中国心理卫生杂志2026，Vol.40Issue(7)：588-593,6.DOI:10.3969/j.issn.1000-6729.2026.07.05
希望水平在血液透析患者生存痛苦与心理韧性间的作用
Mediating role of hope in the relationship between existential distress and psychological resilience in hemodialysis patients
摘要
Abstract
Objective:To examine the relationships between existential distress,psychological resilience and to explore the mediating role of hope level in hemodialysis patients.Methods:A total of 212 hemodialysis patients from a tertiary grade A hospital completed the Existential Distress Scale for Hemodialysis Patients(EDSHD),Con-nor-Davidson Resilience Scale(CD-RISC),and Herth Hope Index(HHI).The bootstrap method was employed to test the mediating effect.Results:The total scores of EDSHD,CD-RISC,and HHI for hemodialysis patients were 37.0(26.0,46.0),(58.9±12.3),and 31.0(28.0,34.8),respectively.The total scores of EDSHD were negative-ly correlated with the total scores of CD-RISC and HHI(r=-0.36,-0.47,Ps＜0.001).The CD-RISC total scores were positively correlated with the HHI total scores(r=0.50,P＜0.001).The direct effect of psychological resilience on existential distress was-0.26(95%CI:-0.49--0.02).The indirect effect of psychological resili-ence on existential distress mediated by hope level was-0.26(95%CI:-0.44--0.13),accounting for50.1%of the total effect.Conclusion:Hemodialysis patients experience a moderate to high level of existential distress,and existential distress of hemodialysis patients is significantly correlated with psychological resilience and hope levels.关键词
血液透析/生存痛苦/希望水平/心理韧性Key words
hemodialysis/existential distress/level of hope/psychological resilience分类
医药卫生引用本文复制引用
张欣,尼春萍,常凤娇,孙沛,梁校,吕红红,高杰,韦昕廷,王欢,王可欣..希望水平在血液透析患者生存痛苦与心理韧性间的作用[J].中国心理卫生杂志,2026,40(7):588-593,6.基金项目
陕西省重点研发计划一般项目(2024SF-YBXM-191),国家自然科学基金面上项目(72574232),空军军医大学临床研究资助计划项目(2025LC2539),国家自然科学基金青年科学基金项目(72504281) （2024SF-YBXM-191）
