Korean J Health Promot.  2020 Mar;20(1):24-32. 10.15384/kjhp.2020.20.1.24.

Relationships among Family Support, Medical Staff Support, Sick Role Behavior and Physiological Indicators in Hemodialysis Patients

• Chae YR
• Kang HY
• Lee SH
• Jo YM
• Koo HJ

• KMID: 2502695
• DOI: http://doi.org/10.15384/kjhp.2020.20.1.24

Abstract

Background
Family support and medical staff support of hemodialysis patients are related to sick-role behavior, and sick-role behavior is related to physiological indicators such as interdialytic weight gain and control of potassium and phosphorus in the blood.
Methods
The subjects were 139 hemodialysis patients. Data were collected on demographic and disease- related characteristics, social support (family support and medical staff support), sick-role behavior, and physiological indicators (interdialytic weight gain, blood potassium, and blood phosphorus).
Results
Degrees of family support and medical staff support were both nearly 3.85 points, and sick-role behavior was 3.96 points. Family support (r=0.449, P<0.001) and medical staff support (r=0.421, P<0.001) were positively correlated with sick-role behavior, and sick-role behavior was inversely correlated with interdialytic weight gain (r=-0.218, P=0.010) and blood phosphorus (r=-0.170, P=0.045).
Conclusions
The higher the degree of family support and medical staff support, the higher the degree of sick-role behavior. In addition, the higher the level of sick-role behavior, the lower the physiological indicators of interdialytic weight gain and blood phosphorus. Therefore, in order to improve sick-role behavior and physiological indicators, it is necessary to develop and apply an enhanced intervention program through family support and medical staff support.

Keyword

Renal dialysis; Social support; Sick role; Physiology

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