Predictive Role of Resilience and Hope on Adherence to Treatment in Hemodialysis Patients.

Mahboobeh Magharei, Zinat Mohebbi, Sara Rostamian
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Abstract

Objective: 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).

Methods: 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.

Results: 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.

Conclusion: 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.

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复原力和希望对血液透析患者坚持治疗的预测作用。
目的确定伊朗设拉子医科大学(Shiraz,Iran)两所附属医院的血液透析患者的抗逆力和希望对坚持治疗的预测作用:这是一项描述性分析研究,于 2021 年至 2022 年期间在纳马齐教学医院和沙希德-法基希教学医院的血液透析科对 120 名患者进行了治疗。研究采用分层随机抽样法。采用人口统计学信息问卷、康纳和戴维森的抗逆力问卷、斯奈德的希望问卷以及肾病患者治疗依从性问卷收集数据:结果:调查结果显示,肾病患者的抗逆力、希望和坚持治疗的程度较高。具体而言,抗逆力总分、希望变量和治疗依从性总分的平均值和标准差分别为(75.45±14.34)分、(40.43±3.66)分和(80.12±18.20)分,其最大可能得分分别为 100 分、48 分和 100 分。因此,可以说抗逆力与坚持治疗变量之间没有相关性(P>0.05),希望变量与坚持治疗变量之间没有相关性(P>0.05),坚持治疗与希望和抗逆力变量之间也没有相关性(P>0.05)。然而,希望变量和复原力变量之间的相关性较弱(r=0.36,p):尽管在本研究中,我们发现抗逆力和希望变量无法预测治疗依从性,但希望和抗逆力显示出直接的弱相关性。建议护士应更多地关注血液透析患者的希望和复原力,以促进他们的健康。
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来源期刊
Investigacion y Educacion en Enfermeria
Investigacion y Educacion en Enfermeria Nursing-Maternity and Midwifery
CiteScore
2.60
自引率
5.00%
发文量
34
审稿时长
14 weeks
期刊介绍: The mission of the journal of Nursing and Education is to present scientific and technical information about health, illnesses and related topics. The journal serves as the conduit [medium] through which the experiences of our own nursing and social science departments can be shared within Columbia and internationally. It is written primarily for nurses, general health practitioners and other related disciplines but can also be used by students and researchers.
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