Self-care Adherence in Hemodialysis Patients: A Structural Equation Modeling

Abstract

BACKGROUND: Management of health problems in patients undergoing hemodialysis is quite complicated, fluid restriction, diet, following treatment recommendations, and managing physical activity are problems that are often difficult to manage. Self-regulation of HD patients is needed to maintain adherence regarding fluid restriction, diet, medication, and physical activity management. AIM: We aimed to investigate self-care adherence in hemodialysis patients with a structural equation modeling. METHODS: One hundred and thirty patients with the hemodialysis-dependent end-stage renal disease took part in a quantitative cross-sectional study. RESULTS: The researchers investigated personality traits, information factors, emotional factors, disease representation, motivation, appraisal, coping, and self-care adherence. CONCLUSION: Except for motivation, which has no direct effect on coping (T-statistic = 1.666), almost every construct in this model significantly affects coping.