This study has attempted to identify the relating factors and adaptive state among hemodialysis patients, in order to provide baseline data for effective nursing.
The survey was based on data of 86 patients collected through the guestionnaires including personal characteristic, stressor, health locus of control, self-esteem and through chart review of the interdialysis wt. gain, predialysis Na^(+), K^(+), BUN level by specialized hemodialysis nurse.
The survey was performed from Feb. 25th to Mar. 20th, 1989 at three general hospital and a hemodialysis clinic in Taejon area.
The results were analyzed by spss-x computer progrem and summerized as follows：
1. The cronbach’s alpha reliability test among measurement tools were as follows：
The cronbach’s alpha＇of stress scale is 0.9038, health locus of control is 0.6818 and self-esteem is 0.6047.
2. The results of adaptive state among hemodialysis patients were as follows：
The interdialysis average wt. gain is 2.46kg, average predialysis Na^(+), level is 138.41mEq/L average predial7.y ´sis K^(+) level is 5.1mEq/L and average predialysis BUN level is 75.95mg％.
3. There was not significant relationship between total stressor(physical & psychosocial) and physical adaptive state(interdialysis wt. gain, predialysis Na^(+), K^(+) and BUN level) (P>.05).
There was significant negative relationship between total stressor and self-esteem(psychological adaptive state) (r=-0.4939, P<.001).
4. a)There were not significant differences in the physical adaptive state(interdialysis wt. gain, predialysis Na^(+) K^(+) and BUN level) and psychological adaptive state(self-esteem) according to age, education level and occupation (P>.05).
b) There was significant difference in the interdialysis wt. gain according to partner helping (P<.05).
c) There was significant difference in the predialysis Na^(+) level according to religion and marital state (P<.05).
d) There was significant difference in the predialysis K^(+) level according to parent helping (P<.05).
e) There was significant difference in the predialysis BUN level according sex, hemodialysis period and partner helping (P<.05).
f) There was significant difference in the self-esteem according to monthly income (P<.05).
5. There was significant negative relationship between health locus external-control and self-esteem (r=-0.2514, P<.05).
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