Chinese Journal of Blood Purification ›› 2019, Vol. 18 ›› Issue (09): 614-617.doi: 10.3969/j.issn.1671-4091.2019.09.009

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The correlation between self-management and social resources among young and middle-aged patients undergoing maintenance hemodialysis#br#

  

  1. 1Department of Respiratory and Intensive Care and 2Center for Blood Purification, West China Hospital, Sichuan University, Chengdu 610041, China; 3West China Hospital/West China School of Nursing, Sichuan University, Chengdu 610041, China
  • Received:2019-04-08 Revised:2019-06-29 Online:2019-09-12 Published:2019-09-02

Abstract:

【Abstract】Objective To investigate the correlation between self- management and social resources among young and middle-aged patients undergoing maintenance hemodialysis (MHD). Methods A total of 187 young and middle-aged patients undergoing MHD in the four tertiary medical centers in Chengdu were investigated by general information questionnaires, including the Hemodialysis Self- Management Instrument (HDSMI) and the Chronic Illness Resources Survey (CIRS). Results The mean score of HDSMI was 2.73±0.47, which is at the middle level. The mean score of CIRS was 3.11±0.55, in which the social resources obtained from social circumstances and cultural level were lower. The total score of social resources and the 6 dimensions including supports from medical staff, supports from family members and friends, self-adjustment, supports from neighborhoods, supports from media policy, and supports from social organizations were positively correlated with self- management (r=0.472, P<0.001; r=0.234, P=0.001; r=0.240, P=0.001; r=0.393,P<0.001; r=0.290, P<0.001; r=0.299, P<0.001; r=0.266, P<0.001). Conclusion Health care providers should pay attention to the social resources among young and middle-aged MHD patients, and assist them to make full use of social resources to improve their self-management abilities.

Key words: Maintenance hemodialysis, Self-management, Social resources

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