medical College*Corresponding Author SHI Chujun，E-mail：cjshi@stu.edu.cn

Abstract Objective：To explore the mediating effect of family function between self-disclosure and stigma in young and middle-aged patients with maintenance peritoneal dialysis（PD）.Methods：A total of 158 young and middle-aged patients with maintenance PD who were admitted to two tertiary grade A hospitals in Shantou from October 2022 to August 2023 were selected as the research subjects by convenience sampling method.The Social Influence Scale，Distress Disclosure Index Scale，and Family Adaptation Partnership Growth Affection and Resolve Index Scale were used for the cross-sectional survey，correlation analysis，and mediation effect analysis.Results：Self-disclosure and family function were negatively correlated with stigma（r values were -0.537 and -0.566，both P<0.001）.Self-disclosure was positively correlated with family function（r=0.557，P<0.001）.The Bootstrap test results showed that the mediating effect of family function between self-disclosure and stigma was -0.188（95%CI -0.274--0.110），accounting for 43.7%of the total effect.Conclusions：Family function plays a partial mediating role between self-disclosure and stigma.Narrative family therapy can be used to encourage patients to express their emotions，improve family satisfaction，and reduce stigma.

Keywords peritoneal dialysis，PD;stigma;self-disclosure;family function;mediating effect;nursing

摘要 目的：探討家庭功能在中青年維持性腹膜透析病人自我表露與病恥感間的中介效應(yīng)。（剩余9543字）