Current status and factors influencing psychological resilience and positive psychology in patients with tuberculosis combined with maintenance hemodialysis: a cross-sectional study

Background Maintenance hemodialysis is the main treatment for end-stage chronic kidney disease, and tuberculosis is an tricky infectious complication in maintenance hemodialysis patients, and the dual disease state seriously affects the physical and mental health of patients. Exploring their psychological resilience and positive psychological states and systematic analysis influencing factors are of great significance for developing targeted psychological intervention strategies and enhancing patients' well-being and quality of life. Objectives This study was to investigate the psychological resilience and positive psychological level of maintenance hemodialysis patients with combined tuberculosis and to analyse the factors influencing their psychological resilience. Methods Conveniently extracted 206 patients undergoing maintenance hemodialysis in the hemodialysis centre of a tertiary hospital in China, and divided them into observation group and control group according to whether they were infected with tuberculosis or not. The patients' psychological resilience status and their positive psychological level were assessed using the Demographic Characteristics, Connor-Davidson resilience scale 10 item, Health-Related Hardiness Scale, Index of well-being Scale, and Positive and Negative affects Scale. Results The psychological resilience of maintenance hemodialysis combined with tuberculosis was significantly lower than that of maintenance hemodialysis only (F=52.360,<0.001), and their positive psychological indicates of index of well-being (F=15.464,<0.001), health related hardiness (F=13.046,<0.001), and positive affect (F=12.625,< 0.001) were lower than those without infection of tuberculosis maintenance hemodialysis patients. Multiple linear regression analyses showed that age (B=-2.152,CI[-4.285,-.019]), dialysis age (B=2.815,CI[1.209,4.421]), positive affect (B=0.364,CI[0.199,0.530]) and negative affect (B=-0.230,CI[-0.409 ,-0.051]) were independent factors on psychological resilience in maintenance hemodialysis combined with tuberculosis patients. Conclusion The results of the study suggest that the assessment of negative emotions in elderly, short dialysis age maintenance hemodialysis combined with tuberculosis patients should be strengthened, and positive psychology interventions are supposed to developed and implemented in order to enhance psychological resilience, and ultimately improve patients’ quality of life.