篇名 | Predictors of Self-Management Behaviors After Discharge Among Unplanned Dialysis Patients |
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卷期 | 31:2 |
作者 | Yu-Yin KAO 、 Chien-Te LEE 、 Ruey-Hsia WANG |
頁次 | 006-006 |
關鍵字 | unplanned dialysis 、 uncertainty in illness 、 self-care knowledge 、 social support 、 self-management behaviors 、 MEDLINE 、 Scopus 、 SSCI 、 TSCI 、 TSSCI 、 SCIE |
出刊日期 | 202304 |
DOI | 10.1097/jnr.0000000000000523 |
Background: Patients with unplanned dialysis must perform self-management behaviors tomaintain their health in the community after discharge. Understanding the factors that predict the postdischarge self-management behaviors of patients with unplanned dialysis can assist nurses to implement appropriate discharge plans for this population. Purpose: This study was designed to predict the effects of uncertainty in illness, self-care knowledge, and social-supportrelated needs during hospitalization on the self-management behaviors of patients with unplanned dialysis during their first 3 months after discharge from the hospital. Methods: One hundred sixty-nine patientswith unplanned dialysis from the nephrology department of a medical center in Taiwan were enrolled in this prospective study using convenience sampling. At hospital admission, demographic, uncertainty in illness, self-care knowledge, and social support information was collected using a structured questionnaire. Information on self-management behavior was collected at 3 months postdischarge when the patients visited outpatient clinics. Results: Hierarchical multiple regression analyses showed that self-care knowledge, uncertainty in illness, and social support were important predictors of self-management behaviors at 3 months postdischarge, explaining 65.6% of the total variance in self-management behaviors. Social support increased the variance in self-management behaviors by 27.9%. Conclusions/Implications for Practice: Comprehensive discharge planning to improve the postdischarge self-management behaviors of patients with unplanned dialysis should involve interventions to improve self-care knowledge, reduce uncertainty in illness, and increase social support. Building social support should be given priority attention.