Potential profile analysis and influencing factors of mental flexibility in maintenance hemodialysis patients

ZHENG Xiaofeng; MA Lu; WU Xinshan; WANG Li

doi:10.12104/j.issn.1674-4748.2025.24.002

Abstract：Objective:To explore the current situation and potential characteristics of mental flexibility among maintenance hemodialysis(MHD)patients,and analyze its related influencing factors,thereby providing a reference for clinical intervention practices.Methods:A total of 150 patients with chronic renal failure who received MHD treatment in the Department of Nephrology,the Second Affiliated Hospital of Xuzhou Medical University from July 2021 to July 2024 were selected as the investigation group by convenient sampling method.General Information Questionnaire,Chinese version of Acceptance and Action Questionnaire-2nd Edition(AAQ-Ⅱ),Medical Coping Modes Questionnaire(MCMQ)and Perceived Social Support Scale(PSSS)were used to investigate the problem.The potential profile of patients'psychological flexibility was analyzed,and the influencing factors were further analyzed by multiple Logistic regression.Results:The AAQ-Ⅱ scores of MHD patients were(5.02±0.89).There were three potential categories of mental flexibility in MHD patients:low flexibility group(28.00%),medium flexibility group(44.67%)and high flexibility group(27.33%).Education level,family annual income,the face dimension and yield dimension in MCMQ,and perceived social support were the influencing factors for different categories of mental flexibility in MHD patients.Conclusion:The mental flexibility of MHD patients is at the medium level,and there is heterogeneity among groups.Medical staff should effectively identify MHD patients with different levels of mental flexibility and conduct targeted interventions according to the characteristics of the patients.