Research on self-management behavior and influencing factors among maintenance hemodialysis patients_West China Medical Journal

Authors：

ZHOU Yu ¹ , WANG Wenxiu ² , CAO Xiaoyi ³ ,  JIANG Xiaolian ¹

1. West China School of Nursing, Sichuan University / West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Department of Respiratory and Intensive Care, West China Hospital, Sichuan University / West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
3. Center for Blood Purification, Department of Nephrology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

JIANG Xiaolian, Email: jiangxiaolianhl@163.com

Keywords：

Maintenance hemodialysis; Self-management behavior; Health locus of control; Hope; Chronic illness resource

DOI：

10.7507/1002-0179.202102028

Video：

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Objective To investigate the level and influencing factors of self-management behaviors among maintenance hemodialysis patients.Methods Patients undergoing maintenance hemodialysis were recruited from 4 tertiary hospitals in Chengdu from October 2016 to October 2017. Convenient sampling method was used to select patients. The instruments used in the study included General Information Questionnaire, Hemodialysis Self-management Instrument, Hemodialysis-related Knowledge Questionnaire, Herth Hope Index, Multidimensional Health Locus of Control Scale, and Chronic Illness Resources Survey.Results A total of 360 patients were investigated, and 343 patients were finally included. The mean score of self-management behavior was 54.87±9.65. The results of multiple linear stepwise regression showed that gender, age, ethnic, monthly family income, chronic illness resources, knowledge and internal health locus of control were the significant influencing factors of self-management behaviors (P<0.05).Conclusion The self-management behavior among patients undergoing maintenance hemodialysis can be promoted by improving the level of knowledge and internal health locus of control, and making effective use of chronic illness resources.

Citation： ZHOU Yu, WANG Wenxiu, CAO Xiaoyi, JIANG Xiaolian. Research on self-management behavior and influencing factors among maintenance hemodialysis patients. West China Medical Journal, 2021, 36(8): 1077-1082. doi: 10.7507/1002-0179.202102028 Copy

1.	National Kidney Foundation. K/DOQI clinical practice guidelines for chronic kidney disease: evaluation, classification, and stratification. Am J Kidney Dis, 2002, 39(2 Suppl 1): S1-S266.
2.	Isakova T, Nickolas TL, Denburg M, et al. KDOQI US commentary on the 2017 KDIGO clinical practice guideline update for the diagnosis, evaluation, prevention, and treatment of chronic kidney disease-mineral and bone disorder (CKD-MBD). Am J Kidney Dis, 2017, 70(6): 737-751.
3.	Lin MY, Liu MF, Hsu LF, et al. Effects of self-management on chronic kidney disease: a meta-analysis. Int J Nurs Stud, 2017, 74: 128-137.
4.	李雪, 孫曉晶. 自我管理行為對維持性血液透析患者自我感受負擔的影響研究. 中華護理雜志, 2016, 51(5): 562-566.
5.	陳彬. 醫學多因素分析設計樣本例數估算—多因素分析設計樣本例數綜合估算法. 傷害醫學(電子版), 2012, 1(4): 58-60.
6.	李慧, 曹迎東, 姜亞芳, 等. 血液透析患者自我管理量表的引進及信效度檢測. 中華護理雜志, 2015, 50(11): 1392-1395.
7.	李慧. 血液透析患者自我管理現狀及影響因素的研究. 北京: 北京協和醫學院 (清華大學醫學部) & 中國醫學科學院, 2011.
8.	Wallston KA, Wallston BS, DeVellis R. Development of the multidimensional health locus of control (MHLC) scales. Health Educ Monogr, 1978, 6(2): 160-170.
9.	Herth K. Abbreviated instrument to measure hope: development and psychometric evaluation. J Adv Nurs, 1992, 17(10): 1251-1259.
10.	Glasgow RE, Toobert DJ, Barrera M Jr, et al. The chronic illness resources survey: cross-validation and sensitivity to intervention. Health Educ Res, 2005, 20(4): 402-409.
11.	華麗. 2 型糖尿病患者自我管理行為的社會生態模型: 結構方程模型的驗證. 杭州: 浙江大學, 2010.
12.	刁賀. 老年維持性血液透析患者心理一致感、應對方式與自我管理行為相關研究. 延吉: 延邊大學, 2020.
13.	程彥伶, 劉敏, 王麗麗, 等. 維持性血液透析患者自我管理行為、生活質量現狀調查及相關性研究. 齊魯護理雜志, 2020, 26(24): 37-40.
14.	Al-Shammari N, Al-Modahka A, Al-Ansari E, et al. Prevalence of depression, anxiety, and their associations among end-stage renal disease patients on maintenance hemodialysis: a multi-center population-based study. Psychol Health Med, 2020, 29: 1-9.
15.	Wu PH, Lin MY, Huang TH, et al. Depression amongst patients commencing maintenance dialysis is associated with increased risk of death and severe infections: a nationwide cohort study. PLoS One, 2019, 14(6): e0218335.
16.	Schouten RW, Haverkamp GL, Loosman WL, et al. Anxiety symptoms, mortality, and hospitalization in patients receiving maintenance dialysis: a cohort study. Am J Kidney Dis, 2019, 74(2): 158-166.
17.	Cao X, Chair SY, Wang X, et al. Self-care in Chinese heart failure patients: gender-specific correlates. Heart Lung, 2019, 48(6): 496-501.
18.	劉曉虹, 劉黎明. 維漢維持性血液透析患者自我管理狀況及影響因素分析. 國際護理學雜志, 2015, 34(19): 2600-2604.
19.	Parker JR. Use of an educational intervention to improve fluid restriction adherence in patients on hemodialysis. Nephrol Nurs J, 2019, 46(1): 43-47.
20.	穆立芹, 李明明, 孫利軍, 等. 認知行為干預在血液透析患者健康教育中的應用. 中國健康教育, 2017, 33(6): 569-572.
21.	Palmer SC, Hanson CS, Craig JC, et al. Dietary and fluid restrictions in CKD: a thematic synthesis of patient views from qualitative studies. Am J Kidney Dis, 2015, 65(4): 559-573.
22.	劉慧慧. 冠心病患者社會資源利用、積極度及自我管理行為的相關性研究. 天津: 天津中醫藥大學, 2018.
23.	Embuldeniya G, Veinot P, Bell E, et al. The experience and impact of chronic disease peer support interventions: a qualitative synthesis. Patient Educ Couns, 2013, 92(1): 3-12.
24.	馬川寅, 施國嬋, 梅游英. 微信病友群對血液透析患者治療依從性的影響. 中國農村衛生事業管理, 2017, 37(9): 1095-1097.

1. National Kidney Foundation. K/DOQI clinical practice guidelines for chronic kidney disease: evaluation, classification, and stratification. Am J Kidney Dis, 2002, 39(2 Suppl 1): S1-S266.
2. Isakova T, Nickolas TL, Denburg M, et al. KDOQI US commentary on the 2017 KDIGO clinical practice guideline update for the diagnosis, evaluation, prevention, and treatment of chronic kidney disease-mineral and bone disorder (CKD-MBD). Am J Kidney Dis, 2017, 70(6): 737-751.
3. Lin MY, Liu MF, Hsu LF, et al. Effects of self-management on chronic kidney disease: a meta-analysis. Int J Nurs Stud, 2017, 74: 128-137.
4. 李雪, 孫曉晶. 自我管理行為對維持性血液透析患者自我感受負擔的影響研究. 中華護理雜志, 2016, 51(5): 562-566.
5. 陳彬. 醫學多因素分析設計樣本例數估算—多因素分析設計樣本例數綜合估算法. 傷害醫學(電子版), 2012, 1(4): 58-60.
6. 李慧, 曹迎東, 姜亞芳, 等. 血液透析患者自我管理量表的引進及信效度檢測. 中華護理雜志, 2015, 50(11): 1392-1395.
7. 李慧. 血液透析患者自我管理現狀及影響因素的研究. 北京: 北京協和醫學院 (清華大學醫學部) & 中國醫學科學院, 2011.
8. Wallston KA, Wallston BS, DeVellis R. Development of the multidimensional health locus of control (MHLC) scales. Health Educ Monogr, 1978, 6(2): 160-170.
9. Herth K. Abbreviated instrument to measure hope: development and psychometric evaluation. J Adv Nurs, 1992, 17(10): 1251-1259.
10. Glasgow RE, Toobert DJ, Barrera M Jr, et al. The chronic illness resources survey: cross-validation and sensitivity to intervention. Health Educ Res, 2005, 20(4): 402-409.
11. 華麗. 2 型糖尿病患者自我管理行為的社會生態模型: 結構方程模型的驗證. 杭州: 浙江大學, 2010.
12. 刁賀. 老年維持性血液透析患者心理一致感、應對方式與自我管理行為相關研究. 延吉: 延邊大學, 2020.
13. 程彥伶, 劉敏, 王麗麗, 等. 維持性血液透析患者自我管理行為、生活質量現狀調查及相關性研究. 齊魯護理雜志, 2020, 26(24): 37-40.
14. Al-Shammari N, Al-Modahka A, Al-Ansari E, et al. Prevalence of depression, anxiety, and their associations among end-stage renal disease patients on maintenance hemodialysis: a multi-center population-based study. Psychol Health Med, 2020, 29: 1-9.
15. Wu PH, Lin MY, Huang TH, et al. Depression amongst patients commencing maintenance dialysis is associated with increased risk of death and severe infections: a nationwide cohort study. PLoS One, 2019, 14(6): e0218335.
16. Schouten RW, Haverkamp GL, Loosman WL, et al. Anxiety symptoms, mortality, and hospitalization in patients receiving maintenance dialysis: a cohort study. Am J Kidney Dis, 2019, 74(2): 158-166.
17. Cao X, Chair SY, Wang X, et al. Self-care in Chinese heart failure patients: gender-specific correlates. Heart Lung, 2019, 48(6): 496-501.
18. 劉曉虹, 劉黎明. 維漢維持性血液透析患者自我管理狀況及影響因素分析. 國際護理學雜志, 2015, 34(19): 2600-2604.
19. Parker JR. Use of an educational intervention to improve fluid restriction adherence in patients on hemodialysis. Nephrol Nurs J, 2019, 46(1): 43-47.
20. 穆立芹, 李明明, 孫利軍, 等. 認知行為干預在血液透析患者健康教育中的應用. 中國健康教育, 2017, 33(6): 569-572.
21. Palmer SC, Hanson CS, Craig JC, et al. Dietary and fluid restrictions in CKD: a thematic synthesis of patient views from qualitative studies. Am J Kidney Dis, 2015, 65(4): 559-573.
22. 劉慧慧. 冠心病患者社會資源利用、積極度及自我管理行為的相關性研究. 天津: 天津中醫藥大學, 2018.
23. Embuldeniya G, Veinot P, Bell E, et al. The experience and impact of chronic disease peer support interventions: a qualitative synthesis. Patient Educ Couns, 2013, 92(1): 3-12.
24. 馬川寅, 施國嬋, 梅游英. 微信病友群對血液透析患者治療依從性的影響. 中國農村衛生事業管理, 2017, 37(9): 1095-1097.

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Research on self-management behavior and influencing factors among maintenance hemodialysis patients

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