Abstract

Patients undergoing hemodialysis experience various complications and physical and emotional difficulties, leading to decreased quality of life. Self-care behaviors(SCB) are essential for preventing complications and reducing mortality rates. Effective SCB significantly depend on shared decision-making(SDM), health literacy(HL), and self-care knowledge(SCK), each critical in patient self-care performance and disease management. This study aimed to determine the importance and relevance of SDM, HL, and SCK. In particular, it enhances SCB among hemodialysis patients. Further, it sought to propose practical nursing interventions based on these findings. Participants were 108 adult hemodialysis patients from the nephrology departments of three general hospitals in Region C. Moreover, the study utilized a descriptive survey research design. SCB was measured using a self-care behavior assessment tool. SDM was evaluated using the SDM-Q-9, HL using the HLS-SF12, and SCK using a self-care knowledge assessment tool. Data were analyzed using descriptive statistics, independent t-tests, one-way ANOVA, Pearson's correlation coefficients, and multiple linear regression analyses. The average score for SCB was 125.28 out of 175 points, with high scores for medication and vascular management. Furthermore, there were low scores for social activities and dietary management. Analysis of SCB based on demographic characteristics showed significant sex differences (t = -2.39, p = .019), age (F = 6.53, p = .002), and economic status (F = 11.92, p < .001). Correlation analysis indicated significant positive correlations between SCB and SDM (r = .28, p = .003), health literacy (r = .42, p < .001), and SCK (r = .29, p = .003). Regression analysis revealed that sex (β = -.26, p = .001), age (β = .36, p < .001), economic status (β = .25, p = .006), HL (β = .41, p < .001), and SCK (β = .17, p < .001) significantly influenced SCB. Thus, it explains 45.2% of the variance in SCB (F = 13.59, p < .001). This study confirmed that HL and SCK significantly impacted hemodialysis patients' SCB. These findings support the need for tailored educational programs, enhanced explanatory nursing roles, and SDM promotion. Further, comprehensive interventions, including economic support, should be emphasized to provide foundational data for devising strategies to enhance SCB.

Notes

References:

Hsu, S. H., Lin, Y. L., Koo, M., Creedy, D. K., & Tsao, Y. (2024). Health literacy, self-efficacy and health outcomes of patients undergoing haemodialysis: Mediating role of self-management. Journal of Renal Care. https://doi.org/10.1111/jorc.12493

Huesken, A., Hoffmann, R., & Ayed, S. (2021). Persistent effect of nurse-led education on self-care behavior and disease knowledge in heart failure patients. International Journal of Nursing Sciences, 8(2), 161–167.https://doi.org/10.1016/j.ijnss.2021.03.002

Kim, S., An, S., Kim, S., Ryu, D. R., & Kim, H. (2021). An exploratory study on the shared decision-making as a two-way symmetrical communication process: Focusing on the communication of kidney dialysis patients. Korean Journal of Journalism & Communication Studies, 65, 162–204. https://doi.org/10.20879/kjjcs.2021.65.2.005

Kim, H. N., & Cho, M. K. (2021). Factors influencing self-care behavior and treatment adherence in hemodialysis patients. International Journal of Environmental Research and Public Health, 18(24), 12934. https://doi.org/10.3390/ijerph182412934

Description

This session explores the importance and interrelationships of shared decision-making, health literacy, and Self-care knowledge on the self-care behaviors of patients undergoing hemodialysis. Participants will gain insights into developing tailored educational programs and practical nursing interventions to enhance patients' self-care behaviors.

Author Details

Hyohjung Lee, MS; Mikyoung Cho, PhD

Sigma Membership

Non-member

Type

Poster

Format Type

Text-based Document

Study Design/Type

Descriptive/Correlational

Research Approach

Mixed/Multi Method Research

Keywords:

Long-term Care, Hemodialysis Patients, Self-care, Health Literacy, Shared Decision-making

Conference Name

36th International Nursing Research Congress

Conference Host

Sigma Theta Tau International

Conference Location

Seattle, Washington, USA

Conference Year

2025

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

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Shared Decision-Making, Health Literacy, and Self-Care Knowledge on Hemodialysis Self-Care Behaviors

Seattle, Washington, USA

Patients undergoing hemodialysis experience various complications and physical and emotional difficulties, leading to decreased quality of life. Self-care behaviors(SCB) are essential for preventing complications and reducing mortality rates. Effective SCB significantly depend on shared decision-making(SDM), health literacy(HL), and self-care knowledge(SCK), each critical in patient self-care performance and disease management. This study aimed to determine the importance and relevance of SDM, HL, and SCK. In particular, it enhances SCB among hemodialysis patients. Further, it sought to propose practical nursing interventions based on these findings. Participants were 108 adult hemodialysis patients from the nephrology departments of three general hospitals in Region C. Moreover, the study utilized a descriptive survey research design. SCB was measured using a self-care behavior assessment tool. SDM was evaluated using the SDM-Q-9, HL using the HLS-SF12, and SCK using a self-care knowledge assessment tool. Data were analyzed using descriptive statistics, independent t-tests, one-way ANOVA, Pearson's correlation coefficients, and multiple linear regression analyses. The average score for SCB was 125.28 out of 175 points, with high scores for medication and vascular management. Furthermore, there were low scores for social activities and dietary management. Analysis of SCB based on demographic characteristics showed significant sex differences (t = -2.39, p = .019), age (F = 6.53, p = .002), and economic status (F = 11.92, p < .001). Correlation analysis indicated significant positive correlations between SCB and SDM (r = .28, p = .003), health literacy (r = .42, p < .001), and SCK (r = .29, p = .003). Regression analysis revealed that sex (β = -.26, p = .001), age (β = .36, p < .001), economic status (β = .25, p = .006), HL (β = .41, p < .001), and SCK (β = .17, p < .001) significantly influenced SCB. Thus, it explains 45.2% of the variance in SCB (F = 13.59, p < .001). This study confirmed that HL and SCK significantly impacted hemodialysis patients' SCB. These findings support the need for tailored educational programs, enhanced explanatory nursing roles, and SDM promotion. Further, comprehensive interventions, including economic support, should be emphasized to provide foundational data for devising strategies to enhance SCB.