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©The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
Correlation between life satisfaction, pleasure level, and negative emotion in patients with chronic renal failure
Lin-Lin Zhang, You-Li Zhang, Ting Liu, Jian Wang, Chen Chen, Xiao-Yu Wang
Lin-Lin Zhang, Department of Respiratory Intensive Care Unit, The First Affiliated Hospital of Jinzhou Medical University, Jinzhou 121001, Liaoning Province, China
You-Li Zhang, Orthopedic Trauma to the Spine/Orthopedic Trauma Ward 2, The First Affiliated Hospital of Jinzhou Medical University, Jinzhou 121001, Liaoning Province, China
Ting Liu, Department of Psychiatry, Jinzhou Kangning Hospital, Jinzhou 121019, Liaoning Province, China
Jian Wang, Department of Neurology, The First Affiliated Hospital of Jinzhou Medical University, Jinzhou 121001, Liaoning Province, China
Chen Chen, Blood Purification Center, The First Affiliated Hospital of Jinzhou Medical University, Jinzhou 121001, Liaoning Province, China
Xiao-Yu Wang, Department of Urology Surgery, The First Affiliated Hospital of Jinzhou Medical University, Jinzhou 121001, Liaoning Province, China
Author contributions: Zhang LL, Wang J, Chen C, and Wang XY contributed to brewing and designing experiments; Zhang LL, Wang J, and Chen C contributed to drafting articles; Zhang YL and Wang XY conducted a critical review of the informative content of the article; Zhang YL, Liu T, and Chen C contributed to statistical analysis; Zhang LL and Liu T contributed to data collection; Wang J and Wang XY contributed to implementing research; Wang XY contributed to analyzing and interpreting data. All authors approved the final version to publish.
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of the First Affiliated Hospital of Jinzhou Medical University, No. KYLL2025322.
Informed consent statement: All study participants or their legal guardians provided written informed consent before study enrollment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Data sharing statement: Data supporting the findings of this study are available from the corresponding author upon reasonable request.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
https://creativecommons.org/Licenses/by-nc/4.0/ Corresponding author: Xiao-Yu Wang, Department of Urology Surgery, The First Affiliated Hospital of Jinzhou Medical University, No. 2 Section 5, Renmin Street, Guta District, Jinzhou 121001, Liaoning Province, China.
xiaoyuwangaust@163.com
Received: September 3, 2025
Revised: October 1, 2025
Accepted: November 7, 2025
Published online: January 19, 2026
Processing time: 118 Days and 17.3 Hours
BACKGROUND
Anxiety, depression, and other negative emotions are common among patients with chronic renal failure (CRF). Analyzing the factors related to negative emotions is necessary to provide targeted nursing care.
AIM
To explore the correlations among life satisfaction, pleasure levels, and negative emotions in patients with CRF.
METHODS
One hundred patients with CRF who received therapy at the First Affiliated Hospital of Jinzhou Medical University between December 2022 and February 2025 were included. The Depression, Anxiety, and Stress Scale (DASS-21), Satisfaction with Life Scale (SWLS), and Temporal Experience of Pleasure Scale (TEPS) were used to evaluate negative emotions, life satisfaction, and pleasure level, respectively. Pearson’s correlation coefficient analyzed the correlation between life satisfaction, pleasure level, and negative emotions. Linear regression analysis identified the factors affecting negative emotions.
RESULTS
The average DASS-21 score among patients with CRF was 51.90 ± 2.30, with subscale scores of 17.90 ± 1.50 for depression, 18.53 ± 1.18 for anxiety, and 15.47 ± 2.36 for stress, all significantly higher than the domestic norm (P < 0.05). The average SWLS score was 22.17 ± 4.90. Correlation analysis revealed a negative correlation between the SWLS and total DASS-21 scores (P < 0.05), but not with the individual depression, anxiety, or stress dimensions. The average TEPS score was 67.80 ± 8.34. TEPS scores were negatively correlated with the DASS-21 score and the stress dimension (P < 0.05), but not with depression or anxiety. Linear regression analysis showed that TEPS scores significantly influenced DASS-21 scores (P < 0.05).
CONCLUSION
Patients with CRF experience high levels of negative emotions, which are negatively correlated with life satisfaction and pleasure. Furthermore, pleasure level had an impact on negative emotions.
Core Tip: Evidence on how life satisfaction and pleasure levels influence negative emotions in patients with chronic renal failure is limited. In this study of 100 patients with chronic renal failure, life satisfaction and pleasure levels were negatively correlated with negative emotions. Notably, pleasure level affected negative emotions. The findings highlight the need for emotional care during treatment.
