Factors Affecting Self-care Performance in Hemodialysis Patients: Based on the Theory of Unpleasant Symptoms

혈액투석환자의 자가간호수행 영향요인 : 불쾌증상이론을 기반으로

  • 최은영 (중앙대학교 적십자간호대학) ;
  • 박경숙 (중앙대학교 적십자 간호대학) ;
  • 이현숙 (경동대학교 간호대학)
  • Received : 2019.04.15
  • Accepted : 2019.06.20
  • Published : 2019.06.28


The purpose of this study was to identify factors associated with self-care performance in hemodialysis patients based on the unpleasant symptom theory. Data were collected from 237 patients at five hemodialysis clinics in Seoul from March to April 2018. The results were evaluated by the SPSS/WIN 21.0 program. As a result, Self-care performance was positively correlated with hope, family support and medical support, but negatively correlated with emotional symptom experience and physical symptom experience. In multiple step regression analysis, family support, emotional symptom, and hope were independently associated with self-care performance, and the regression model explained 33.2% of the variances predicting self-care performance. The independent factors associated with self-care performance were family support, emotional symptom, and hope. Therefore, self-care performance may be improved by applying the hope program for the patient and the family.


Self Care;Symptom;Depression;Hope;Social support

Table 1. Symptom Experience and Self Care performance according to General Characteristics

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Table 2. Descriptive Statistics of Measured Variables

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Table 3. Symptom Experience of Subjects by Domain

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Table 4. Correlations among the Measured Variables

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Table 5. Variables Predicting Self-Care Performance

OHHGBW_2019_v10n6_381_t0005.png 이미지


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