The association between socioeconomic status and health-related quality of life among young and middle-aged maintenance hemodialysis patients: multiple mediation modeling

Abstract

ObjectiveTo explore the relationship between socioeconomic status (SES), illness perception, social functioning, and health-related quality of life (HRQoL) of young and middle-aged maintenance hemodialysis (MHD) patients and the internal mechanism of action.DesignA multicenter cross-sectional study.MethodsAn aggregate of 332 young and middle-aged MHD patients were enrolled from hemodialysis centers in four general hospitals in Guangzhou, Guangdong, China, from June to December 2022. The questionnaires used included one for general demographic data, the Brief Illness Perception Questionnaire (BIPQ), Social Dysfunction Screening Scale (SDSS), and the 12-item Short Form Health Survey (SF-12).ResultsBoth SES and HRQoL were negatively correlated with illness perception and social functioning, respectively. SES was positively correlated with HRQoL. Illness perception was positively correlated with social functioning. The indirect effects of illness perception and social functioning on the relationship between SES and HRQoL were 0.33 and 0.31, making up 41.06% and 38.91% of the sum. The chain indirect effect of illness perception and social functioning was 0.10, making up 12.59% of the total effect, while gender did not play a moderating role.ConclusionIllness perception and social functioning may independently and accumulatively mediate the association between SES and HRQoL. Nurses should consider developing individual intervention program for young and middle-aged MHD patients with low SES, focusing on establishing targeted counseling and health education strategies corresponding to illness perception and social functioning to help patients improve their HRQoL.

Association between illness perception and social alienation among maintenance hemodialysis patients: The mediating role of fear of progression

“…Item 9 of the questionnaire entailed an open-ended inquiry, wherein patients were prompted to pinpoint the three most substantial factors contributing to their illness. Widely used in the MHD patients, this scale has demonstrated a Cronbach’s alpha coefficient of 0.757 [ 39 ]. In the present study, the scale demonstrated a Cronbach’s α coefficient of 0.829, indicating good internal consistency.…”

Self-Efficacy’s Mediating Role in the Relationship Between Self-Perceived Burden and Health-Related Quality of Life Among Older-Adult Inpatients in China: A Cross-Sectional Study

“…14 The level of HRQoL is important in clinical decisionmaking and has been considered an important predictor of mortality and mobility. 15 With increasing age, various physiological functions of the human body gradually decline, thereby reducing the mobility and self-care abilities of olderadult inpatients. They also experience physical and mental damage caused by chronic diseases, which can lead to a decline in HRQoL.…”