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Influence Of Uncertainty, Depression, And Social Support On Self-Care Compliance In Hemodialysis Patients

Authors Kim B, Kim J

Received 21 June 2019

Accepted for publication 6 October 2019

Published 22 October 2019 Volume 2019:15 Pages 1243—1251

DOI https://doi.org/10.2147/TCRM.S218934

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Colin Mak

Peer reviewer comments 2

Editor who approved publication: Professor Garry Walsh


Bomi Kim,1 Jihyun Kim2

1Eumseong Support Center for Foreign Workers, Eumseong-Gun, Chungcheongbuk-Do 27703, Republic of Korea; 2Department of Nursing, Daejeon University, Dong-Gu, Daejeon 300-716, Republic of Korea

Correspondence: Jihyun Kim
Department of Nursing, Daejeon University, 62 Daehak-ro, Dong-gu, Daejeon 300-716, Republic of Korea
Tel +82-42-280-4651
Fax +82-42-280-2785
Email jheyelin@dju.kr

Purpose: This study was conducted to examine the associations among uncertainty, depression, social support, and self-care compliance in patients undergoing hemodialysis, and to identify the factors influencing self-care compliance.
Methods: A convenience sample of 152 patients receiving hemodialysis was selected. Data were analyzed using descriptive statistics, independent t-test, ANOVA, Pearson correlations, and hierarchical regression analysis with the SPSS 23.0 program.
Results: Participants performed a moderate level of self-care consisting of factors such as knowledge of hemodialysis, dietary knowledge of hemodialysis, dietary compliance with hemodialysis, and compliance with hemodialysis order. The self-care compliance of participants undergoing hemodialysis showed a significant relationship with depression, uncertainty, and social support. The factors significantly influencing self-care compliance were social support and occupation. These variables explained 24.9% of the variance in self-care compliance.
Conclusion: Findings from this study confirmed that uncertainty, depression, and social support are major factors affecting self-care compliance, and that the higher the patients’ uncertainty, the lower their self-care compliance. Thus, interventions should be performed to reduce uncertainty and to improve self-care through accurate information and education on disease progression and self-care.

Keywords: self care, social support, uncertainty, renal dialysis

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