Relationship between Uncertainty in Illness, Subjective Health Status, and Compliance with Sick Role Behavior according to Levels of Health Literacy in Hemodialysis Patients

Cho, Young-Mun; Seo, Yon Hee; Park, Mee-Jeong

doi:10.7475/kjan.2018.30.4.437

Cited by 15 publications

(17 citation statements)

References 21 publications

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“…The degree of uncertainty in hemodialysis patients was above the moderate level, and it had a negative correlation with self-care practice as well as with self-care compliance. These results are consistent with those from a previous study35 that studied the relationship between hemodialysis patients’ self-care and uncertainty. They are also similar to the results of another study on the uncertainty of patients re-admitted after coronary interventions,37 which indicated that a higher level of uncertainty resulted in a lower level of patient compliance.…”

Section: Discussionsupporting

confidence: 92%

“…The results showed that the average self-care compliance score in hemodialysis patients was 76.40 points when converted into a maximum of 120. This score is similar to that in a previous study that measured hemodialysis patients’ self-care 35. Among the sub-items, dietary knowledge of hemodialysis received the highest score, followed by knowledge of hemodialysis.…”

Section: Discussionsupporting

confidence: 85%

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

Kim¹,

Kim

2019

TCRM

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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.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 85%

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

Kim¹,

Kim

2019

TCRM

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“…Participants’ CKDSC scores were significantly higher for those aged 65 years or older, those who were cohabitating, and those who were currently unemployed, which was consistent with the results of previous studies [ 4 , 18 ]. Compared with those living alone, people living with a cohabitant helped them practice healthy lifestyles [ 19 ]. It may be difficult for employed people to practice self-care owing to their work schedule, stress, and lack of time [ 4 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

Factors associated with self-care behavior in patients with pre-dialysis or dialysis-dependent chronic kidney disease

2022

Self Cite

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Self-care behavior plays a pivotal role in the management of chronic kidney disease. Improved self-care behavior in patients with chronic kidney disease is a key factor in health management and treatment adherence. This study aimed to evaluate the participants’ general and medical condition-related characteristics, physiological indices and the level of health literacy affecting self-care behavior in patients with chronic kidney disease in South Korea. The data of 278 participants were analyzed using t-test, analysis of variance, correlation coefficient, and linear multiple regression analysis. There were significant differences in self-care behavior scores depending on participants’ age and cohabitation status, employment, and smoking status as well as having dialysis due to end-stage kidney disease; number of comorbidities; levels of serum hemoglobin, calcium, and creatinine; and estimated glomerular filtration rate. The results of regression analysis revealed that not currently working, non-smoker, end-stage kidney disease, and positive response to the “actively managing my health” scale of the Health Literacy Questionnaire significantly affected self-care behavior in patients with chronic kidney disease, and the explanatory power of the model was 32.7%. Therefore, it is necessary to identify each patient’s barriers or needs according to individual characteristics, such as age, cohabitation and employment status, and daily life circumstances, including smoking habits, comorbidities, social support, and level of health literacy to develop efficient support strategies for promoting adequate self-care behavior with CKD.

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“…In the literature, there are inconsistent findings on the association between disease severity and QOL. The severity of a disease is significantly correlated with negative feelings, including uncertainty 59 , 60 and unpleasant physical symptoms, such as urinary discomfort and changed sexual function, which could then lead to problems within one's interpersonal relationships, diminish their reasonable decision-making abilities around choosing treatment methods, and furthermore, it could affect their QOL or prognosis. 57 , 58 In contrast, Javed et al.…”

Section: Discussionmentioning

confidence: 99%

Quality of life patterns and its association with predictors among non-muscle invasive bladder cancer survivors: A latent profile analysis

Park

Choi

Lee

et al. 2022

Asia-Pacific Journal of Oncology Nursing

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Relationship between Uncertainty in Illness, Subjective Health Status, and Compliance with Sick Role Behavior according to Levels of Health Literacy in Hemodialysis Patients

Cited by 15 publications

References 21 publications

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

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

Factors associated with self-care behavior in patients with pre-dialysis or dialysis-dependent chronic kidney disease

Quality of life patterns and its association with predictors among non-muscle invasive bladder cancer survivors: A latent profile analysis

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