中華心理衛生協會

Purpose: Patients who accept hemodialysis (HD) treatment need it for the rest of their lives. Research has found that different durations of HD correspond to different psychological and physiological impacts and resource loss. The present study has two goals: (1) to test the difference in resource loss, resilience, and disease coping among patients of different HD treatment durations; and (2) to examine whether resilience has a different moderating effect between resource loss and disease coping among the various HD treatment durations. Methods: The present study used a cross-sectional design and purposive sampling from 8 hospitals. A total of 155 men and 108 women (263) in 3 HD duration groups participated: under 3 years (84 persons, mean age 60.13), 3 to 10 years (95 persons, mean age 57.23), and over 10 years (84 persons, mean age 59.34). All participants completed 3 instruments: Conservation of Resources Evaluation, Resilience Scale, and Hemodialysis Coping Scale. Data analyzed using one-way analysis of variance, Pearson product-term correlation, and hierarchical regression analysis. Results: (1) Group differences in resource loss and resilience were evident, but no differences in coping were identified. (2) Resilience had a negative relation with different kinds of resource loss, a positive relation with challenge coping, and a negative relation with passive emotional coping. (3) The resilience of the middle group of patients under resource loss had a moderating effect on challenge coping and on passive emotional coping. Conclusions: Researchers need to consider the different groups carefully in terms of resource loss. As the moderating effect of resilience is more salient for the middle group of patients than the other two groups, the protective role of resilience needs to be further explored.