Volume 23 Issue 5
May  2025
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Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(5): 789-793
JIN Yingying, GU He, CHENG Qiongyao, JIN Lingwei. The mediating role of hope level in the relationship between family caring degree and frailty condition among maintenance hemodialysis patients[J]. Chinese Journal of General Practice, 2025, 23(5): 789-793. doi: 10.16766/j.cnki.issn.1674-4152.004002
Citation: JIN Yingying, GU He, CHENG Qiongyao, JIN Lingwei. The mediating role of hope level in the relationship between family caring degree and frailty condition among maintenance hemodialysis patients[J]. Chinese Journal of General Practice, 2025, 23(5): 789-793. doi: 10.16766/j.cnki.issn.1674-4152.004002
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The mediating role of hope level in the relationship between family caring degree and frailty condition among maintenance hemodialysis patients

doi: 10.16766/j.cnki.issn.1674-4152.004002

  • Hemodialysis Room, the Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang 325000, China

Funds:

 2024KY1285

 Y20240441

  • Received Date: 2024-12-20
    Available Online: 2025-08-14
    Abstract
  •   Objective  The specific interrelationships among hope level, family caring degree, and frailty status in maintenance hemodialysis (MHD) patients remain understudied. The present study investigates the associations between the aforementioned factors in order to inform interventions aimed at mitigating or delaying the onset of frailty in this population.  Methods  From January 2023 to June 2024, MHD patients at the Second Affiliated Hospital of Wenzhou Medical University were selected by means of a convenient sampling method for the purpose of investigation and analysis. To analyze the mediating role of hope level in the relationship between family care and frailty status among MHD (Maintenance Hemodialysis) patients using Pearson correlation analysis, hierarchical regression analysis, and multiple regression analysis, the following approach can be taken.  Results  The Tilburg Frailty Indicator (TFI) score demonstrated a negative correlation with both the Family Adaptation, Partnership, Growth, Affection, and family APGAR index (APGAR) score and the Chinese version of the Herth Hope Index (HHI) score (all P < 0.05). Furthemore, a positive correlation was observed between the HHI score and the APGAR score (P < 0.05).The regression equation was constructed with the following variables: age, fall history, type of underlying disease, APGAR score, and HHI score. The regression equation, explained 64.9% of the TFI score of MHD patients. The findings of this study indicate that a family caring degree may serve as a predictor of both frailty status and hope level, with a statistical significance of P < 0.05. Following an increase in the hope level of the intermediate variable, the family caring degree and the hope level maintained a predictive effect on the frailty status. The present study hypothesized that hope level would have a mediating effect between family caring degree and debilitation status of MHD patients, and that this effect would account for 30.90% of the variance.  Conclusion  The frailty status of MHD patients is elevated, and the degree of frailty condition can directly affect the frailty status of patients, or indirectly affect the frailty status through the mediating role of hope level. This suggests that family participation of patients should be given consideration in order to improve the hope level of patients and reduce or delay the frailty status of patients.

     

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