Factors Affecting the Life Satisfaction of Hemodialysis Patients by Gender

성별에 따른 혈액투석 환자의 삶의 만족도에 미치는 영향요인

  • Received : 2017.06.08
  • Accepted : 2017.08.11
  • Published : 2017.08.28


The purpose of this study is to examine factors affecting the life satisfaction of patients with hemodialysis in order to improve the quality of life for patients with hemodialysis. The subjects of this study are 168 patients who have undergone hemodialysis treatment in the hemodialysis rooms in D-city and C-providence. The data are collected between August 20th to September 5th, 2015. By using SAS 9.3 statistics program for data analysis, frequency, ${\chi}^2$-test, variance analysis and multiple regression analysis are conducted. Based on the analysis, it is found that family support(t=5.33, p<.001) and self-efficacy(t=3.52, p<.001) are statistically significant to the quality of life for male patients. Family support(t=2.58, p<.012) and adherence to self-care(t=4.08, p<.001) are statistically significant to the quality of life for female patients. With the study results, it suggests that nurses can help improve the affective and psychological stability of patients with hemodialysis by recognizing the factors affecting the life satisfaction of patients with hemodialysis by gender, developing and utilizing a nursing intervention.


Hemodialysis;Gender;Life Satisfaction;Quality of Life;Chronic Disease


  1. United States Renal Data System, 2015 USRDS Annual Data Report Volume 2: ESRD in the United States.
  2. 대한신장학회, "우리나라 신대체 요법의 현황," 대한신장학회 등록위원회, 2017.
  3. P. L. Kimmel, S. D. Cohen, and S. D. Weisbord, "Quality of life in patients with end-stage renal disease treated with hemodialysis: survival is not enough," Journal of nephrology, Vol.21, No.2, p.S54, 2008.
  4. T. W. Kao, M. S. Lai, T. J. Tsai, C. F. Jan, W. C. Chie, and W. Y. Chen, "Economic, social, and psychological factors asso-ciated with health-related quality of life of chronic hemodialysis patients in northern Taiwan: A multicenter study," Artificial Organs, Vol.33, pp.61-68, 2009.
  5. I. S. Seo, Hopeless and self-esteem of chronic renal failure patients that are treating by hemodialysis, Ewha Womans University of Korea, Seoul, Unpublished master dissertation, 1990.
  6. S. C. J. Yeh and H. C. Chou, "Coping strategies and stressors in patients with hemodialysis," Psychosomatic medicine, Vol.69, No.2, pp.182-190, 2007.
  7. J. H. Yun, J. M. Kang, K. S. Kim, S. H. Kim, T. H. Kim, Y. W. Park, and H. J. Yoon, "Health-related quality of life in Korean patients with chronic diseases," The Journal of the Korean Rheumatism Association, Vol.11, No.3, pp.263-274, 2004.
  8. M. Majkowicz, "Comparison of The Quality of Life in Hemodialysis and Peritoneal Dialysis Patients Using the EORTC-C30 Questionaire," Int J Artif Organs, Vol.23, No.7, pp.423-428, 2000.
  9. 강미경, 강선미, 김수영, "혈액투석환자의 삶의 질에 대한 사회적 지지의 영향과 공적서비스의 조절효과," 한국콘텐츠학회논문지, 제13권, 제11호, pp.277-287, 2013.
  10. 오숙희, 유은광, "신장이식환자와 혈액투석환자의 삶의 질 비교," 한국간호과학회, 제36권, 제7호, pp.1145-1153, 2006.
  11. 이정화, 변혜선, 김경덕, "유방암 생존자의 기분 상태가 삶의 질에 미치는 영향," 한국콘텐츠학회 논문지, 제4권, 제7호, pp.356-366, 2014.
  12. 류행림, 김영랑, "혈액투석환자의 사회적지지와 삶의 질," 대한보건연구, 제1권, pp.284-191, 2005.
  13. K. L. Kaveh and P. L. Kimmel, "Compliance in hemodialysis patients: Multidimensional measures insearch of a gold standard," American Journal of Kidney Disease, Vol.37, No.2, pp.244-266, 2001.
  14. L. S. Baines and R. M. Jindal, "Non-compliance in patients in receiving hemodialysis: An in-depth review," Nephron, Vol.85, pp.1-7, 2000.
  15. H. D. Moretti, A. M. Johnson, and T. J. Keelin-Hathaway, "Effects of protein supplementation in chronic hemodialysis and peritoneal dialys is patients," Journal of Renal Nutrition, Vol.19, No.4, pp.298-303, 2009.
  16. J. R. Wells, "Hemodialysis knowledge and medical adherence in African Americans diagnosed with end stage renal disease: Results of an educational intervention," Nephrology Nursing Journal, Vol.38, No.2, pp.155-162, 2011.
  17. M. Zrinyi, M. Juhasz, J. Balla, E. Katona , T. Ben, and G. Kakuk, "Dietary self-efficacy: Determinant of compliance behaviours and biochemical outcomes in haemodialysis patients," Nephrology, Dialysis, Vol.18, No.9, pp.1869-1873, 2003.
  18. 허정, 김애정, "혈액투석환자의 자기효능감,양생 정도가 삶의 질에 미치는 영향," 동서간호학연구지, 제16권, 제1호, pp.76-83, 2010.
  19. 염은이, 김미영, "혈액투석 환자가 경험한 '좋은 간호'," 성인간호학회지, 제26권, 제3호, pp.275-286, 2014.
  20. 김은영, 김진선 , "혈액투석환자의 삶의 질에 대한 영향요인," 성인간호학회지, 제16권, 제4호, pp.597-607, 2004.
  21. G. B. Lopes, C. M. Matos, E. B. Leite, M. T. S. Martins, M. S. Martins, L. F. Silva, and A. A. Lopes, "Depression as a potential explanation for gender differences in health-related quality of life among patients on maintenance hemodialysis," Nephron Clinical Practice, Vol.115, No.1, pp.35-40, 2010.
  22. Santos and Paulo Roberto, "Relationship between gender and age with quality of life in chronic hemodialysis patients," Revista da Associacao Medica Brasileira, Vol.52, No.5, pp.356-359, 2006.
  23. 서순림, 조인희, "혈액투석 환자의 스트레스와 수용이 사회심리적 적응과 삶의 질에 미치는 영향," 한국콘텐츠학회논문지, 제14권, 제11호, pp.829-837, 2014.
  24. 김옥수, 혈액투석 환자가 지각하는 사회적 지지와 삶의 질과의 관계 연구, 서울대학교 대학원, 석사학위논문, 1993.
  25. 방활란, 말기 신 질환자의 삶의 질 측정도구 개발, 서울대학교 대학원, 석사학위논문, 1991.
  26. 조윤희, 혈액투석 환자의 삶의 질 영향요인, 공주대학교 대학원, 석사학위논문, 2016.
  27. S. Cobb, "Social support as a moderator of life stress," Psychosomatic medicine, Vol.38, No.5, pp.300-314, 1976.
  28. 강현숙, 혈액투석 환자의 내.외적 통제의 성격과 삶의 질과 관계 연구, 연세대학교 대학원, 박사학위논문, 1990.
  29. 김주현, 혈액투석 환자에게 적용한 지시적 심상요법의 효과, 서울대학교 대학원, 박사학위논문, 1995.
  30. 장미영, 혈액투석 환자의 자기 효능감과 건강관련 강인성과 이행과의 관계, 서울대학교 대학원, 석사학위논문, 1996.
  31. 송미령, 혈액투석환자의 자가간호를 위한 자기효능증진 프로그램 개발 및 효과, 서울대학교 대학원, 박사학위논문, 1990.
  32. 조미경, 최명애, 목표달성이론에 근거한 건강계약 중재가 혈액투석환자의 자가간호행위와 생리적 지표에 미치는 영향, 한국간호과학회 학술대회, Vol.2008, No.10, 2008.
  33. 박현영, "여성 건강지표, 한국의 미래를 말하다," 보건복지포럼, 제235권, pp.1-3, 2016.
  34. 손연정, 박영례, "만성질환자의 가족지지, 자기효능감 및 자가간호수행간의 관계," 성인간호학회지, 제17권, 제5호, pp.793-801, 2005.
  35. P. R. Santos, "Relationship between gender and age with quality of life in chronic hemodialysis patients," Revista da Associacao Medica Brasileira, Vol.52, No.5, pp.356-359, 2006.
  36. E. Nemati and M. Motalebi, "The Gender Effect of Health-Related Quality of Life in Hemodialysis Patients," Nephro-urology monthly, Vol.6, No.1, 2014.
  37. J. E. Cha and M. S. Yi, "The Influence of Cognitive Coping on Hope, Depression and Satisfaction with Life in Hemodialysis Patients," Korean Journal of Adult Nursing (Korean J Adult Nurs), Vol.25, No.4, pp.389-399, 2013.
  38. M. K. Kang, S. M. Kang, and S. Y. Kim, "Moderating Roles of Public Services in the Quality of Life of Hemodialysis Patients within the Context of Social Support," Journal of the Korea Contents Association, Vol.13, No.11, pp.277-287, 2013.
  39. C. E. Ferrans and M. J. Powers, "Quality of life index: development and psychometric properties," Advances in nursing science, Vol.8, No.1, pp.15-24, 1985.
  40. J. E. Cha and M. S. Yi, "Relationships between Treatment Belief, Personal Control, Depressive Mood and. Health-related Quality of Life in Patients with Hemodialysis," Korean Journal of Adult Nursing (Korean J Adult Nurs), Vol.26, No.6, pp.693-702, 2014.