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摘要
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ABSTRACT
Objectives 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.
Design and setting A cross-sectional study, a type of
observational design, was conducted on patients at a
medical centre in Taiwan in 2020.
Participants A total of 117 outpatients who had
undergone regular HD for at least 3 months were enrolled.
Primary outcome measures The psychological well-
being was assessed through self-report questionnaires.
Results We found that emotional distress (β=−0.25,
p=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.
Conclusion 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 |
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