Purpose This study aimed to investigate the impact of physical performance and fear of falling on fall risk in patients with End-Stage Renal Disease (ESRD) undergoing hemodialysis.
Methods: This study included 132 patients who regularly received hemodialysis treatment at outpatient clinics in B City from January to April 2022. Data were collected on demographic and clinical characteristics, physical performance (the Short Physical Performance Battery [SPPB]), fear of falling (the Korean Falls Efficacy Scale-International [KFES-I]), and fall risk (the Morse Fall Scale [MFS]). The collected data were analyzed using hierarchical multiple regression in the SPSS/WIN 25.0 program.
Results: Thirty-eight patients (28.8%) had experienced accidental falls in the past year, with an average of 1.68 falls per patient. The average SPPB score was 7.89±3.55 (range, 0 to 12), the KFES-I score was 23.18±9.36 (range, 16 to 64), and the MFS score was 45.68±19.52 (range, 0 to 125). Fall risk showed a significant negative correlation with physical function (r=-.72, p<.001) and a significant positive correlation with fear of falling (r=.65, p<.001). Factors affecting the patients' fall risk included the level of serum intact parathyroid hormone (β=.15, p=.004), fear of falling (β=.24, p=.010), number of falls (β=.34, p<.001), and physical performance (β=-.41, p<.001). The regression model was statistically significant (F=22.71, p<.001), with an explanatory power of 64.9%.
Conclusion: To prevent accidental falls in ESRD patients undergoing hemodialysis treatment, it is necessary to develop and apply interventions that can enhance physical performance and reduce the fear of falling.
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Purpose This study investigated the effects of spiritual well-being on the self-care practices of people undergoing hemodialysis with hope as a mediator.
Methods Using convenience sampling, 126 people undergoing hemodialysis were recruited from April 17th to July 15th, 2022 for a cross-sectional survey. Data were collected using the Spiritual Well-Being Scale, Hope Scale, and Self-Care practices Scale and analyzed using descriptive statistics and Pearson’s correlation coefficient. In addition, multiple regression analysis was performed to analyze the mediating effect using Baron and Kenny’s three-step method.
Results The mean scores for spiritual well-being, hope, and self-care practices were 75.67, 51.37, and 128.82 respectively. There were significant correlations between the three variables. In step 1, spiritual well-being had a statistically significant positive effect on hope (β=.59, p<.001) (R2=37.8%). In step 2, spiritual well-being had a significant positive effect on self-care practices (β=.31, p<.001) (R2=14.6%). In step 3, the direct effect of spiritual well-being on self-care practices was not significant when the mediating variable hope was introduced; hope was observed to have a complete mediating effect (β=.36, p<.001) on the relationship between spiritual well-being and self-care practices (Sobel test: Z=3.18, p<.001).
Conclusion Based on these results, hope enhancement can help in self-care practices, and hope can also be promoted through spiritual well-being resources. Thus, it is necessary to develop a holistic nursing program that includes spiritual care to promote spiritual well-being and hope for improving self-care practices in people undergoing hemodialysis.
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Purpose This study investigates the effects of thermomechanical stimulation intervention during arteriovenous fistula puncture on hemodialysis patients’ pain, anxiety, and stress. Methods: We used a nonequivalent groups pretest-posttest experimental design. In this study, 44 patients on regular hemodialysis (22 each in experimental and control groups) at a general hospital in South Korea were enrolled from December 2020 to January 2021.Subsequently, thermomechanical stimulation intervention using the Buzzy device was applied to the experimental group during arteriovenous fistula puncture. The outcome measures were the patients’ pain, anxiety, and stress. Results After the intervention, the experimental group recorded significantly lower arteriovenous fistula puncture pain compared to the control group (t=2.90, p=.006). However, no significant differences in anxiety and stress were noted before and after the intervention between the groups. Conclusion The study indicates that thermomechanical stimulation intervention can be utilized as an easy and effective intervention method to reduce the puncture pain experienced by patients on hemodialysis during arteriovenous fistula puncture.
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Purpose We aimed to systematically review and synthesize qualitative evidence on the experiences of nurses caring for hemodialysis patients. Methods We used Noblit and Hare’s meta-ethnography. Seven databases (PubMed, EMBASE, CINAHL, Web of Science, RISS, KISS, National Assembly Electronic Library) were used for the literature search. There were no restrictions placed on publication dates. A total of 10 studies published in English and Korean up until July 2021 were finally selected for review. Results Three themes were identified from the literature review, which were then divided into six subthemes: acquiring the technical skills of hemodialysis, responsibility for prolonging patients’ lives, and maintaining stable hemodialysis in patients’ daily lives. Conclusion The results of this study provide basic data that emphasizes the specific role of nurses in the hemodialysis unit, a specialized area of nursing, and can be utilized as educational material for hemodialysis unit nurse education.
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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±0.42 (range 1~5), 1.34±1.02, 2.17±1.12 (range 0~5), 3.58±0.45 (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.
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Effects of Intra-dialytic, Short-term Resistance Exercise on Physical Fitness, Depression and Dialysis Adequacy On Lee, Myoung-Hyee Kim, Chang-Hwa Lee, Il-Hwan Oh, Yeon-Soo Kim The Korean Journal of Sports Medicine.2016; 34(2): 162. CrossRef
PURPOSE The purpose of the study was to examine the relationships between cognitive coping, hope, depression, and life satisfaction of hemodialysis patients based on the stress-coping model. METHODS For this cross-sectional survey, 142 participants were recruited from 10 local clinics in Seoul and Daegu during 2012-2013. The data collection instruments included the Cognitive Emotion Regulation Questionnaire, the Herth Hope Index, the Hospital Anxiety and Depression Scale, and the Satisfaction with Life Scale. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation analysis, and stepwise multiple regression. RESULTS The cognitive coping scores were significantly related to hope, depression, and life satisfaction. The coping strategies explained 80%, 37%, and 38% of the variances in hope, depression, and life satisfaction, respectively. The most powerful coping strategy was positive refocusing, explaining 73% in hope, 25% in depression, and 25% in life satisfaction. CONCLUSION The results of the study indicate that cognitive coping plays an essential role for psychological adaptation of hemodialysis patients. Thus, interventions integrating positive refocusing would help instilling hope of hemodialysis patients in Korea.
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The Effects of Spiritual Well-being on Self-care Practices in People Undergoing Hemodialysis: The Mediating Effect of Hope Bu Kyung Kim, Pok-Ja Oh Korean Journal of Adult Nursing.2022; 34(6): 592. CrossRef
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Difficulties of Treatment Adherence in Adult Patients with Hemodialysis Cho Rong Gil, Kyung Mi Sung The Korean Journal of Rehabilitation Nursing.2018; 21(2): 71. CrossRef
Structural Equation Modeling of Self-Management in Patients with Hemodialysis Jieun Cha Journal of Korean Academy of Nursing.2017; 47(1): 14. CrossRef
The influence of Cognitive Coping on Sick Role Behavioral Compliance and Depression, Satisfaction with Life in Hemodialysis Patients Ji-Hyun Kim Journal of the Korea Academia-Industrial cooperation Society.2015; 16(2): 1328. CrossRef
Factors related to Hope and Relationships between Hope, Physical Symptoms, Depressive Mood and Quality of Life in Young Adult and Prime-aged Patients with Hemodialysis Jieun Cha, Dallong Han Journal of Korean Academy of Psychiatric and Mental Health Nursing.2014; 23(4): 250. CrossRef
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