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The Effect of Family Support, Self-efficacy, and Fatigue on the Quality of Life in Hemodialysis Patients

혈액투석 환자의 가족지지, 자기효능감 및 피로가 삶의 질에 미치는 영향

  • Received : 2014.10.01
  • Accepted : 2015.05.20
  • Published : 2015.05.31

Abstract

Purpose: This study was attempted to provide the foundations for the nursing intervention program that could improve hemodialysis patient's quality of life by examining influences of family support, self-efficacy and fatigue on quality of life among hemodialysis patients. Methods: We have surveyed 200 patients that aged 18 or older being diagnosed with end-stage renal disease (ESRD) and are receiving hemodialysis treatment in three general hospitals equipped more than 400 beds, one specialized dialysis clinics located in city M. Using the SPSS 17.0 windows program, gathered data were analyzed by number, percentage, mean, standard deviation, t-test, ANOVA, Duncan, Pearson's correlation coefficients and multiple regression analysis. Results: We found the factors that had great influences on patient's quality of life were family support (${\beta}=.155$, t=2.18, p=.031), fatigue (${\beta}=-.487$, t=-7.73, p<.001), and monthly income (${\beta}=.147$, t=2.36, p=.019). Explanatory power of this model was 49.6%. Conclusion: The quality of life of the hemodialysis patients on hemodialysis is affected by family support, fatigue, and monthly income. The higher monthly income, family support and the less fatigue, the more likely they can improve their quality of life.

Keywords

References

  1. Bandura, A. (1986). Social foundations of thought and actin a social cognitive theory. Englewood Cliffs, NJ: Prentice-Hall.
  2. Cohen, S. D., Sharma, T., Acquaviva, K., Peterson, R. A., Patel, S. S., & Kimmel, P. L. (2007). Social support and chronic kidney disease: An update. Advances in Chronic Kidney Disease, 14(4), 335-344. https://doi.org/10.1053/j.ackd.2007.04.007
  3. Choi, E. Y., & Lee, H. Y. (2005). The relationship of fatigue, self efficacy, family support and sleep factor in hemodialysis patients. Korean Journal of Adult Nursing, 17(3), 435-443
  4. Cobb, S. (1976). Social support as a moderator of life stress, Phychosomatic Medicine, 38(5), 300-304. https://doi.org/10.1097/00006842-197609000-00003
  5. Han, Y. M. (2005). The relationship between perceived family support and self-care behaviors among early hemodialysis patients. Unpublished master's thesis, Ewha Womans university, Seoul.
  6. Jhhamb, M., Weisbord, S. D., Steel, J. L., & Unru, M. (2008). Fatigue in patients receiving maintenance dialysis: A review of definitions, measures, and contributing factors. American Journal of kidney Disease, 52(2), 353-365. https://doi.org/10.1053/j.ajkd.2008.05.005
  7. Joshwa, B., Khakha, D. C., & Mahajan, S. (2012). Fatigue and depression and sleep problems among hemodialysis patients in a tertiary care center. Saudi Journal of kidney Diseases and Transplantation, 23(4), 729-735. https://doi.org/10.4103/1319-2442.98149
  8. Kalantar-Zadeh, K., & Unruh, M. (2005). Health related quality of life in patients with chronic kidney disease. International Urology and Nephrology, 37(2), 367-378. https://doi.org/10.1007/s11255-004-0012-4
  9. Kang, H. S. (1984). (An)Experimental study of the effects of reinforcement education for rehabilitation on hemiplegia patients self-care activities. Unpublished doctoral dissertation thesis, Yonsei University, Seoul.
  10. Kim, I. Y. (2012). A study on hemodialysis patients depression, activities of daily living and family support. Unpublished master's thesis, Chung-Ang University, Seoul.
  11. Kim, J. H. (1995). Effect of guided imagery applied to hemodialysis patients. Unpublished doctoral dissertation, Seoul National University, Seoul.
  12. Kim, Y. J. (2006). The effect of self-efficacy and health promotion behavior on the quality of life in hemodialysis patients. Unpublished master's thesis, Catholic University, Seoul.
  13. Kring, D. L., & Crane, P. B. (2009). Factors affecting quality of life in persons on hemodialysis. Nephrology Nursing Journal, 36(1), 15-55.
  14. Lee, H. M. (2009). Factors influencing sleep disorders in patients on hemodialysis. Journal of Korean Academy Fundamentals of Nursing, 16(2), 190-199.
  15. Lee, S. S. (2011). Influencing factors on quality of in elderly hemodilysis patients. Unpublished master's thesis, Inje university, Busan.
  16. Min, H. S., & Lee, E. J. (2006). Study of the relationship between compliance with therapeutic regimens and physiological parameters of hemodialysis patients. Journal of Korean Academy of Nursing, 36(1), 64-73. https://doi.org/10.4040/jkan.2006.36.1.64
  17. Min, S. K., Lee, C. I., Kim, K. I., Suh, S. Y., & Kim, D. K. (2000). Development of korean version of who quality of life scale abbreviated version(WHOQOL-BREF). Journal of the Korean Neuropsychiatric Association, 39(3), 571-579.
  18. Oh, S. H. (2006), Comparison of quality of life between kidney transplant and hemodialysis patients. Journal of Korean Academy of Nursing, 36(7), 1145-1153. https://doi.org/10.4040/jkan.2006.36.7.1145
  19. Parfrey, P. S., Varasour, H., Bullock, M., Henry, S., Harnnet, J. D., & Gault, M. H. (1989). Development of health questionnaire specific for end-stage renal disease. Nephron, 52, 20-28. https://doi.org/10.1159/000185577
  20. Park, M. K., & Kim, I. S. (2006). The comparative perceived family support, self-efficacy and quality of life between hemodialysis and peritoneal dialysis patients. The Medical journal of Chosun University, 31(3), 54-63.
  21. Rambod, M., & Rafii, F. (2010). Perceived social support and quality of life in iran hemodialysis patients. Journal of Nursing Scholarship, 42(3), 242-249. https://doi.org/10.1111/j.1547-5069.2010.01353.x
  22. Rheu, H. R., & Kim, Y. R. (2005). Social support and quality of hemodialysis patients. Korean Public Health Research, 31, 184-191.
  23. Sakkas, G. K., & Karatzaferi, C. (2012). Hemodialysis fatique: Just "simple" fatique or a syndrome on its own right? Frontiers in Physiology, 3, 1-4.
  24. Shin, I. O. (2006). The effect of exercise programme on health status of patients on hemodialysis. Korean Nephrology Nurse Association, 17, 23-46.
  25. Tack, B. B. (1991). Self reported fatigue I rheumatoid arthritis, A pilot study. Arthritis Care and Research, 3(3), 154-157. https://doi.org/10.1002/1529-0131(199009)3:3<154::AID-ANR1790030307>3.0.CO;2-3
  26. The Korean Society of Nephrology. (2013). Current Renal Replacement Therapy in Korea-Insan memorial dialysis registry, 2013. Retrieved September 1, 2014, from: http://www.ksn.or.kr/Jounal /2014/index.html
  27. The WHOQOL group (1998). Development of the world health organization WHOQOL_BREF quality of life assessment. Psychological Medicine, 28, 551-558. https://doi.org/10.1017/S0033291798006667
  28. Tsay, S. L. (2003). Self-efficacy training for patients with end-stage renal disease. Journal of Advanced Nursing, 43(4), 370-375. https://doi.org/10.1046/j.1365-2648.2003.02725.x
  29. WHOQOL-BREF Quality of life assessment. (1998), Psychological Medicine, 28, 551-558. https://doi.org/10.1017/S0033291798006667