J Korean Acad Fundam Nurs.  2019 Feb;26(1):23-31. 10.7739/jkafn.2019.26.1.23.

Factors Influencing Sick Role Behavior Compliance in Patients on Hemodialysis

Affiliations
  • 1Kidney Center, Chonnam National University Hospital, Gwangju, Korea.
  • 2Department of Nursing, Honam University, Gwangju, Korea. basic11@honam.ac.kr

Abstract

PURPOSE
This study was a descriptive survey research to identify the factors that influence sick role behavior compliance in patients on hemodialysis.
METHODS
Structured surveys were used to collect data from 170 patients who are on hemodialysis three times a week through outpatient care at a university hospital located in G City using tools measuring resilience, family support, and sick role behavior compliance. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson's correlation coefficient, and Stepwise multiple linear regression.
RESULTS
The results showed that factors that influenced sick role behavior compliance in the subjects were in the order of family support (β=.27, p < .001), age (β=.27, p < .001), and resilience (β=.23, p=.003). Resilience, family support, and sick role behavior compliance were positively correlated. Factors influencing hemodialysis patients' sick role behavior compliance included family support, age, and resilience. These variables explained 30.2% of the variance in sick role behavior compliance.
CONCLUSION
Based on these results, care intervention and the development of a training program that involves family in the treatment plan and process to support and encourage patients are needed to increase the sick role behavior compliance in patients on hemodialysis.

Keyword

Renal dialysis; Sick role; Patient compliance; Resilience; Support

MeSH Terms

Ambulatory Care
Compliance*
Education
Humans
Linear Models
Patient Compliance
Renal Dialysis*
Sick Role*
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