Master. Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
Associate Professor, Community Based Psychiatric Care Research Center. Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
Invest Educ Enferm. 2024 Jun;42(2). doi: 10.17533/udea.iee.v42n2e06.
To determine the predictive role of resilience and hope on adherence to treatment in hemodialysis patients hospitalized in two hospitals affiliated to Shiraz University of Medical Sciences (Shiraz, Iran).
This is a descriptive-analytical study that was conducted in 2021-2022 on 120 patients treated in hemodialysis sections in Namazi and Shahid Faqihi teaching hospitals. Sampling was conducted using a stratified random method. Demographic information questionnaires, Connor and Davidson's resilience, Snyder's hope and adherence to kidney patients' treatment questionnaires were used to collect the data.
The finds showed that the levels of resilience, hope, and adherence to treatment had hight level. More specifically, it was indicated that the mean and standard deviation for the total resilience score, the hope variable, and adherence to total treatment was 75.45±14.34, 40.43±3.66, and 80.12±18.20, respectively; which have maximum possible scores of 100, 48 and 100. Thus, it can be said that no correlation was observed between resilience and adherence to treatment variables (p>0.05); hope variable and adherence to treatment (p>0.05), and adherence to treatment with hope and resilience variables (p>0.05). However, hope and resilience variables showed a direct and weak correlation with each other (r=0.36, p<0.05); that is, patients who had more hope indicated better resilience as well.
Although in this study we found that the resilience and hope variables were not able to predict the treatment adherence, hope and resilience indicated a direct and weak correlation. It is recommended that nurses should pay more attention to hope and resilience of hemodialysis patients in order to promote their health.
确定韧性和希望对两所隶属于 Shiraz 大学医学科学（伊朗 Shiraz）的医院住院血液透析患者治疗依从性的预测作用。
这是一项描述性分析研究，于 2021 年至 2022 年在 Namazi 和 Shahid Faqihi 教学医院血液透析科对 120 名患者进行了研究。采用分层随机抽样法进行抽样。使用 Connor 和 Davidson 的韧性、Snyder 的希望和肾病患者治疗依从性问卷收集数据。
研究结果表明，韧性、希望和治疗依从性水平较高。具体而言，韧性总分、希望变量和治疗总依从性的平均值和标准差分别为 75.45±14.34、40.43±3.66 和 80.12±18.20；最高可能分数分别为 100、48 和 100。因此，可以说韧性和治疗依从性变量之间（p>0.05）、希望变量和治疗依从性（p>0.05）以及治疗依从性与希望和韧性变量之间（p>0.05）没有相关性。然而，希望和韧性变量之间存在直接且较弱的相关性（r=0.36，p<0.05）；即，希望更多的患者表现出更好的韧性。
尽管在本研究中我们发现韧性和希望变量不能预测治疗依从性，但希望和韧性存在直接且较弱的相关性。建议护士应更加关注血液透析患者的希望和韧性，以促进他们的健康。
