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KMID : 0928020220260020041
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Nursing and Innovation
2022 Volume.26 No. 2 p.41 ~ p.53
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Effect of Self-management Promotion Program for Hemodialysis Patients
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Cho Young-Hwa
Suh Soon-Rim
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Abstract
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Purpose: This study was conducted to verify the effects of a self-management promotion program for hemodialysis patients on self-efficacy, knowledge about hemodialysis, self-care compliance, dysfunctional cognition about sleep, and insomnia.
Methods: 49 hemodialysis patients in this study participated in a non-equivalent control group pre-post test design. The experimental group attended a 10-session self-management promotion program for hemodialysis patients. The study measurements such as self-efficacy, knowledge about self-care, compliance with self-care, dysfunctional cognition about sleep, and insomnia severity index were used to evaluate the program's effect. Data were analyzed by frequency, percentage, standard deviation, χ2 -test, Fisher's exact test, and independent two-sample t-test using the IBM SPSS Statistics 21.0 program.
Results: Self-efficacy (t=3.68, p=.001), knowledge about self-care (t=2.96, p=.005), compliance with self-care (t=2.76, p=.008), dysfunctional cognition about sleep (t=-4.25, p<.001), and insomnia (t=-5.91, p<.001) were significantly different in the experimental group compared to the control group.
Conclusion: The self-management promotion program effectively improved self-efficacy, knowledge about self-care, compliance with self-care, and decreased dysfunctional cognition and insomnia in hemodialysis patients. Therefore, this self-management promotion program can increase self-care behavior and reduce insomnia for hemodialysis patients.
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KEYWORD
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Self-management, Self-efficacy, Self-care, Insomnia, Hemodialysis
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