Hyung Suk Jang; Chang Suk Lee; Young Hee Yang

doi:10.4040/jkan.2015.45.2.271

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Original Article
Influence of Uncertainty and Uncertainty Appraisal on Self-management in Hemodialysis Patients: Hyung Suk Jang, Chang Suk Lee, Young Hee Yang; Journal of Korean Academy of Nursing 2015;45(2):271-279.
DOI: https://doi.org/10.4040/jkan.2015.45.2.271
Published online: April 30, 2015

¹Graduate School of Nursing, Dankook University, Cheonan, Korea.

²Renal Unit, Dankook University Hospital, Cheonan, Korea.

³Department of Nursing, Dankook University, Cheonan, Korea.

Address reprint requests to: Yang, Young Hee. Department of Nursing, Dankook University, 119 Dandae-ro, Dongnam-gu, Cheonan 330-714, Korea. Tel: +82-41-550-3881, Fax: +82-41-559-7902, hanul96@dankook.ac.kr

• Received: November 13, 2014 • Revised: November 24, 2014 • Accepted: January 26, 2015

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

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Abstract
REFERENCES

Abstract

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.
Keywords: Uncertainty; Self care; Renal dialysis; Chronic disease

REFERENCES

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Table 1

General Characteristics (N=92)

^*Multiple response.

Table 2

Descriptive Statistics of Uncertainty, Uncertainty Appraisal, and Self-Management (N=92)

Table 3

Differences in Uncertainty, Uncertainty Appraisal, Self-management according to General Characteristics (N=92)

Table 4

Correlations between Uncertainty, Uncertainty Appraisal, and Self-management (N=92)

Table 5

Influencing Factors on Self-management (N=92)

^*Dummy variable: Non-spouse group is a reference value; VIF=Variance inflation factor.

Figure & Data

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Influence of Uncertainty and Uncertainty Appraisal on Self-management in Hemodialysis Patients

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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Influence of Uncertainty and Uncertainty Appraisal on Self-management in Hemodialysis Patients

Table 1

General Characteristics (N=92)

^*Multiple response.

Table 2

Descriptive Statistics of Uncertainty, Uncertainty Appraisal, and Self-Management (N=92)

Table 3

Differences in Uncertainty, Uncertainty Appraisal, Self-management according to General Characteristics (N=92)

Table 4

Correlations between Uncertainty, Uncertainty Appraisal, and Self-management (N=92)

Table 5

Influencing Factors on Self-management (N=92)

^*Dummy variable: Non-spouse group is a reference value; VIF=Variance inflation factor.

Table 1 General Characteristics (N=92)

^*Multiple response.

Table 2 Descriptive Statistics of Uncertainty, Uncertainty Appraisal, and Self-Management (N=92)

Table 3 Differences in Uncertainty, Uncertainty Appraisal, Self-management according to General Characteristics (N=92)

Table 4 Correlations between Uncertainty, Uncertainty Appraisal, and Self-management (N=92)

Table 5 Influencing Factors on Self-management (N=92)

^*Dummy variable: Non-spouse group is a reference value; VIF=Variance inflation factor.