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차지은 ( Cha Ji-Eun ) - 경북대학교 간호대학
이명선 ( Yi Myung-Sun ) - 서울대학교 간호대학
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Abstract
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Purpose: The purpose of this study was to examine the relationship between social support (family, healthcare provider, friends/peer), treatment belief, hope, and health status in patients on hemodialysis, and to identify direct and indirect effects of the variables on patients’ health status.
Methods: The self-regulation model was used to establish a path model. Data were collected from 240 patients. Multidimensional Scale of Perceived Social Support, Revised Illness Perception Questionnaire, Herth Hope Index, and Medical Outcomes Study Short Form-12 were used. Data were analyzed using the SPSS and AMOS programs.
Results: The model was supported by fit statistics (x2=3.33, p=.343, GFI .995, RMSEA .021, AGFI .968, NFI .986, CFI .999, TLI .993). Family and friends/peer support showed a significant direct influence on hope, while healthcare provider
support directly influenced treatment belief. Social support, treatment belief, and hope directly and indirectly influenced health status, explaining 28.7% of the variance.
Conclusion: These results show mechanisms underlying connections between social support and health status by demonstrating impact of social support and showing treatment belief and hope as mediators between social context and outcomes. To promote health of patients on hemodialysis, it is necessary for patient, family, healthcare professional, and friends to collaborate.
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KeyWords
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사회적 지지, 투석, 희망, 인지, 건강
Social support, Renal dialysis, Hope, Cognition, Health
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원문 및 링크아웃 정보
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등재저널 정보
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