Current status and influencing factors of post-traumatic growth in maintenance hemodialysis.
Chuyun Cui, Kuijie Wang, Jinye An and 1 others
PMID 31406778WHAT IT FOUND
Hemodialysis patients reported post-traumatic growth (average 53.73 on 21 items, each 0 to 5).
Higher growth was linked to social support, confronting coping, higher income, and unmarried status; dialysis duration and frequency were not. Nurses can screen psychosocial factors, but cannot infer cause.
Key findings
01The mean post-traumatic growth score was 53.73 ± 16.45.
02Post-traumatic growth was positively correlated with social support and confronting, and negatively correlated with avoidance and acceptance-resignation.
03Multiple regression retained confronting, social support, marital status, and family income, accounting for 41.4% of the variance in post-traumatic growth.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study used convenience sampling and was conducted in one third-level grade A hospital in Tianjin, China. The cross-sectional design limited the prediction of a causal relationship among variables. The regression model accounted for 41.4% of the variance, so other influencing factors were not included. Patients with difficulty communicating, mental illness, or other serious body diseases were excluded. The data were collected by questionnaire, and the paper did not test any treatment or intervention.
Declared interests
The authors declared no conflict of interest.
The easy way to misread this
Do not conclude that confronting coping or social support causes higher post-traumatic growth. This was a one-time survey of patients' perceptions, so it can show association only, not cause.