Abstract: Objective  To investigate the status and influencing factors of successful aging (SA) in elderly maintenance hemodialysis (MHD) patients based on society ecosystems theory.   Methods  A cross-sectional survey was conducted by convenience sampling on 325 elderly MHD patients from February to June 2024.  Results  The SA score of elderly MHD patients was (38.54 ± 10.90) points. Multiple linear regression analysis showed that in the microsystem, education level (junior high school: β=0.107, P=0.001; high school/technical secondary school: β=0.124, P＜0.001; college or above: β=0.150, P＜0.001), monthly household income per capita (1000～3000 yuan: β=0.217, P＜0.001; 3000～5000 yuan: β=0.423, P＜0.001; >5000 yuan: β=0.461, P＜0.001), marital status (β=-0.117, P＜0.001), exercise habit (occasional: β=0.080, P=0.008; regular: β=0.118, P=0.001), and sense of meaning in life (β=0.379, P＜0.001) were influencing factors for SA in elderly MHD patients. In the mesosystem, perceived social support (β=0.086, P=0.004), particularly family support, was an influencing factor for SA in elderly MHD patients.  Conclusion  The SA level of elderly MHD patients is relatively low. Clinical healthcare providers are advised to focus on patients who are divorced/widowed, have low education levels, low income, low social support, low sense of meaning in life, and poor exercise habits, and to adopt active nursing measures to help improve their SA level.

Key words: Elderly, Maintenance hemodialysis, Successful ageing, Influencing factors