ORIGINAL RESEARCH article
Front. Psychol.
Sec. Health Psychology
Volume 16 - 2025 | doi: 10.3389/fpsyg.2025.1618422
This article is part of the Research TopicCaregiver Burden in Alzheimer's and Other Chronic ConditionsView all articles
The relationship between self-efficacy/resilience and the mental health status of hemodialysis nurses: multiple mediation effects of insomnia and fatigue
Provisionally accepted
- 1Department of Epidemiology, School of Public Health, Sun Yat-sen University, Guangdong Province, China
- 2Department of Neurology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
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Background and purpose: Due to the high frequency of hemodialysis treatment, hemodialysis nurses have to bear a lot of psychological pressure, which makes them more vulnerable to anxiety and depression. This study aims to explore the relationship between self-efficacy/resilience and the mental health status of hemodialysis nurses and mediating roles of insomnia and fatigue. Methods: A cross-sectional study was conducted in hemodialysis rooms/centers in Guangdong Province, China, including 1630 nurses aged between 18 and 59. Structural equation model (SEM) was used to explore the relationship between self-efficacy/resilience and the mental health status of hemodialysis nurses, as well as multiple mediation effects of insomnia and fatigue. Results: The results of multiple mediation effects analysis based on SEM suggested that the above-mentioned factors can directly affect the mental health status of hemodialysis nurses. Furthermore, insomnia and fatigue played multiple mediating roles in the pathway of self-efficacy/resilience and the mental health status of hemodialysis nurses. This is a provisional file, not the final typeset article Conclusion: The specific demands of hemodialysis nursing bring various stressors that can negatively affect the mental health status of hemodialysis nurses, which makes them vulnerable to negative emotions. Therefore, finding ways to improve self-efficacy and resilience, and take care of sleep quality to reduce fatigue is essential to improve the mental health status of hemodialysis nurses.
Keywords: self-efficacy, resilience, Mental health status, Hemodialysis nurses, multiplemediation effects, Structural equation model (SEM)
Received: 03 Jun 2025; Accepted: 08 Sep 2025.
Copyright: © 2025 Zhang, Ye, Wen, Wang and Li. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Wen-Xuan Zhang, Department of Epidemiology, School of Public Health, Sun Yat-sen University, Guangdong Province, China
Ying-Hua Li, Department of Neurology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
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