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

Figures & data

Table 1 Differences Of Self-Care Compliance According To Socioeconomic And Disease-Related Characteristics

Characteristics	Categories	n(%)	Self-Care Compliance	t/F (p)
			M±SD
Gender	Male	97(63.8)	75.02±14.01	−1.54(0.125)
	Female	55(36.2)	78.83±15.66
Age(year)	≤39	19(12.5)	77.21±3.95	1.78(0.153)
	40–49	40(26.3)	77.15±12.35
	50–59	49(32.2)	79.14±15.40
	≥60	44(28.9)	72.31±17.96
	Range(year)=20~79. Mean ± SD=53.28±11.17
Marital status	Single	41(27.0)	75.92±11.66	0.19(0.826)
	Married	98(64.5)	76.86±15.28
	Others	13(8.5)	74.38±19.21
Educational level	≤Elementary^a	18(11.8)	68.66±8.97	3.08(0.029)
	Middle school^b	20(13.2)	75.05±24.05
	High school^c	67(44.0)	76.00±12.58
	≥College^d	47(41.0)	80.51±13.01
	Scheffe test (a, b, c, d)			a<d
Religion	Yes	78(51.3)	73.96±15.35	−2.12(0.035)
	No	74(48.7)	78.97±13.61
Employment status	Employed	55(36.2)	79.03±15.94	1.84(0.047)
	Unemployed	97(63.8)	74.58±13.57
Monthly household income(10,000won)	≤200	91(59.9)	74.13±14.12	−2.36(0.020)
	≥201	61(40.1)	79.79±15.00
Regular exercise	Do	62(40.8)	79.03±15.94	1.84(0.051)
	Do not	90(59.2)	74.58±13.57
Hemodialysis periods (year)	≤3	50(32.9)	74.34±17.36	0.96(0.386)
	4~6	45(29.6)	78.51±13.04
	≥7	57(37.5)	76.54±13.29
	Range(month)=3~322, Mean ± SD=81.26±70.01
Hemodialysis frequency/week	1–2 times	7(4.6)	74.42±12.94	−0.41(0.925)
	3 times	145(95.4)	76.49±14.81
History of kidney transplantation	Yes	14(9.2)	74.42±10.49	0.01(0.271)
	No	138(90.8)	76.39±15.06
Type of vascular access	Arteriovenous fistula	146(96.1)	74.49±14.85	0.32(0.611)
	Arteriovenous Graft	6(3.9)	74.50±11.00

Table 2 Self-Care Compliance, Uncertainty, Depression And Social Support In Hemodialysis (N=152)

Variables		n(%)	M±SD	Range
Self-care Compliance	Dietary knowledge of hemodialysis		20.86±5.07	4–28
	Knowledge of hemodialysis		19.19±4.97	4–28
	Compliance with hemodialysis		17.28±3.44	4–28
	Dietary compliance with hemodialysis		14.73±4.11	4–24
	Compliance with hemodialysis order		9.61±2.70	4–12
	Total		76.40±14.70	30–120
Uncertainty			90.00±11.63	33–165
Depression	None	13(8.6)	13.05±4.85	0–27
	Mild	43(28.3)
	Moderate	88(57.8)
	Severe	8(5.3)
Social Support			44.19±9.08	12–60

Table 3 Correlations Between Self-Care Compliance, Uncertainty, Depression And Social Support In Hemodialysis (N=152)

Variables	Self-Care Compliance						Uncertainty	Depression
	Total	DKH	KH	CH	DCH	CHO
	r(p)	r(p)	r(p)	r(p)	r(p)	r(p)	r(p)	r(p)
Uncertainty	−0.25(0.002)	−0.21(0.007)	−0.30(<0.001)	0.16(0.055)	−0.22(0.006)	−0.180.021)	–
Depression	−0.30(<0.001)	−0.38(<0.001)	−0.27(0.001)	0.09(0.292)	−0.25(0.002)	−0.17(0.034)	0.31(<0.001)	–
Social Support	0.32(<0.001)	0.34(<0.001)	0.25(0.002)	−0.09(0.227)	0.33(<0.001)	0.34(<0.001)	−0.29(<0.001)	−0.29(0.002)

Abbreviations: DKH, Dietary knowledge of hemodialysis; KH, Knowledge of hemodialysis; CH, Compliance with Hemodialysis; DCH, Dietary compliance of hemodialysis; CHO, Compliance of hemodialysis order.

Table 4 The Influencing Factors On Self-Care Compliance (N=152)

Variables	Model 1					Model 2
	B	SE	β	t	p	B	SE	β	t	p
(Constant)	74.43	3.32		22.34	<0.001	74.47	12.51		5.97	<0.001
Educational level	1.58	2.66	0.05	0.59	0.554	−0.59	2.62	−0.02	−0.23	0.822
Religion^§	−3.65	2.19	−0.13	−1.67	0.098	−3.51	2.10	−0.12	−1.67	0.097
Employment status	11.52	2.33	0.38	4.93	<0.001	10.68	2.23	0.35	4.67	<0.001
Household income^§	−0.2.52	2.33	−0.08	−1.08	0.281	−0.89	2.32	0.03	−0.38	0.701
Uncertainty						−0.11	0.09	−0.08	−1.08	0.280
Depression						−0.32	0.27	−0.10	−1.10	0.244
Social Support						0.33	0.13	0.20	2.50	0.013
R^2	20.3					28.4
Adj R^2	18.1					24.9
F	9.37					8.15
p	<0.001					<0.001

Notes: ^§Dummy Variable: Education-≤middle school(1), ≥High School(0); Religion-Yes(1), No(0); Occupation-Yes(1), No(0); Family income- ≤200(1), ≥201(0).

Abbreviations: SE, Standard error; Adj, Adjusted.