The Relationship between Illness Perception and Self-Care Behaviors among Hemodialysis Patients
Objective: Illness perception and self-care behaviors can result in higher levels of health behavior among hemodialysis patients. The present study aimed to assess the relationship between illness perception and self-care behaviors among hemodialysis patients who referred to the hospitals affiliated to Shiraz University of Medical Sciences in 2017.
Method: In this descriptive cross sectional study, 216 hemodialysis patients who referred to the hemodialysis wards of the hospitals affiliated to Shiraz University of Medical Sciences were selected via convenience sampling. The study data were collected using a demographic information form, Brief Illness Perception Questionnaire (9 items), and a 15-item Self-care Behavior of Hemodialysis Patients Questionnaire. Then, the data were analyzed using independent t test and one-way ANOVA. Also, significance level was set at P < 0.05.
Results: The mean age of the study participants was 30.15+6.65 years. Also, most of the participants were female (n = 125, 58%). The results revealed a significant relationship between illness perception and self-care behaviors among hemodialysis patients. A significant relationship was observed between the following items: daily weight control and perception of consequences (r = 0.200, p = 0.001), between contacting the physician at the time of shortness of breath and consequences (r = 0.209, p = 0.001), between weight control according to the physician’s order and consequences (r = 0.763, p = 0.001), and between adherence to fluids restriction and identity(r = 0.149, p < 0.05).
Conclusion: Considering the relationship between illness perception and self-care, beliefs as illness perception have to be incorporated into self-care programs designed for hemodialysis patients so as to promote their self-care behaviors. These findings can be used for planning and implementing care for hemodialysis patients.
2. Kazemi M, Nasrabadi AN, Hasanpour M, Hassankhani H, Mills J. Experience of Iranian persons receiving hemodialysis: a descriptive, exploratory study. Nurs Health Sci. 2011;13(1):88-93.
3. Baraz S, Mohammadi R, Boroumand B. A comparative study on the effect of two methods of self-care education (direct and indirect) on quality of life and physical problems of hemodialysis patients. Arak Medical University Journal (Rahavard Danesh). 2013; 9 (1): 7-22.
4. Habibzade H, Davarpanah M, Khalkhali H. The study of the effect of Orem self care model on self efficacy in hemodialysis patients in Urmia Medical Science Hospitals during 2011. Journal of Urmia Nursing and Midwifery Faculty. 2012; 10 (2):191-99. [Persian].
5. Shafipour V, Jafari H, Shafipour L. Relation of quality of life and stress intensity in hemodialysis patients. Kowsar Medical Journal. 2011; 14 (3): 169-74. [Persian].
6. Wilson FL, Baker LM, Nordstrom CK, Legwand C. Using the teach-back and orem's self-care deficit nursing theory to increase childhood immunization communication among low-income mothers. Issues Compr Pediatr Nurs. 2008; 31 (1): 7-22.
7. Tu HY, Shao JH, Wu FJ, Chen SH, Chuang YH. Stressors and coping strategies of 20-45-year-old hemodialysis patients. Collegian. 2014;21(3):185-92.
8. Savadkooh O,Zakerimoghadam M,Cheyasvandian SH , et all. Effect of Self-Management Program on Self-Efficacy in Hypertensive Patients.j mazand univ med sci.2012;22(92):19-28.
9. Hayden B , Boswarth H , Maren K .Two self management intervention to improve hypertention control.annual of internal medicine.ann intern med.2009;151:687-695
10. Petrie KJ,Cameron LD, Ellis CJ,Buick D, John W. Changing Illness Perceptions After Myocardial Infarction: An Early Intervention Randomized Controlled Trial. Journal of Psychosomatic Medicine .2002.64.pp:580–586 .
11. Savadkooh O,Zakerimoghadam M,Cheyasvandian SH , et all. Effect of Self-Management Program on Self-Efficacy in Hypertensive Patients.j mazand univ med sci.2012;22(92):19-28.
12. Carrillo Algarra AJ, Díaz FJ. Self-care capability of patientes in peritoneal dialysis: a pilot study in Bogota. Enfermería Global. 2013 (30):65.
13. Royani Z, Rayyani M, Vatanparast M, Mahdavifar M, Goleij J. The relationship between self-care and self - efficacy with empowerment in patients undergoing hemodialysis. 3. 2015; 1 (2) :116-122
14. Jaarsma T, Strömberg A, Mårtensson J, Dracup K. Development and testing of the European heart failure self‐care behaviour scale. European Journal of Heart Failure. 2003 Jun;5(3):363-70.
15. Evers GC, Isenberg MA, Philipsen H, Senten M, Brouns G. Validity testing of the Dutch translation of the appraisal of the self-care agency A.S.A.-scale. Int J Nurs Stud. 1993;30(4):331-42.
16. Shojaei F, Asemi S, Njafiarandi A,Hoseini F.Self –care behaviour of patients with heart failure.Quarterly journal of paiesh.2009;8(4):361-69. [Persian].
17. Khoshtarash M, Momeni M, Ghanbari A, Salehzadeh A, Rahmatpour P. Self-care behaviors and related factors in patients with heart failure . Holist Nurs Midwifery. 2013; 23 (1) :22-9. [Persian].
18. Abootalebi G, Vosooghi N, Mohammad Nejad E, Namadi M, Akbari Kaji M. Study of the self-care agency in patients with heart failure . IJCCN. 2012; 4 (4) :203-20. [Persian].
19. Broadbent E, Petrie KJ, Main J, Weinman J. The brief illness perception questionnaire. Journal of psychosomatic research. 2006 Jun 1;60(6):631-7.
20. Moghimian A, Ebrahimi DaryaniN, Yaraghchi A, Jomehrie F, Rezaei O. Predicting Quality Of Life on the Basis of Illness Perception in Patients with Irritable Bowel Syndrome. Govaresh 2013;18:164-71.
21. Bagheriansararoudi R, Afshar H, Forouzandeh N, Khoramian N. Daghaghzadeh H, Merati M, et al.The relationship between illness perception and symptom severity in patient with irritable bowel syndrome. J Isfahan Med School 2011; 29:2-5.
22. Moghimian A, Ebrahimi DaryaniN, Yaraghchi A, Jomehrie F, Rezaei O. Predicting Quality Of Life on the Basis of Illness Perception in Patients with Irritable Bowel Syndrome. Govaresh 2013;18:164-71.
23. Bagheriansararoudi R, Afshar H, Forouzandeh N, Khoramian N. Daghaghzadeh H, Merati M, et al.The relationship between illness perception and symptom severity in patient with irritable bowel syndrome. J Isfahan Med School 2011; 29:2-5.
24. Pacheco-Huergo, Valeria, et al. "Perception in chronic illnesses: linguistic validation of the revised Illness Perception Questionnaire and the Brief Illness Perception Questionnaire for a Spanish population." Atencion primaria 44.5 (2012): 280-287.
25. Jahan been, P., Hedayati A.,Mobasheri, F. The relationship between religious attitudes and perceptions of their disease in patients undergoing hemodialysis in the city of Fasa. Master's thesis. Fasa University of Medical Sciences, 2014.
26. Huanhuan Hu, Gang Li, and Takashi Arao. Prevalence Rates of Self-Care Behaviors and Related Factors in a Rural Hypertension Population: A Questionnaire Survey. International Journal of Hypertension2013, 1(4):8-12.
27. Nieuwenhuis MM, Jaarsma T, van Veldhuisen DJ, van der Wal MH. Self-reported versus 'true' adherence in heart failure patients: a study using the Medication Event Monitoring System. Neth Heart J. 2012;20(7-8):313-9.
28. Babler, E., & Strickland, C. JMoving the Journey Towards Independence: Adolescents Transitioning to Successful Diabetes Self-Management. Journal of pediatric nursing, . (2015). 30(5), 648-660.
29. Frediani J, Reilly C, Clark P, Gary R, Higgins M, Dunbar S. Quality and adequacy of dietary intake in a southern urban heart failure population. J Cardiovasc Nurs . 2013;28( 2): 119-28.
30. Lennie TA, Worrall-Carter L, Hammash M, Odom-Forren J, Roser LP, Smith CS, et al. Relationship of heart failure patients' knowledge, perceived barriers, and attitudes regarding low-sodium diet recommendations to adherence. Prog Cardiovasc Nurs. 2008;23(1):6-11.