Browse > Article
http://dx.doi.org/10.7587/kjrehn.2012.20

The Influence of Uncertainty and Social Support on General Well-being among Hemodialysis Patients  

Kim, Youn-Jin (Konkuk University Hospital)
Choi, Hee-Jung (Department of Nursing, Konkuk University)
Publication Information
The Korean Journal of Rehabilitation Nursing / v.15, no.1, 2012 , pp. 20-29 More about this Journal
Abstract
Purpose: The purpose of this study was to explore factors affecting uncertainty and general well-being based on Uncertainty in Illness Theory. Methods: Data were collected from 125 outpatients who had received hemodialysis. The path model among four concepts, such as period of hemodialysis, social support, uncertainty, and general well-being, was tested. Tangible support, positive social interaction, affectionate, and emotional/informational support were measured as social support. Adaptation in the model was operationalized as general well-being which consisted of anxiety, depression, positive well-being, self-control, and general health. Results: All paths were statistically significant at the level of ${\alpha}$=.05. The significant paths were the path from period of hemodialysis to uncertainty (t=-2.86), social support to uncertainty (t=-2.01), uncertainty to general wellbeing (t=-2.85), and social support to general well-being (t=3.55). Conclusion: Patients who perceived low uncertainty and high social support were likely to feel well-being. Therefore, nurses should give patients appropriate information according to their needs and have meaningful interaction with patients to reduce their uncertainty and render social support.
Keywords
Hemodialysis; Uncertainty; Social support; Health;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Wineman, N. M., Durand, E. J., & Steiner, R. P. (1994). A comparative analysis of coping behaviors in persons with multiple sclerosis or a spinal cord injury. Research in Nursing & Health, 17 (3), 185-194.   DOI   ScienceOn
2 Yoo, K. H. (1997). A study on factors influencing the appraisal of uncertainty in patients having rheumatoid arthritis. The Journal of Rheumatology Health, 4 (2), 277-296
3 Mishel, M. H., Germino, B. B., Lin, L., Pruthi, R. S., Wallen, E. M., Crandell, J., et al. (2009). Managing uncertainty about treatment decision making in early stage prostate cancer: A randomized clinical trial. Patient Education and Counseling, 77, 349-359.   DOI   ScienceOn
4 Mishel, M. H., & Braden, C. J. (1987). Uncertainty: A mediator between support and adjustment. Western Journal of Nursing Research, 9 (1), 43-57.   DOI
5 Mishel, M. H., & Braden, C. J. (1988). Finding meaning: Antecedents of uncertainty in illness. Nursing Research, 37, 98-103, 127.
6 Mishel, M. H., Padilla, G., Grant, M., & Sorenson, D. S. (1991). Uncertainty in illness theory: a replication of the mediating effects of mastery and coping. Nursing Research, 40, 236-240.
7 Owens, B. (2007). A test of the Self-Help Model and use of complementary and alternative medicine among Hispanic women during treatment for breast cancer. Oncology Nursing Forum, 34 (4), E42-E50.   DOI
8 Park, Y. H. (1999). The Effects of support group intervention for spouses of stroke patients on caregiver burden and wellbeing. Unpublished doctoral dissertation, Seoul National University, Seoul.
9 Sammarco, A. (2001). Perceived social support, uncertainty, and quality of life of younger breast cancer survivors. Cancer Nursing, 24 (3), 212-219.   DOI
10 Sammarco, A., & Konecny, L. M. (2008). Quality of life, social support, and uncertainty among Latina breast cancer survivors. Oncology Nursing Forum, 35 (5), 844-849.   DOI   ScienceOn
11 Sherbourne, C. D., & Stewart, A. L. (1991). The MOS social support survey. Social Science & Medicine, 32, 705-714.   DOI   ScienceOn
12 Kang, Y. H. (2003). Testing the mediating effect of appraisal in the model of uncertainty in illness. Journal of Korean Academy of Nursing, 33 (8), 1127-1134.   DOI
13 The Korean Society of Nephrology. (2011). Current Renal Replacement Therapy. Retrieved May 12, 2011, from http://www.ksn.or.kr/journal/2011/index.html
14 Hair, J. F. Jr., Black, W. C., Babin, B. J., Anderson, R. E., & Tatham, R. L. (2006). Multivariate data analysis (6th ed.). New Jersey: Prentice-Hall International.
15 Iacobucci, D. (2010). Structural equations modeling: Fit Indices, sample size, and advanced topics. Journal of Consumer Psychology, 20 (1), 90-98.   DOI   ScienceOn
16 Kline, R. B. (2005). Principles and practice of structural equation modeling (2nd ed.). New York: The Guilford Press.
17 Lee, I. S. (2004). Uncertainty, appraisal and quality of life in patients with breast cancer across treatment phases. Unpublished master's thesis, Yonsei University, Seoul.
18 Lee, Y. J., Ham, E. M., & Kim, K. S. (2001). A correlational study on uncertainty, coping and depression of cancer patients. Journal of Korean Academy of Nursing, 31 (2), 244-256.   DOI
19 Lim, S. Y. (2004). Psychopathology, support system and quality of life in patients with chronic renal failure. Unpublished master's thesis, Chonnam National University, Gwangju.
20 Mishel, M. H. (1981). The measurement of uncertainty concerning their hospitalized child. Nursing Research, 32, 324-330.
21 Mishel, M. H. (1984). Perceived uncertainty and stress in illness. Research in Nursing & Health, 7 (3), 163-171.   DOI   ScienceOn
22 Mishel, M. H. (1988). Uncertainty in illness. Journal of Nursing Scholarship, 20 (4), 225-232.   DOI
23 Chung, C., Kim, M. J., Rhee, M. H., & Do, H. G. (2005). Functional status and psychological adjustment in gynecologic cancer patients receiving chemotherapy. Korean Journal of Women Health Nursing, 11 (1), 58-66.
24 Mishel, M. H. (1990). Reconceptualization of the uncertainty in illness theory. Journal of Nursing Scholarship, 22 (4), 256-262.   DOI
25 Mishel, M. H. (1997). Uncertainty in illness scale manual. University of North Carolina at Chapel Hill.
26 Baily, D. E., Landerman, L., Barroso, J., Bixby, P., Mishel, M. H., Muir, A., et al. (2009). Uncertainty, symptoms, and quality of life in persons with chronic hepatitis C. Psychosomatics, 50 (2), 137-146.
27 Dupuy, H. J. (1978, October). Self-representations of general psychological well-being of American adults. Paper presented at American Public Health Association Meeting. Los Angeles, CA.
28 Fornell, C., & Larcker, D. F. (1981). Evaluating structural equation models with unobservable variables and measurement error. Journal of Marketing Research 18, 39-50.   DOI   ScienceOn
29 Giurgescu, C., Penckofer, S., Maurer, M. C., & Bryant, F. B. (2006). Impact of uncertainty, social support, and parental coping on the psychological well-being of high risk pregnant women. Nursing Research, 55, 356-365.   DOI   ScienceOn
30 Go, A. (2004). The relations of meaning in life, uncertainty and anxiety in patient with chronic renal failure. Unpublished master's thesis, Catholic University of Pusan, Busan.