PURPOSE
This study was conducted to explore the factors related to family support for hemodialysis patients.
METHODS
Preferred Reporting Items Systematic Reviews and Meta-Analysis (PRISMA) flow diagram was used to select 18 studies in Korea for systematic review and meta-analysis. The Effect Sizes of correlation coefficients (ESr) were determined through Fisher's Z transformation.
RESULTS
The systematic review revealed 31 factors that affect family support(including socio-economic and disease-specific factors) and 23 factors that are influenced by family support (including socio-psychological factors and physiological indicators). In the meta-analysis, 18 factors (10 socio-economic and disease-specific factors and 8 psychological factors and physiological indicators) were used. The socio-economic factors that significantly affected family support were type of medical insurance, perceived economic state, marital status, primary care giver, living together, family monthly income, education level, and job state. Disease-specific factors such as frequency of dialysis per week did not have a significant impact on family support. Family support had a positive influence over patients' self efficacy (ESr=.56), quality of life (ESr=.48), self-esteem(ESr=.42), fatigue (ESr=−.32), sick role behavior (ESr=.32), and depression (ESr=−.24).
CONCLUSION
This study showed that economic status and family characteristics of hemodialysis patients in Korea affect the level of family support that patients receive, and family support promotes patients' positive psychology and sick role behavior. The results of this study provide useful information in developing family support intervention programs for hemodialysis patients.

Citations

• The influence of family health on self-efficacy in patients with chronic diseases: the mediating role of perceived social support and the moderating role of health literacy
  Zhen-ni Luo, Kun Li, An-qi Chen, Yu-chi Qiu, Xi-xi Yang, Zhi-wen Lin, Jing-han Liu, Yi-bo Wu, Jiang-yun Chen
  BMC Public Health.2024;[Epub]     CrossRef
• Variables Associated with Self-Compassion among Nurses: A Systematic Review and Meta-Analysis
  Bokeung Peun, Heeseung Choi
  STRESS.2022; 30(4): 221.     CrossRef
• Healthy life of Korean patients with chronic kidney failure undergoing hemodialysis: A situation-specific nursing theory
  Jinhyang Yang, Myung-Ok Cho, Haeok Lee
  Applied Nursing Research.2022; 65: 151584.     CrossRef
• Mediating effect of Maternal and Paternal Family Relationship between Neuroticism and Postpartum Depression: The Actor-Partner Interdependence Mediation Model
  Hye Gyeong Seo, Suk-Sun Kim
  Journal of Korean Academy of psychiatric and Mental Health Nursing.2021; 30(4): 400.     CrossRef
• Effect of Hemodialysis Adequacy on Quality of Life in Older adults with Chronic Kidney Disease
  Virgianti Nur Faridah, Muhamad Syukri Ghozali, Arifal Aris, Siti Sholikhah, Masunatul Ubudiyah
  Indonesian Journal of Community Health Nursing.2021; 6(1): 28.     CrossRef
• Quality of Life and Social Support of People on Peritoneal Dialysis: Mixed Methods Research
  Miquel Sitjar-Suñer, Rosa Suñer-Soler, Afra Masià-Plana, Emilia Chirveches-Pérez, Carme Bertran-Noguer, Concepció Fuentes-Pumarola
  International Journal of Environmental Research and Public Health.2020; 17(12): 4240.     CrossRef
• Relationships between depression, family function, physical symptoms, and illness uncertainty in female patients with chronic kidney disease
  Oksoo Kim, Eun Yi Yeom, Hae Ok Jeon
  Nursing & Health Sciences.2020; 22(3): 548.     CrossRef
• Factors Influencing Self-Care Behaviors of Renal Dialysis Patients
  Yoonjung Kim, Sanggeon Park
  STRESS.2019; 27(4): 320.     CrossRef

PURPOSE
This research was conducted to explore the experience of middle-aged women parting with their children and to develop a grounded theory. METHOD: The participants were 11 women in their 50's who had experienced parting with their children due to schooling, military service and marriage. The grounded theory methodology based on symbolic interactionism was used. RESULTS: 106 concepts, 30 subcategories and 14 categories were derived from the analysis through processes of open coding, axial coding and selective coding. The central phenomenon was 'happy but sad' and the core category was a process of 'independence that is sorrowful yet delightful'. Four types were identified; the independent-type; submissive -type; family-reliant-type ; and fragile-type; based on the attachment to the child, state of mind, satisfaction of the situation, family support system and self-achievement. CONCLUSION: This research identified that the modern Korean middle-aged women who are considered to be the 'sandwich generation' since they have experienced a turbulent history and the change from a confucian parent-child lifestyle to a couple-oriented one, moved away from an attitude dependent on children in parting with them and started preparing for an independent late life. Based on the results, the verification research is advised on the variables that affect the experience of parting with children.