{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T10:27:30Z","timestamp":1788258450596,"version":"build-2803163510"},"reference-count":30,"publisher":"Wiley","issue":"9-10","license":[{"start":{"date-parts":[[2020,3,12]],"date-time":"2020-03-12T00:00:00Z","timestamp":1583971200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2020,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim and objective<\/jats:title>\n                    <jats:p>We investigated the correlation between the frailty status of maintenance haemodialysis (MHD) patients and psychosocial factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Varying degrees of frailty have been reported in MHD patients, which affect their quality of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>We adopted a cross\u2010sectional design in this study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Clinical data of 187 patients at our centre were collected from December 2017\u2013June 2018 using a cross\u2010sectional survey. Psychosocial factors were measured using the Pittsburgh Sleep Quality Index (PSQI), Hospital Anxiety and Depression Scale, 10\u2010item Connor\u2010Davidson Resilience Scale (CD\u2010RISC), Chronic Disease Self\u2010Efficacy Scales and Perceived Social Support Scale. Frailty status was estimated using the fatigue, resistance, ambulation, illnesses and loss of weight (FRAIL) scale. Spearman's correlation and multiple logistic regression analysis were conducted to identify the risk factors for frailty. This study complied with the STROBE checklist.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 187 patients, 11 cases (5.9%) of frailty were identified. Patient's age, comorbidities, parathyroid hormone level, sleep quality and depression were positively correlated with frailty (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a0.05), while psychological resilience and social support were negatively correlated with frailty (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a0.05). Logistic regression analysis revealed four risk factors for frailty among MHD patients, including age (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a0.004), comorbidities (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a0.023), depression (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a0.023) and sleep disorders (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a0.029). Conversely, protective factors included high psychological resilience (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a0.019) and social support (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a0.039).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Among MHD patients, the risk factors for frailty included age, comorbidity, depression and sleep disturbance, whereas the protective factors included psychological resilience and social support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to clinical practice<\/jats:title>\n                    <jats:p>Frailty is not only common among older patients, but also among people of all age groups suffering from chronic diseases. Therefore, it is important to consider the health status of MHD patients and adopt targeted nursing strategies to alleviate symptoms of frailty and improve physical condition by the following ways: postpone the progress of comorbidities, improve sleep quality, control the symptoms of depression, foster psychological resilience and facilitate support from social and family.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocn.15225","type":"journal-article","created":{"date-parts":[[2020,2,24]],"date-time":"2020-02-24T14:25:56Z","timestamp":1582554356000},"page":"1695-1703","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":35,"title":["Exploring psychosocial factors associated with frailty incidence among patients undergoing maintenance hemodialysis"],"prefix":"10.1111","volume":"29","author":[{"given":"Huaihong","family":"Yuan","sequence":"first","affiliation":[{"name":"Department of Nephrology West China Hospital Sichuan University Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6292-8045","authenticated-orcid":false,"given":"Yingjun","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Nephrology West China Hospital Sichuan University Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guifang","family":"Xue","sequence":"additional","affiliation":[{"name":"Department of Nephrology West China Hospital Sichuan University Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yujie","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Nephrology West China Hospital Sichuan University Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaobin","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Nephrology West China Hospital Sichuan University Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ping","family":"Fu","sequence":"additional","affiliation":[{"name":"Department of Nephrology West China Hospital Sichuan University Chengdu China"},{"name":"National Clinical Research Center for Geriatrics West China Hospital Sichuan University Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,3,12]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02982161"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2015.04.006"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1155\/2017\/7624139"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2014.07.010"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2012.3020"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2014.967174"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/0165-1781(89)90047-4"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2015.12.016"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/nep.12401"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)62167-9"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/da.10113"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/1097-4679(199111)47:6<756::AID-JCLP2270470605>3.0.CO;2-L"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1159\/000439000"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40520-015-0497-y"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afs021"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/56.3.M146"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2015.05.005"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-014-0672-1"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000229"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0106912"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/nep.13143"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2011.03746.x"},{"issue":"6","key":"e_1_2_12_24_1","first-page":"256","article-title":"Effect of a self\u2010management program on patients with chronic disease","volume":"4","author":"Lorig K. 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