Jang Hyung Suk, Lee Chang Suk, Yang Young Hee
Graduate School of Nursing, Dankook University, Cheonan, Korea.
Renal Unit, Dankook University Hospital, Cheonan, Korea.
J Korean Acad Nurs. 2015 Apr;45(2):271-9. doi: 10.4040/jkan.2015.45.2.271.
This study was done to examine the relation of uncertainty, uncertainty appraisal, and self-management in patients undergoing hemodialysis, and to identify factors influencing self-management.
A convenience sample of 92 patients receiving hemodialysis was selected. Data were collected using a structured questionnaire and medical records. The collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlations and multiple regression analysis with the SPSS/WIN 20.0 program.
The participants showed a moderate level of uncertainty with the highest score being for ambiguity among the four uncertainty subdomains. Scores for uncertainty danger or opportunity appraisals were under the mid points. The participants were found to perform a high level of self-management such as diet control, management of arteriovenous fistula, exercise, medication, physical management, measurements of body weight and blood pressure, and social activity. The self-management of participants undergoing hemodialysis showed a significant relationship with uncertainty and uncertainty appraisal. The significant factors influencing self-management were uncertainty, uncertainty opportunity appraisal, hemodialysis duration, and having a spouse. These variables explained 32.8% of the variance in self-management.
The results suggest that intervention programs to reduce the level of uncertainty and to increase the level of uncertainty opportunity appraisal among patients would improve the self-management of hemodialysis patients.
本研究旨在探讨血液透析患者的不确定性、不确定性评估与自我管理之间的关系，并确定影响自我管理的因素。
选取92例接受血液透析的患者作为便利样本。使用结构化问卷和医疗记录收集数据。采用SPSS/WIN 20.0程序对收集的数据进行描述性统计、t检验、方差分析、Pearson相关性分析和多元回归分析。
参与者表现出中等程度的不确定性，在四个不确定性子领域中，模糊性得分最高。不确定性危险或机会评估得分低于中点。发现参与者在饮食控制、动静脉内瘘管理、运动、用药、身体管理、体重和血压测量以及社交活动等方面进行高水平的自我管理。血液透析患者的自我管理与不确定性和不确定性评估存在显著关系。影响自我管理的显著因素是不确定性、不确定性机会评估、血液透析时长和有配偶。这些变量解释了自我管理中32.8%的方差。
结果表明，旨在降低患者不确定性水平并提高不确定性机会评估水平的干预项目将改善血液透析患者的自我管理。
