Predictive Role of Resilience and Hope on Adherence to Treatment in Hemodialysis Patients.
Mahboobeh Magharei, Zinat Mohebbi, Sara Rostamian
PMID 39083833WHAT IT FOUND
Resilience and hope did not predict treatment adherence in hemodialysis patients.
While most patients reported very good adherence, fluid intake restriction was the weakest area. Psychological traits alone may not drive compliance; targeted education on fluid limits is needed.
Key findings
01Neither resilience nor hope significantly predicted adherence to treatment in the regression analysis.
02There was no correlation between resilience and adherence, nor between hope and adherence.
03Adherence to fluid intake restriction was the lowest scoring dimension of treatment adherence.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The cross-sectional design prevents establishing causality; adherence and psychological traits were measured at the same time. Self-reported adherence may be overestimated due to social desirability bias. The sample was drawn from two hospitals in Iran, which may limit generalizability to other cultural or healthcare settings. The study excluded patients with cognitive disorders, severe mental illness, or advanced cardiovascular disease, so findings do not apply to more complex or impaired patient groups.
Declared interests
The study was approved by the ethics committee of Shiraz University of Medical Sciences and supported by the clinical research center of Namazi Hospital. No commercial conflicts of interest are explicitly declared in the text.
The easy way to misread this
Do not assume that building patient resilience or hope will improve adherence. The study found no statistical link between these psychological traits and adherence behaviors, so investing in psychological interventions for this specific purpose is not supported by these results.