J Korean Acad Nurs.  2017 Feb;47(1):14-24. 10.4040/jkan.2017.47.1.14.

Structural Equation Modeling of Self-Management in Patients with Hemodialysis

• Cha J

• KMID: 2425933
• DOI: http://doi.org/10.4040/jkan.2017.47.1.14

Abstract

PURPOSE
The purpose of this study was to construct and test a hypothetical model of self-management in patients with hemodialysis based on the Self-Regulation Model and resource-coping perspective.
METHODS
Data were collected from 215 adults receiving hemodialysis in 17 local clinics and one tertiary hospital in 2016. The Hemodialysis Self-management Instrument, the Revised Illness Perception Questionnaire, Herth Hope Index and Multidimensional Scale of Perceived Social Support were used. The exogenous variable was social context; the endogenous variables were cognitive illness representation, hope, self-management behavior, and illness outcome. For data analysis, descriptive statistics, Pearson correlation analysis, factor analysis, and structural equation modeling were performed.
RESULTS
The hypothetical model with six paths showed a good fitness to the empirical data: GFI=.96, AGFI=.90, CFI=.95, RMSEA=.08, SRMR=.04. The factors that had an influence on self-management behavior were social context (β=.84), hope and cognitive illness representation (β=.37 and β=.27) explaining 92.4% of the variance. Self-management behavior mediated the relationship between psychosocial coping resources and illness outcome.
CONCLUSION
This research specifies a more complete spectrum of the self-management process. It is important to recognize the array of clinical resources available to support patients' self-management. Healthcare providers can facilitate self-management through collaborative care and understanding the ideas and emotions that each patient has about the illness, and ultimately improve the health outcomes. This framework can be used to guide self-management intervention development and assure effective clinical assessment.

Keyword

Renal dialysis; Chronic disease; Health resources; Self-control; Health behavior

MeSH Terms

Adaptation, Psychological
Adult
Aged
Factor Analysis, Statistical
Female
Health Behavior
Hope
Humans
Male
Middle Aged
*Models, Theoretical
Renal Dialysis
*Self Care
Social Support
Surveys and Questionnaires
Young Adult

Figure

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  Figure 1 Hypothetical model.

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  Figure 2 Path diagram for the hypothetical model.

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