A Structural Analysis for Psychosocial Variables related to Sick Role Behavioral Compliance in Hemodialysis Patients

Cho, Young-Mun

doi:10.7475/kjan.2016.28.4.415

Cited by 6 publications

(7 citation statements)

References 8 publications

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“…This finding is consistent with previous research (Moattari et al , ; Park & Lee, ) and a meta‐analysis study showed that self‐management programs were effective for the self‐efficacy of patients with chronic renal failure (Lin et al , ). Improving self‐efficacy could be an effective strategy for managing treatment compliance and interdialytic weight gain, as self‐efficacy is known to be associated with treatment compliance (Cho et al , ; Zrinyi et al , ) and interdialytic weight gain (Aliasgharpour, Shomali, Moghaddam, & Faghihzadeh, ). This study showed that the treatment compliance scores increased significantly in the experimental group after implementation of the integrated self‐management program.…”

Section: Discussionmentioning

confidence: 99%

“…Treatment compliance was measured by using the Compliance of Patient Role Behavior tool that had been developed for Korean hemodialysis patients. The reliability and validity of this tool have been established (Cho, Choi, & Sung, ; Lee et al , ). It measures hemodialysis patients’ compliance with dietary and water restrictions, medication, exercise, the dialysis schedule, and arteriovenous fistula management.…”

Section: Methodsmentioning

confidence: 99%

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Integrated self‐management program effects on hemodialysis patients: A quasi‐experimental study

Park

Kim

2019

Japan Journal Nursing Sci

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Aim: To evaluate the effects of an integrated self-management program using a mobile application, a short message service using a smartphone, and face-to-face counseling and education among hemodialysis patients. Methods: A quasi-experimental study design was used. The participants of this study were 84 hemodialysis patients (42 in the experimental group and 42 in the control group). The experimental group received the integrated self-management program for 8 weeks. The data were analyzed by using the independent t-test and Mann-Whitney U test to identify differences in self-efficacy, treatment compliance, the ratio of interdialytic weight gain to dry weight, and serum potassium and phosphorus levels between the experimental group and the control group at the end of the program. Results: The scores for self-efficacy and treatment compliance were significantly higher in the experimental group than in the control group. The ratio of interdialytic weight gain to dry weight significantly decreased in the experimental group, compared to the control group. The serum potassium and phosphorus levels in the experimental group were not significantly lower than those of the control group. Conclusion: The findings suggest that the integrated self-management program that was implemented in this study could be a potentially effective intervention to improve the self-management of hemodialysis patients. Further research on various nursing intervention programs is warranted, including a mobile application program to improve hemodialysis patients' self-management.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Integrated self‐management program effects on hemodialysis patients: A quasi‐experimental study

Park

Kim

2019

Japan Journal Nursing Sci

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“…In terms of other participant characteristics, self-care behavior significantly differed according to age [ 6 , 8 , 26 , 29 , 30 ], sex [ 6 , 31 , 32 ], marital status [ 6 , 8 ], economic status [ 5 ], HD-related education and social support [ 7 ], primary cause of ESRD, and occupation [ 30 ]. However, some studies [ 3 , 4 , 33 , 34 ] observed no significant differences in self-care behavior according to participant characteristics. In addition, regardless of the frequency, self-care behavior education and self-care behavior were almost the same.…”

Section: Discussionmentioning

confidence: 99%

Factors Influencing Self-Care Behavior and Treatment Adherence in Hemodialysis Patients

Kim

Cho

2021

IJERPH

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Low self-care and treatment adherence are found among hemodialysis patients. We aimed to identify the factors influencing self-care behavior and treatment adherence and examine the mediating effect of treatment adherence on self-care behavior. A questionnaire was administered through a social media community from 11 July to 13 August 2021. The data collected from 100 participants were analyzed using the independent t-test, one-way analysis of variance, Pearson’s correlation, multiple linear regression analysis, and hierarchical multiple regression analysis. The mean self-care behavior and treatment adherence scores were 3.52 ± 0.57 and 4.01 ± 0.48, respectively. The mean age and hemodialysis duration were 51.70 ± 9.40 and 7.57 ± 7.21 years, respectively. The common primary cause of end-stage renal disease was glomerulonephritis (n = 39, 39%). Self-care behavior varied with education, frequency of self-care behavior education, and social support and was positively correlated with treatment adherence and social support. Treatment adherence was positively correlated with social support. Treatment adherence, social support, and health status were influenced self-care behavior (54.5%. Self-care behavior and frequency of self-care behavior education influenced treatment adherence (61.3%). Treatment adherence partially mediated the relationship between social support and self-care behavior. Intervention strategies that increase both social support and treatment adherence can promote self-care behavior.

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“…이상에서 가장 낮은 것으로 나타나 [5] 이들 연령대를 중심으로 스스로 식이조절을 하고 대처능력을 증진할 수 있는 지식과 정 보를 제공할 필요가 있다 [6]. 또한 노인 혈액투석 환자는 집중 력, 기억력 같은 인지기능이 저하되어 [7], 혈액투석 식이조절 에 필요한 지식을 습득하고 유지하는 데 어려움이 있어 [6]…”

Section: 그러나 혈액투석에 대한 식이 지식이 혈액투석 환자 중 60세unclassified

Effects of a Repeated Hemodialysis Diet Education Program for Older Adults

김

최

2020

Korean J Adult Nurs

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The purpose of this study was to verify the effects of a repeated hemodialysis diet education program on dietary knowledge, dietary self-care compliance, and physiological indices in older adults on hemodialysis. Methods: This study employed a non-equivalent control group pre-post repeated measures design. Based on Ebbinghaus' forgetting curve, the experimental group received diet education four times. Data were analyzed by the x 2-test, t-test, and Fisher's exact test. A repeated measures ANOVA was used for hypothesis testing. Results: There were statistically significant between-groups differences in dietary knowledge by time of assessment, within group differences by time of assessment, and interactions between group and time. Regarding dietary self-care compliance, there were significant within-group differences by time of assessment and interactions between group and time. There were significant within-group changes in inter-dialytic weight gain by time of assessment. For the physiological indices, blood sodium and albumin showed significant within-group changes by time of assessment. Phosphorus and blood urea nitrogen scores showed significant within-group changes. For blood potassium concentration, there was a significant difference in interactions between group and time. Conclusion: Owing to the resulting improvements in dietary knowledge and self-care compliance, the repeated education program applied in this study can be used as a preventive measure for complications in older adults on hemodialysis.

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A Structural Analysis for Psychosocial Variables related to Sick Role Behavioral Compliance in Hemodialysis Patients

Cited by 6 publications

References 8 publications

Integrated self‐management program effects on hemodialysis patients: A quasi‐experimental study

Integrated self‐management program effects on hemodialysis patients: A quasi‐experimental study

Factors Influencing Self-Care Behavior and Treatment Adherence in Hemodialysis Patients

Effects of a Repeated Hemodialysis Diet Education Program for Older Adults

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