Browse > Article
http://dx.doi.org/10.15207/JKCS.2019.10.6.381

Factors Affecting Self-care Performance in Hemodialysis Patients: Based on the Theory of Unpleasant Symptoms  

Choi, Eun-Young (Graduate School of Nursing, Chung-Ang University)
Park, Kyung-Sook (Red Cross College of Nursing, Chung-Ang University)
Lee, Hyun-Sook Zin (College of Nursing, Kyungdong University)
Publication Information
Journal of the Korea Convergence Society / v.10, no.6, 2019 , pp. 381-391 More about this Journal
Abstract
The purpose of this study was to identify factors associated with self-care performance in hemodialysis patients based on the unpleasant symptom theory. Data were collected from 237 patients at five hemodialysis clinics in Seoul from March to April 2018. The results were evaluated by the SPSS/WIN 21.0 program. As a result, Self-care performance was positively correlated with hope, family support and medical support, but negatively correlated with emotional symptom experience and physical symptom experience. In multiple step regression analysis, family support, emotional symptom, and hope were independently associated with self-care performance, and the regression model explained 33.2% of the variances predicting self-care performance. The independent factors associated with self-care performance were family support, emotional symptom, and hope. Therefore, self-care performance may be improved by applying the hope program for the patient and the family.
Keywords
Self Care; Symptom; Depression; Hope; Social support;
Citations & Related Records
Times Cited By KSCI : 6  (Citation Analysis)
연도 인용수 순위
1 Korean Society of Nephrology. (2018). KSN ESRD registry report slide 2018. Korean Society of Nephrology [online]. http://www.ksn.or.kr/rang_board/list.html?code=sinchart_eng
2 J. H. Jun & H. K. Kang. (1999). Self care and associating factors in hemodialysis patinets. Journal of Korean Society for Health Education and Promotion, 16(1), 149-166.
3 H. J. Chin & S. G. Kim. (2009). Chronic kidney disease in Korea. Korean Journal of Medicine, 76(5), 511-514.
4 J. H. Park & H. K. Choi. (2016). The effects of education for hemodialysis patients with a family caregiver on self-care practice and blood biochemical parameters. Journal of the Korean Data & Information Science Society, 27(2), 487-498.   DOI
5 M. K. Cho & M. A. Choe. (2007). Self care behavior of hemodialysis patients. Journal of Korean Biological Nursing Science, 9(2), 105-117.
6 Y. M. Cho & K. S. Yun. (2017). The relationship between of uncertainty, depression, physiologic index and basic psychological need of hemodialysis patients Journal of Digital Convergence, 15(10), 281-291.   DOI
7 S. S. Hedayati et al. (2008). Death or hospitalization of patients on chronic hemodialysis is associated with a physician-based diagnosis of depression. Kidney International, 74(7), 930-936.   DOI
8 H. W. Kim. (2012). Dependence of elderly peritoneal dialysis patients and burden on family caregivers. Journal of Digital Convergence, 10(9), 429-434.   DOI
9 K. Abdel-Kader, M. L. Unruh & S. D. Weisbord. (2009). Symptom burden, depression, and quality of life in chronic and end-stage kidney disease. Clinical Journal of the American Society of Nephrology, 4(6), 1057-1064.   DOI
10 B. Bahmani, M. Motamed Najjar, M. Sayyah, A. Shafi-Abadi & H. Haddad Kashani. (2015). The Effectiveness of Cognitive-Existential Group Therapy on Increasing Hope and Decreasing Depression in Women-Treated With Haemodialysis. Global Journal of health science, 8(6), 219-225.   DOI
11 Y. M. Suk, J. W. Park, M. J. Jeon & C. Y. Kim. (2013). Effect of periodic video education on knowledge about hemodialysis, Patient role behavior and the physiologic index in patients with hemodialysis Journal of Korean Biological Nursing Science, 15(3), 122-132.   DOI
12 J. H. Yang, E. J. Ji, Y. K. Kim, E. Y. Yeom & Y. R. Kweon. (2014). Relationship of social support, hope, and self care among patients undergoing hemodialysis in korea. Korean Journal of Women's Health, 15(1), 17-38.
13 K. S. Kim, M. S. Lee, K. S. Bang, Y. A. Cho, J. L. Lee & E. Lee. (2013). Relationships among activity status, anxiety, depression, social support, symptom experience, and functional status in lung cancer patients based on the theory of unpleasant symptoms. Perspectives in Nursing Science, 10(2), 87-96.
14 H. J. Kim, S. H. Kim, H. G. Lee & S. E. Oh. (2014). Factors affecting symptom experiences of breast cancer patients - Based on the theory of unpleasant symptoms Asian Oncology Nursing, 14(1), 7-14.   DOI
15 A. A. Khalil, T. A. Lennie & S. K. Frazier. (2010). Understanding the negative effects of depressive symptoms in patients with ESRD receiving hemodialysis. Nephrology Nursing Journal, 37(3), 289.
16 S. J. Lee & J. H. Jeon. (2014). Symptoms and self-management of chronic kidney patients before hemodialysis. Adult Nursing Association Conference. (pp. 261-262). Seoul: Korean Academy of Adult Nursing.
17 J. E. Cha & M. S. Yi. (2014). Symptom clusters and quality of life in patients on hemodialysis. Journal of Korean Clinical Nursing Research, 20(1), 123-133.   DOI
18 Y. J. Son & Y. R. Park. (2005). The relationships of family support, self efficacy and self care performance in patints with chronic illness. Korean Journal of Adult Nursing, 17(5), 793-801.
19 S. J. Kang. (2014). A structural equation model on quality of life in hemodialysis patients. Dissertation. The Graduate School of Dongshin University, Naju.
20 Y. H. Jang, H. S. Oh & G. S. Jang. (2012). Self-care behaviors and physiological index according to cognitive function of hemodialysis patients. korean Journal of Health Service Management, 6(2), 57-69.   DOI
21 E. R. Lenz, L. C. Pugh, R. A. Milligan, A. Gift & F. Suppe. (1997). The middle-range theory of unpleasant symptoms: an update. Advances in Nursing Science, 19(3), 14-27.   DOI
22 M. R. Song, M. J. Kim, M. E. Lee, I. B. Lee & M. R. Shu. (1999). A study on the correlation between self-efficacy and self-care in hemodialysis patients Journal of Korean Academy of Nursing, 29(3), 563-575.   DOI
23 G. J. An. (2010). Development of instrument to measure hope in hemodialysis patients. Journal of Industrial Science Cheongju University, 28(1), 173-178.
24 M. K. Cho & M. A. Choi. (2008). The effect of health contract intervention based on king's goal attainment theory on self care behavior and physiological indices of hemodialysis patients. 2008 Korean Society of Nursing Science Conference. (pp. 59): Korean Society of Nursing Science.
25 W. W. Zung. (1965). A self-rating depression scale. Archives of General Psychiatry, 12(1), 63-70.   DOI
26 O. H. Shong. (1977). A study of the self rating depression scale(SDS) on psychiatric out clinic patients Journal of the korean neuropsychiatric association, 16(1), 84-94.
27 E. K. Kim, S. K. Hwang & Y. J. Lee. (2014). Dialysis adequacy, symptom experience, mood states, and hope among patients receiving hemodialysis. Global Health and Nursing, 8(2), 90-100.
28 O. S. Kim. (1993). Study on the correlation between perceived social support and the quality of life of hemodialysis patients. Dissertation. The Graduate School of Seoul National University, Seoul.
29 K. H. Kim. (1996). Study on the influencing factors to the quality of life of the hemodialysis patients. Dissertation. The Graduate School of Kyung Hee University, Seoul.
30 S. D. Weisbord et al. (2004). Development of a symptom assessment instrument for chronic hemodialysis patients: the Dialysis Symptom Index. Journal of Pain and Symptom Management, 27(3), 226-240.   DOI
31 J. E. Park. (2016). Symptom cluster and self-care activity in patients on hemodialysis-based on the theory of unpleasant symptoms. Dissertation. The Graduate School of Korea University, Seoul.