Health-Related Quality of Life of Patients Undergoing Haemodialysis: A Structural Equation Modelling Approach.
Moonja Kang, Younhee Jeong, Hyungran Lee
PMID 41193948WHAT IT FOUND
In 208 adults on haemodialysis, feeling supported by healthcare professionals and able to choose, competent, and connected was linked to better physical and mental quality of life.
Self-management was linked to lower physical quality of life.
Key findings
01Perceived autonomy support from healthcare professionals and satisfaction of basic psychological needs were linked to better physical and mental quality of life.
02Basic psychological needs were the strongest predictor of physical quality of life, and resilience was directly linked to better mental quality of life.
03Self-management was linked to lower physical quality of life after other factors were considered and was not linked to mental quality of life.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study measured everything at one time, so it cannot show whether autonomy support or resilience caused better quality of life. Participants were convenience sampled from dialysis units and clinics in Korea, so the results may not apply to other settings or patients. All main variables were self-reported, so perceptions of support, motivation, and quality of life may be influenced by the same reporting style. The study did not test an intervention, so it cannot tell whether changing nurse communication would improve quality of life.
The easy way to misread this
Do not conclude that autonomy support will improve quality of life. This was a cross-sectional survey, so it only shows associations at one time point.