Journal of the Korea Convergence Society (한국융합학회논문지)

Korea Convergence Society (한국융합학회)
권호 표지
DOI QR코드

DOI QR Code

The Effect of Social Support and Health Literacy on Sick Role behavior in Hemodialysis Patients

혈액투석 환자의 사회적 지지와 건강정보 이해능력이 환자역할행위 이행에 미치는 영향

  • Hur, Ji-Yeun (Hemodialysis Center, Presbyterian Medical Center) ;
  • Sim, Jeoung-Ha (Department of Nursing, College of Medical Science, Jeonju University)
  • Received : 2020.07.04
  • Accepted : 2020.09.20
  • Published : 2020.09.28
Download PDF
⟨ Previous Next ⟩

Abstract

This was a descriptive study to investigate the effect of social support and health literacy on sick role behaviors in hemodialysis patients. A total of 149 outpatients receiving regular hemodialysis at four dialysis centers located in J city were surveyed. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson correlation coefficient, and multiple linear regression. Factors including social support (β=.37, p<.001), health literacy (β=.16, p=.035), and religion (others) (β=-.25, p=.001) had an effect on sick role behavior. The explanatory power of model in this study was 22.0%. Therefore, the improvement of sick role behavior in patients undergoing hemodialysis requires specific strategies and interventions that are effective in increasing the social support and health literacy.

본 연구는 혈액투석 환자의 사회적 지지, 건강정보 이해능력, 환자역할행위 이행의 정도와 환자역할행위 이행에 미치는 영향을 파악하기 위한 서술적 조사연구이다. J시에 위치한 투석실 4곳에서 정기적인 혈액투석을 받는 외래환자 149명을 대상으로 조사하였다. 자료는 기술통계, t-test, one-way ANOVA, Pearson correlation, multiple linear regression으로 분석하였다. 혈액투석 환자역할행위 이행에 미치는 영향은 사회적 지지(β=.37, p<.001), 건강정보 이해능력(β=.16, p=.035), 종교(기타)(β=-.25, p=.001)가 유의한 것으로 나타났으며, 본 연구에 적용한 분석모델의 설명력은 22%로 나타났다. 이러한 결과로 보아 환자역할행위 이행의 증진을 위해 사회적 지지와 건강정보 이해능력을 높여 줄 수 있는 구체적인 전략과 효과적인 중재방안 모색이 필요하다.

Keywords

References

  1. ESRD Registry Committee. (2019). Current Renal Replacement Therapy in Korea-Insan Memorial Dialysis Registry 2018. Korean Society of Nephrology Web site. http://www. ksn.or.kr
  2. H. R. Rheu & Y. R. Kim. (2005). Social supports and quality of life of hemodialysis patients. Korean public health research, 31(2), 184-191.
  3. K. Kaveh & P. L. Kimme. (2001). Compliance in hemodialysis patients: Multidimensional measures in search of a gold standard. American Journal of Kidney Diseases, 37(2), 244-266. DOI : 10.1053/ajkd.2001.21286
  4. L. S. Baines & R. M. Jindal. (2000). Non- compliance in patients receiving hemodialysis : An in-depth review. Nephron, 85(1), 1-7. DOI : 10.1159/000045622
  5. S. B. Noh, H. N. Lim, M. H. Lee & D. R. Kim (2019). The effect of social support and resilience on sick role behavior of hemodialysis patients. Journal of the Korea Convergence Society, 10(5), 385-395. DOI : 10.15207/JKCS.2019.10.5.385
  6. K. Denhaerynck, D. Manhaeve, F. Dobbels, D. Garzoni, C. Nolte & S. D. Geest. (2007). Prevalence and consequences of nonadherence to hemodialysis regimens. American Journal of Critical Care, 16(3), 222-236. DOI : 10.4037/ajcc2007.16.3.222
  7. Y. J. JO & Y. H. Shin. (2011). Depression, self care compliance and physiological indices of hemodialysis patients. Keimyung Journal of Nursing Science, 15(1), 115-122.
  8. A. E. Figueiredo et al. (2012). Evaluation of physical symptoms in patients on peritoneal dialysis. International Journal of Nephrology, 305424. DOI : 10.1155/2012/305424
  9. J. S. Shin, H. M. Kim & S. K. Hwang. (2004). Influence of self-esteem and family-support on powerlessness of hospitalized elderly patients with chronic disease. Korean Journal of Adult Nursing, 16(3), 470-479.
  10. Y. S. Choi. (2008). A study on the relationship between perceived social support, and compliance with sick role behavior in elderly hemodialysis patients. Master's thesis. Hanyang University, Seoul.
  11. S. D. Cohen, T. Sharma, K. Acquaviva, R. A. Peterson, S. S. Patel & P. L. Kimmel. (2007) Social support and chronic kidney disease : An update. Advances in Chronic Kidney Disease, 14(4), 335-344. DOI : 10.1053/j.ackd.2007.04.007
  12. D. Nutbeam. (1998). Health promotion glossary. Health Promotion International, 13(4), 349-364.. https://doi.org/10.1093/heapro/13.4.349
  13. L. N. Bohlman, A. M. Panzer & D. A. Kindig. (2004). Health literacy : A prescription to end confusion. Institute of Medicine, 31-32. DOI : 10.17226/10883
  14. Y. M. Cho, Y. H. Seo & M. J. Park. (2018). Relationship between uncertainty in illness, subjective health status, and compliance with sick role behavior according to levels of health literacy in hemodialysis patients. The Korean Academic Society of Adult Nursing, 30(4), 437-446. https://doi.org/10.7475/kjan.2018.30.4.437
  15. J. A. Wright, K. A. Wallston, T. A. Elasy & K. L. Cavanaugh. (2010). Development and results of a kidney disease knowledge survey given to patients with CKD. Am J kideny Dis 57(3), 387-395.
  16. O. S. Kim. (1993). A study on the correlation between perceived social support and the q uality of life of hemodialysis patients. Master' thesis. Seoul University, Seoul.
  17. K. H. Kim. (1996). A study on the influencing factors to the quality of life of the hemodialysis patients. Master's thesis. Kyung Hee University, Seoul.
  18. T. W. Lee & S. J. Kang. (2013). Development of the short form of the korean health literacy scale for the elderly. Research in Nursing & Health, 36, 524-534. https://doi.org/10.1002/nur.21556
  19. T. W. Lee & S. J. Kang. (2008). Health literacy in the korean elderly and influencing factors. Journal of the Korean Gerontological Society, 28, 847-863.
  20. K. Y. Hong. (1999). A study of the relationships among dialysis related knowledge, self efficacy and compliance of patient role behavior in hemodialysis patients. Master's thesis. Hanyang University, Seoul.
  21. E. S. Song. (2002). Study on the knowledge about hemodialysis and compliance of patient role behavior in hemodialysis patients. Master's thesis. Chosun University, Gwangju.
  22. S. B. Gwon. (2019). Influence of family and health care professional support on self-care behavior of diabetic nephropathy hemodialysis patients. Master's thesis. Chungnam University, Daejeon.
  23. M. Y. Kim. (2018). The effect of family support and social psychological adjustment on the quality of life of hemodialysis patients. Master's thesis. Kongju University, Kongju.
  24. J. E. Cha & M. S. Yi. (2015). A Path analysis of social support in patients with hemodialysis: Based on the self-regulation model. Journal of Korean Clinical Nursing Research, 21(1), 116-126. https://doi.org/10.22650/JKCNR.2015.21.1.116
  25. A. Cristovao. (2015). Fluid and dietary restriction's efficacy on chronic kidney disease patients in hemodialysis. Revista Brasileria de Enfermagem, 68(6), 1154-1162. https://doi.org/10.1590/0034-7167.2015680622i
  26. C. Y. Lee. (2017). Health literacy and participation in care of geriatric patients with heart failure. Master's thesis. Seoul University, Seoul.
  27. K. M. Shin, S. H. Chu, J. S. Jang & S. M. Kang. (2016). Relationships between health literacy, knowledge and self-care behaviors in elderly patients with heart failure. Journal of Korean Clinical Nursing Research, 22(1), 28-37. https://doi.org/10.22650/JKCNR.2016.22.1.28
  28. S. D. Lee, A, M. Arozullah & Y. I. Cho. (2004). Health literacy, social support, and health : a research agenda. Social Science & Medicine, 58, 1309-1321. DOI : 10.1016/S0277-9536(03)00329-0
  29. B. Billek-Sawhney & E. A. Reicherter. (2005). Literacy and the older adult : Educational considerations for health professionals. Topics in Geriatri Rehabilation 21, 275-281. DOI : 10.1097/00013614-200510000-00004
  30. Y. L. Kim. (2019). A study on the symptom cluster of hemodialysis patients, knowledge about hemodialysis, compliance of patients sick role behavior, and biochemical index. Master's thesis. Hanyang University, Seoul.
  31. C. L. Durose, M. Holdsworth, V. Watson & F. Przygrodzka. (2004). Knowledge of dietary and the medical consequences of noncompliance on hemodialysis are not predictive of dietary compliance. Journal of American Dietetic Association, 104(1), 35-41. DOI: 10.1016/j.jada.2003.10.016