教学医院中接受血液透析的终末期肾病患者的复原力相关因素：一项横断面研究。

Factors associated with resilience among patients with end-stage kidney disease receiving hemodialysis in a teaching hospital: a cross-sectional study.

作者信息

Poudel Bimala, Timalsina Rekha

机构信息

Civil Service Hospital, Kathmandu, Nepal.

School of Nursing and Midwifery (Lalitpur Nursing Campus), Patan Academy of Health Sciences, Lalitpur, Nepal.

出版信息

BMC Nephrol. 2025 Feb 25;26(1):99. doi: 10.1186/s12882-025-04008-3.

DOI:10.1186/s12882-025-04008-3

PMID:40001022

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11863882/

Abstract

BACKGROUNDS

Patients with End-Stage Kidney Disease (ESKD) receiving Hemodialysis (HD) face significant psychosocial and physical challenges. Improving their resilience by integrating protective factors is important for effectively managing the difficulties associated with the disease and its treatment. This study intended to identify factors associated with resilience among patients with ESKD receiving HD.

METHODS

A cross-sectional analytical study was done among 143 patients with ESKD receiving HD in a Tertiary Hospital "A" in Nepal. A non-probability convenience sampling technique was used to select samples. Data were collected following ethical approval through face-to-face interviews. A Nepali version of socio-demographic and clinical characteristics-related questions and five standardized and structured instruments were used to measure resilience, family support, illness cognition, self-efficacy, and self-esteem. Data were analyzed with descriptive and inferential statistics (i.e., correlation and multiple linear regression) using the Statistical Package for Social Science Software version 16.

RESULTS

The respondents had intermediate (49.0%), low (27.3%), and high (23.7%) levels of resilience. Illness cognition, self-efficacy, and self-esteem had statistically significant positive associations with resilience. However, age was negatively associated with resilience. These associated variables account for 64.0% of the variance in resilience (Adjusted R = 0.64).

CONCLUSIONS

The highest proportion of patients with ESKD receiving HD had an intermediate level of resilience. Factors such as illness cognition, self-efficacy, and self-esteem play an important role in enhancing resilience while advancing age appears to diminish it. Therefore, focusing on enhancing illness cognition, self-efficacy, and self-esteem with special care on older patients may be an effective strategy for improving resilience in patients with ESKD receiving HD.

TRIAL REGISTRATION

Not applicable.

摘要

背景

接受血液透析（HD）的终末期肾病（ESKD）患者面临重大的心理社会和身体挑战。通过整合保护因素来提高他们的恢复力对于有效应对与疾病及其治疗相关的困难至关重要。本研究旨在确定接受HD的ESKD患者中与恢复力相关的因素。

方法

在尼泊尔“A”三级医院对143例接受HD的ESKD患者进行了横断面分析研究。采用非概率便利抽样技术选择样本。在获得伦理批准后，通过面对面访谈收集数据。使用尼泊尔语版本的社会人口学和临床特征相关问题以及五个标准化和结构化工具来测量恢复力、家庭支持、疾病认知、自我效能感和自尊。使用社会科学统计软件包第16版进行描述性和推断性统计分析（即相关性和多元线性回归）。