Liang Chun-Yu, Yen Hsin-Lan, Lin Shih-Chieh, Chen Chien-Chang, Chang Yue-Cune, Fang Yu-Wei
Collage of Nursing, National Defense Medical University, Taipei, Taiwan
Department of Nursing, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.
BMJ Open. 2025 Sep 1;15(9):e095840. doi: 10.1136/bmjopen-2024-095840.
We aimed to understand the factors affecting psychological well-being of patients undergoing haemodialysis (HD). First, we explored how physical symptom severity, emotional distress and social support influence psychological well-being. Second, we examined the impact of different types of social support. Third, we investigated whether any variables mediate the relationship with psychological well-being.
A cross-sectional study, a type of observational design, was conducted on patients at a medical centre in Taiwan in 2020.
A total of 117 outpatients who had undergone regular HD for at least 3 months were enrolled.
The psychological well-being was assessed through self-report questionnaires.
We found that emotional distress (=-0.25, =0.033) had a significant negative impact on psychological well-being. However, the presence of appraisal support mitigated this effect. Specifically, appraisal support fully mediated the adverse impact of emotional distress on psychological well-being. In addition, the severity of physical symptoms was generally mild and did not influence psychological well-being.
Receiving appraisal support from family, friends and healthcare professionals not only alleviates emotional distress but also enhances psychological well-being both directly and indirectly among patients undergoing HD. Healthcare professionals should address issues of personal importance while serving as consultants, educators and evaluators to support patients in managing their chronic condition.
我们旨在了解影响血液透析（HD）患者心理健康的因素。首先，我们探讨了身体症状严重程度、情绪困扰和社会支持如何影响心理健康。其次，我们研究了不同类型社会支持的影响。第三，我们调查了是否有任何变量介导了与心理健康的关系。
2020年在台湾的一个医疗中心对患者进行了一项横断面研究，这是一种观察性设计。
共纳入117名接受定期血液透析至少3个月的门诊患者。
通过自我报告问卷评估心理健康状况。
我们发现情绪困扰（=-0.25，=0.033）对心理健康有显著负面影响。然而，评估性支持的存在减轻了这种影响。具体而言，评估性支持完全介导了情绪困扰对心理健康的不利影响。此外，身体症状的严重程度一般较轻，不影响心理健康。
从家人、朋友和医护人员那里获得评估性支持不仅可以减轻情绪困扰，还可以直接和间接地提高血液透析患者的心理健康水平。医护人员在担任顾问、教育者和评估者时应关注个人重要问题，以支持患者管理其慢性病。
