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Original Articles
- Structural Equation Modeling of Self-Management in Patients with Hemodialysis
- Jieun Cha
- J Korean Acad Nurs 2017;47(1):14-24. Published online February 28, 2017
- DOI: https://doi.org/10.4040/jkan.2017.47.1.14
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Abstract
PDF Purpose The purpose of this study was to construct and test a hypothetical model of self-management in patients with hemodialysis based on the Self-Regulation Model and resource-coping perspective.
Methods Data were collected from 215 adults receiving hemodialysis in 17 local clinics and one tertiary hospital in 2016. The Hemodialysis Self-management Instrument, the Revised Illness Perception Questionnaire, Herth Hope Index and Multidimensional Scale of Perceived Social Support were used. The exogenous variable was social context; the endogenous variables were cognitive illness representation, hope, self-management behavior, and illness outcome. For data analysis, descriptive statistics, Pearson correlation analysis, factor analysis, and structural equation modeling were performed.
Results The hypothetical model with six paths showed a good fitness to the empirical data: GFI=.96, AGFI=.90, CFI=.95, RMSEA=.08, SRMR=.04. The factors that had an influence on self-management behavior were social context (β=.84), hope and cognitive illness representation (β=.37 and β=.27) explaining 92.4% of the variance. Self-management behavior mediated the relationship between psychosocial coping resources and illness outcome.
Conclusion This research specifies a more complete spectrum of the self-management process. It is important to recognize the array of clinical resources available to support patients' self-management. Healthcare providers can facilitate self-management through collaborative care and understanding the ideas and emotions that each patient has about the illness, and ultimately improve the health outcomes. This framework can be used to guide self-management intervention development and assure effective clinical assessment.
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Citations
Citations to this article as recorded by
- Predictive Model of Self‐Management and Quality of Life for Patients on Hemodialysis Using Information‐Motivation‐Behavioral Skills Model: A Cross‐Sectional Study
Sung Reul Kim, Hye Young Kim, Eun Ko, No Eul Kang, Kang Sun Lee
Nursing & Health Sciences.2025;[Epub] CrossRef - Effects of self-care intervention using a mobile instant messenger on hemodialysis patient’s knowledge, self-efficacy, self-care behavior and physiological index
Yu Kyung Shin, Mi Young Kim
Journal of Korean Biological Nursing Science.2024; 26(2): 123. CrossRef - WeChat peer education on self-management behavior of hemodialysis patients
Jun Wang
International Journal of Research Studies in Management.2023;[Epub] CrossRef - Healthy life of Korean patients with chronic kidney failure undergoing hemodialysis: A situation-specific nursing theory
Jinhyang Yang, Myung-Ok Cho, Haeok Lee
Applied Nursing Research.2022; 65: 151584. CrossRef - The Effect of Nonpharmacological Integrated Care Protocols on Patients with Fatigue Undergoing Hemodialysis: A Randomized Controlled Trial
Manhua Zuo, Na Zuo, Jinrong Lin, Jing Zhuo, Xinghui Jing, Jun Tang, Liaqat Ali
Computational and Mathematical Methods in Medicine.2022; 2022: 1. CrossRef - Development and Effectiveness of Emotional Intelligence Promotion Program for Schizophrenia
Min Young Jung, Jeongyee Bae
Journal of Korean Academy of psychiatric and Mental Health Nursing.2022; 31(4): 505. CrossRef - Effect of Self‐Determination Theory on Knowledge, Treatment Adherence, and Self‐Management of Patients with Maintenance Hemodialysis
Rui Wu, Sifang Feng, Hongli Quan, Yun Zhang, Rong Fu, Hong Li, Mohammad Farukh Hashmi
Contrast Media & Molecular Imaging.2022;[Epub] CrossRef - Exploring demands of hemodialysis patients in Taiwan: A two-step cluster analysis
I-Chen Yu, Ji-Tseng Fang, Yun-Fang Tsai, Andrew Carl Miller
PLOS ONE.2020; 15(2): e0228259. CrossRef - Mediating Effect of Stress on the Relationship between Illness Perception and Sleep in Patients at Risk of Metabolic Syndrome
Hyun-E Yeom, Jee-Won Shin
Korean Journal of Adult Nursing.2019; 31(4): 449. CrossRef - The Impact of Physical, Psychological, Social Factors on Illness Burden of Long-term Hemodialysis Patients in South Korea
Jieun Cha
Journal of Health Informatics and Statistics.2018; 43(3): 159. CrossRef - Validity and Reliability Test of the Korean Version of the Hemodialysis Self-Management Instrument (HDSMI-K)
Jieun Cha, Jiyoung Kang
Journal of Health Informatics and Statistics.2017; 42(2): 153. CrossRef
- Predictive Model of Self‐Management and Quality of Life for Patients on Hemodialysis Using Information‐Motivation‐Behavioral Skills Model: A Cross‐Sectional Study
- 490 View
- 16 Download
- 11 Crossref
- The Effect of Dialysate Flow Rate on Dialysis Adequacy and Fatigue in Hemodialysis Patients
- Sun Mi Cha, Hye Sook Min
- J Korean Acad Nurs 2016;46(5):642-652. Published online October 31, 2016
- DOI: https://doi.org/10.4040/jkan.2016.46.5.642
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Abstract
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Purpose In this single repeated measures study, an examination was done on the effects of dialysate flow rate on dialysis adequacy and fatigue in patients receiving hemodialysis.
Methods This study was a prospective single center study in which repeated measures analysis of variance were used to compare Kt/V urea (Kt/V) and urea reduction ratio (URR) as dialysis adequacy measures and level of fatigue at different dialysate flow rates: twice as fast as the participant’s own blood flow, 500 mL/min, and 700 mL/min. Thirty-seven hemodialysis patients received all three dialysate flow rates using counterbalancing.
Results The Kt/V (M±SD) was 1.40±0.25 at twice the blood flow rate, 1.41±0.23 at 500 mL/min, and 1.46±0.24 at 700 mL/min. The URR (M±SD) was 68.20±5.90 at twice the blood flow rate, 68.67±5.22 at 500 mL/min, and 70.11±5.13 at 700 mL/min. When dialysate flow rate was increased from twice the blood flow rate to 700 mL/min and from 500 mL/min to 700 mL/min, Kt/V and URR showed relative gains. There was no difference in fatigue according to dialysate flow rate.
Conclusion Increasing the dialysate flow rate to 700 mL/min is associated with a significant nicrease in dialysis adequacy. Hemodialysis with a dialysate flow rate of 700 mL/min should be considered in selected patients not achieving adequacy despite extended treatment times and optimized blood flow rate.
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Citations
Citations to this article as recorded by- The Effect of Uncertainty on the Physiological Indexes of Hemodialysis Patients: Serial Mediating Effects of Uncertainty Appraisal and Self-care Behavior
Mi Kyung Kim, Eun Hee Jang
Korean Journal of Adult Nursing.2022; 34(1): 51. CrossRef - Fuzzy-based modeling and speed optimization of a centrifugal blood pump using a modified and constrained Bees algorithm
Omer Incebay, Ahmet Onder, Muhammed Arif Sen, Rafet Yapici, Mete Kalyoncu
Computer Methods and Programs in Biomedicine.2022; 221: 106867. CrossRef - Relationship of Symptom Clusters, Compliance with the Patient’s Role Behavior, and Dialysis Adequacy with Quality of Life in Hemodialysis Patients
Semi Moon, Chiyoung Cha
Journal of Korean Academy of Fundamentals of Nursing.2022; 29(3): 295. CrossRef - Pharmacokinetic and Pharmacodynamic Analysis of Critically Ill Patients Undergoing Continuous Renal Replacement Therapy With Imipenem
Zhe Li, Jing Bai, Aiping Wen, Su Shen, Meili Duan, Xingang Li
Clinical Therapeutics.2020; 42(8): 1564. CrossRef - FINITE ELEMENT ANALYSIS FOR COMPARING THE PERFORMANCE OF STRAIGHT AND UNDULATED FIBERS IN ALTERING THE FILTERING EFFICIENCY OF HEMODIALYZER MEMBRANES
M. S. SANGEETHA, A. KANDASWAMY, C. LAKSHMI DEEPIKA, C. V. REVANTH
Journal of Mechanics in Medicine and Biology.2019; 19(05): 1850063. CrossRef - Factors Influencing Sick Role Behavior Compliance in Patients on Hemodialysis
Hyun Mi Jeon, Hye Sook You
Journal of Korean Academy of Fundamentals of Nursing.2019; 26(1): 23. CrossRef
- The Effect of Uncertainty on the Physiological Indexes of Hemodialysis Patients: Serial Mediating Effects of Uncertainty Appraisal and Self-care Behavior
- 275 View
- 4 Download
- 6 Crossref
- Effects of Dietary Program based on Self-efficacy Theory on Dietary Adherence, Physical Indices and Quality of Life for Hemodialysis Patients
- Kyung Soon Yun, Ja Yun Choi
- J Korean Acad Nurs 2016;46(4):598-609. Published online August 31, 2016
- DOI: https://doi.org/10.4040/jkan.2016.46.4.598
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Abstract
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Purpose The purpose of this study was to examine effects of a dietary program based on self-efficacy theory on dietary adherence, physical status and quality of life (QoL) in hemodialysis patients.
Methods A non-equivalent control group pre-post test design was used. The intervention group received the dietary program for 8 weeks from August 4 to September 26, 2014. The control group received only usual care.
Results ANCOVA showed that dietary adherence (F=64.75,
p <.001) was significantly different between the two groups. Serum albumin (F=12.13, p =.001), interdialytic weight gain (F=56.97,p <.001), calories (F=15.80,p <.001) as physical status indices were significantly different, but serum potassium (F=2.69,p =.106) and serum phosphorus (F=1.08,p =.303) showed no significant difference between the two groups. In terms of health-related QoL, the physical component scale (F=10.05,p =.002) and the mental component scale (F=16.66,p <.001) were significantly different between the two groups. In addition, in terms of diet related QoL, diet level (F=35.33,p <.001) and satisfaction level (F=15.57,p <.001) were significantly different between the two groups, but dietary impact level (F=1.23, p =.271) was not significantly different.Conclusion Findings show that the dietary program based on self-efficacy theory is an effective nursing intervention program to improve adherence to diet, and to maintain physical status and QoL for hemodialysis patients.
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Citations
Citations to this article as recorded by- Influence of self‐management, self‐efficacy, depression and social support on quality of life in patients undergoing haemodialysis by disease stage in South Korea
Aekyung Chang, Jisoo Kim
Journal of Clinical Nursing.2025; 34(3): 978. CrossRef - Self‐management training in patients with chronic kidney disease undergoing hemodialysis: A systematic review
Ezgi Bağriaçik, Burcu Totur Dikmen
Seminars in Dialysis.2024; 37(2): 91. CrossRef - Effects of a Customized Diet Education Program Using a Mobile Instant Messenger for People Undergoing Peritoneal Dialysis: A Feasibility Test
Hyun-Jung Lee, Hee-Young Kang
Asian Nursing Research.2024; 18(4): 367. CrossRef - The effect of nurse-led interventions on non-adherence to dietary and fluid restrictions among adults receiving haemodialysis: a randomised controlled trial
Vijay VR, Harmeet Kaur Kang
Journal of Kidney Care.2023; 8(Sup6): S6. CrossRef - The effect of nurse-led interventions on non-adherence to dietary and fluid restrictions among adults receiving haemodialysis: a randomised controlled trial
Vijay VR, Harmeet Kaur Kang
Journal of Kidney Care.2023; 8(1): 12. CrossRef - Effect of Treatment Adherence Improvement Program in Hemodialysis Patients: A Systematic Review and Meta-Analysis
Hana Kim, I. Seul Jeong, Mi-Kyoung Cho
International Journal of Environmental Research and Public Health.2022; 19(18): 11657. CrossRef - Evaluation of the relationship between health literacy and self-efficacy: A sample of hemodialysis patients
Aysun Kazak, Ayşe Özkaraman, Hasret Topalı, Secil Duran
The International Journal of Artificial Organs.2022; 45(8): 659. CrossRef - Factors Affecting Diet-Related Quality of Life Among Hemodialysis Patients According to Age-group
Ae Kyung Chang, Jin Yi Choi
Clinical Nursing Research.2022; 31(6): 1172. CrossRef - Randomised controlled trial of a smartphone application‐based dietary self‐management program on haemodialysis patients
Songyi Pack, Jia Lee
Journal of Clinical Nursing.2021; 30(5-6): 840. CrossRef - Effects of the Combination of Auricular Acupressure and a Fluid-Restriction Adherence Program on Salivary Flow Rate, Xerostomia, Fluid Control, Interdialytic Weight Gain, and Diet-Related Quality of Life in Patients Undergoing Hemodialysis
AeKyung Chang, YoonChung Chung, MoonJa Kang
International Journal of Environmental Research and Public Health.2021; 18(19): 10520. CrossRef - Effects of a Mobile-App-Based Self-Management Support Program For Elderly Hemodialysis Patients
Youngsoon Min, Myonghwa Park
Healthcare Informatics Research.2020; 26(2): 93. CrossRef - Effects of a Repeated Hemodialysis Diet Education Program for Older Adults
Sangsuk Kim, Youngsil Choi
Korean Journal of Adult Nursing.2020; 32(5): 515. CrossRef - La persona con enfermedad renal crónica: una revisión sistemática de las intervenciones de salud
Alma de Coral Elías-Viramontes, Leticia Casiquen-Casique, José Ernesto Rodríguez-Loreto
Enfermería Nefrológica.2020; 23(4): 333. CrossRef - Factors Influencing Self-Care Behaviors of Renal Dialysis Patients
Yoonjung Kim, Sanggeon Park
STRESS.2019; 27(4): 320. CrossRef - Clinical trial for the control of water intake of patients undergoing hemodialysis treatment
Graziella Allana Serra Alves de Oliveira Oller, Marília Pilotto de Oliveira, Cláudia Bernardi Cesarino, Carla Regina de Souza Teixeira, José Abrão Cardeal da Costa, Luciana Kusumota
Revista Latino-Americana de Enfermagem.2018;[Epub] CrossRef - Factors Influencing Self-Efficacy, Grit, Symptom Clusters on Self-Care Agency in Brain Neoplasms Patients
Sook Hee Cho, Kyung Soon Yun, Shin Jung
Asian Oncology Nursing.2018; 18(4): 188. CrossRef - The study on developing the self care tool for the elderly cancer patient undergoing hemotherapy : Focusing on the effect of Health Monitoring Diary
Yeon Ok Lim, Yojin Kim, Hyunsook Yoon, Dae Young Zang, Dae Ro Choi, Kyoungwon Choi
Korean Journal of Health Education and Promotion.2018; 35(2): 73. CrossRef - Effects of Education about Action Plans according to Self-Monitoring on Self-Management Adherence, Knowledge, Symptom Control, and Quality of Life among Adult Asthma Patients: A Randomized Controlled Trial
Ja Yun Choi, Young-Ran Kweon
Journal of Korean Academy of Nursing.2017; 47(5): 613. CrossRef
- Influence of self‐management, self‐efficacy, depression and social support on quality of life in patients undergoing haemodialysis by disease stage in South Korea
- 310 View
- 5 Download
- 18 Crossref
- Influence of Uncertainty and Uncertainty Appraisal on Self-management in Hemodialysis Patients
- Hyung Suk Jang, Chang Suk Lee, Young Hee Yang
- J Korean Acad Nurs 2015;45(2):271-279. Published online April 30, 2015
- DOI: https://doi.org/10.4040/jkan.2015.45.2.271
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Abstract
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Purpose This study was done to examine the relation of uncertainty, uncertainty appraisal, and self-management in patients undergoing hemodialysis, and to identify factors influencing self-management.
Methods A convenience sample of 92 patients receiving hemodialysis was selected. Data were collected using a structured questionnaire and medical records. The collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlations and multiple regression analysis with the SPSS/WIN 20.0 program.
Results The participants showed a moderate level of uncertainty with the highest score being for ambiguity among the four uncertainty subdomains. Scores for uncertainty danger or opportunity appraisals were under the mid points. The participants were found to perform a high level of self-management such as diet control, management of arteriovenous fistula, exercise, medication, physical management, measurements of body weight and blood pressure, and social activity. The self-management of participants undergoing hemodialysis showed a significant relationship with uncertainty and uncertainty appraisal. The significant factors influencing self-management were uncertainty, uncertainty opportunity appraisal, hemodialysis duration, and having a spouse. These variables explained 32.8% of the variance in self-management.
Conclusion The results suggest that intervention programs to reduce the level of uncertainty and to increase the level of uncertainty opportunity appraisal among patients would improve the self-management of hemodialysis patients.
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Citations
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Jeong Hyun Park, Jung Suk Park
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