Factors influencing the psychological well-being of patients undergoing haemodialysis in Taiwan: an observational study.

Abstract

We aimed to understand the factors affecting psychological well-being of patients undergoing haemodialysis (HD). First, we explored how physical symptom severity, emotional distress and social support influence psychological well-being. Second, we examined the impact of different types of social support. Third, we investigated whether any variables mediate the relationship with psychological well-being. A cross-sectional study, a type of observational design, was conducted on patients at a medical centre in Taiwan in 2020. A total of 117 outpatients who had undergone regular HD for at least 3 months were enrolled. The psychological well-being was assessed through self-report questionnaires. We found that emotional distress (<i>β</i>=-0.25, <i>p</i>=0.033) had a significant negative impact on psychological well-being. However, the presence of appraisal support mitigated this effect. Specifically, appraisal support fully mediated the adverse impact of emotional distress on psychological well-being. In addition, the severity of physical symptoms was generally mild and did not influence psychological well-being. Receiving appraisal support from family, friends and healthcare professionals not only alleviates emotional distress but also enhances psychological well-being both directly and indirectly among patients undergoing HD. Healthcare professionals should address issues of personal importance while serving as consultants, educators and evaluators to support patients in managing their chronic condition.