Journal List > J Korean Acad Psychiatr Ment Health Nurs > v.23(4) > 1058018

Cha and Han: Factors related to Hope and Relationships between Hope, Physical Symptoms, Depressive Mood and Quality of Life in Young Adult and Prime-aged Patients with Hemodialysis



The purpose of this study was to identify the correlation among hope, physical symptoms, depressive mood, and quality of life and to examine the influence of hope on quality of life in young adults and patients in their prime who are on hemodialysis.


A secondary analysis using survey data was performed for 100 patients from 20-55 years of age treated in 10 local hemodialysis clinics. To measure hope, physical symptoms, depressive mood, and quality of life, Herth Hope Index, revised symptom scale, Hospital Anxiety and Depression Scale, and Satisfaction with Life Scale were utilized. Data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson correlation coefficient, and multiple regression.


There were differences in the scores for hope according to income, job, and religion. Statistically significant relationships were found between hope and depressive mood, and between hope and quality of life. Hope predicted quality of life with the explanatory power of 43.4%.


Results indicate that hope is a protective factor which has the potential to provide a clinically useful approach to helping patients with hemodialysis, especially, in young adults and patients in their prime. Interventions that support and facilitate hope need to be developed and tested.

Figures and Tables

Table 1
Hope by Demographic and Illness-related Characteristics of the Participants (N=100)

a,b,c: Scheffé test.

Table 2
Scores of Hope, Physical symptoms, Depressive mood, and Quality of Life of the Participants (N=100)
Table 3
Correlations of Hope, Physical Symptoms, Depressive Mood, and Quality of Life of Participants (N=100)
Table 4
Influencing Factors on Quality of Life (N=100)

β=Standardized coefficients Beta.


1. End stage renal disease registry committee. Current renal replacement therapy in Korea-Insan memorial dialysis registry-2013 [Internet]. Seoul: Korean society of nephrology;2013. cited 2014 September 2. Available from:
2. Yeh SCJ, Chou HC. Coping strategies and stressors in patients with hemodialysis. Psychosom Med. 2007; 69(2):182–190.
3. Cukor D, Cohen SD, Peterson RA, Kimmel PL. Psychosocial aspects of chronic disease: ESRD as a paradigmatic illness. J Am Soc Nephrol. 2007; 18(12):3042–3055.
4. Kring DL, Crane PB. Factors affecting quality of life in persons on hemodialysis. Nephrol Nurs J. 2008; 36(1):15–24. 55
5. Yoon S, Kim S. Influence of depression, hope, and social support on suicidal ideation in renal dialysis patients. Korean J Adult Nurs. 2012; 24(3):209–218.
6. Strauss A, Corbin J. Unending work and care: managing chronic illness at home. San Francisco: Jossey-Bass;1988. p. 358.
7. Jablonski A. The illness trajectory of end-stage renal disease dialysis patients. Res Theory Nurs Pract. 2004; 18(1):51–72.
8. Park M, Kim M. Work experience of patients undergoing hemodialysis. J Korean Acad Fundam Nurs. 2010; 17(2):149–158.
9. Seligman ME, Csikszentmihalyi M. Positive psychology: an introduction. Am Psychol. 2000; 55(1):5–14.
10. Whittemore R, Dixon J. Chronic illness: The process of integration. J Clin Nurs. 2008; 17(7b):177–187.
11. Koh MH. Experiences of hope in clients with chronic schizophrenia. J Korean Acad Nurs. 2005; 35(3):555–564.
12. Song MS, Lee EO, Park YS, Hah YS, Shim YS, Yu SJ. The concept analysis of hope: among cancer patients undergoing chemotherapy. J Korean Acad Nurs. 2000; 30(5):1279–1291.
13. Snyder CR. The past and possible futures of hope. J Soc Clin Psychol. 2000; 19(1):11–28.
14. Weil CM. Exploring hope in patients with end stage renal disease on chronic hemodialysis. Nephrol Nurs J. 2000; 27(2):219–226.
15. Han KH, Kim MH. A study on the relationship between hope and self-care agency in hemodialysis patients. Korean J Rehabil Nurs. 2001; 4(2):137–145.
16. Billington E, Simpson J, Unwin J, Bray D, Giles D. Does hope predict adjustment to end stage renal failure and consequent dialysis? Br J Health Psychol. 2008; 13(4):683–699.
17. de Ridder D, Geenen R, Kuijer R, van Middendorp H. Psychological adjustment to chronic disease. Lancet. 2008; 372(9634):246–255.
18. Chida Y, Steptoe A. Positive psychological well-being and mortality: a quantitative review of prospective observational studies. Psychosom Med. 2008; 70(7):741–756.
19. Cha J, Yi M. The influence of cognitive coping on hope, depression and satisfaction with life in hemodialysis patients. Korean J Adult Nurs. 2013; 25(4):389–399.
20. Herth K. Abbreviated instrument to measure hope: Development and psychometric evaluation. J Adv Nurs. 1992; 17(10):1251–1259.
21. Tae YS, Youn S. Effects of a forgiveness nursing intervention program on hope and quality of life in woman cancer patients. J Korean Oncol Nurs. 2006; 6(2):111–120.
22. Dodd M, Janson S, Facione N, Faucett J, Froelicher ES, Humphreys J, et al. Advancing the science of symptom management. J Adv Nurs. 2001; 33(5):668–676.
23. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983; 67(6):361–370.
24. Diener E, Emmons RA, Larsen RJ, Griffin S. The satisfaction with life scale. J Pers Assess. 1985; 49(1):71–75.
25. Chan R, Brooks R, Erlich J, Gallagher M, Snelling P, Chow J, et al. Studying psychosocial adaptation to end-stage renal disease: The proximal-distal model of health-related outcomes as a base model. J Psychosom Res. 2011; 70(5):455–464.
26. Tugade MM, Fredrickson BL. Resilient individuals use positive emotions to bounce back from negative emotional experiences. J Pers Soc Psychol. 2004; 86(2):320–333.
27. Fredrickson BL. The role of positive emotions in positive psychology: the broaden-and-build theory of positive emotions. Am Psychol. 2001; 56(3):218–226.
28. Jo KH, Son BK. The relationship of uncertainty, hope, and quality of life in patients with breast cancer. J Korean Acad Nurs. 2004; 34(7):1184–1193.
29. Hwang HM, Yi M. Hope, self-esteem and quality of life in people with spinalcord injury. Korean J Adult Nurs. 2011; 23(2):189–197.
30. Tsay SL, Healstead M. Self-care self-efficacy, depression, and quality of life among patients receiving hemodialysis in Taiwan. Int J Nurs Stud. 2002; 39(3):245–251.
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