PURPOSE
The purpose of this study is to identify the moderating and mediating effects of resilience in the relationship between symptom experience and quality of life.
METHODS
Participants were recruited from one general hospital and one hospital specialized in hemodialysis located in Busan city. The participants included 105 patients diagnosed with chronic renal failure who had been receiving hemodialysis twice a week or more on a regular basis. Data collection was conducted from December 14, 2017, to January 15, 2018. Collected data were analyzed using the SPSS/WIN 24.0 program.
RESULTS
There were significant correlations between participants' symptom experience and resilience (r=−.36, p < .001), symptom experience and quality of life (r=−.50, p < .001), and resilience and quality of life (r=.67, p < .001), respectively. Resilience had a partial mediating effect (z=−3.48, p < .001) in the relationship between symptom experience and quality of life but did not have moderating effects.
CONCLUSION
To improve the quality of life among patients on hemodialysis, it is necessary to develop interventions that enhance resilience in addition to providing symptom relief.

Citations

• Differences in the recirculation rate and dialysis adequacy according to arteriovenous fistula puncture direction and method in hemodialysis patients in South Korea: a one-group pretest-posttest study
  WooJeong Ban, YulHa Min, Jungmin Lee, Soo-Hyun Nam
  Journal of Korean Biological Nursing Science.2025; 27(2): 203.     CrossRef
• The moderating role of social support in the relationship between death anxiety and resilience among dialysis patients
  Zahra Shafiei Kisomi, Omid Taherkhani, Mina Mollaei, Hoda Esmaeily, Ghazaleh Shirkhanloo, Zahra Hosseinkhani, Mohammad Amerzadeh
  BMC Nephrology.2024;[Epub]     CrossRef
• Resilience’s impact on quality of life and post-traumatic growth in breast cancer patients during treatment
  Songül Duran, Umut Varol, Özlem Tekir, Ahmet Hakan Soytürk
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• The Mediating Effects of Symptom Experiences on the Relationship between Body Image and Quality of Life among Hemodialysis Patients in a Single Center
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• Mediating Effect of Resilience on the Relationship Between Job Stress and the Professional Quality of Life of Hospice and Palliative Care Nurses: A Multicenter Cross-sectional Study
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• Effect of Social Support, Fatigue, and Depression on the Quality of Life of Patients Undergoing Peritoneal Dialysis
  Ji Hye Jung, Hye Young Kim
  Journal of Korean Academy of Fundamentals of Nursing.2024; 31(2): 254.     CrossRef
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  Soo Jin Lee, Sujin Lee, Xianglan Jin
  Journal of Korean Biological Nursing Science.2023; 25(3): 160.     CrossRef
• Factors Affecting Diet-Related Quality of Life Among Hemodialysis Patients According to Age-group
  Ae Kyung Chang, Jin Yi Choi
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• Relationship of Symptom Clusters, Compliance with the Patient’s Role Behavior, and Dialysis Adequacy with Quality of Life in Hemodialysis Patients
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• Effect of Role Conflict on Job Satisfaction by Comprehensive Nursing Care Service Ward Nurse: Moderating and Mediating Effect of Resilience
  So Hee Lee, Roma Seol, Min Hye Kim
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PURPOSE
The purposes of the study were to understand the levels of older adults' perceived stresses in terms of family relationship, physical health, financial difficulty, death of family members, and household environment, and to identify the influences of the stresses on their suicidal ideation.
METHODS
The subjects were 302 older adults residing in Daegu, Korea. The data were collected by questionnaires between March and April 2007.
RESULTS
Older adults perceived the highest level of stress from the death of family members and had high levels of stresses from physical health, family relationships, financial difficulty, and household environment in order. The variables influencing suicidal ideation were stresses from family relationships, physical health, and financial difficulty.
CONCLUSION
Based on the findings, it is recommended that nurses provide in-depth screening of suicide risk for older adults who visit general health care settings through the identification of the levels of stresses in terms of family relationships, physical health, and financial difficulty. It is further suggested to provide collaborative interventions between primary health care providers and psychiatric professionals for suicide prevention and treatment in older adults.

PURPOSE
The purpose of this study is to examine the relationship between the living arrangement, life satisfaction and depression in the elderly. METHOD: The subjects consisted of 371 elderly who has at least one adult child classifying two groups(living with children and not living with children). The data were collected by a structured questionnaire that included general characteristics, Geriatric Leisure Activity Scale, Geriatric Life Satisfaction Scale, Geriatric Depression Scale, from March to December, 2004. The collected data were analyzed by SPSS program including descriptive statistics, chi2-test, t-test, Pearson Correlation Coefficient and Hierarchical Regression. RESULT: In hierarchical regression, the elders who live with their children showed more life satisfaction than elders who lived by themselves. However, living arrangement showed no effect on the level of depression of the elderly parents. Significant leisure activity interaction effect was found on the depression among the elderly: The elderly with no leisure activity reported lower levels of depression when they lived with their adult child. CONCLUSION: It is necessary to explore further the various relationship among living arrangement and life satisfaction of the elderly, their preferences and expectations regarding inter-generational obligations and living arrangements.

PURPOSE
This study was conducted to investigate quality of life according to social support of elderly in the rural area. METHOD: The subjects of this study were 199 people aged over 60 who had been living in three rural areas. Date was collected through questionnaires from July 10th, to August 10th, 2003. RESULT: The most socially supportive people they answered were friends(80.9%), followed by children(74.9%), neighbors(71.9%), siblings(55.8%), spouse(53.3%), in descending order. Mean social support score for spouse was 13.36, for children 13.27, for friends 11.40, for neighbors 10.21, for siblings 10.20. A comparison of the average grade points per items according to the offerers of social support revealed spouse support(13.36 out of 18), children support(13.27), friends support(11.40), neighbor support(10.21), siblings support(10.20). The average of the quality of life score was 132.26 out of 220. A comparison of the average grade points per items within sub-areas of quality of life revealed the highest score of neighbor relationships(4.29 out of 5.00) and the lowest score of economic conditions (2.61) Quality of life scores correlated positively with social support scores(r=.734, p<.001). Variables significantly influencing quality of life were spouse support(36.1%), neighbor support (5.1%), age(2.2%), religion(1.7%). These variables explained 45.1% of the variance in quality of life. CONCLUSION: Social support for elderly people in rural areas identified this as a greatly effective factor for their quality of life. Therefore, it is necessary to develop health promotion programs connected with social support in order to enhance the quality of elderly people in rural areas.

The purpose of this study was to identify the relationships between self-efficacy, self-esteem, health locus of control and sick-role behavioral compliance in diabetic patients and to identify the influencing factors for sick-role behavioral compliance. The subjects for study were 244 NIDDM patients from 2 hospitals, who were visiting the outpatient clinic in Taegu. Data were collected from Sep. 18.th to Oct. 5th 1996. In data analysis, SPSS/PC+ programs were utilized for descriptives, as well as Pearson correlation coefficient, t-test, ANOVA and stepwise multiple regression. The results were as follows : 1. The average score for the sick-role behavioral compliance was 50.38, for the self-efficacy was 1337.17, for the self-esteem was 27.81, for the internal health locus of control was 28.79, for the chance health locus of control was 20.55, for the powerful others health locus of control was 28.70. 2. The relationships between self-efficacy, self-esteem, health locus of control and sick-role behavioral compliance were significant. Sick-role behavioral compliance were significantly related to self-efficacy(r=0.36, 0.000), to self-esteem (r=0.19, p=0.001), to internal health locus of control(r=0.28, p=0.000), to powerful others health locus of control (r=0.28, p=0.000). 3. In the relationship between general characteristics and sick-role behavioral compliance there were significant differences in a job (t=-2.01, p=0.045), experience of diabetic education(t=2.32, p=0.022). 4. Stepwise multiple regression analysis was performed to identify the influencing factors for sick-role behavioral compliance. Self-efficacy, self-esteem, internal health locus of control, having or not having a job and experience of diabetic education accounted for 24% of the variance in sick-role behavioral compliance. The self-efficacy was the most predictive factor (R2=13%) followed by internal health locus of control, job, self-esteem and experience of diabetic education. The results suggest that self-efficacy is an important variable in the compliance of diabetic patients. For improvement in sick-role behavioral compliance nursing intervention needs to be directed at promoting self-efficacy.