Flourishing in individuals undergoing maintenance hemodialysis in Shanghai: a Latent Profile Analysis

This study aimed to reveal the profiles of the flourishing in undergoing maintenance hemodialysis (MHD) and to investigate influencing factors guided by the principles of Social Support Resource Theory.

A total of 376 MHD patients were recruited between October and November 2022. The study used the PERMA Profiler of Chinese Version, Regulatory Emotional Self-Efficacy Scale, Perceived Social Support Scale, and Simplified Coping Style Questionnaire for data collection. Latent Profile Analysis was used to identify flourishing subgroups, and multiple regression analyses were used to explore the associations between latent profiles and sociodemographic and psychosocial characteristics.

Three distinct profiles were identified: the "Low Flourishing-Low Meaning" profile [n = 77 (20.48%)]; "Moderate Flourishing-Low Accomplishments" profile [n = 153 (40.69%)]; and the "High Flourishing-Low Engagement" profile [n = 146 (38.83%)]. Regression analysis revealed that coping style, social support, and regulatory emotional self-efficacy were significantly correlated with these subgroups.

The flourishing levels of MHD patients are individualized. This study identified 3 distinct profiles of flourishing in MHD patients and found significant associations between these profiles. Our findings highlighted that targeted intervention should be developed based on the characteristics of each subgroup to improve their mental health and quality of life.