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      Influence Of Uncertainty, Depression, And Social Support On Self-Care Compliance In Hemodialysis Patients

      1 , 2

      Therapeutics and Clinical Risk Management


      self care, social support, uncertainty, renal dialysis

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          This study was conducted to examine the associations among uncertainty, depression, social support, and self-care compliance in patients undergoing hemodialysis, and to identify the factors influencing self-care compliance.


          A convenience sample of 152 patients receiving hemodialysis was selected. Data were analyzed using descriptive statistics, independent t-test, ANOVA, Pearson correlations, and hierarchical regression analysis with the SPSS 23.0 program.


          Participants performed a moderate level of self-care consisting of factors such as knowledge of hemodialysis, dietary knowledge of hemodialysis, dietary compliance with hemodialysis, and compliance with hemodialysis order. The self-care compliance of participants undergoing hemodialysis showed a significant relationship with depression, uncertainty, and social support. The factors significantly influencing self-care compliance were social support and occupation. These variables explained 24.9% of the variance in self-care compliance.


          Findings from this study confirmed that uncertainty, depression, and social support are major factors affecting self-care compliance, and that the higher the patients’ uncertainty, the lower their self-care compliance. Thus, interventions should be performed to reduce uncertainty and to improve self-care through accurate information and education on disease progression and self-care.

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          Most cited references 34

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          Perceived uncertainty and stress in illness.

           M H Mishel (1984)
          A structural model was proposed to explain the stress resulting from hospitalization for a medical problem. Perceived uncertainty about symptoms, treatment, and outcome was examined as a major predictor of stress. Other variables proposed in the model included seriousness of illness, age, education, and recency of rehospitalization. Testing of the model with hospitalized medical patients indicated support for the relationship of uncertainty to stress. Uncertainty also had the predicted mediating role between seriousness of illness and stress. The only other variable supporting the proposed model was age which related inversely to stress. Much of the unexplained variance in the model is attributed to the heterogeneity of diagnoses in the sample. Suggestions for future testing of the model are presented.
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            • Article: not found

            The measurement of uncertainty in illness.

             M H Mishel (2015)
            The purpose of this investigation was to explore the role of uncertainty as a significant variable influencing patients' experiences in illness, treatment, and hospitalization. A theory was proposed on uncertainty in illness. Based upon this conceptualization, a 30-item scale tapping the uncertainty in symptomatology, diagnosis, treatment, relationship with care-givers, and planning for the future was developed. The Mishel Uncertainty in Illness Scale (MUIS) was factor analyzed and two factors were extracted from the data. Replication of the factor analysis provided support for the robustness of each factor. The reliability coefficient for each factor of the MUIS was highly adequate for both the initial and replication analyses. Three validation studies were conducted. Initial support for construct validity of the scale was demonstrated by the finding that the MUIS discriminates between treatment groups according to expected differences. Support for theoretical predictions was evidenced by the significant correlation between the MUIS and stress as measured by the Hospital Stress Events Scale. Convergent validity was supported by the finding that the MUIS correlates significantly with lack of comprehension.
              • Record: found
              • Abstract: not found
              • Article: not found

              Parents?? Perception of Uncertainty Concerning Their Hospitalized Child

               MERLE MISHEL (1983)

                Author and article information

                Ther Clin Risk Manag
                Ther Clin Risk Manag
                Therapeutics and Clinical Risk Management
                22 October 2019
                : 15
                : 1243-1251
                [1 ]Eumseong Support Center for Foreign Workers , Eumseong-Gun, Chungcheongbuk-Do 27703, Republic of Korea
                [2 ]Department of Nursing, Daejeon University , Dong-Gu, Daejeon 300-716, Republic of Korea
                Author notes
                Correspondence: Jihyun Kim Department of Nursing, Daejeon University , 62 Daehak-ro, Dong-gu, Daejeon300-716, Republic of KoreaTel +82-42-280-4651Fax +82-42-280-2785 Email jheyelin@dju.kr
                © 2019 Kim and Kim.

                This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License ( http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms ( https://www.dovepress.com/terms.php).

                Page count
                Tables: 4, References: 43, Pages: 9
                Original Research


                renal dialysis, uncertainty, social support, self care


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