PURPOSE
The purpose of this study was to examine the levels of resilience, depression, and self-esteem of hemodialysis(HD) patients, and to find out the factors influencing resilience.
METHODS
The subjects of this descriptive correlational study was 83 outpatients in H hospital in Seoul, Korea, who receive hemodialysis regularly. Data was analyzed by SPSS/WIN 18.0 program.
RESULTS
The resilience of HD patients were statistically different by gender, job, economical state, most supportive person, and recent condition. Self-esteem had positive correlation, while depression had moderate negative correlation with the resilience of HD patients. In regression analysis, depression had significant explanation power, which accounted for 25.4% of the resilience.
CONCLUSION
The results of this study provide basic data for developing a resilience promoting program. Since health-related conditions of HD patients affect their levels of resilience, individualized assessment and management of complications are necessary. Also, as the resilience is related to family support, activating support groups for HD patients and their spouses would be helpful to promote their resilience.

Citations

• Factors associated with resilience among patients with end-stage kidney disease receiving hemodialysis in a teaching hospital: a cross-sectional study
  Bimala Poudel, Rekha Timalsina
  BMC Nephrology.2025;[Epub]     CrossRef
• Factors Associated with Sarcopenia among Hemodialysis Patients
  Hye Yun Shin, Hye Sook Min
  Journal of Korean Critical Care Nursing.2022; 15(1): 24.     CrossRef
• Factors Affecting Quality of Life of Hemodialysis Patients - with Focus on Resilience, Symptom Experience and Self-management
  Hyun-Young Jung, Yong-Kyung Park, Soon-Rim Suh
  Journal of Health Informatics and Statistics.2021; 46(4): 429.     CrossRef
• Perceptions of resilience in patients undergoing peritoneal dialysis: A Q‐methodology study
  Mi Young Chon, Eun Ja Yeun, Kyoung Hee Jung, Young‐il Jo, Kyeong Ryong Lee
  Nursing & Health Sciences.2020; 22(1): 108.     CrossRef
• Relationship between Self-efficacy and Resilience among Patients with Colorectal Cancer with Stoma: Mediating Effects of Family Support and Medical Staff Support
  Mi Na Yun, Kyoung Mi Kim
  Korean Journal of Adult Nursing.2020; 32(6): 599.     CrossRef
• Association Between Spiritual Well-Being and Resilience Among Turkish Hemodialysis Patients
  Songul Duran, Dilek Avci, Funda Esim
  Journal of Religion and Health.2020; 59(6): 3097.     CrossRef
• Factors Influencing Sick Role Behavior Compliance in Patients on Hemodialysis
  Hyun Mi Jeon, Hye Sook You
  Journal of Korean Academy of Fundamentals of Nursing.2019; 26(1): 23.     CrossRef
• Resilience as a Moderator and Mediator of the Relationship between Symptom Experience and Quality of Life in Hemodialysis Patients
  Yeon Hee Cho, Yun Mi Lee
  Korean Journal of Adult Nursing.2019; 31(1): 68.     CrossRef
• Factors Influencing Self-Care Behaviors of Renal Dialysis Patients
  Yoonjung Kim, Sanggeon Park
  STRESS.2019; 27(4): 320.     CrossRef
• Factors Influencing Resilience in Hospitalized Patients with Stroke
  Jong Kyung Lee, Ji Yeong Yun
  Korean Journal of Adult Nursing.2018; 30(4): 385.     CrossRef

This study was conducted to investigate the relationship between self-esteem, health promoting behavior and the quality of life of the patients undergoing hemodialysis. The subjects were 86 patients undergoing hemodialysis in H hospital. The data were collected using a questionnaire. Data collection was done from January 11th to June 16th, 1999. The analysis of data was done by use of descriptive statistics, t-test, ANOVA, Pearson Correlation Coefficient and Multiple regression using the SPSS/PC+ program. The results are as follows:1.The mean of the level of self-esteem was 25.02, the level of health promoting behavior, 120.04 and the level of QOL, 128.09. 2. Test for hypothesis: Hypothesis 1. "The higher the level of self-esteem of the patients undergoing hemodialysis, the higher the level of quality of life will be." was supported(r=.296, p<.01). Hypothesis 2. "The higher the level of health promoting behavior, the higher the level of quality of life will be." was supported (r=.628, p<.001). 3.Health promoting behavior explained 39.5percent of QOL(R2=.395, F=27.040, p<.001). 4. Monthly income(F=3.85, p<.01) and marital status(F=4.64, p<.05) were significantly related to the quality of life In conclusion, this study showed that self-esteem and health promoting behavior may be important factors that can improve the quality of life of the patients undergoing hemodiaysis. This study identified that nursing plans should include these factors to help physical, psychological and social adaptation of the patients undergoing hemodialysis.