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J Caring Sci. 2021;10(3): 153-159.
doi: 10.34172/jcs.2021.022
  Abstract View: 15
  PDF Download: 45

Original Article

Self-Care and Its Predictive Factors in Hemodialysis Patients

Fatemeh Sadat Izadi Avanji 1* ORCID logo, Negin Masoudi Alavi 1 ORCID logo, Hosein Akbari 2 ORCID logo, Somayeh Saroladan 1 ORCID logo

1 Department of Medical Surgical Nursing, School of Nursing, Kashan University of Medical Sciences, Kashan, Iran
2 Department of Biostatistics and Public Health, Faculty of Health, Kashan University of Medical Sciences, Kashan, Iran
* Corresponding Author: Fatemeh Sadat Izadi Avanji, Email: Fs.izadi@gmail.com

Abstract

Introduction: Chronic kidney disease is a serious problem and patients need active self-care. This study focuses on the relationship between self-care and its predictive factors in hemodialysis (HD) patients.

Methods: This multicenter correlational study was conducted on 201 HD patients referring to HD centers in the west of Tehran, Iran. A multi-stage sampling method was used to select the samples. Data were collected using self-care Scale, Paloutzian-Ellison Spiritual Well-Being Scale, and Connor Davidson Resilience Questionnaires. Data were analyzed using SPSS software version 13 and descriptive statistics and linear regression with stepwise method.

Results: The mean (SD) scores of self-care, resilience, and spiritual well-being were 35.5 (5.69), 53.4 (12.94), and 97.4 (17.9), respectively. Univariate analysis showed that self-care had a statistically significant relationship with gender, occupation, education, being diabetic, and hyperlipidemia. Self-care positively correlated with the resilience and negatively correlated with age. Multivariate regression indicated that the resilience (β=0.78, P=0.001), being diabetic (β=-0.09, P=0.01), and age (β=-0.11, P=0.005) could be predictors of self-care. These variables accounted for 78% of variance in self-care in HD patients.

Conclusion: Our results showed that resilience was positively correlated with self–care, but being diabetic and age were negatively correlated with self-care in HD patients. Therefore, the health care providers should pay more attention to HD patients who are diabetic and older, as they are at a higher risk of having impaired self-care.


Keywords: Renal dialysis, Self-care, Spirituality, Resilience

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Submitted: 03 Oct 2020
Accepted: 13 Apr 2021
ePublished: 23 Aug 2021
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