Wanying Zhao

Zhengzhou University, China

Abstract Title:Dyadic Perspective on Family Resilience Experiences Among Elderly Peritoneal Dialysis: A Qualitative Study

Biography:

I am Zhao Wanying, a second-year postgraduate student at the School of Nursing and Health, Zhengzhou University. Under the supervision of Prof. Xin Wang, my research focuses on clinical nursing

Research Interest:

Objective: To explore family resilience experiences in elderly peritoneal dialysis patients and their caregivers, identifying protective and hindering factors in family-ecosystem interactions. Methods: Qualitative interviews with 22 patient-caregiver pairs, using Walsh’s resilience framework. Data were analyzed via Colaizzi’s method to examine dyadic adaptation processes. Results: Through content analysis, we identified three themes: 1) Shared beliefs countered medical uncertainties but triggered caregiver anxiety. 2) Role flexibility and home environment adjustments maintained family function, yet gaps in social support increased stress. 3) Emotional bonds strengthened resilience, while stigma and poor communication caused tension. Clinician trust and peer support were vital; policy gaps and caregiving challenges hindered resilience. Conclusion: Family resilience involves dynamic interactions between dyads and ecosystems, requiring alignment of cognition, emotion, and action. Interventions should focus on family empowerment, healthcare continuity, and peer networks to improve outcomes. Keywords: dyadic perspective; family resilience; peritoneal dialysis; elderly