KMID : 0367020220340010051
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Journal of Korean Academic of Adult Nursing 2022 Volume.34 No. 1 p.51 ~ p.61
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The Effect of Uncertainty on the Physiological Indexes of Hemodialysis Patients: Serial Mediating Effects of Uncertainty Appraisal and Self-care Behavior
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Kim Mi-Kyung
Jang Eun-Hee
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Abstract
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Purpose: The purpose of this study was to examine the mediating effects of uncertainty appraisal and self-care behavior on uncertainty and the physiological indexes of hemodialysis patients.
Methods: This study used a descriptive correlation design. The participants were 140 patients receiving hemodialysis treatment. Data were collected from July 16 to August 20, 2020. Measurements included Mishel¡¯s uncertainty in illness scale, the uncertainty appraisal scale, and the self-care behavior scale. Data were analyzed using descriptive statistics. The mediating effects were verified by the bootstrapping method using the PROCESS macro for SPSS.
Results: The mean scores for uncertainty, uncertainty danger appraisal, uncertainty opportunity appraisal, and self-care behavior, respectively, 2.67¡¾0.42 (range 1~5), 1.34¡¾1.02, 2.17¡¾1.12 (range 0~5), 3.58¡¾0.45 (range 1~5). Uncertainty did not have a direct effect on physiological indexes. However, uncertainty opportunity appraisal and self-care behavior had serial mediating effects on the relationship between uncertainty and physiological indexes of serum phosphate and interdialytic weight gain.
Conclusion: To the control physiological indexes of hemodialysis patients, it is necessary to develop a nursing intervention program that can lower the this uncertainty and increase self-care behavior by considering uncertainty to be an opportunity.
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KEYWORD
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Renal dialysis, Uncertainty, Self care, Physiological indexes
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