Journal of muscle and joint health (근관절건강학회지)

Korean Society of Muscle and Joint Health (대한근관절건강학회)
권호 표지
DOI QR코드

DOI QR Code

Factors Influencing Compliance of Patient Role Behavior in Elderly Patients Receiving Hemodialysis

혈액투석을 받는 노인 환자의 환자역할행위이행에 영향을 미치는 요인

  • Received : 2023.10.15
  • Accepted : 2023.12.02
  • Published : 2023.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to measure the relationship among activities of daily living, ego integrity, social support and the compliance of patient-role behavior in elderly patients receiving hemodialysis, including the effect of these variables on the compliance of patient-role behavior. Methods: A descriptive survey was conducted with 150 elderly patients over 65 years of age who were also receiving hemodialysis. Data was collected from September 28 to November 13, 2021 and analyzed using t-test, one-way ANOVA, Pearson's correlation coefficients, and multiple regression analysis with SPSS/WIN 26.0. Results: The results show that patient compliance had significant correlations with ego integrity (r=.63, p<.001) and social support (r=.28, p=.001). The other factors influencing patient compliance were the sub-domains of ego integrity, such as the acceptance of the past and the presence (β=.46, p<.001) and attitudes toward life (β=.26 p<.001), with an explanatory power of approximately 35.0% (F=17.21, p<.001). Conclusion: This study confirms that the ego integrity of elderly patients receiving hemodialysis has an effect on the compliance of patient role behavior. Nursing intervention programs that improve the ego integrity of elderly hemodialysis patients could help improve the compliance of patient-role behavior, which is an important factor in the disease management process.

Keywords

References

  1. Chae, Y. R., Kang, H. Y., Lee, S. H., Jo, U. M., & Koo, H. J. (2020). Relationships among family support, medical staff support, sick role behavior and physiological indicators in hemodialysis patients. Korean Journal of Health Promotion, 20(1), 24-32. https://doi.org/10.15384/kjhp.2020.20.1.24
  2. Chang, K. E. (2011). The effects of ego integrity on death anxiety of the elderly: Focusing on the mediating effect of depression. Korean Journal of Human Ecology, 20(5), 917-926. https://doi.org/10.5934/KJHE.2011.20.5.917
  3. Choi, S., & Ko, I. S. (2017). The influence of self-care agency and social support on self-care practice among spinal cord injured patients. Korean Journal of Adult Nursing, 29(6), 569-578. https://doi.org/10.7475/kjan.2017.29.6.569
  4. Cho, Y. M., Park, M. J., & Seo, Y. H. (2018). Relationship between uncertainty in illness, subjective health status, and compliance with sick role behavior according to levels of health literacy in hemodialysis patients. Korean Journal of Adult Nursing, 30(4), 437-446. https://doi.org/10.7475/kjan.2018.30.4.437
  5. Choi, Y. S. (2008). A study on the relationship between perceived social support, and compliance with sick role behavior in elderly hemodialysis patients. Unpublished master's thesis, Hanyang University, Seoul.
  6. Cho, Y. M., & Yun, K. S. (2017). The relationship between uncertainty, depression, Physiologic index and basic psychological need of hemodialysis patients. The Society of Digital Policy and Management, 15(10), 281-291. https://doi.org/10.14400/JDC.2017.15.10.281
  7. Erickson, E. H. (1963). Childhood and society (2nd ed.). New York, NY: W. W. Norton & Company.
  8. Hong, J. Y. (2000). Reminiscence functions predictors in the elderly. Unpublished doctoral dissertation, Ewha Women's University, Seoul.
  9. Hong, K. Y. (1999). A study of the relationships among dialysis related knowledge, self-efficacy, and compliance of patient role behavior in hemodialysis patients. Unpublished master's thesis, Hanyang University, Seoul.
  10. Hur, J. Y., & Sim, J. H. (2020). The effect of social support and health literacy on sick role behavior in hemodialysis patients. Journal of the Korea Convergence Society, 11(9), 395-404. https://doi.org/10.15207/JKCS.2020.11.9.395
  11. Jang, H. S., Lee, C. S., & Yang, Y. H. (2015). Influence of uncertainty and uncertainty appraisal in self-management in hemodialysis patients. Journal of Korean Academy Nursing, 45(2), 271-279. https://doi.org/10.4040/jkan.2015.45.2.271
  12. Jeon, H. M., & You, H. S. (2019). Factors influencing sick role behavior compliance in patients on hemodialysis. Journal of Korean Academy of Fundamentals of Nursing, 26(1), 23-31. https://doi.org/10.7739/jkafn.2019.26.1.23
  13. Jeong, H. S., & Oh, H. S. (2015). Mutual reciprocal relationship between ego integrity and depression in the elderly: Multi-dimensional influencing factors. Korean Journal of Adult Nursing, 27(3), 262-272. https://doi.org/10.7475/kjan.2015.27.3.262
  14. Kim, H. Y. (2010). A correlational study on the self effectiveness, daily living stress, health behavior, and ego integrity. Unpublished master's thesis, Sungshin Women's University, Seoul.
  15. Kim, J. H. (2015). The influence of cognitive coping on sick role behavioral compliance and depression, satisfaction with life in hemodialysis patients. Journal of the Korea Academia-Industrial cooperation Society, 16(2), 1328-1338. https://doi.org/10.5762/KAIS.2015.16.2.1328
  16. Kim, O. S. (1993). A study on the correlation between perceived social support and the quality of life of hemodialysis patients. Unpublished master's thesis, Seoul University, Seoul.
  17. Lawton, M. P., & Brody, E. M. (1969). Assessment of older people: Self-maintaining and instrumental activities of daily living. The Gerontologist, 9(3), 179-186. https://doi.org/10.1093/geront/9.3_Part_1.179
  18. Lim, H. S., & Yoo, J. S. (2020). Factors affecting death anxiety in elderly cancer survivors: Focusing on ego integrity, depression, and awareness of good death. Journal of Korea Academia-Industrial Cooperation Society, 21(1), 197-207. https://doi.org/10.5762/KAIS.2020.21.1.197
  19. Malavade, T., Sokwala, A., & Jassal, S. V. (2013). Dialysis therapies in older patients with end-stage renal disease. Clinics in Geriatric Medicine, 29(3), 625-639. https://doi.org/10.1016/j.cger.2013.05.005
  20. Reichsman, F., & Levy, N. B. (1972). Problems in adaptation to maintenance hemodialysis: a four-year study of 25 patients. Archives of Internal Medicine, 130(6), 859-865. https://doi.org/10.1001/archinte.1972.03650060051009
  21. Shim, O. S. (2010). The study on the elderly hemodialysis patients' transition of health condition and health-related quality of life. Journal of the Korean Gerontological Society, 30(1), 179-194.
  22. Shin, S. J., Yang, J. W., Park, D. A., Kim, J., Lee, H., Kwon, S. H., et al. (2022). Clinical implication and prognostic factor of the dialysis therapy in elderly patients with chronic kidney disease (NA21-001). Seoul: National Evidence-based Healthcare Collaborating Agency.
  23. Seo, J. H. (2019). The relationship between hemodialysis patient fatigue and patient role performance, psychological acceptance, and social support. Unpublished master's thesis, Kyung Hee University, Seoul.
  24. Seo, K. W., & Song, Y. S. (2016). Influence of cognitive function and depressive symptoms on instrumental activities of daily living in community-dwelling older adults. The Korean Journal of Rehabilitation Nursing, 19(2), 71-81. https://doi.org/10.7587/kjrehn.2016.71
  25. Shin, J. H., Sim, H. B., & Cho, E. H. (2020). Influence of the meaning in life, depression, and social support on the suicidal ideation of old adult hemodialysis patients. Journal of Korean Academy of Community Health Nursing, 31(3), 279-289. https://doi.org/10.12799/jkachn.2020.31.3.279
  26. Shin, J. S., Kim, H. M., & Hwang, S. K. (2004). Influence of self-esteem and family support on powerlessness of hospitalized elderly patients with chronic disease. Korean Journal of Adult Nursing, 16(3), 470-481.
  27. Song, E. S. (2002). Study on the knowledge about hemodialysis and compliance of patient role behavior in hemodialysis patients. Unpublished master's thesis, Chosun University, Gwangju.
  28. Registration Committee in the Korean Society of Nephrology. (2020). Trends in epidemiologic characteristics of end-stage renal disease from 2020 KORDS (Korean Renal Data System). Retrieved September 4, 2021, from: https://ksn.or.kr/bbs/skin/publication/download.php?code=report_eng&number=1919.
  29. Won, J. W., No, Y. K., Sun, W. D., & Lee, Y. S. (2002). The validity and reliability of Korean instrumental activities of daily living (K-IADL) scale. Annals of Geriatric Medicine and Research, 6(4), 273-280.
  30. Yang, S. J. (2005). A study on the activity of daily living, the family support and the intention of using the care facilities for the elderly in elderly patients with hemodialysis. Unpublished master's thesis, Ewha Women's University, Seoul.