Self‐Management Behaviors in Relation to Psychological Factors and Interdialytic Weight Gain Among Patients Undergoing Hemodialysis in Indonesia
Purpose The purpose of this study was to understand the influence of demographic and psychological factors on self‐management behaviors and interdialytic weight gain (IDWG) as a fluid adherence marker among patients undergoing hemodialysis in Indonesia. Design A quantitative correlational study. Met...
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| Veröffentlicht in: | Journal of nursing scholarship 2019-07, Vol.51 (4), p.417-426 |
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| creator | Natashia, Dhea Yen, Miaofen Chen, Hsing‐Mei Fetzer, Susan J. |
| description | Purpose
The purpose of this study was to understand the influence of demographic and psychological factors on self‐management behaviors and interdialytic weight gain (IDWG) as a fluid adherence marker among patients undergoing hemodialysis in Indonesia.
Design
A quantitative correlational study.
Method
A convenience sample of 145 patients undergoing hemodialysis was recruited from the dialysis units in two hospitals in Jakarta from September to December 2015. Questionnaires were used to examine self‐management behaviors, depression, anxiety, and stress. Data for IDWG were obtained by subtracting the individual's predialysis weight from his or her postdialysis weight from the previous session. Hierarchical multiple linear regression identified the predictors of IDWG.
Results
Self‐advocacy was ranked the least performed self‐management behavior, while medication adherence was ranked the most likely to be performed. Among the subscales of the Self‐Management Behavior Indices, positive correlations were found between the communication dimension with all psychological factors (depression, anxiety, and stress), while self‐advocacy had positive correlation with anxiety. Subjects gained a mean of 4.5% of their postdialysis weight, with over 50% exceeding the recommended 4% IDWG. Overall, 53.6% of the IDWG was explained by the weekly duration of hemodialysis, level of depression, communication, partnership in care, and self‐advocacy.
Conclusions
Self‐management behaviors are potential predictors that can be modified by nephrology nurses in order to enhance clinical outcomes, with the specific outcome being IDWG. Self‐management behaviors contribute to the promotion of appropriate IDWG. Depressed patients are less likely to adhere to weight gain restrictions.
Clinical Relevance
Education combined with training in self‐management behaviors—particularly communication, becoming a partner in care, and advocating for care—may improve adherence to IDWG guidelines among Indonesian hemodialysis patients. Interventions targeting depressed patients are needed. |
| doi_str_mv | 10.1111/jnu.12464 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2183186392</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2183186392</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3534-bbd431b6d9f244b9f05ef75700216a5ed5572a973ff5b773f03745b2e3151ccf3</originalsourceid><addsrcrecordid>eNp1kc1u1DAQxy1ERT_gwAsgS1zgkNaf8eZYKtouaqECVhwtJ5lkvXLsYidUe-MRUB-xT4J3t3BAwpexRr_5zUh_hF5SckzzO1n56ZgyUYon6IBKoQpJyurp5s9UUUpR7qPDlFaEkJIq_gztc6KUnAl2gO6_gOsefv66Nt70MIAf8TtYmh82xIStx5_BmdEGj8eAb9K6WQYXetsYh89NM24g41s89yPE1hq3Hm2Dv4HtlyO-MHn-dAi-xzfZkdUJL3wLsQ829y5hCNuRZLeb5r4NHpI1z9FeZ1yCF4_1CC3O3389uyyuPl3Mz06vioZLLoq6bgWnddlWHROirjoioVNSEcJoaSS0UipmKsW7TtYqF8KVkDUDTiVtmo4foTc7720M3ydIox5sasA54yFMSTM643RW8opl9PU_6CpM0efrNGOSU8IqtaHe7qgmhpQidPo22sHEtaZEb4LSOSi9DSqzrx6NUz1A-5f8k0wGTnbAnXWw_r9Jf_i42Cl_A2eHnyc</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2253102972</pqid></control><display><type>article</type><title>Self‐Management Behaviors in Relation to Psychological Factors and Interdialytic Weight Gain Among Patients Undergoing Hemodialysis in Indonesia</title><source>Access via Wiley Online Library</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><creator>Natashia, Dhea ; Yen, Miaofen ; Chen, Hsing‐Mei ; Fetzer, Susan J.</creator><creatorcontrib>Natashia, Dhea ; Yen, Miaofen ; Chen, Hsing‐Mei ; Fetzer, Susan J.</creatorcontrib><description>Purpose
The purpose of this study was to understand the influence of demographic and psychological factors on self‐management behaviors and interdialytic weight gain (IDWG) as a fluid adherence marker among patients undergoing hemodialysis in Indonesia.
Design
A quantitative correlational study.
Method
A convenience sample of 145 patients undergoing hemodialysis was recruited from the dialysis units in two hospitals in Jakarta from September to December 2015. Questionnaires were used to examine self‐management behaviors, depression, anxiety, and stress. Data for IDWG were obtained by subtracting the individual's predialysis weight from his or her postdialysis weight from the previous session. Hierarchical multiple linear regression identified the predictors of IDWG.
Results
Self‐advocacy was ranked the least performed self‐management behavior, while medication adherence was ranked the most likely to be performed. Among the subscales of the Self‐Management Behavior Indices, positive correlations were found between the communication dimension with all psychological factors (depression, anxiety, and stress), while self‐advocacy had positive correlation with anxiety. Subjects gained a mean of 4.5% of their postdialysis weight, with over 50% exceeding the recommended 4% IDWG. Overall, 53.6% of the IDWG was explained by the weekly duration of hemodialysis, level of depression, communication, partnership in care, and self‐advocacy.
Conclusions
Self‐management behaviors are potential predictors that can be modified by nephrology nurses in order to enhance clinical outcomes, with the specific outcome being IDWG. Self‐management behaviors contribute to the promotion of appropriate IDWG. Depressed patients are less likely to adhere to weight gain restrictions.
Clinical Relevance
Education combined with training in self‐management behaviors—particularly communication, becoming a partner in care, and advocating for care—may improve adherence to IDWG guidelines among Indonesian hemodialysis patients. Interventions targeting depressed patients are needed.</description><identifier>ISSN: 1527-6546</identifier><identifier>EISSN: 1547-5069</identifier><identifier>DOI: 10.1111/jnu.12464</identifier><identifier>PMID: 30775842</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Activities of daily living ; Adherence ; Advocacy ; Anxiety ; Behavior ; Chronic illnesses ; Clinical outcomes ; Communication ; Demography ; Diabetes ; Dialysis ; Dimensional analysis ; Drugs ; Empowerment ; Hemodialysis ; Hospitals ; interdialytic weight gain ; Kidney diseases ; Mental depression ; Nephrology ; Nurses ; Nursing ; Patients ; Psychiatric-mental health nursing ; Psychological aspects ; Questionnaires ; Restrictions ; Self-advocacy ; Selfmanagement ; self‐management behaviors ; Social psychology ; Stress ; Weight gain</subject><ispartof>Journal of nursing scholarship, 2019-07, Vol.51 (4), p.417-426</ispartof><rights>2019 Sigma Theta Tau International</rights><rights>2019 Sigma Theta Tau International.</rights><rights>Copyright Blackwell Publishing Ltd. Jul 2019</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3534-bbd431b6d9f244b9f05ef75700216a5ed5572a973ff5b773f03745b2e3151ccf3</citedby><cites>FETCH-LOGICAL-c3534-bbd431b6d9f244b9f05ef75700216a5ed5572a973ff5b773f03745b2e3151ccf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjnu.12464$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjnu.12464$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,12846,27924,27925,30999,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30775842$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Natashia, Dhea</creatorcontrib><creatorcontrib>Yen, Miaofen</creatorcontrib><creatorcontrib>Chen, Hsing‐Mei</creatorcontrib><creatorcontrib>Fetzer, Susan J.</creatorcontrib><title>Self‐Management Behaviors in Relation to Psychological Factors and Interdialytic Weight Gain Among Patients Undergoing Hemodialysis in Indonesia</title><title>Journal of nursing scholarship</title><addtitle>J Nurs Scholarsh</addtitle><description>Purpose
The purpose of this study was to understand the influence of demographic and psychological factors on self‐management behaviors and interdialytic weight gain (IDWG) as a fluid adherence marker among patients undergoing hemodialysis in Indonesia.
Design
A quantitative correlational study.
Method
A convenience sample of 145 patients undergoing hemodialysis was recruited from the dialysis units in two hospitals in Jakarta from September to December 2015. Questionnaires were used to examine self‐management behaviors, depression, anxiety, and stress. Data for IDWG were obtained by subtracting the individual's predialysis weight from his or her postdialysis weight from the previous session. Hierarchical multiple linear regression identified the predictors of IDWG.
Results
Self‐advocacy was ranked the least performed self‐management behavior, while medication adherence was ranked the most likely to be performed. Among the subscales of the Self‐Management Behavior Indices, positive correlations were found between the communication dimension with all psychological factors (depression, anxiety, and stress), while self‐advocacy had positive correlation with anxiety. Subjects gained a mean of 4.5% of their postdialysis weight, with over 50% exceeding the recommended 4% IDWG. Overall, 53.6% of the IDWG was explained by the weekly duration of hemodialysis, level of depression, communication, partnership in care, and self‐advocacy.
Conclusions
Self‐management behaviors are potential predictors that can be modified by nephrology nurses in order to enhance clinical outcomes, with the specific outcome being IDWG. Self‐management behaviors contribute to the promotion of appropriate IDWG. Depressed patients are less likely to adhere to weight gain restrictions.
Clinical Relevance
Education combined with training in self‐management behaviors—particularly communication, becoming a partner in care, and advocating for care—may improve adherence to IDWG guidelines among Indonesian hemodialysis patients. Interventions targeting depressed patients are needed.</description><subject>Activities of daily living</subject><subject>Adherence</subject><subject>Advocacy</subject><subject>Anxiety</subject><subject>Behavior</subject><subject>Chronic illnesses</subject><subject>Clinical outcomes</subject><subject>Communication</subject><subject>Demography</subject><subject>Diabetes</subject><subject>Dialysis</subject><subject>Dimensional analysis</subject><subject>Drugs</subject><subject>Empowerment</subject><subject>Hemodialysis</subject><subject>Hospitals</subject><subject>interdialytic weight gain</subject><subject>Kidney diseases</subject><subject>Mental depression</subject><subject>Nephrology</subject><subject>Nurses</subject><subject>Nursing</subject><subject>Patients</subject><subject>Psychiatric-mental health nursing</subject><subject>Psychological aspects</subject><subject>Questionnaires</subject><subject>Restrictions</subject><subject>Self-advocacy</subject><subject>Selfmanagement</subject><subject>self‐management behaviors</subject><subject>Social psychology</subject><subject>Stress</subject><subject>Weight gain</subject><issn>1527-6546</issn><issn>1547-5069</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kc1u1DAQxy1ERT_gwAsgS1zgkNaf8eZYKtouaqECVhwtJ5lkvXLsYidUe-MRUB-xT4J3t3BAwpexRr_5zUh_hF5SckzzO1n56ZgyUYon6IBKoQpJyurp5s9UUUpR7qPDlFaEkJIq_gztc6KUnAl2gO6_gOsefv66Nt70MIAf8TtYmh82xIStx5_BmdEGj8eAb9K6WQYXetsYh89NM24g41s89yPE1hq3Hm2Dv4HtlyO-MHn-dAi-xzfZkdUJL3wLsQ829y5hCNuRZLeb5r4NHpI1z9FeZ1yCF4_1CC3O3389uyyuPl3Mz06vioZLLoq6bgWnddlWHROirjoioVNSEcJoaSS0UipmKsW7TtYqF8KVkDUDTiVtmo4foTc7720M3ydIox5sasA54yFMSTM643RW8opl9PU_6CpM0efrNGOSU8IqtaHe7qgmhpQidPo22sHEtaZEb4LSOSi9DSqzrx6NUz1A-5f8k0wGTnbAnXWw_r9Jf_i42Cl_A2eHnyc</recordid><startdate>201907</startdate><enddate>201907</enddate><creator>Natashia, Dhea</creator><creator>Yen, Miaofen</creator><creator>Chen, Hsing‐Mei</creator><creator>Fetzer, Susan J.</creator><general>Blackwell Publishing Ltd</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>4U-</scope><scope>7QJ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AN0</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>K6X</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>201907</creationdate><title>Self‐Management Behaviors in Relation to Psychological Factors and Interdialytic Weight Gain Among Patients Undergoing Hemodialysis in Indonesia</title><author>Natashia, Dhea ; Yen, Miaofen ; Chen, Hsing‐Mei ; Fetzer, Susan J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3534-bbd431b6d9f244b9f05ef75700216a5ed5572a973ff5b773f03745b2e3151ccf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Activities of daily living</topic><topic>Adherence</topic><topic>Advocacy</topic><topic>Anxiety</topic><topic>Behavior</topic><topic>Chronic illnesses</topic><topic>Clinical outcomes</topic><topic>Communication</topic><topic>Demography</topic><topic>Diabetes</topic><topic>Dialysis</topic><topic>Dimensional analysis</topic><topic>Drugs</topic><topic>Empowerment</topic><topic>Hemodialysis</topic><topic>Hospitals</topic><topic>interdialytic weight gain</topic><topic>Kidney diseases</topic><topic>Mental depression</topic><topic>Nephrology</topic><topic>Nurses</topic><topic>Nursing</topic><topic>Patients</topic><topic>Psychiatric-mental health nursing</topic><topic>Psychological aspects</topic><topic>Questionnaires</topic><topic>Restrictions</topic><topic>Self-advocacy</topic><topic>Selfmanagement</topic><topic>self‐management behaviors</topic><topic>Social psychology</topic><topic>Stress</topic><topic>Weight gain</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Natashia, Dhea</creatorcontrib><creatorcontrib>Yen, Miaofen</creatorcontrib><creatorcontrib>Chen, Hsing‐Mei</creatorcontrib><creatorcontrib>Fetzer, Susan J.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>University Readers</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>British Nursing Database</collection><collection>British Nursing Index</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Sociology Collection</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of nursing scholarship</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Natashia, Dhea</au><au>Yen, Miaofen</au><au>Chen, Hsing‐Mei</au><au>Fetzer, Susan J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Self‐Management Behaviors in Relation to Psychological Factors and Interdialytic Weight Gain Among Patients Undergoing Hemodialysis in Indonesia</atitle><jtitle>Journal of nursing scholarship</jtitle><addtitle>J Nurs Scholarsh</addtitle><date>2019-07</date><risdate>2019</risdate><volume>51</volume><issue>4</issue><spage>417</spage><epage>426</epage><pages>417-426</pages><issn>1527-6546</issn><eissn>1547-5069</eissn><abstract>Purpose
The purpose of this study was to understand the influence of demographic and psychological factors on self‐management behaviors and interdialytic weight gain (IDWG) as a fluid adherence marker among patients undergoing hemodialysis in Indonesia.
Design
A quantitative correlational study.
Method
A convenience sample of 145 patients undergoing hemodialysis was recruited from the dialysis units in two hospitals in Jakarta from September to December 2015. Questionnaires were used to examine self‐management behaviors, depression, anxiety, and stress. Data for IDWG were obtained by subtracting the individual's predialysis weight from his or her postdialysis weight from the previous session. Hierarchical multiple linear regression identified the predictors of IDWG.
Results
Self‐advocacy was ranked the least performed self‐management behavior, while medication adherence was ranked the most likely to be performed. Among the subscales of the Self‐Management Behavior Indices, positive correlations were found between the communication dimension with all psychological factors (depression, anxiety, and stress), while self‐advocacy had positive correlation with anxiety. Subjects gained a mean of 4.5% of their postdialysis weight, with over 50% exceeding the recommended 4% IDWG. Overall, 53.6% of the IDWG was explained by the weekly duration of hemodialysis, level of depression, communication, partnership in care, and self‐advocacy.
Conclusions
Self‐management behaviors are potential predictors that can be modified by nephrology nurses in order to enhance clinical outcomes, with the specific outcome being IDWG. Self‐management behaviors contribute to the promotion of appropriate IDWG. Depressed patients are less likely to adhere to weight gain restrictions.
Clinical Relevance
Education combined with training in self‐management behaviors—particularly communication, becoming a partner in care, and advocating for care—may improve adherence to IDWG guidelines among Indonesian hemodialysis patients. Interventions targeting depressed patients are needed.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>30775842</pmid><doi>10.1111/jnu.12464</doi><tpages>10</tpages></addata></record> |
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| ispartof | Journal of nursing scholarship, 2019-07, Vol.51 (4), p.417-426 |
| issn | 1527-6546 1547-5069 |
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| source | Access via Wiley Online Library; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Activities of daily living Adherence Advocacy Anxiety Behavior Chronic illnesses Clinical outcomes Communication Demography Diabetes Dialysis Dimensional analysis Drugs Empowerment Hemodialysis Hospitals interdialytic weight gain Kidney diseases Mental depression Nephrology Nurses Nursing Patients Psychiatric-mental health nursing Psychological aspects Questionnaires Restrictions Self-advocacy Selfmanagement self‐management behaviors Social psychology Stress Weight gain |
| title | Self‐Management Behaviors in Relation to Psychological Factors and Interdialytic Weight Gain Among Patients Undergoing Hemodialysis in Indonesia |
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