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. 2022 Nov 2;12(11):1816.
doi: 10.3390/jpm12111816.

Factors Influencing Self-Management Behaviors among Hemodialysis Patients

Li-Ching Ma  1 , Yueh-Min Liu  2 , Yen-Chung Lin  3   4   5 , Chia-Te Liao  4   5   6 , Kuo-Chin Hung  7 , Remy Chen  8 , Kuo-Cheng Lu  9   10 , Kuei-Fang Ho  2   11 , Cai-Mei Zheng  4   5   6
Affiliations

Factors Influencing Self-Management Behaviors among Hemodialysis Patients

Li-Ching Ma et al. J Pers Med. .

Abstract

Aim: To investigate the factors affecting hemodialysis patients' self-management ability at a dialysis center in Taiwan.

Background: Taiwan has the highest incidence and prevalence of end-stage kidney disease (ESKD) in the world. Over 90% of patients with ESKD receiving hemodialysis (HD) and self-management behaviors are critical among these patients. Failure to adhere to self-managed care increases the cost of medical care and the risk of morbidity and mortality.

Methods: In this cross-sectional study, a total of 150 HD patients were observed for their self-management behaviors and the factors influencing these behaviors including education level, comorbid conditions, biochemical analysis, depression, and social support, etc., were analyzed.

Results: Self-management behaviors in HD patients were significantly impaired in the presence of diabetes mellitus, hypertension, anemia, hypoalbuminemia, and depression. The major predictor of patients' self-management was depression, explaining 14.8% of the total variance. Further addition of social support, hypertension, and diabetes mellitus into the regression model increased the total explained variance to 28.6%. Of the various domains of self-management, the partnership domain received the highest score, whereas emotional processing received the lowest score.

Conclusions: This study found the important factors influencing self-management behaviors; through this acknowledgement and early correction of these factors, we hope to improve HD patients' individual life quality and further decrease their morbidity and mortality.

Keywords: comorbid conditions; depression; hemodialysis patients; self-management behavior; social support.

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Conflict of interest statement

The authors declare no conflict of interest.

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