{"title":"希望在重性抑郁症患者疾病不确定性与出院准备关系中的中介作用。","authors":"Min Xu, Hui Ding, Wen Huang, Jie Gao, Juan Chen","doi":"10.3928/02793695-20250506-01","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the effects of illness uncertainty on discharge readiness and explore whether hope mediates this relationship in individuals with major depressive disorder (MDD).</p><p><strong>Method: </strong>A cross-sectional survey was conducted with 218 patients with MDD at a hospital in China. Data were collected using self-reported questionnaires, including demographic and clinical information, the Mishel Uncertainty in Illness Scale, Herth Hope Index, and Readiness for Hospital Discharge Scale. Descriptive statistics, correlation analysis, and path analysis were used to analyze the data.</p><p><strong>Results: </strong>Illness uncertainty was negatively associated with hope (<i>r</i> = -0.14, <i>p</i> < 0.05) and discharge readiness (<i>r</i> = -0.207, <i>p</i> < 0.01). Conversely, hope was positively associated with discharge readiness (<i>r</i> = 0.445, <i>p</i> < 0.01). Hope partially mediated the relationship between illness uncertainty and discharge readiness, accounting for 28.5% of the total effect.</p><p><strong>Conclusion: </strong>Illness uncertainty directly impacted discharge readiness in patients with MDD and exerted an indirect effect through the mediating role of hope. Findings highlight the importance of psychosocial interventions aimed at enhancing hope and reducing illness uncertainty to improve discharge readiness and support post-hospital recovery. [<i>Journal of Psychosocial Nursing and Mental Health Services, xx</i>(xx), xx-xx.].</p>","PeriodicalId":50071,"journal":{"name":"Journal of Psychosocial Nursing and Mental Health Services","volume":" ","pages":"1-9"},"PeriodicalIF":1.1000,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The Mediating Role of Hope in the Relationship Between Illness Uncertainty and Discharge Readiness Among Patients With Major Depressive Disorder.\",\"authors\":\"Min Xu, Hui Ding, Wen Huang, Jie Gao, Juan Chen\",\"doi\":\"10.3928/02793695-20250506-01\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>To investigate the effects of illness uncertainty on discharge readiness and explore whether hope mediates this relationship in individuals with major depressive disorder (MDD).</p><p><strong>Method: </strong>A cross-sectional survey was conducted with 218 patients with MDD at a hospital in China. Data were collected using self-reported questionnaires, including demographic and clinical information, the Mishel Uncertainty in Illness Scale, Herth Hope Index, and Readiness for Hospital Discharge Scale. Descriptive statistics, correlation analysis, and path analysis were used to analyze the data.</p><p><strong>Results: </strong>Illness uncertainty was negatively associated with hope (<i>r</i> = -0.14, <i>p</i> < 0.05) and discharge readiness (<i>r</i> = -0.207, <i>p</i> < 0.01). Conversely, hope was positively associated with discharge readiness (<i>r</i> = 0.445, <i>p</i> < 0.01). Hope partially mediated the relationship between illness uncertainty and discharge readiness, accounting for 28.5% of the total effect.</p><p><strong>Conclusion: </strong>Illness uncertainty directly impacted discharge readiness in patients with MDD and exerted an indirect effect through the mediating role of hope. Findings highlight the importance of psychosocial interventions aimed at enhancing hope and reducing illness uncertainty to improve discharge readiness and support post-hospital recovery. [<i>Journal of Psychosocial Nursing and Mental Health Services, xx</i>(xx), xx-xx.].</p>\",\"PeriodicalId\":50071,\"journal\":{\"name\":\"Journal of Psychosocial Nursing and Mental Health Services\",\"volume\":\" \",\"pages\":\"1-9\"},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2025-05-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Psychosocial Nursing and Mental Health Services\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.3928/02793695-20250506-01\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Psychosocial Nursing and Mental Health Services","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3928/02793695-20250506-01","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
摘要
目的:研究疾病不确定性对出院准备的影响,并探讨希望是否在重度抑郁障碍(MDD)患者中起中介作用。方法:对国内某医院218例重度抑郁症患者进行横断面调查。采用自我报告问卷收集数据,包括人口统计和临床信息、米歇尔疾病不确定性量表、赫斯希望指数和出院准备程度量表。采用描述性统计、相关分析、通径分析等方法对数据进行分析。结果:疾病不确定性与希望(r = -0.14, p < 0.05)和出院准备(r = -0.207, p < 0.01)呈负相关。相反,希望与出院准备呈正相关(r = 0.445, p < 0.01)。希望在疾病不确定性和出院准备之间起到部分中介作用,占总效应的28.5%。结论:疾病不确定性直接影响重度抑郁症患者的出院准备,并通过希望的中介作用产生间接影响。研究结果强调了旨在增强希望和减少疾病不确定性以改善出院准备和支持出院后康复的心理社会干预的重要性。[社会心理护理与精神卫生服务杂志,xx(xx), xx-xx.]
The Mediating Role of Hope in the Relationship Between Illness Uncertainty and Discharge Readiness Among Patients With Major Depressive Disorder.
Purpose: To investigate the effects of illness uncertainty on discharge readiness and explore whether hope mediates this relationship in individuals with major depressive disorder (MDD).
Method: A cross-sectional survey was conducted with 218 patients with MDD at a hospital in China. Data were collected using self-reported questionnaires, including demographic and clinical information, the Mishel Uncertainty in Illness Scale, Herth Hope Index, and Readiness for Hospital Discharge Scale. Descriptive statistics, correlation analysis, and path analysis were used to analyze the data.
Results: Illness uncertainty was negatively associated with hope (r = -0.14, p < 0.05) and discharge readiness (r = -0.207, p < 0.01). Conversely, hope was positively associated with discharge readiness (r = 0.445, p < 0.01). Hope partially mediated the relationship between illness uncertainty and discharge readiness, accounting for 28.5% of the total effect.
Conclusion: Illness uncertainty directly impacted discharge readiness in patients with MDD and exerted an indirect effect through the mediating role of hope. Findings highlight the importance of psychosocial interventions aimed at enhancing hope and reducing illness uncertainty to improve discharge readiness and support post-hospital recovery. [Journal of Psychosocial Nursing and Mental Health Services, xx(xx), xx-xx.].
期刊介绍:
The Journal of Psychosocial Nursing and Mental Health Services is a peer-reviewed, monthly journal for psychosocial and mental health nurses in a variety of community and institutional settings. For more than 50 years, the Journal has provided the most up-to-date, practical information available for today’s psychosocial-mental health nurse, including short contributions about psychopharmacology, mental health care of older adults, addictive behaviors and diagnoses, and child/adolescent disorders and issues. Begin to explore the Journal and all of its great benefits such as:
• Monthly feature, “Clip & Save: Drug Chart,” a one-page resource of up-to-date information on current medications for various psychiatric illnesses
• Access to current articles, as well as several years of archived content
• Articles posted online just 2 months after acceptance
• Continuing Nursing Education credits available each month