Resilience, activities of daily living, and well-being in patients with chronic kidney disease.
Chia-Pei Chen, Szu-Ying Lee, Shiow-Luan Tsay and 1 others
PMID 37804104WHAT IT FOUND
Well-being did not show a clear change over six months in 105 CKD patients; daily living scores fell while resilience rose.
Resilience was associated with better well-being, but no intervention was tested.
Key findings
01Instrumental activities of daily living scores decreased significantly from 7.49 to 6.50, while resilience scores increased significantly from 149.50 to 167.3.
02Well-being did not change significantly over time, with a V-shaped pattern across the three measurements.
03Resilience was a significant predictor of well-being: the well-being score increased by 0.24 for every 1-point increase in the resilience score.
STILL TO COME
How it was doneWhat they foundWhat it means for OTsWhat it means for RNs
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What it does not show
The study used convenience sampling at one regional teaching hospital in northern Taiwan, so it may not apply to CKD patients elsewhere. It was observational and did not measure or adjust for potential confounders such as daily dietary intake or social support systems. The paper did not test an intervention, so the associations do not show that improving resilience or IADLs will improve well-being. The paper expected 120 participants and enrolled 105, but it does not clearly report how many completed all three time points. The exclusion criteria include comorbidities, yet the reported sample includes patients with comorbidities.
Declared interests
The paper states there was no financial support from public or private sources, and the authors have no proprietary interest.
The easy way to misread this
Do not read the 0.24-point association between resilience and well-being as proof that resilience training works. This was an observational study of 105 CKD patients with no intervention, and well-being did not show a clear change over time.