Artikel ; Online: Predictors of Self-Management Behaviors After Discharge Among Unplanned Dialysis Patients.
The journal of nursing research : JNR
2023 Band 31, Heft 2, Seite(n) e267
Abstract: Background: Patients with unplanned dialysis must perform self-management behaviors to maintain their health in the community after discharge. Understanding the factors that predict the postdischarge self-management behaviors of patients with unplanned ... ...
Abstract | Background: Patients with unplanned dialysis must perform self-management behaviors to maintain their health in the community after discharge. Understanding the factors that predict the postdischarge self-management behaviors of patients with unplanned dialysis can assist nurses to implement appropriate discharge plans for this population. Purpose: This study was designed to predict the effects of uncertainty in illness, self-care knowledge, and social-support-related needs during hospitalization on the self-management behaviors of patients with unplanned dialysis during their first 3 months after discharge from the hospital. Methods: One hundred sixty-nine patients with unplanned dialysis from the nephrology department of a medical center in Taiwan were enrolled in this prospective study using convenience sampling. At hospital admission, demographic, uncertainty in illness, self-care knowledge, and social support information was collected using a structured questionnaire. Information on self-management behavior was collected at 3 months postdischarge when the patients visited outpatient clinics. Results: Hierarchical multiple regression analyses showed that self-care knowledge, uncertainty in illness, and social support were important predictors of self-management behaviors at 3 months postdischarge, explaining 65.6% of the total variance in self-management behaviors. Social support increased the variance in self-management behaviors by 27.9%. Conclusions/implications for practice: Comprehensive discharge planning to improve the postdischarge self-management behaviors of patients with unplanned dialysis should involve interventions to improve self-care knowledge, reduce uncertainty in illness, and increase social support. Building social support should be given priority attention. |
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Mesh-Begriff(e) | Humans ; Patient Discharge ; Prospective Studies ; Renal Dialysis/nursing ; Self-Management/psychology ; Male ; Female ; Middle Aged ; Aged ; Health Knowledge, Attitudes, Practice ; Taiwan ; Social Support ; Surveys and Questionnaires ; Regression Analysis |
Sprache | Englisch |
Erscheinungsdatum | 2023-04-01 |
Erscheinungsland | China (Republic : 1949- ) |
Dokumenttyp | Journal Article |
ZDB-ID | 2277010-0 |
ISSN | 1948-965X ; 1682-3141 |
ISSN (online) | 1948-965X |
ISSN | 1682-3141 |
DOI | 10.1097/jnr.0000000000000523 |
Datenquelle | MEDical Literature Analysis and Retrieval System OnLINE |
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