Factors Associated With Self-Care Among Patients Receiving Hemodialysis: A Cross-Sectional Observational Study

2021 ◽  
pp. RTNP-D-20-00042
Author(s):  
Juhyun Lee ◽  
Dabok Noh
Keyword(s):  
Renal Disease ◽  
End Stage Renal Disease ◽  
Self Efficacy ◽  
Self Care ◽  
Middle Range Theory ◽  
Health Motivation ◽  
Middle Range ◽  
Range Theory ◽  
Stage Renal Disease ◽  
End Stage

Background and PurposeThe global increase in prevalence of individuals with end-stage renal disease is a rising concern. Self-care is an essential and important component of chronic disease management. Poor self-care in patients receiving hemodialysis is associated with an increased risk of mortality and hospitalization. This study aimed to identify predictive factors for self-care in patients receiving hemodialysis based on a middle-range theory of self-care for chronic illness.MethodsAdult patients with end-stage renal disease receiving hemodialysis were recruited at an artificial kidney unit in a general hospital. Data from 131 patients were analyzed. Self-report questionnaires assessed hemodialysis-related knowledge, health motivation, self-efficacy, social support, access to care, and self-care.ResultsParticipants who had a family caregiver showed significantly higher selfcare scores than those who did not, and self-care scores were higher in patients who reported hypertension as a causal disease of end-stage renal disease than in those who did not. Self-care was significantly correlated with knowledge, health motivation, self-efficacy, social support, and access to care. The study’s regression model showed that self-efficacy, health motivation, and knowledge were predictive variables influencing self-care, and the explanatory power of this model was 55.9%.Implications for PracticeThe results support the middle-range theory of self-care for chronic illness. Strategies and education to improve self-efficacy, health motivation, and knowledge must be incorporated when designing self-care programs. Nursing interventions that patients can participate in with their family members might facilitate improving self-care.

scholarly journals 'It's hard to ask': Examining the factors influencing decision-making amongst end-stage renal disease patients considering asking friends and family for a kidney

2021 ◽  
Author(s):  
◽  
Merryn Anne Jones
Keyword(s):  
Decision Making ◽  
Health Literacy ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Self Efficacy ◽  
Kidney Donation ◽  
Health Board ◽  
Living Kidney Donation ◽  
Stage Renal Disease ◽  
End Stage

<p>Background: Organ donation is an important facet of healthcare delivery in New Zealand, with donation often leading to an increased quality of life for recipients, and a reduction in healthcare costs for the community. People who require new organs have limited options in regards to organ access: they can receive organs from deceased donors, or if a kidney is not volunteered, they might ask someone to donate. For those that choose to ask someone to donate an organ, one barrier that is sometimes voiced is that it is hard to ask family and friends to donate. This project sought to explore the issues surrounding asking for an organ by end-stage renal disease (ESRD) patients, in order to gain a better understanding of the decision-making process and motivations of patients as they choose or decline to approach others for a kidney.  Methods: Participants were recruited from patients with ESRD through the Hawke’s Bay District Health Board. Potential participants were identified as being on the deceased donor list (DDL), or had family or friends being worked up for living kidney donation (LKD). Participants were interviewed and asked about the challenges of asking for a kidney, including such questions as: Who did they ask, and why? Who did they exclude, and why? How did they approach the request, and what were their reasons for asking in this way? Could they identify additional strategies which might have been useful to them, but were either not considered or unavailable? A qualitative descriptive approach was utilised to analyse interview data.  Results: Fifteen participants were interviewed, with most stating that it was hard to ask for a kidney and almost half having never approached anyone for a kidney. For many patients, being expected to recruit donors for LKD was a barrier in itself. Commonly identified themes indicate that recipients may be concerned for the health and wellbeing of their loved ones, or have limited recruitment opportunities, or poor health literacy or self-efficacy. Many Maori recipients stated they favoured a whanau approach to discussing transplant, and most recipients desired more support in order to facilitate approaching donors.  Conclusions: Findings suggest it would be useful to develop a screening tool assessing willingness and motivation to accept a living kidney donation along with self-efficacy, communication and health literacy levels prior to recipients initiating conversations with potential donors, in order to provide tailored support to the recipient with their initial approach. Additionally, psycho-social support could be offered to all recipients to help identify unmet needs or further barriers such as reciprocity or relationship concerns. Finally, closer communication between health professionals who provide care for the recipient, as well as positive media stories and campaigns that raise awareness of the need to transplant may create opportunities for LKD to be discussed within the recipient’s social network.</p>

scholarly journals 'It's hard to ask': Examining the factors influencing decision-making amongst end-stage renal disease patients considering asking friends and family for a kidney

2021 ◽  
Author(s):  
◽  
Merryn Anne Jones
Keyword(s):  
Decision Making ◽  
Health Literacy ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Self Efficacy ◽  
Kidney Donation ◽  
Health Board ◽  
Living Kidney Donation ◽  
Stage Renal Disease ◽  
End Stage

<p>Background: Organ donation is an important facet of healthcare delivery in New Zealand, with donation often leading to an increased quality of life for recipients, and a reduction in healthcare costs for the community. People who require new organs have limited options in regards to organ access: they can receive organs from deceased donors, or if a kidney is not volunteered, they might ask someone to donate. For those that choose to ask someone to donate an organ, one barrier that is sometimes voiced is that it is hard to ask family and friends to donate. This project sought to explore the issues surrounding asking for an organ by end-stage renal disease (ESRD) patients, in order to gain a better understanding of the decision-making process and motivations of patients as they choose or decline to approach others for a kidney.  Methods: Participants were recruited from patients with ESRD through the Hawke’s Bay District Health Board. Potential participants were identified as being on the deceased donor list (DDL), or had family or friends being worked up for living kidney donation (LKD). Participants were interviewed and asked about the challenges of asking for a kidney, including such questions as: Who did they ask, and why? Who did they exclude, and why? How did they approach the request, and what were their reasons for asking in this way? Could they identify additional strategies which might have been useful to them, but were either not considered or unavailable? A qualitative descriptive approach was utilised to analyse interview data.  Results: Fifteen participants were interviewed, with most stating that it was hard to ask for a kidney and almost half having never approached anyone for a kidney. For many patients, being expected to recruit donors for LKD was a barrier in itself. Commonly identified themes indicate that recipients may be concerned for the health and wellbeing of their loved ones, or have limited recruitment opportunities, or poor health literacy or self-efficacy. Many Maori recipients stated they favoured a whanau approach to discussing transplant, and most recipients desired more support in order to facilitate approaching donors.  Conclusions: Findings suggest it would be useful to develop a screening tool assessing willingness and motivation to accept a living kidney donation along with self-efficacy, communication and health literacy levels prior to recipients initiating conversations with potential donors, in order to provide tailored support to the recipient with their initial approach. Additionally, psycho-social support could be offered to all recipients to help identify unmet needs or further barriers such as reciprocity or relationship concerns. Finally, closer communication between health professionals who provide care for the recipient, as well as positive media stories and campaigns that raise awareness of the need to transplant may create opportunities for LKD to be discussed within the recipient’s social network.</p>

Adherence to Self-Care managements among patients with end stage renal disease at habib Ibn-Mudaher in Kerbala City

2018 ◽  
Vol 9 (8) ◽  
pp. 1057
Author(s):  
Ali Jabbar Abd Al-Husayn ◽  
Ali Kareem Al-Jubboori ◽  
Safi Alzeyadi ◽  
Hassan Abdullah Athbi ◽  
Selman Hussain Faris ◽  
...  
Keyword(s):  
Renal Disease ◽  
End Stage Renal Disease ◽  
Self Care ◽  
Stage Renal Disease ◽  
End Stage

Perceived self-efficacy, outcome expectancies, and negative mood states in end-stage renal disease.

1982 ◽  
Vol 91 (4) ◽  
pp. 241-244 ◽  
Author(s):  
Gerald M. Devins ◽  
Yitzchak M. Binik ◽  
Patricia Gorman ◽  
Miriam Dattel ◽  
Betty McCloskey ◽  
...  
Keyword(s):  
Renal Disease ◽  
End Stage Renal Disease ◽  
Self Efficacy ◽  
Negative Mood ◽  
Outcome Expectancies ◽  
Mood States ◽  
Efficacy Outcome ◽  
Negative Mood States ◽  
Stage Renal Disease ◽  
End Stage

scholarly journals Gambaran Efikasi Diri Pasien yang Menjalani Hemodialisis

2021 ◽  
Vol 21 (1) ◽  
pp. 434
Author(s):  
Devia Putri Lenggogeni ◽  
Hema Malini ◽  
Rika Fatmadona ◽  
Ega Silvia Roza
Keyword(s):  
Renal Disease ◽  
End Stage Renal Disease ◽  
Self Efficacy ◽  
Sampling Technique ◽  
Self Management ◽  
Efficacy Assessment ◽  
The Mean ◽  
Stage Renal Disease ◽  
End Stage ◽  
Age Range

Self-efficacy is an individual's perception of their ability in carrying out of action. Self- efficacy is required by end-stage renal disease patients undergoing hemodialysis to be able to carry out good self-management. This research was using a descriptive design. The number of samples used in this study amounted to 63 people. Sampling was done by consecutive sampling technique. Data was collected by using Chronic Kidney Disease Self Efficacy (CKD-SE) questionnaire. Based on this study was known that the largest age range is 41-60 years (66,7%), the most respondent is male (60.3%), the most respondent is still working (61.9%), the most etiology of end stage renal disease is hypertensive renal disease (52.4%),  the highest education of respondents is senior high school (47.6%), duration hemodialysis is < 12 months (71.4%). The mean score of self-efficacy was 72.25. The highest sub-variable of self-efficacy is autonomy which a mean score 23.51. Self-efficacy assessment using CKD-SE can be used in patients undergoing hemodialysis. Knowing self-efficacy can help a nurse to educate patients, so that will improve self-management patients undergoing hemodialysis.

scholarly journals Illness Beliefs in End Stage Renal Disease and Associations with Self-Care Modality Choice

PLoS ONE ◽  
2016 ◽  
Vol 11 (7) ◽  
pp. e0154299 ◽  
Author(s):  
Anuradha Jayanti ◽  
Philip Foden ◽  
Alison Wearden ◽  
Sandip Mitra
Keyword(s):  
Renal Disease ◽  
End Stage Renal Disease ◽  
Self Care ◽  
Illness Beliefs ◽  
Stage Renal Disease ◽  
End Stage
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