Korean J Adult Nurs.  2019 Apr;31(2):123-135. 10.7475/kjan.2019.31.2.123.

Factors related to Family Support for Hemodialysis Patients: A Systematic Review and Meta-analysis

Affiliations
  • 1Professor, College of Nursing, Kangwon National University, Chuncheon, Korea.
  • 2Doctoral Student, Graduate School, College of Nursing, Kangwon National University, Chuncheon, Korea. baezzang1224@hanmail.net
  • 3Nurse, Namyangju Taeam Clinic, Namyangju, Korea.

Abstract

PURPOSE
This study was conducted to explore the factors related to family support for hemodialysis patients.
METHODS
Preferred Reporting Items Systematic Reviews and Meta-Analysis (PRISMA) flow diagram was used to select 18 studies in Korea for systematic review and meta-analysis. The Effect Sizes of correlation coefficients (ESr) were determined through Fisher's Z transformation.
RESULTS
The systematic review revealed 31 factors that affect family support(including socio-economic and disease-specific factors) and 23 factors that are influenced by family support (including socio-psychological factors and physiological indicators). In the meta-analysis, 18 factors (10 socio-economic and disease-specific factors and 8 psychological factors and physiological indicators) were used. The socio-economic factors that significantly affected family support were type of medical insurance, perceived economic state, marital status, primary care giver, living together, family monthly income, education level, and job state. Disease-specific factors such as frequency of dialysis per week did not have a significant impact on family support. Family support had a positive influence over patients' self efficacy (ESr=.56), quality of life (ESr=.48), self-esteem(ESr=.42), fatigue (ESr=−.32), sick role behavior (ESr=.32), and depression (ESr=−.24).
CONCLUSION
This study showed that economic status and family characteristics of hemodialysis patients in Korea affect the level of family support that patients receive, and family support promotes patients' positive psychology and sick role behavior. The results of this study provide useful information in developing family support intervention programs for hemodialysis patients.


MeSH Terms

Depression
Dialysis
Education
Family Characteristics
Fatigue
Humans
Insurance
Korea
Marital Status
Primary Health Care
Psychology
Quality of Life
Renal Dialysis*
Self Efficacy
Sick Role

Figure

  • Figure 1 PRISMA flow for the study.

  • Figure 2 Schematic diagram of factors related to family support for hemodialysis patients.

  • Figure 3 Adjusted funnel plot of selected studies for effect size after Trim-and-Fill method.


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