Inner strength, coping self-efficacy and coping strategy of patients with peritoneal dialysis: A exploratory cross-sectional study.
Xuzhen Yang, Yan Shan, Yajing Gao and 6 others
PMID 39219185WHAT IT FOUND
Among 191 peritoneal dialysis patients, higher inner strength went with greater coping confidence and facing problems directly.
It went with less giving in. This was a snapshot, not proof that building inner strength helps.
Key findings
01The 191 valid participants had a mean inner strength score of 95.74 (SD 13.52) on the 20 to 120 scale.
02Inner strength was moderately positively related to coping self-efficacy and confrontation, and moderately negatively related to acceptance-resignation.
03Female patients, patients with junior college or university education, and patients with family monthly income beyond 5000 RMB reported stronger inner strength.
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 from two hospitals, so the 191 valid participants may not represent other peritoneal dialysis patients. It was cross-sectional, so it can show relationships at one time point but cannot show that inner strength causes better coping or that improving inner strength changes anything. Some data were missing because 5 patients gave the same answer pattern and 5 did not finish due to discomfort, itching, lack of interest, or leaving. Patients with severe infections, heart failure, cognitive impairment, mental disease, hearing or speech impairment, or concurrent haemodialysis were excluded, and automated peritoneal dialysis patients were not included. Data collection happened during COVID-19 outbreaks and was suspended twice. All outcomes were self-reported questionnaire scores, and the paper did not test an intervention.
Declared interests
The authors declared no conflicts of interest. No funding source or sponsor role is stated in the supplied text.
The easy way to misread this
Do not conclude that improving inner strength will make patients cope better. This was a one-time survey of self-reported scores, not a trial of a nursing or psychological intervention, and it did not test whether changing inner strength changes outcomes.