Saedi Fahimeh, Dehghan Mahlagha, Mohammadrafie Najmeh, Xu Xiao, Hermis Alaa Hamza, Zakeri Mohammad Ali
Health in Disasters and Emergencies Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
Shafa Hospital, Kerman University of Medical Sciences, Kerman, Iran.
BMC Nephrol. 2024 Oct 1;25(1):326. doi: 10.1186/s12882-024-03768-8.
End-stage renal disease (ESRD) causes numerous physical and psychological problems in patients, so that they must adhere to their treatment regimen to recover their disease, alleviate these problems, and increase their lifespan. The present study aimed to determine the predictive role of spiritual health, resilience, and mental well-being in treatment adherence among hemodialysis patients.
This correlational cross-sectional study investigated some variables related to treatment adherence in 184 patients undergoing hemodialysis referred to two dialysis centers in Kerman, southeastern Iran. A census method was used to select the participants and data were collected using socio-demographic characteristics questionnaire, Adherence to Treatment Questionnaire (ATQ), Conner-Davidson Resilience Scale, Reef Psychological well-being Questionnaire, and Spiritual Well-Being Scale (SWBS).
The overall treatment adherence score was 155.42 ± 27.98 and we found a positive significant correlation between spiritual health, resilience, psychological well-being, and treatment adherence (p < 0.001). The mean scores of resilience, spiritual health and psychological well-being were 70.59 ± 17.02, 90.09 ± 12.01, and 77.88 ± 11.72, respectively. Spiritual health, psychological well-being, resilience, gender and marital status predicted 54% of the variance of treatment adherence, with psychological well-being being the best predictor (p < 0.001).
Spiritual health, psychological well-being, and resilience are factors that influence treatment adherence of the patients undergoing hemodialysis, with psychological well-being having the greatest contribution to improving patient's treatment adherence. Interventions effective in improving psychological well-being, spiritual health and resilience can improve treatment adherence of patients undergoing hemodialysis. Healthcare workers must pay more attention to the factors affecting treatment adherence of patients undergoing hemodialysis.
终末期肾病（ESRD）给患者带来诸多身体和心理问题，因此他们必须坚持治疗方案以恢复病情、缓解这些问题并延长寿命。本研究旨在确定精神健康、心理韧性和心理健康在血液透析患者治疗依从性中的预测作用。
这项相关性横断面研究调查了伊朗东南部克尔曼市两个透析中心的184名接受血液透析患者中与治疗依从性相关的一些变量。采用普查方法选取参与者，并使用社会人口学特征问卷、治疗依从性问卷（ATQ）、康纳-戴维森心理韧性量表、里夫心理健康问卷和精神健康量表（SWBS）收集数据。
总体治疗依从性得分为155.42±27.98，我们发现精神健康、心理韧性、心理健康与治疗依从性之间存在显著正相关（p<0.001）。心理韧性、精神健康和心理健康的平均得分分别为70.59±17.02、90.09±12.01和77.88±11.72。精神健康、心理健康、心理韧性、性别和婚姻状况预测了治疗依从性变异的54%，其中心理健康是最佳预测因素（p<0.001）。
精神健康、心理健康和心理韧性是影响血液透析患者治疗依从性的因素，心理健康对提高患者治疗依从性的贡献最大。有效改善心理健康、精神健康和心理韧性的干预措施可提高血液透析患者的治疗依从性。医护人员必须更加关注影响血液透析患者治疗依从性的因素。
