KMID : 1148620230280010012
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°£È£¿Í º¸°Ç¿¬±¸ 2023 Volume.28 No. 1 p.12 ~ p.24
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Factors of Symptom Cluster Associated with Self-Efficacy in Patients with Hemodialysis
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Son Eun-Jae
Sun Chun-Ja Moon Hee
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Abstract
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Purpose: This study was to identify the symptom clusters of patients with hemodialysis and to determine their effect on self-efficacy.
Methods: Data were collected from 158 patients who were diagnosed with chronic renal failure and were undergoing hemodialysis in hemodialysis units. A questionnaire was used as a research tool, and the SPSS 27.0 program was used for statistical analysis.
Results: Among the hemodialysis-related symptoms of the subjects, the most frequently complained of was ¡®fatigue or lack of strength¡¯, and ¡®numbness and tingling in the feet¡¯ were the most severe symptoms. Six symptom clusters were extracted: emotional, sensory-pain, uremic syndrome, skin, sex, and gastro-intestinal clusters. Factor affecting self-efficacy was identified as monthly income status (¡Ã300) (?=.20, p=.016)and sensory pain cluster (?=?.24, p=.027).
Conclusion: Nursing intervention for patients with hemodialysis requires a symptom cluster approach in which several symptoms appear simultaneously rather than an individual symptom approach. In particular, inter ventions for sensor y-pain clusters are needed to enhance their self-efficacy, and customized symptom management strategies should be provided by identifying common mechanisms and causes of symptoms in each cluster.
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KEYWORD
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Patients, Renal dialysis, Self efficacy, Symptom cluster
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