J Korean Acad Nurs.  2018 Dec;48(6):731-742. 10.4040/jkan.2018.48.6.731.

Structural Equation Modeling of Self-Care Behaviors in Kidney Transplant Patients Based on Self-Determination Theory

• Jeong HW
• So HS

• KMID: 2430599
• DOI: http://doi.org/10.4040/jkan.2018.48.6.731

Abstract

PURPOSE
The purpose of this study was to test a hypothesis explaining direct and indirect relationships among the factors affecting self-care behaviors of kidney transplant patients, based on self-determination theory.
METHODS
Data were collected from 222 outpatients with kidney transplantation. The endogenous and exogenous variables of the hypothetical model consisted of healthcare provider's autonomy support, duration after kidney transplantation, basic psychological need satisfaction, autonomous and controlled motivation, depression, and self-care behaviors. Collected data were analyzed using SPSS/WIN 24.0 and AMOS 24.0.
RESULTS
The hypothetical model demonstrated a good fit: RMSEA=.06, SRMR=.04, TLI=.94, CFI=.97. Statistically significant explanatory variables for the self-care behaviors of kidney transplant patients were duration after transplantation and basic psychological need satisfaction. Healthcare provider's autonomy support was indirectly significant, while autonomous motivation, controlled motivation and depression were not statistically significant for self-care behaviors. The variables accounted for 59.5% of the self-care behaviors of kidney transplant patients.
CONCLUSION
It is necessary to develop an autonomy support program for healthcare providers to enhance the self-care behaviors of kidney transplant patients. Preventing the deterioration of self-care behaviors will be possible by conducting this program at one year and six years post-transplantation. In addition, the results suggest the need to developing personalized autonomy support programs for healthcare providers that can meet the basic psychological need satisfaction of kidney transplant patients.

Keyword

Kidney Transplantation; Self-Care; Health Behavior; Motivation

MeSH Terms

Delivery of Health Care
Depression
Health Behavior
Health Personnel
Humans
Kidney Transplantation
Kidney*
Motivation
Outpatients
Self Care*

Figure

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  Figure 1. The conceptual framework of this study.

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  Figure 2. Path diagram for the final model.

Reference

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