<p>Influence Of Uncertainty, Depression, And Social Support On Self-Care Compliance In Hemodialysis Patients</p>

Abstract

PurposeThis study was conducted to examine the associations among uncertainty, depression, social support, and self-care compliance in patients undergoing hemodialysis, and to identify the factors influencing self-care compliance.MethodsA convenience sample of 152 patients receiving hemodialysis was selected. Data were analyzed using descriptive statistics, independent t-test, ANOVA, Pearson correlations, and hierarchical regression analysis with the SPSS 23.0 program.ResultsParticipants performed a moderate level of self-care consisting of factors such as knowledge of hemodialysis, dietary knowledge of hemodialysis, dietary compliance with hemodialysis, and compliance with hemodialysis order. The self-care compliance of participants undergoing hemodialysis showed a significant relationship with depression, uncertainty, and social support. The factors significantly influencing self-care compliance were social support and occupation. These variables explained 24.9% of the variance in self-care compliance.ConclusionFindings from this study confirmed that uncertainty, depression, and social support are major factors affecting self-care compliance, and that the higher the patients’ uncertainty, the lower their self-care compliance. Thus, interventions should be performed to reduce uncertainty and to improve self-care through accurate information and education on disease progression and self-care.

Factors related to treatment adherence behaviors among old-age hemodialysis patients in Hamadan, Iran: the application of the extended theory of planned behavior during Covid-19 pandemic

“…According to the findings, treatment adherence behaviors are associated with the education level. Recently, similar to our results, Kim has reported that with increasing the education level, treatment adherence behaviors are improved [ 31 ]. We can mention that patient noncompliance is attributed to personal qualities of patients, such as forgetfulness, lack of willpower or discipline, or low level of education [ 32 ].…”

The correlation between family support and psychological well-being in patients with end-stage renal disease

“…Priyanti (2015) also showed that 51.3% of patients receive less support. Furthermore, according to Kim and Kim (2019), the mean value of social support for hemodialysis patients was 44.9 in the range of 12-60.…”

Factors Associated with Fatigue in Chronic Kidney Disease Patients Undergoing Hemodialysis: A Systematic Review

“…Further complications of fatigue in patients on hemodialysis have been associated with poor quality of life and lower survival rates due to decreased physical and psychological activity (12,13). Research by Abd El-Nasser Ali (14) and Vasilopoulou et al (15) found that hemodialysis patients who have significant problems with fatigue and depression can also affect the poor quality of life.…”

“…Research by Abd El-Nasser Ali (14) and Vasilopoulou et al (15) found that hemodialysis patients who have significant problems with fatigue and depression can also affect the poor quality of life. Poor quality of life in hemodialysis patients can increase cardiovascular and suicide risks, therefore this will become a big problem if not given proper management (13,16,17).…”