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Purpose: This study aims to determine the latent categories of family resilience among patients undergoing maintenance hemodialysis (MHD) and to explore the influencing factors. Patients and Methods: This cross-sectional study was conducted at two tertiary grade A hospitals affiliated with Jiangnan University from September 2025 to December 2025. The Family Resilience Assessment (FRAS-C) in its shortened version, Family Care Index Questionnaire, and the Medical Coping Modes Questionnaire (MCMQ) were utilized to assess the patients. Additionally, general information regarding the patients was collected. Latent Profile Analysis (LPA) was employed to identify potential subgroups of family resilience among MHD patients. Using these latent profile subgroups as the dependent variable, a multinomial logistic regression analysis was performed to investigate their influencing factors. The results of the multivariate logistic regression were visualized through a forest plot generated by GraphPad Prism version 10.1.2 software. Results: The potential profile analysis revealed three distinct categories of family resilience: the Low Family Resilience – Insufficient Resource Utilization Group (n=72, 23.1%), the Moderate Family Resilience – Balanced Adaptation Group (n=139, 44.5%), and the High Family Resilience – Positive Interaction Group (n=101, 32.4%). The results of the multiple logistic regression analysis indicated that significant influencing factors for these categories of family resilience included marital status, the number of complications, dialysis vintage, family functioning, and medical coping. Conclusion: This study employed LPA to categorize the family resilience of patients undergoing maintenance hemodialysis into three distinct profiles. The findings revealed significant heterogeneity in family resilience within this population. Hill’s ABC-X family crisis model serves as a viable framework for exploring factors associated with family resilience among maintenance hemodialysis patients. The study demonstrated that family resilience in patients is significantly correlated with marital status, the number of complications, dialysis vintage, family functioning, and medical coping. In future treatment and care strategies for maintenance hemodialysis patients, implementing targeted interventions based on the identified profiles of family resilience holds important clinical significance. Keywords: family function, family resilience, latent profile analysis, maintenance hemodialysis patients
Ma et al. (Fri,) studied this question.