Title: Trajectory patterns of benefit finding and their impact on health-related quality of life in hemodialysis patients: A longitudinal study
Abstract:
Aim: To investigate the trajectory patterns and impact on health-related quality of life in hemodialysis patients.
Design: A longitudinal study.
Methods: Participants from five hemodialysis centers in Shanghai were enrolled from June to December 2023(n=249). Baseline predictors assessments including sociodemographic and disease-related information, General Self-efficacy, Coping Tendency, and Social Support. Outcomes, benefit finding were evaluated at baseline and at 1, 3, and 6 months, while Health-Related Quality of Life was assessed at 6 months. Latent Class Growth Model was used to identify benefit finding trajectories, predictors were analyzed using Multinomial Logistic Regression, and Health-Related Quality of Life was compared across trajectory groups using the K-W nonparametric test. This study adheres to STROBE reporting guidelines.
Results: Three benefit finding trajectory classes were identified and characterized: low-decreasing group (n=36), high-increasing group (n=36) and medium-stabilizing group (n=177). Gender, age, coping tendency, general self-efficacy, social support and Symptoms and Problems With Kidney Disease are predictors of different benefit finding trajectory classes. There were differences in the Health-Related Quality of Life between different benefit finding trajectory classes in hemodialysis patients, with “low-decreasing group” having the worst quality of life.
Conclusions: Benefit finding exhibited dynamic patterns with three distinct trajectories, which associated with Health-Related Quality of Life. In order to improving the benefit finding experience of patients, patient-centered and supportive care should be provided to hemodialysis patients.
Impact: This study explores the diverse trajectories of benefit finding and association with health-related quality of life in hemodialysis patients. The results inform the importance for healthcare providers to recognize and address the needs of hemodialysis patients according to their benefit finding development. Furthermore, the findings provide a foundation for future research aimed at enhancing personalized and effective care interventions in the benefit finding process.
