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Chae, Lee, Jo, and Kang: Factors related to Family Support for Hemodialysis Patients: A Systematic Review and Meta-analysis
Review Article

Korean Journal of Adult Nursing 2019; 31(2): 123-135.

Published online: 20 April 2019

DOI: https://doi.org/10.7475/kjan.2019.31.2.123

Factors related to Family Support for Hemodialysis Patients: A Systematic Review and Meta-analysis

Young Ran Chae1, Sun Hee Lee2, Young Mi Jo2, Hyo Young Kang3

1Professor, College of Nursing, Kangwon National University, Chuncheon, Korea.

2Doctoral Student, Graduate School, College of Nursing, Kangwon National University, Chuncheon, Korea.

3Nurse, Namyangju Taeam Clinic, Namyangju, Korea.

Corresponding author: Lee, Sun Hee. College of Nursing, Kangwon National University, 1 Kangwondaehak-gil, Chuncheon 24341, Korea. Tel: +8-33-250-8880, Fax: +82-33-259-5636, baezzang1224@hanmail.net

Received 21 December 2018       Revised 10 March 2019       Accepted 29 March 2019

© 2019 Korean Society of Adult Nursing

Korean Society of Adult Nursing

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.

Keywords: Renal dialysis, Social support, Systematic review, Meta-analysis

Figures and Tables

Figure 1

PRISMA flow for the study.

kjan-31-123-g001
Figure 2

Schematic diagram of factors related to family support for hemodialysis patients.

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Figure 3

Adjusted funnel plot of selected studies for effect size after Trim-and-Fill method.

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Table 1

Descriptive Summary of Included Studies for Systemic Review (K=18, N=2,927)

kjan-31-123-i001

K=number of studies; N=number of participants; M=men; W=women: MS=kiM's Scale (1993); KS=Kang's scale (1984); CS=Chung's Scale (1991); OS=chOi's Scale (1983); JS=Jo's Scale (1987).

Table 2

Effect Size of Socio-economic and Disease-specific Factors related to Family Support

kjan-31-123-i002

k=number of studies; n=number of participants; CI=confidence interval.

Table 3

Effect Size of Socio-psychological Factors and Physiological Indicators related to Family Support

kjan-31-123-i003

k=number of studies; n=number of participants; CI=confidence interval.

Notes

CONFLICTS OF INTEREST The authors declared no conflict of interest.

AUTHORSHIP

  • Study conception and design acquisition - CYR, LSH, JYM and KHY.

  • Data collection - LSH, JYM and KHY.

  • Analysis and interpretation of the data - LSH.

  • Drafting and critical revision of the manuscript - CYR and LSH.

Appendix

Appendix 1

Studies included in Meta-Analysis

A1. Choi EY, Lee HY. The relationship of fatigue, self efficacy, family support and sleep factor in hemodialysis patients. Korean Journal of Adult Nursing. 2005;17(3):435-43.
A2. Choi I, Han S-J. Effects of depression, self esteem, and family support towards hopelessness of patients faking hemodialysis. Asia-pacific Journal of Multimedia Services Convertgent with Art, Humanities, and Sociology. 2015;5(4):217-26.
A3. Seo N-S, Kang S-J. Its relationship with symptoms index, self efficacy and family support in hemodialysis patients. Journal of the Korea Academia-Industrial cooperation Society. 2015; 16(10):6483-94. https://doi.org/10.5762/KAIS.2015.16.10.6483
A4. Lee YH, Kim HS. The effect of family support, self-efficacy, and fatigue on the quality of life in hemodialysis patients. Journal of East-west Nursing Research. 2015;21(1):1-9. https://doi.org/10.14370/jewnr.2015.21.1.1
A5. Choi DS. The effects of family support and self-efficacy on health conservation in the elderly with hemodialysis [master's thesis]. Daegu: Catholic University of Daegu; 2015.
A6. Yang SJ. A study on the activity of daily living, the family support, and the intention of using the care facilities for the elderly in elderly patients with hemodialysis [master's thesis]. Seoul: Ewha Womans University; 2005.
A7. Ko HY. The relationship between family support, self-esteem, and self-care agency among hemodialysis patients [master's thesis]. Seoul: The Catholic University of Korea; 2005.
A8. Min K-L. A study on the family support for the aged hemodialysis patients and there desire for public welfare facilities [master's thesis]. Seoul: Hanyang University; 2001.
A9. Yoo Y-S, Yu B-C, Urm S-H. The relationships between compliance of patient role behavior and perceived family support among hemodialysis patients. Inje Medical Journal. 2001;22 (1):205-18.
A10. Kim IY. A study on hemodialysis patients' depression, activities of daily living and family support [master's thesis]. Seoul: Chung-Ang University; 2012.
A11. Lee HY. Relationship among family support, self-efficacy and sick-role behavior in hemodialysis patients [master's thesis]. Gwangju: Chosun University; 2012.
A12. Kim AL. Fatigue, self-efficacy, family support, and fatigueregulation behavior in hemodialysis patients [master's thesis]. Seoul: Ewha Womans University; 2007.
A13. Choi H. A study on the effect of family support and compliance of patients' role behavior on hemodialysis patients' quality of life [master's thesis]. Seoul: Kyung Hee University; 2011.
A14. Jeon HY. Effect of resilience and family support on sick role behavior compliance in hemodialysis patients [master's thesis]. Gwangju: Honam University; 2017.
A15. Kim M. The effect of family support and social psychological adjustment on the quality of life of hemodialysis patients [master's thesis]. Gongju: Kongju National University; 2018.
A16. Jeong Y-K. A study on hemodialysis patients' family support, depression and hope [master's thesis]. Seoul: Chung-Aug University; 2006.
A17. Kim AL. Stress, state anxiety, family support, patient provider relationship and sleep disturbance of hemodialysis patient. Journal of the Korean Data Analysis Society. 2014;16 (4):2161-75.
A18. Na DM, Lee KO, Seo CS. Relation between family support and self-care performance of hemodialysis patients. The Medical Journal of Chosun University. 2002;27(2):231-9.
kjan-31-123-a001

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ORCID iDs

Young Ran Chae
https://orcid.org/0000-0002-8523-0395

Sun Hee Lee
https://orcid.org/0000-0002-6384-7386

Young Mi Jo
https://orcid.org/0000-0002-1520-6162

Hyo Young Kang
https://orcid.org/0000-0002-9201-6979

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