Journal of Korean Academy of Fundamentals of Nursing (기본간호학회지)

Korean Academy of Fundamentals of Nursing (기본간호학회)
권호 표지
DOI QR코드

DOI QR Code

Factors Influencing Sick Role Behavior Compliance in Patients on Hemodialysis

혈액투석 환자의 역할행위이행 영향요인

  • 전현미 (전남대학교병원 신장센터) ;
  • 유혜숙 (호남대학교 간호학과)
  • Received : 2018.09.10
  • Accepted : 2019.02.08
  • Published : 2019.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study was a descriptive survey research to identify the factors that influence sick role behavior compliance in patients on hemodialysis. Methods: Structured surveys were used to collect data from 170 patients who are on hemodialysis three times a week through outpatient care at a university hospital located in G City using tools measuring resilience, family support, and sick role behavior compliance. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson's correlation coefficient, and Stepwise multiple linear regression. Results: The results showed that factors that influenced sick role behavior compliance in the subjects were in the order of family support (${\beta}=.27$, p<.001), age (${\beta}=.27$, p<.001), and resilience (${\beta}=.23$, p=.003). Resilience, family support, and sick role behavior compliance were positively correlated. Factors influencing hemodialysis patients' sick role behavior compliance included family support, age, and resilience. These variables explained 30.2% of the variance in sick role behavior compliance. Conclusion: Based on these results, care intervention and the development of a training program that involves family in the treatment plan and process to support and encourage patients are needed to increase the sick role behavior compliance in patients on hemodialysis.

Keywords

References

  1. Ryu DR, Kim YJ, Sui AR, Kim JM, Lee NR, Son SK, et al. Out comes research of peritoneal dialysis and hemodialysis for end stage renal disease. Subject Competition Research Report. Seoul City: National Evidence-based Healthcare Collaborating Agency; 2017 Jun. Report No.: 2016-002.
  2. The Korean Society of Nephrology. Current renal replacement therapy in Korea. [Internet]. Seoul: The Korean Society of Nephrology; 2018 [cited 2018 October 15]. Available from: http://www.ksn.or.kr/rang_board/list.html?code=sinchart
  3. Cutin RB, Bultman DC, Thomas-Hawkins C, Walters BA, Schatell D. Hemodialysis patients' symptom experience: Effects on physical and mental functioning. Nephrology Nursing Journal. 2002;29(6):562-574.
  4. Cha SM, Min HS. The effect of dialysate flow rate on dialysis adequacy and fatigue in hemodialysis patients. Journal of Korean Academy Nursing. 2016;46(5):642-652. https://doi.org/10.4040/jkan.2016.46.5.642
  5. Cho YM, Yum KS. The relationship between of uncertainty, depression, physiologic index and basic psychological need of hemodialysis patients. Journal of Digital Convergence. 2017;15(10):281-291. https://doi.org/10.14400/JDC.2017.15.10.281
  6. Suh SR, Cho IH. Influence of hemodialysis patient's stress and acceptance on their psychosocial adaptation and quality of life. The Journal of the Korea Contents Association. 2014;14(11):829-837. https://doi.org/10.5392/JKCA.2014.14.11.829
  7. Cho YM, Seo YH, Park MJ. Relationship between uncertainty in illness, subjective health status, and compliance with sick role behavior according to levels of health literacy in hemodialysis patients. Korean Journal of Adult Nursing. 2018;30(4):437-446. https://doi.org/10.7475/kjan.2018.30.4.437
  8. Jang HS, Lee CS, Yang YH. Influence of uncertainty and uncertainty appraisal in self-management in hemodialysis patients. Journal of Korean Academy Nursing. 2015;45(2):271-279. https://doi.org/10.4040/jkan.2015.45.2.271
  9. Richardson GE. The metatheory of resilience and resiliency. Journal of Clinical Psychology. 2002;58(3):307-321. https://doi.org/10.1002/jclp.10020
  10. Miller MW. Personality and the etiology and expression of PTSD: A three factor model perspective. Clinical Psychology. 2003;10(4):373-393. https://doi.org/10.1093/clipsy.bpg040
  11. Cho HM, Yoo EK. The factors influencing the resilience among hemodialysis Patients. Korean Journal of Adult Nursing. 2014;26(6):614-620. https://doi.org/10.7475/kjan.2014.26.6.614
  12. Ha BY, Jung EJ, Choi SY. Effects of resilience, post-traumatic stress disorder on the quality of life in patients with breast cancer. Korean Journal of Women Health Nursing. 2014;20(1):83-91. https://doi.org/10.4069/kjwhn.2014.20.1.83
  13. Grunberg J. The impact of logistics and resilience on compliance. Pediatric Nephrology. 2005;20(12):1823-1824. https://doi.org/10.1007/s00467-005-2041-3
  14. Tusaie K, Dyer, J. Resilience: A historical review of the construct. Holistic Nursing Practice. 2004;18(1):3-10. https://doi.org/10.1097/00004650-200401000-00002
  15. Cukor D. Peterson RA, Cohen, SD. Kimmel PL. Depression in end-stage renal disease hemodialysis patients. Nature Reviews Nephrology. 2006;2(12):678-687.
  16. Kim AL. Stress, state anxiety, family support, patient provider relationship and sleep disturbance of hemodialysis patient. Journal of the Korean Data Analysis Society. 2014;16(4):2161-2175.
  17. Park MK, Kim IS. The comparative perceived family support, self-efficacy and quality of life between hemodialysis and peritoneal dialysis patients. The Medical Journal of Chosun University. 2006;31(3):54-63.
  18. Na DM, Lee KO, Seo CS. The relationship between family support and self-care performance of hemodialysis patients. The Medical Journal of Chosun University. 2002;27(2):231-239.
  19. Lee EK. A study on factors affecting cancer patients. The Journal of Korean Academic Society of Nursing Education. 2007;13(1):52-58.
  20. Cho EA, Oh HE. Effects of laughter therapy on depression, quality of life, resilience and immune responses in breast cancer survivors. Journal of Korean academy of nursing. 2011;41(3):285-293. https://doi.org/10.4040/jkan.2011.41.3.285.
  21. Kim JH. The influence of cognitive coping on sick role behavioral compliance and depression, satisfaction with life in hemodialysis patients. Journal of the Korea Academia-Industrial cooperation Society. 2015;16(2):1328-1338. https://doi.org/10.5762/KAIS.2015.16.2.1328
  22. Connor KM, Davidson JR. Development of a new resilience scale: The Connor Davidson resilience scale (CD RISC). Depression and Anxiety. 2003;18(2):76-82. https://doi.org/10.1002/da.10113
  23. Baek HS, Lee KU, Joo EJ, Lee MY, Choi KS. Reliability and validity of the korean version of the Connor-Davidson resilience scale. Psychiatry Invest. 2010;7(2):109-115. https://doi.org/10.4306/pi.2010.7.2.109
  24. A study of the relationship among health related hardness self efficacy compliance in hemodialysis patientsKang HS. Experimental study of the effects of reinforcement education for rehabilitation on hemiplegia patients' self-care activities [dissertation]. Seoul: Yonsei University; 1984. p. 45-110.
  25. Chang MY, Suh MJ. A study of the relationship among health related hardness, self efficacy, compliance in hemodialysis patients. The Seoul Journal of Nursing. 1997;11(1):85-105.
  26. Choi I, Han SJ. Effects of depression, self-esteem, and family support towards hopelessness of patients taking hemodialysis. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology. 2015;5(4):217-226. https://doi.org/10.14257/AJMAHS.2015.08.11
  27. Cho YH, Park YS. Factors affecting the life satisfaction of hemodialysis patients by gender. Journal of The Korean Contents Association. 2017;17(8):631-643. https://doi.org/10.5392/JKCA.2017.17.08.631
  28. Kim AL. Depression, uncertainty, patient provider relationship and compliance of health behavior of myocardial infarction patient. Journal of The Korean Data Analysis Society. 2015;17(1):423-437.
  29. 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.
  30. Cho HM, Yoo EK. Effect of depression, family support on resilience in patients with gynecological cancer. Korean Journal of Wellness. 2015;10(4):183-195. https://www.earticle.net/Article/A258860

Cited by

  1. Factors Affecting Quality of Life of Hemodialysis Patients - with Focus on Resilience, Symptom Experience and Self-management vol.46, pp.4, 2021, https://doi.org/10.21032/jhis.2021.46.4.429
  2. Factors Influencing Self-Care Behavior and Treatment Adherence in Hemodialysis Patients vol.18, pp.24, 2019, https://doi.org/10.3390/ijerph182412934