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

• Main Authors: Kim B, Kim J
• Format: Article
• Language: English
• Published: Dove Medical Press 2019-10-01
• Series: Therapeutics and Clinical Risk Management
• Subjects: Self care Depression Social support Uncertainty Renal dialysis
• Online Access: https://www.dovepress.com/influence-of-uncertainty-depression-and-social-support-on-self-care-co-peer-reviewed-article-TCRM

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 KoreaCorrespondence: Jihyun KimDepartment of Nursing, Daejeon University, 62 Daehak-ro, Dong-gu, Daejeon 300-716, Republic of KoreaTel [phone]Fax [phone]Email [e-mail]: 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