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±è¹Ì°æ ( Kim Mi-Kyung ) - Catholic Kwandong University International St. Mary¡¯s Hospital Department of Nursing
ÀåÀºÈñ ( Jang Eun-Hee ) - Incheon Catholic University College of Nursing
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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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KeyWords
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Renal dialysis, Uncertainty, Self care, Physiological indexes
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