Self-Care and Its Predictive Factors in Hemodialysis Patients

Abstract

Introduction: Chronic kidney disease is a serious problem and patients need active self-care. This study focuses on the relationship between self-care and its predictive factors in hemodialysis (HD) patients. Methods: This multicenter correlational study was conducted on 201 HD patients referring to HD centers in the west of Tehran, Iran. A multi-stage sampling method was used to select the samples. Data were collected using self-care Scale, Paloutzian-Ellison Spiritual Well-Being Scale, and Connor Davidson Resilience Questionnaires. Data were analyzed using SPSS software version 13 and descriptive statistics and linear regression with stepwise method. Results: The mean (SD) scores of self-care, resilience, and spiritual well-being were 35.5 (5.69), 53.4 (12.94), and 97.4 (17.9), respectively. Univariate analysis showed that self-care had a statistically significant relationship with gender, occupation, education, being diabetic, and hyperlipidemia. Self-care positively correlated with the resilience and negatively correlated with age. Multivariate regression indicated that the resilience (β=0.78, P=0.001), being diabetic (β=-0.09, P=0.01), and age (β=-0.11, P=0.005) could be predictors of self-care. These variables accounted for 78% of variance in self-care in HD patients. Conclusion: Our results showed that resilience was positively correlated with self–care, but being diabetic and age were negatively correlated with self-care in HD patients. Therefore, the health care providers should pay more attention to HD patients who are diabetic and older, as they are at a higher risk of having impaired self-care.

Impact of Death Anxiety on Resilience Among Patients With Chronic Kidney Disease: Role of Social Support as Moderator

“…There is a negative relationship between spiritual well-being and death anxiety. The resilient person can think positively, can easily control negative emotions, and have self-confidence 16,17 . Previous studies have reported a negative relationship of high social support with rate of incident of disease and death 18,19 .…”

Effects of self-care intervention using a mobile instant messenger on hemodialysis patient’s knowledge, self-efficacy, self-care behavior and physiological index

“…-Set detailed goals that can be improved by week 5 -Emotional support and setting a meeting date for next week. 5 Dry weight and nutritional status assessment -Share your current situation for the past week and any inconveniences during dialysis or inconveniences in your daily life.…”

“…These engaging in regular physical activity, taking prescribed medications, and maintaining a proper diet [4]. Therefore, self-care is vital for disease management because it helps reduce chronic physical and mental disease complications [5].…”

The Relationship between Coronavirus Anxiety, Resilience, and Islamic Beliefs in Hemodialysis Patients during the Pandemic: A Survey in Iran

“…In a study on hemodialysis patients, Avanji et al stated that self-care and resilience have a negative correlation with age, so that self-care and resilience decrease with increasing age among people (Avanji et al, 2021). In explaining these results, it can be said that most anxiety disorders, such as generalized anxiety disorder, panic, and phobia, which are characterized by anxiety, are more common at a younger age and decrease with increasing age (Heidari et al, 2020); nonetheless, since Corona anxiety is caused by the disease itself, it is different from the general tension and anxiety created in the society.…”