Illness Perceptions, Self-Care Management, and Clinical Outcomes According to Age-Group in Korean Hemodialysis Patients

Kim, Sisook; Kim, Eunhye; Ryu, Eunjung

doi:10.3390/ijerph16224459

Cited by 28 publications

(26 citation statements)

References 34 publications

(32 reference statements)

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“…The younger groups tended to be less educated, have lower self‐efficacy, lower functional status, and poorer mood. This phenomenon should be explored in future study to see if it is causal or confounded by other factors; recent work in hemodialysis patients is consistent with these results (Kim, Kim, & Ryu, 2019). There were large differences in the proportion of females and males in these study samples, ranging from 33% female in the sample with hypertension to 100% female in the sample with breast cancer (Hsiao et al, 2012; McCorry et al, 2013).…”

Section: Discussionsupporting

confidence: 57%

A systematic review of illness representation clusters in chronic conditions

Rivera

Corte

DeVon

et al. 2020

Research in Nursing & Health

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A person's beliefs about their chronic condition (illness representations) influence health and treatment outcomes. Recently, researchers have used clustering approaches to identify subgroups with different patterns of beliefs about their illness, with some subgroups having more favorable health outcomes than others. To date, these findings have not been synthesized. The purpose of this systematic review of the literature was to synthesize results of studies that used clustering approaches to analyze illness representation in chronic disease populations, in order to characterize the clusters and their relationship to health outcomes. Using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines we searched CINAHL, PsycInfo, and PubMed. To be included, studies had to be (a) peer reviewed, (b) in English, (c) performing a cluster analysis (CA), latent class analysis (LCA), or latent profile analysis (LPA), (d) using only illness representation (IR) subscales to form clusters, (e) measuring illness representation with the Illness Perception Questionnaire (IPQ-R), (f) in a chronic condition sample, and (g) measuring health-related outcomes. Twelve studies were included. Across studies, the number of clusters found ranged from two to three. In all studies, an association was found between illness representation group and at least one of their health outcomes. Illness representation clusters associated with favorable outcomes usually included lower disease-related consequences, fewer symptoms, less negative emotion, and a more stable disease pattern. The results of this review indicate that the relationship between the patterns of the illness representation profiles and health outcomes transcend diseases. Additionally, some dimensions of illness representation may be more important drivers of group membership than others. K E Y W O R D S chronic condition, cluster analysis, illness perception, illness representation, systematic review

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Section: Discussionsupporting

confidence: 57%

A systematic review of illness representation clusters in chronic conditions

Rivera

Corte

DeVon

et al. 2020

Research in Nursing & Health

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“…Younger patients have the confidence to cope with their illness, although they may still have illness-related fears [ 23 ]. They are also more adept at obtaining knowledge related to self-care, disease management, and disease control than older patients [ 24 ]. In addition, age is significantly related to problem-solving, with problem-solving ability decreasing in old age [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

Factors Influencing Self-Efficacy and Self-Management among Patients with Pre-End-Stage Renal Disease (Pre-ESRD)

Lai¹,

Alizargar

et al. 2021

Healthcare

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Aim: Chronic kidney disease (CKD) is an emerging major public health issue that leads to end-stage kidney disease (ESRD). Factors influencing the self-management and self-efficacy of ESRD patients are still under investigation. The objective of this study is to evaluate the association of depression and anxiety with self-management and self-efficacy in patients with pre-ESRD. Methods: Patients in the department of nephrology of a regional hospital in Taiwan were invited to participate and were included in our study if they had a confirmed diagnosis of early-stage CKD, were more than 20 years old, and could converse in Mandarin Chinese or Taiwanese. Patients diagnosed with depression, who could not execute self-care, or who had cognitive deficits were excluded. In total, this cross-sectional study included 112 pre-ESRD patients. We used the Chinese versions of the hospital anxiety and depression scale (HADS), the chronic kidney disease self-efficacy instrument (CKD-SE), and the chronic kidney disease self-management instrument (CKD-SM) as the questionnaire. Spearman’s rank correlation and logistic regressions were used to analyze the data. Results: The top quartile of self-management and self-efficacy scores (28 patients) was defined as high self-management and -efficacy, respectively, and the lower three quartiles as low self-management and -efficacy. The logistic regression analysis showed that having depression decreased the odds of having high self-management by 75.4% and high self-efficacy by 75.1%. Having an education level of senior high school or above increased the odds ratios for having high self-management and high self-efficacy to 4.47 and 3.56 (all p-values < 0.05). Conclusion: Controlling depression as well as increasing the level of education can potentially increase self-management and self-efficacy in pre-ESRD patients.

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“…Los y las participantes de nuestro estudio son conscientes de que la hemodiálisis puede conllevar complicaciones, por lo que la experiencia de inseguridad está presente 20 . Este malestar, coinciden en percibir, sería mucho más llevadero si dispusiesen de una mejor y ma-yor información previa.…”

Section: Discussionunclassified

“Más que dolor”: experiencia de pacientes dializados respecto a su punción en hemodiálisis

et al. 2020

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Introducción: El dolor a la punción de la fístula arterio-venosa es una constante en todos los pacientes en hemo-diálisis.Objetivo: El propósito del estudio fue explorar la per-cepción del dolor a la punción en los pacientes en hemo-diálisis, analizando tanto emociones como ideas sobre su calidad de vida.Material y Método: Se realizó un estudio cualitativo, de carácter fenomenológico, en el Hospital Universitario Reina Sofía de Córdoba, en la Unidad de Nefrología y en el Servicio de Consultas Externas “El Perpetuo Socorro” (que también pertenece al mismo hospital). Se realiza-ron entrevistas semiestructuradas a diez pacientes, hom-bres y mujeres, que sufrían de Insuficiencia Renal Cróni-ca bajo tratamiento de hemodiálisis.Resultados: Se llevó a cabo un análisis de contenido del que emergieron tres categorías principales asociadas a distintas subcategorías: 1) Doler, duele ¿eh? Pero... (Mejora con el tiempo; Cuando duele lo hace de verdad; ¿Duele? Ni te enteras); 2) Ansiedad y miedos relaciona-dos con la intervención (Cuestión de mentalizarse; Ansie-dad anticipatoria; Desesperación e inseguridad ante com-plicaciones y desinformación; ¡Por Dios, que no se rompa la fístula!; Las manos de la enfermera); 3) Una calidad de vida comprometida (Muchas limitaciones; Pero no tie-ne tanto impacto; ¿Catéter o fístula?).Conclusiones: El estudio permitió describir las percep-ciones de los pacientes en hemodiálisis en torno a la pun-ción, su contexto y consecuencias, posibilitando, primero, una mayor comprensión y empatía en los profesionales de la salud y, después, una base para otras aproximaciones indagatorias al fenómeno en cuestión

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Illness Perceptions, Self-Care Management, and Clinical Outcomes According to Age-Group in Korean Hemodialysis Patients

Cited by 28 publications

References 34 publications

A systematic review of illness representation clusters in chronic conditions

A systematic review of illness representation clusters in chronic conditions

Factors Influencing Self-Efficacy and Self-Management among Patients with Pre-End-Stage Renal Disease (Pre-ESRD)

“Más que dolor”: experiencia de pacientes dializados respecto a su punción en hemodiálisis

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