Observational Study
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Psychiatry. Sep 19, 2025; 15(9): 107672
Published online Sep 19, 2025. doi: 10.5498/wjp.v15.i9.107672
Reliability and validity of the preparatory grief scale for use with hemodialysis patients
Yue-Juan Li, Xue Li, Mei-Juan Li, Yu-Lin Gao
Yue-Juan Li, Yu-Lin Gao, School of Nursing, Southern Medical University, Guangzhou 510515, Guangdong Province, China
Yue-Juan Li, Hemodialysis Center of Nansha, Guangzhou First People's Hospital, Guangzhou 511457, Guangdong Province, China
Xue Li, Department of Nephrology, Guizhou Provincial People's Hospital, Guiyang 550499, Guizhou Province, China
Mei-Juan Li, Hemodialysis Center, Guangzhou First People's Hospital, Guangzhou 511457, Guangdong Province, China
Author contributions: Li YJ designed the research and wrote the first manuscript; Li YJ, Li X, Li MJ and Gao YL contributed to conceiving the research and analyzing data; Li YJ conducted the analysis and provided guidance for the research; all authors reviewed and approved the final manuscript.
Institutional review board statement: This study was approved by the Ethic Committee of Guangzhou First People's Hospital (Approval No. K-2021-191-01).
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: There is no conflict of interest.
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: All data and materials are available from the corresponding author.
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: Yu-Lin Gao, Associate Professor, School of Nursing, Southern Medical University, No. 1023-1063 Shatai South Road, Baiyun District, Guangzhou 510515, Guangdong Province, China. gyl@smu.edu.cn
Received: May 14, 2025
Revised: June 17, 2025
Accepted: July 8, 2025
Published online: September 19, 2025
Processing time: 104 Days and 1.8 Hours
Core Tip

Core Tip: Because of the high mortality rate of end-stage renal disease (ESRD), some patients might not achieve their expected survival times even if they receive hemodialysis. Similar to patients with advanced cancer, those with ESRD also exhibit preoperatory grief. The preparatory grief in advanced cancer patients (PGAC) scale is the most widely used preparatory grief scale for patients in China, and it can be used to measure a range of preparatory grief responses in patients with advanced cancer or terminally ill patients. However, the use of this scale to assess patients on hemodialysis has not been reported. Therefore, this study evaluated the reliability and validity of the PGAC scale in patients on hemodialysis the aim of providing a standardized measurement tool for assessing preparatory grief for this population.