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http://dx.doi.org/10.5392/JKCA.2020.20.04.464

Influence of Illness Perception and Physiological Indicators on Self Management of Hemodialysis Patients  

Kang, Bomi (경희대학교 간호과학대학)
Lee, Yoonshin (경희대학교 간호과학대학)
Sok, Sohyune (경희대학교 간호과학대학)
Publication Information
The Journal of the Korea Contents Association / v.20, no.4, 2020 , pp. 464-474 More about this Journal
Abstract
This study provides basic data for nursing intervention to increase self management of hemodialysis patients by identifying the relation among their illness perception, physiological indicators, and self management. The participants were 134 patients receiving hemodialysis at a general hospital in Seoul. Data were collected by using a structured questionnaire and medical records. The collected data were analyzed by using descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation coefficient and multiple regression analysis with the SPSS/WIN 23.0 program. The significant factors influencing self-management of hemodialysis patients have been identified with 8 variables. The first one is registration for kidney transplantation (β=-.20, p=.034). Among sub items of illness perception are consequence (β=-.20, p=.031), treatment control (β=.19, p=.040), and illness coherence (β=-.18, p=.049). In addition, among physiological indicators are hematocrit (β=.38, p<.001), hemoglobin (β=.29, p=.005), BUN (β=-.25, p=.010), and phosphorous (β=.22, p=.033). These variables explained 26.3% for self-management of hemodialysis patients. In order for hemodialysis patients to improve their self-management, a concrete nursing intervention improving the treatment control among illness perception as well as improving the understanding of physical indicators needs to be provided.
Keywords
Renal Dialysis; Self Management; Illness Perception; Physiological Indicators;
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Times Cited By KSCI : 5  (Citation Analysis)
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