투석 전 만성신부전 환자의 불확실성과 삶의 질의 관계에서

Mediating Effects of Resilience between Uncertainty and Quality of Life on Patients with chronic kidney disease before dialysis

Purpose : This study explored the mediating effect of resilience on the relationships between uncertainty, resilience, and quality of life in patients chronic kidney disease before hemodialysis. Methods : This study used a descriptive correlational design. Participants were 130 patients who had chronic kidney disease before hemodialysis. Data were collected from March 2, 2020 to July 31, 2020. Measurements included the Patient Assessment of Mishel Uncertainty in Illness Scale, Korean version of Connor-Davidson Resilience Scale (K-CD-RISC), and the Korean version of the World Health Organization Quality of Life-BREF (WHOQOL-BREF). Data was analyzed using descriptive statistics, Pearson’s correlation coefficient, and a three-step regression analysis using Baron and Kenny’s method for mediation. Results : Mean scores were 3.07±0.44 and 2.33±0.73 for uncertainty and resilience, respectively. The mean score for quality of life was 3.04±0.57. Resilience had a mediating effect (z＝-2.23, p＜.001) between uncertainty and, as well as 34.0% explanatory power. Conclusion : To improve quality of life of chronic kidney disease patients before hemodialysis, developing programs suitable for patients with high uncertainty or programs that increase the patient resilience should be considered.