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http://dx.doi.org/10.7475/kjan.2016.28.4.415

A Structural Analysis for Psychosocial Variables related to Sick Role Behavioral Compliance in Hemodialysis Patients  

Cho, Young-Mun (Department of Nursing, Dongshin University)
Publication Information
Korean Journal of Adult Nursing / v.28, no.4, 2016 , pp. 415-423 More about this Journal
Abstract
Purpose: This study was designed to identify the structural relationships among psychosocial variables related to sick role behavioral compliance among patients undergoing hemodialysis. Methods: The subjects were 476 patients from seven major hospitals and twelve dialysis centers located in D and P cities. Data were collected using self-report questionnaires. Data analysis was done by using SPSS/WIN 18.0 and AMOS 18.0 programs for structural equation modeling, to estimate the hypothesized model. Results: This findings support that a modified path model is efficient and appropriate to explain sick role behavioral compliance among hemodialysis patients. These factors account for 80.1% of the variance of sick-role behavioral compliance among hemodialysis patients. The variables having direct effect on sick role behavioral compliance were knowledge related to hemodialysis, social support, attitude, self-efficacy and intention. Conclusion: The modified model explains the integration process of psychosocial and behavior variables for sick-role behavioral compliance among patients undergoing hemodialysis.
Keywords
Sick role; Behavior; Self-determination; Hemodialysis;
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Times Cited By KSCI : 4  (Citation Analysis)
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1 Kim KH. A study on influencing factors to the quality of life of the hemodialysis patients.[master's thesis]. Seoul: Kyunghee University; 1996.
2 Na DM, Lee KO, Song ES. Relationship between the knowledge of hemodialysis and the compliance of patient role behavior in hemodialysis patients. The Medical Journal of Chosun University. 2004;29(3):12-20.
3 Tsay SL. Self-efficacy training for patient with end-stage renal disease. Journal of Advanced Nursing. 2003;43(4):370-5.   DOI
4 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.
5 Cho YM, Sung KW. The association of compliance with sick role behavior with satisfaction of basic psychological needs among hemodialysis patients. Korean Journal of Health Promotion. 2012;12(1):58-65.
6 Lee MR. Testing a motivational sequence integrated self-determination theory and the theory of planned behavior: focused on dieting behavior. Korean Journal of Health Psychology. 2014;19(1):443-51.   DOI
7 Hagger MS, Chatzisarantis NLD. The trans-contextual model of motivation. In: Hagger MS, Chatzisarantis NLD, editors. Intrinsic motivation and self-determination in exercise and sports. Champaign, IL: Human Kinetics; 2007, p. 53-70.
8 Hagger MS, Chatzisarantis NLD, Harris J. From psychological need satisfaction to intentional behavior: testing a motivational sequence in two behavioral contexts. Personality and Social Psychological Bulletin. 2006;32:131-8. http://dx.doi.org/10.1177/0146167205279905   DOI
9 Hagger MS, Chatzisarantis NLD. Self-determination theory and the promotion and maintenance of sport, exercise, and health. In: Hagger MS, Chatzisarantis NLD, editors. Intrinsic motivation and self-determination in exercise and sports. Champaign, IL: Human Kinetics; 2007, p. 1-19.
10 Austin GS, David RM. Association of patient autonomy with increased transplantation and survival among new dialysis patient in the United States. American Journal of Kidney Diseases. 2005;45(4):730-42. http://dx.doi.org/10.1053/j.ajkd.2004.12.016   DOI
11 Kim SH, Lee SH. Influences of knowledge, self-efficacy, and social support on sick role behavior in patients with coronary artery disease. Journal of Korean Public Health Nursing. 2014;28(2):228-40. http://dx.doi.org/10.5932/JKPHN.2014.28.2.228   DOI
12 Baines LS, Jindal RM. Non-compliance in patients receiving haemodialysis: an in-depth review. Nephron. 2000;85:1-7. http://dx.doi.org/10.1159/000045622   DOI
13 The Korean Society of Nephrology. Current renal replacement therapy in Korea [Internet]. Seoul: ESRD Registry Committee, Korean Society of nephrology; 2013 [cited 2016 April 20]. Available from: http://www.ksn.or.kr/journal/2014/index.html
14 An GJ. Effects of self-care program using SMS, e-mail, or telephone call on self-care compliance and nutritional status in hemodialysis patients. Journal of Korean Biological Nursing Science. 2009;11(2):157-66.
15 Leggat JE Jr. Adherence with dialysis: a focus on mortality risk. seminars in dialysis. 2005;18(2):137-41. http://dx.doi.org/10.1111/j.1525-139X.2005.18212.x   DOI
16 Moon ES. A structural analysis of the social-motivational variables influencing adolescents' school dropout behavior. The Korean Journal of Educational Psychology. 2006;20(2):405-23.
17 Choi SB, Ham KS. The relationships between social support, basic needs and quality of life in leisure participation by old adults. Journal of Sport and Leisure Studies. 2009;38:671-82.
18 Cho YM, Choi MS, Sung KW. Factors predicting sick role behavioral compliance in hemodialysis patient. Korean Journal of Adult Nursing. 2011;23(3):235-43.
19 Choe MA, Hah YS, Kim KS, Yi MS, Choi JA. A study on exercise behavior, exercise environment and social support of middle-aged women. Journal of Korean Academy of Nursing. 2008;38(1):101-10.   DOI
20 Hagger MS, Chatzisarantis NLD, Hein V, Soos I, Karsai I, Lintunen T, et al. Teacher, peer and parent autonomy support in physical education and leisure-time physical activity: a transcontextual model of motivation in four nations. Psychology and Health. 2009;24(6):689-711. http://dx.doi.org/10.1080/08870440801956192   DOI
21 Moon SB. Basic concepts and application of structural equation modeling with AMOS 17.0. Seoul: Hakjisa; 2009.
22 Ryan RM, Deci EL. An overview of self-determination theory. In: Deci EL, Ryan RM, editors, Handbook of self determination research. Rochester, NY: University of Rochester Press; 2002. p. 3-33.
23 Ajzen I. Constructing a TpB questionnaire: conceptual and methodological considerations. Revised January, 2006. [cited 2016 April 16]. Available from: http://www.uni-bielefeld.de/ikg/zick/ajzen%20construction%20a%20tpb%20questionnaire.pdf
24 Jee YO. Instrument development for the application of the theory of planned behavior. Korean Journal of Nursing Query. 1994;2(2):102-15.
25 Kim JH. An effect of guided imagery applied to hemodialysis patients. [dissertation]. Seoul: Seoul National University; 1995.
26 Lee GH. The relationships between game knowledge, basic needs for physical education classes, and behavioral regulation among middle and high school students. Korean Journal of Sport Psychology. 2010;21(1):99-110.
27 Kim MJ. A structural equation model explaining contraception behaviors of married Korean women. Korean Journal of Women Health Nursing. 2001;7(2):141-56.
28 Park JK. Predicting adolescent's intention for physical activity and behavior using the theory of planned behavior: The roles of family support and personality. Korean Journal of Sport Psychology. 2011;.22(1):129-44.