The Effect of Spiritual Well-Being on Hope Among Hemodialysis Patients: A Latent Profile Analysis

IF 1.2 4区医学 Q3 UROLOGY & NEPHROLOGY

Hemodialysis International Pub Date : 2025-02-23 DOI:10.1111/hdi.13210

Xu-Hua Zhou, Lin Chen, Ying-Jun Zhang, Li He, Li Liu, Mei Shi, Rui You

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引用次数: 0

Abstract

Introduction

Spiritual well-being was a critical component of quality of life for hemodialysis patients. However, existing research primarily concentrates on the overall level of spiritual well-being and associated factors, often neglecting the heterogeneity within the hemodialysis patients regarding their patterns of spiritual well-being. In addition, the effect of spiritual well-being on hope levels in hemodialysis patients remains unclear. This study aimed to examine the latent profiles of spiritual well-being among hemodialysis patients and to explore their effect on hope.

Methods

A convenience sampling method was employed between July 2023 and March 2024 to recruit hemodialysis patients from three teaching hospitals in Sichuan Province as study participants. All participants complied with a demographic questionnaire, the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being, and the Herth Hope Index. A latent profile analysis was adopted to identify the latent profiles of spiritual well-being among hemodialysis patients, and hierarchical linear regression was conducted to examine their role in hope.

Findings

Two latent profiles of spiritual well-being were identified based on the participants' responses, designated as “Spiritual burnout group”(n = 246, 74.4%) and “Spiritual fulfillment group” (n = 51, 25.6%). Different latent profiles of spiritual well-being among hemodialysis patients have a significant positive effect on the level of hope (ΔR ² = 0.224, p < 0.001).

Discussion

The spiritual well-being of hemodialysis patients was identified as suboptimal and demonstrated a significant positive association with their level of hope. Healthcare providers could identify the different profiles of spiritual well-being in HD patients and deliver targeted interventions to guide them to positively live in harmony with themselves, others, and the environment to improve their level of hope.

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血液透析患者精神幸福感对希望的影响：一项潜在剖面分析。

导言精神健康是血液透析患者生活质量的重要组成部分。然而，现有研究主要集中在精神幸福感的整体水平和相关因素上，往往忽视了血液透析患者在精神幸福感模式上的异质性。此外，精神幸福感对血液透析患者希望水平的影响仍不明确。本研究旨在研究血液透析患者精神幸福感的潜在特征，并探讨其对希望的影响：方法：采用方便抽样法，于 2023 年 7 月至 2024 年 3 月间从四川省三家教学医院招募血液透析患者作为研究对象。所有参与者均填写了人口统计学问卷、慢性疾病治疗功能评估-精神健康问卷和赫氏希望指数问卷。研究采用潜特征分析法确定血液透析患者精神幸福感的潜特征，并对其在希望中的作用进行层次线性回归：根据参与者的回答，确定了两种潜在的精神幸福感特征，分别为 "精神倦怠组"（246 人，占 74.4%）和 "精神满足组"（51 人，占 25.6%）。血液透析患者精神幸福感的不同潜特征对希望水平有显著的正向影响（ΔR2 = 0.224，p 讨论：血液透析患者的精神健康状况被确定为不理想，并与他们的希望水平呈显著正相关。医护人员可识别血液透析患者不同的精神健康状况，并提供有针对性的干预措施，引导他们积极地与自己、他人和环境和谐相处，从而提高他们的希望水平。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Hemodialysis International UROLOGY & NEPHROLOGY-

CiteScore

2.50

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Hemodialysis International was originally an annual publication containing the Proceedings of the International Symposium on Hemodialysis held in conjunction with the Annual Dialysis Conference. Since 2003, Hemodialysis International is published quarterly and contains original papers on clinical and experimental topics related to dialysis in addition to the Annual Dialysis Conference supplement. This journal is a must-have for nephrologists, nurses, and technicians worldwide. Quarterly issues of Hemodialysis International are included with your membership to the International Society for Hemodialysis. The journal contains original articles, review articles, and commentary to keep readers completely updated in the field of hemodialysis. Edited by international and multidisciplinary experts, Hemodialysis International disseminates critical information in the field.