Spiritualité Saine et Résilience

Spiritual well-being and quality of life in maintenance hemodialysis patients: a latent profile analysis and serial mediation model.

Yuan B, Lai Q, Wu J, Wang R, Lu Y, Wu M, Chen Y, Wu J

Front Psychol . 2026;17 :1668699

📅 01/01/2026 PMID : 41694002 DOI : 10.3389/fpsyg.2026.1668699

Résumé

BACKGROUND: From a positive psychology perspective, this study aimed to identify the latent profiles of spiritual well-being and analyze the serial mediation mechanism of family care and spiritual coping in the relationship between spiritual well-being and health-related quality of life (HRQoL). The findings are intended to inform strategies for improving the spiritual well-being of maintenance hemodialysis (MHD) patients.METHODS: A cross-sectional design was employed with 220 MHD patients recruited from two tertiary hospitals in Guangdong, China (August 2023-January 2024). Assessments were conducted using the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale (FACIT-SP-12), Family Care Index, Spiritual Coping Questionnaire (SCQ), and Short Form-12 Health Survey (SF-12). Latent profile analysis (LPA) was employed to identify heterogeneous subgroups based on spiritual well-being. A chain mediation model was then used to examine the mediating effects of family care and spiritual coping.RESULTS: HRQoL scores averaged 56.50 ± 22.29. Significant correlations emerged: spiritual well-being ( = 0.557,  