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KMID : 0388320230300010001
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Journal of Korean Academy of Fundamental Nursing
2023 Volume.30 No. 1 p.1 ~ p.12
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Factors Affecting Quality of Life in Hemodialysis Patients
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Lim Kyung-Hee
Kwon Geum-Soon
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Abstract
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Purpose: The purpose of this study was to investigate factors affecting quality of life in hemodialysis patients.
Methods: In this descriptive study, the subjects were 127 hemodialysis patients at four dialysis clinics in Pusanand Daegu metropolitan cities. Data were analyzed with descriptive statistics, independent t-test, one-wayanalysis of variance, Pearson’s correlation coefficients, and stepwise multiple regression analysis usingSPSS/WIN version 26.0.
Results: The average scores for social support, symptom experience, physical function,self-care compliance, and quality of life were 3.97±0.66, 38.50±27.94, 2.24±0.60, 3.43±0.49, and 3.02±0.57,respectively. Fifty-five (43.3%) subjects had a type D personality. Quality of life showed significant differencesaccording to educational background (F=6.44, p<.001), job (t=2.52, p=.013), and type D personality (t=4.39,p<.001). Social support (r=.32, p<.001), physical function (r=.45, p<.001), self-care compliance (r=.24, p=.005),albumin (r=.09, p=.027), and phosphorous (r=.27, p=.002) were positively correlated with quality of life. Symptomexperience (r=-.40, p<.001) was negatively correlated with quality of life. The factors affecting quality of life weresocial support (β=.31, p<.001), physical function (β=.30, p<.001), educational background (β=.20, p=.007), typeD personality (β=-.19, p<.001), and symptom experience (β=-.18, p=.019), with a total explanatory power ofapproximately 43%.
Conclusion: Quality of life in hemodialysis patients was affected by social support, physicalfunction, educational background, type D personality, and symptom experience. These factors should beconsidered in nursing interventions to improve quality of life of hemodialysis patients.
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KEYWORD
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Quality of life, Renal dialysis, Social support, Type D personality
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