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Jang, Lee, and Yang: Influence of Uncertainty and Uncertainty Appraisal on Self-management in Hemodialysis Patients
Original Article

Journal of Korean Academy of Nursing 2015; 45(2): 271-279.

Published online: 30 April 2015

DOI: https://doi.org/10.4040/jkan.2015.45.2.271

Influence of Uncertainty and Uncertainty Appraisal on Self-management in Hemodialysis Patients

Hyung Suk Jang1, Chang Suk Lee2, Young Hee Yang3

1Graduate School of Nursing, Dankook University, Cheonan, Korea.

2Renal Unit, Dankook University Hospital, Cheonan, Korea.

3Department of Nursing, Dankook University, Cheonan, Korea.

Address reprint requests to: Yang, Young Hee. Department of Nursing, Dankook University, 119 Dandae-ro, Dongnam-gu, Cheonan 330-714, Korea. Tel: +82-41-550-3881, Fax: +82-41-559-7902, hanul96@dankook.ac.kr

Received 13 November 2014       Revised 24 November 2014       Accepted 26 January 2015

© 2015 Korean Society of Nursing Science

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

Abstract

Purpose

This study was done to examine the relation of uncertainty, uncertainty appraisal, and self-management in patients undergoing hemodialysis, and to identify factors influencing self-management.

Methods

A convenience sample of 92 patients receiving hemodialysis was selected. Data were collected using a structured questionnaire and medical records. The collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlations and multiple regression analysis with the SPSS/WIN 20.0 program.

Results

The participants showed a moderate level of uncertainty with the highest score being for ambiguity among the four uncertainty subdomains. Scores for uncertainty danger or opportunity appraisals were under the mid points. The participants were found to perform a high level of self-management such as diet control, management of arteriovenous fistula, exercise, medication, physical management, measurements of body weight and blood pressure, and social activity. The self-management of participants undergoing hemodialysis showed a significant relationship with uncertainty and uncertainty appraisal. The significant factors influencing self-management were uncertainty, uncertainty opportunity appraisal, hemodialysis duration, and having a spouse. These variables explained 32.8% of the variance in self-management.

Conclusion

The results suggest that intervention programs to reduce the level of uncertainty and to increase the level of uncertainty opportunity appraisal among patients would improve the self-management of hemodialysis patients.

Keywords: Uncertainty, Self care, Renal dialysis, Chronic disease

Figures and Tables

Table 1

General Characteristics (N=92)

jkan-45-271-i001

*Multiple response.

Table 2

Descriptive Statistics of Uncertainty, Uncertainty Appraisal, and Self-Management (N=92)

jkan-45-271-i002
Table 3

Differences in Uncertainty, Uncertainty Appraisal, Self-management according to General Characteristics (N=92)

jkan-45-271-i003
Table 4

Correlations between Uncertainty, Uncertainty Appraisal, and Self-management (N=92)

jkan-45-271-i004
Table 5

Influencing Factors on Self-management (N=92)

jkan-45-271-i005

*Dummy variable: Non-spouse group is a reference value; VIF=Variance inflation factor.

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