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

  • Received : 2024.01.23
  • Accepted : 2024.04.21
  • Published : 2024.05.31

Abstract

Purpose: The purpose of this study was to examine the effects of self-care intervention using a mobile instant messenger on hemodialysis patient's knowledge, self-efficacy, self-care behavior and physiological indices. Methods: A non-equivalent control group pretest-posttest design was used. The participants consisted of 38 patients who had a regular hemodialysis of Seoul National University Hospital. They were assigned to one of two groups; an experimental group (n = 19) that had self-care intervention for 8 weeks and a control groups (n = 19) that had routine hemodialysis treatment. The data collection was conducted from September 5, 2022 to October 29, 2022. The date were analyzed by Chi-square test, Independent t-test, and Fisher's exact test using SPSS Win 29 program. Results: There was a significant difference in self-efficacy (t = 3.42, p = .002) between experimental and control groups. There was no significant differences between the two groups in knowledge (t = 0.80, p = .428), self-care behavior (t = 0.09, p = .929), potassium (t = -0.82 p = .416), phosphorus (t = -0.03, p = .974), weight gain (t = 0.16, p = .867). Conclusion: Based on above results, it was verified that self-care intervention in this study was an effective indicator in improving the self-efficacy. There is a requirement to formulate comprehensive interventions capable of enhancing various indicators.

Keywords

Acknowledgement

This manuscript is based on a part of the first author's master's thesis from Hanyang University.

References

  1. The Korean Society of Nephrology. Korean renal dialysis system (KORDS) 2022 [internet]. Seoul: The Korean Society of Nephrology; 2018 [cited 2023 Dec 9]. Available from: https://ksn.or.kr/bbs/index.php?code= report
  2. The Korean Society of Nephrology. Current renal replacement therapy in Korea [internet]. Seoul: The Korean Society of Nephrology; 2023 [cited 2023 Dec 10]. Available from: https://ksn.or.kr/bbs/index.php?code= report
  3. Bouya S, Ahmadidarehsima S, Badakhsh M, Balouchi A, Koochakzai M. Effect of aromatherapy interventions on hemodialysis complications: a systematic review. Complementary Therapies in Clinical Practice. 2018;32:130-138. https://doi.org/10.1016/j.ctcp.2018.06.008
  4. Jo MR, Oh HY. Development of the self-care non-adherence risk assessment scale for patients with chronic illness. Journal of Korean Academy of Community Health Nursing. 2021; 32(4):415-429. https://doi.org/10.12799/jkachn.2021.32.4.415
  5. Avanji FSI, Alavi NM, Akbari H, Saroladan S. Self-care and its predictive factors in hemodialysis patients. Journal of Caring Sciences. 2021;10(3):153-159. http://doi.org/10.34172/jcs.2021.022
  6. Orem DE, Taylor SG, Renpenning KM. Nursing: concepts of practice. 5th ed. St. Louis: Library of Congress; 1995. p. 123-180.
  7. Moon HJ, Shin YH. Self-management knowledge, self-management, physiological indexes, and symptoms experience according to dialysis methods. Journal of Korean Academy of Fundamentals of Nursing. 2018;25(3):220-230. https://doi.org/10.7739/jkafn.2018.25.3.220
  8. Cha J. Structural equation modeling of self-management in patients with hemodialysis. Journal of Korean Academy of Nursing. 2017;47(1):14-24. https://doi.org/10.4040/jkan.2017.47.1.14
  9. Kang SJ, Seo NS. A Structural equation model on quality of life in hemodialysis patients. Journal of the Korea Academia-Industrial Cooperation Society. 2019;20(7):589-598. https://doi.org/10.5762/KAIS.2019.20.7.589
  10. Yu HS, Lee YW, Kim H. A study of health literacy, self-management knowledge, and self-care behaviors in elderly with hemodialysis. The Journal of the Korea Contents Association. 2021;21(6):609-619. https://doi.org/10.5392/JKCA.2021.21.06.609
  11. Lee J, Noh D. Factors associated with self-care among patients receiving hemodialysis: a cross-sectional observational study. Research and Theory for Nursing Practice. 2021;35(2):118-131. https://doi.org/10.5762/KAIS.2023.24.9.663
  12. Xu F, Zhuang B, Wang Z, Wu H, Hui X, Peng H, et al. Knowledge, attitude, and practice of patients receiving maintenance hemodialysis regarding hemodialysis and its complications: a single-center, cross-sectional study in Nanjing. Baylor College of Medicine Nephrology. 2023;24(1):275-285. https://doi.org/10.5762/KAIS.2023.24.9.663
  13. Yang J, Park JJ. The effects of a mobile app-based self-management program for hemodialysis patients. Journal of the Korea Academia-Industrial Cooperation Society. 2023; 24(9):663-674. https://doi.org/10.5762/KAIS.2023.24.9.663
  14. Yim EJ. Effects of illness cognition, self-efficacy, social support and health conservation in elderly patients with hemodialysis. Journal of the Korea Academia-Industrial Cooperation Society. 2022;23(11):68-78. http://doi.org/10.5762/KAIS. 2022.23.11.68
  15. Kim S, Choi Y. The effects of tailored dietary education among role failure hemodialysis patients on self-care compliance, self-efficacy and physiologic indices. The Korean Journal of Rehabilitation Nursing. 2021;24(1):46-55. http://doi.org/10.7587/kjrehn.2021.46
  16. Cho H, Park S. The effects of self-performance management video program on patients receiving hemodialysis. Japan Journal of Nursing Science. 2020;17(2):e12303. https://doi.org/10.1111/jjns.12303
  17. Kosa SD, Monize J, D'Souza M, Joshi A, Philip K, Reza S, et al. Nutritional mobile applications for CKD patients: systematic review. Kidney International Reports. 2019;4(3):399-407. https://doi.org/10.1016/j.ekir.2018.11.016
  18. Jebraeily M, Dehghani M, Sheykhotayefeh M, Habibi-Koolaee M. Usage of smartphone apps in self-care of patients undergoing hemodialysis: a scoping review. Applied Health Information Technology. 2021. https://doi.org/10.18502/ahit.v2i2.7993
  19. Dawson J, Campbell KL, Craig JC, Tong A, Teixeira-Pinto A, Brown M, et al. A text messaging intervention for dietary behaviors for people receiving maintenance hemodialysis: a feasibility study of kidneytext. American Journal of Kidney Diseases. 2021;78(1):85-95. https://doi.org/10.1053/j.ajkd.2020.11.015
  20. Kim TJ. A study on the experience analysis and service improvement of mobile healthcare application service in public health center. The Korea Journal of Sports Science. 2023; 32(4):375-385. http://doi.org/10.35159/kjss.2023.08.32.4.375
  21. Korea Disease Control and Prevention Agency. To a patient with chronic kidney disease (chronic kidney failure) special system for calculating health insurance [Internet]. Seoul: Korea Disease Control and Prevention Agency; 2023 [cited 2024 Mar 4]. Available from: https://www.nhis.or.kr/static/alim/paper/oldpaper/202308/sub/section1_5.html
  22. Cho MK, Choe MA. Self care behavior of hemodialysis patients. Journal of Korean Biological Nursing Science. 2007; 9(2):105-117.
  23. Hong KY. A study of the relationships among dialysis related knowledge, self efficacy and compliance of patient role behavior in hemodialysis patients [master's thesis]. Seoul: Hanyang University; 1999. 1-62.
  24. Song ES. Study on the knowledge about hemodialysis and compliance of patient role behavior in hemodialysis patients [master's thesis]. Gwangju: Chosun University; 2002. 1-39.
  25. Kim JH. Effect of guided imagery applied to hemodialysis patients [dissertation]. Seoul: Seoul National University; 1995. 1-143.
  26. Choi EY, Lee HY. The relationship of fatigue, self efficacy, family support and sleep factor in hemodialysis patients. Journal of Korean Academy of Adult Nursing. 2005;17(3): 435-443.
  27. Song MR, Kim MJ, Lee ME, Lee IB, Shu MR. A study on the correlation between self efficacy and self care in hemodialysis patients. Journal of Korean Academy of Nursing. 1999;29(3): 563-575. https://doi.org/10.4040/jkan.1999.29.3.563
  28. Kim B, Kim H, Lee J. A concept analysis of stress in hemodialysis patients. Korean Journal of Adult Nursing. 2021; 33(6):601-615. https://doi.org/10.7475/kjan.2021.33.6.601
  29. Shin H, Lee I, Kim J, Shin Y. Effects of nutrition education on dietary knowledge, dietary attitudes and dietary behavior of elderly. The Korean Journal of Food and Nutrition. 2023; 36(2):153-162. https://doi.org/10.9799/ksfan.2023.36.2.153
  30. Nooriani N, Mohammadi V, Feizi A, Shahnazi H, Askari G, Ramezanzade E. The effect of nutritional education based on health belief model on nutritional knowledge, health belief model constructs, and dietary intake in hemodialysis patients. Iranian Journal of Nursing and Midwifery Research. 2019;24(5):372-378. http://doi.org/10.4103/ijnmr.IJNMR_124_18
  31. Lee MC, Wu SFV, Lu KC, Liu CY, Liang SY, Chuang YH. Effectiveness of a self-management program in enhancing quality of life, self-care, and self-efficacy in patients with hemodialysis: a quasi-experimental design. Seminars in Dialysis. 2021;34(4):292-299. https://doi.org/10.1111/sdi.12957
  32. Hosseini A, Jackson AC, Chegini N, Dehghan MF, Mazloum D, Haghani S, et al. The effect of an educational app on hemodialysis patients' self-efficacy and self-care: a quasi-experimental longitudinal study. Chronic Illness. 2023;19(2):383-394. https://doi.org/10.1177/17423953211073365
  33. Kim CE, Han JY. Effects of individualized diet education program on the dietary knowledge and self-care compliance among hemodialysis patients. Journal of Korean Clinical Nursing Research. 2016;22(3):257-264. https://doi.org/10.22650/JKCNR.2016.22.3.257
  34. Jung HJ, Koo JS, Kim JD, Park JS. Analysis of physiological indicators related to dietary regimen during the first year in patients on hemodialysis. Journal of Korean Clinical Nursing Research. 2017;23(1):91-99. https://doi.org/10.22650/JKCNR.2017.23.1.91
  35. Kim SS, Jo HS, Kang MS. Retention effects of dietary education program on diet knowledge, diet self-care compliance, physiologic indices for hemodialysis patients. Journal of Korean Biological Nursing Science. 2017;19(2):51-59. https://doi.org/10.7586/jkbns.2017.19.2.51
  36. Kang JH. Nutrients and diabetes mellitus: potassium. The Journal of Korean Diabetes. 2020;21(1):41-45. http://doi. org/10.4093/jkd.2020.21.1.41
  37. Choi YB, Kim JH, Lee MJ, Choi S, Kim HJ. The relationship between serum phosphorous level and arteriovenous fistula dysfunction in maintenance hemodialysis patients. The Korean Journal of Medicine. 2020;95(1):36-42. https://doi.org/10.3904/kjm.2020.95.1.36
  38. Shin CM, Lee M. Effects of ethyl chloride spray before arteriovenous fistula puncture on pain, depression, and noncompliance of hemodialysis. Journal of Muscle and Joint Health. 2023;30(1):25-35. https://doi.org/10.5953/JMJH.2023.30.1.25