J Korean Clin Nurs Res.  2023 Apr;29(1):135-145. 10.22650/JKCNR.2023.29.1.135.

The Impact of Symptom Experience and Self-Care Agency on Quality of Life in Patients with Hemodialysis

• Lee HN
• Sim JH

• KMID: 2549589
• DOI: http://doi.org/10.22650/JKCNR.2023.29.1.135

Abstract

Purpose
This was a descriptive study investigating the effect of symptom experience and self-care agency on quality of life among patients with stage 5 chronic kidney disease undergoing regular hemodialysis.
Methods
The participants were recruited from one general hospital and two private hospitals located in J city. 154 participated and completed structured questionnaires from June 30 to July 18, 2022. The data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Scheffé test, Pearson’s correlation coefficient, and hierarchical multiple regression.
Results
The mean symptom experience score was 0.91±0.67 (out of 5), self-care agency was 4.19±0.71 (out of 6), and quality of life was 3.02±0.49 (out of 5). A negative correlation was found between quality of life and physical symptom experience (r=-.39, p<.001) and emotional symptom experience (r=-.39, p<.001). A positive correlation was found between quality of life and self-care agency (r=.66, p<.001). The regression analysis showed self-care agency (β=.48, p<.001), emotional symptom experience (β=-.27, p=.001), and monthly family income (β=.19, p=.002) significantly influenced quality of life, and explained 54.0% of the quality of life.
Conclusion
These results suggest to improve the quality of life among patients on hemodialysis, it is necessary to assess and intervene with emotional symptom experiences and develop effective programs with specific strategies to enhance self-care agency.

Keyword

Renal Dialysis; Symptoms; Self-Care; Quality of Life