Korean J Adult Nurs.  2014 Dec;26(6):693-702. 10.7475/kjan.2014.26.6.693.

Relationships between Treatment Belief, Personal Control, Depressive Mood and Health-related Quality of Life in Patients with Hemodialysis

• Cha J
• Yi M

• KMID: 2298159
• DOI: http://doi.org/10.7475/kjan.2014.26.6.693

Abstract

PURPOSE
The purpose of this study was to examine the relationships between treatment belief, personal control, depressive mood, and health-related quality of life in patients with hemodialysis based on self-regulation theory.
METHODS
Data were collected from 220 patients at 27 local hemodialysis clinics in Seoul during 2013 and 2014. The Revised Illness Perception Questionnaire, the Hospital Anxiety and Depression Scale, and Medical Outcomes Study Short Form-12 were used to measure outcome variables. Data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson correlation, and multiple regression using the 'enter' method.
RESULTS
Treatment belief and personal control scored 3.58 and 3.54 out of 5 points respectively, on average. Treatment belief and personal control of kidney disease were negatively correlated with depressive mood and positively correlated with health-related quality of life. According to the regression analysis, treatment belief, monthly income, and personal control were discovered to account for 21.8% of the variance in depressive mood, where as depressive mood, monthly income, treatment belief, and age were found out to account for 40.6% of the variance in health-related quality of life.
CONCLUSION
Our study demonstrated significant positive relationships between treatment belief and illness outcome in hemodialysis patients. Interventions aimed to provide the necessary information and trust to maximize the effectiveness of treatment need be developed to improve patients outcomes.

MeSH Terms

Adaptation, Psychological
Anxiety
Cognition
Depression
Humans
Kidney Diseases
Quality of Life*
Renal Dialysis*
Seoul
Surveys and Questionnaires

Reference

1.Yun JH., Kang JM., Kim KS., Kim SH., Kim TH., Park YW, et al. Health-related quality of life in Korean patients with chronic diseases. Journal of Rheumatic Diseases. 2004. 11(3):263–74.

2.Weisbord S., Kimmel P., Cohen S. Quality of life in patients with end-stage renal disease treated with hemodialysis: Survival is not enough! Journal of Nephrology. 2008. 21:S54–8.

3.Kim SY. Treatment of depression in patients with ESRD. The Korean Journal of Nephrology. 2008. 27:1–3.

4.Chan R., Steel Z., Brooks R., Heung T., Erlich J., Chow J, et al. Psychosocial risk and protective factors for depression in the dialysis population: a systematic review and meta-regression analysis. Journal of Psychosomatic Research. 2011. 71(5):300–10. http://dx.doi.org/10.1016/j.jpsychores.2011.05.002.

5.Bodenheimer T., Lorig K., Holman H., Grumbach K. Patient self-management of chronic disease in primary care. The Journal of the American Medical Association. 2002. 288(19):2469–75. http://dx.doi.org/10.1001/jama.288.19.2469.

6.Leventhal H., Diefenbach M., Leventhal EA. Illness cognition: using common sense to understand treatment adherence and affect cognition interactions. Cognitive Therapy and Research. 1992. 16(2):143–63. http://dx.doi.org/10.1007/BF01173486.

7.Leventhal H., Leventhal EA., Contrada RJ. Self-regulation, health, and behavior: a perceptual-cognitive approach. Psychology and Health. 1998. 13(4):717–33. http://dx.doi.org/10.1080/08870449808407425.

8.Hagger MS., Orbell S. A meta-analytic review of the commonsense model of illness representations. Psychology and Health. 2003. 18(2):141–84. http://dx.doi.org/10.1080/088704403100081321.

9.O'Connor SM., Jardine AG., Millar K. The prediction of selfcare behaviors in end-stage renal disease patients using Le-venthal's Self-Regulatory Model. Journal of Psychosomatic Research. 2008. 65(2):191–200. http://dx.doi.org/10.1016/j.jpsychores.2008.02.008.

10.Moss-Morris R., Weinman J., Petrie K., Horne R., Cameron L., Buick D. The revised illness perception questionnaire (IPQ-R). Psychology and Health. 2002. 17(1):1–16. http://dx.doi.org/10.1080/08870440290001494.

11.Mason P., Butler CC. Health behavior change. Elsevier Health Sciences;2010. p. 11–40.

12.Choi EH. Structural equation modeling of health behaviors in patients with coronary artery disease based on the coping model of chronic illness. [dissertation]. Seoul: Seoul National University;2011. p. 1–107.

13.Seong YS., Lee YW. Relationship of illness perception, self-efficacy, and selfcare among pulmonary tuberculosis patients. Korean Journal of Adult Nursing. 2011. 23(1):31–9.

14.Cukor D., Cohen SD., Peterson RA., Kimmel PL. Psychosocial aspects of chronic disease: ESRD as a paradigmatic illness. Journal of the American Society of Nephrology. 2007. 18(12):3042–55. http://dx.doi.org/10.1681/ASN.2007030345.

15.Cha JE. Structural equation modeling of quality of life focused on the self-management process in patients with hemodialysis. [dissertation]. Seoul: Seoul National University;2014. p. 1–98.

16.The life options rehabilitation advisory council. Building quality of life: a practical guide to renal rehabilitation. [Internet]. Madison: Medical Education Institute;1997. [cited 2014 September 2]. Available from:. http://lifeoptions.org/catalog/pdfs/booklets/qualoflife.pdf.

17.Bartlett JE., Kotrlik JW., Higgins CC. Organizational research: Determining appropriate sample size in survey research appropriate sample size in survey research. Information Technology, Learning, and Performance Journal. 2001. 19(1):43–50.

18.Cochran WG. Sampling techniques. 3rd ed.New York: John Wiley & Son;1977. p. 72–88.

19.Chilcot J., Norton S., Wellsted D., Farrington K. The factor structure of the revised illness perception questionnaire (IPQ-R) in end-stage renal disease patients. Psychology, Health & Medicine. 2012. 17(5):578–88. http://dx.doi.org/10.1080/13548506.2011.647702.

20.Zigmond AS., Snaith RP. The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica. 1983. 67(6):361–70. http://dx.doi.org/10.1111/j.1600-0447.1983.tb09716.x.

21.Ware Jr JE., Kosinski M., Keller SD. A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Medical Care. 1996. 34(3):220–33.

22.Van Dijk S., Scharloo M., Kaptein AA., Thong MS., Boeschoten EW., Grootendorst DC, et al. Patients'representations of their end-stage renal disease: relation with mortality. Nephrology Dialysis Transplantation. 2009. 24(10):3183–5. http://dx.doi.org/10.1093/ndt/gfp184.

23.Timmers L., Thong M., Dekker FW., Boeschoten EW., Heijmans M., Rijken M, et al. Illness perceptions in dialysis patients and their association with quality of life. Psychology and Health. 2008. 23(6):679–90. http://dx.doi.org/10.1080/14768320701246535.

24.Fowler C., Baas LS. Illness representations in patients with chronic kidney disease on maintenance hemodialysis. Nephrology Nursing Journal. 2005. 33(2):173–4. 79-86.

25.Covic A., Seica A., Gusbeth-Tatomir P., Gavrilovici O., Goldsmith DJ. Illness representations and quality of life scores in haemodialysis patients. Nephrology Dialysis Transplantation. 2004. 19(8):2078–83. http://dx.doi.org/10.1093/ndt/gfh254.

26.Curtin RB., Mapes D., Petillo M., Oberley E. Long-term dialysis survivors: a transformational experience. Qualitative Health Research. 2002. 12(5):609–24. http://dx.doi.org/10.1177/104973202129120133.

27.Broadbent E., Petrie KJ., Main J., Weinman J. The brief illness perception questionnaire. Journal of Psychosomatic Research. 2006. 60(6):631–7. http://dx.doi.org/10.1016/j.jpsychores.2005.10.020.

28.Kim SR. Depression and anxiety in maintenance hemodialysis patients: a single center study. Kidney Research and Clinical Practice. 2010. 29:733–41.

29.Hallas CN., Wray J., Andreou P., Banner NR. Depression and perceptions about heart failure predict quality of life in patients with advanced heart failure. Heart & Lung: The Journal of Acute and Critical Care. 2011. 40(2):111–21. http://dx.doi.org/10.1016/j.hrtlng.2009.12.008.

30.Leventhal H., Weinman J., Leventhal EA., Phillips LA. Health psychology: The search for pathways between behavior and health. Annual Review of Psychology. 2008. 59:477–505. http://dx.doi.org/10.1146/annurev.psych.59.103006.093643.