J Korean Clin Nurs Res.  2024 Aug;30(2):157-165. 10.22650/JKCNR.2024.30.2.157.

Effects of Food Craving, Patient Activation, and Family Support on Dietary Self-Care in Hemodialysis Patients

• Kang MS
• Bae EJ

• KMID: 2559325
• DOI: http://doi.org/10.22650/JKCNR.2024.30.2.157

Abstract

Purpose
This study aimed to identify the effect of food craving, patient activation, and family support on dietary self-care performance in hemodialysis patients. The study will provide baseline data for developing nursing interventions to improve hemodialysis patients' dietary self-care.
Methods
The data was collected from 132 patients who regularly underwent outpatient hemodialysis between October 26 and November 12, 2022. Frequency and percentage, mean and standard deviation, independent t-test, one-way ANOVA, Scheffé test, Pearson's correlation coefficient, and multiple regression analysis were used to analyze the data, and all analyses were performed using SPSS 27.0.
Results
The average scores of the main variables were 39.55±7.42 for food craving, 77.37±10.50 for patient activation, 63.62±11.72 for family support, and 38.21±5.54 for dietary self-care. The factors affecting the dietary self-care were age (β=.36, p<.001), family support (β=.36, p<.001), and patient activation (β=.20 p=.007). The total explanatory power of all variables was 34.0% (F=18.20, p<.001).
Conclusion
Based on these results, it is necessary to consider the characteristics of age and improve the level of family support and patient activation when developing programs to improve dietary self-care in hemodialysis patients.

Keyword

Renal Dialysis; Diet; Self Care; Patient Participation; Family Support