Attitudes toward treatment in hemodialysis patients: Assessment of behavioral patterns and its effects on self-management

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  • Kurihara Akemi
    Department of Medical Science and Welfare, Graduate School of Comprehensive Human Sciences, University of Tsukuba
  • Yanagi Hisako
    Department of Medical Science and Welfare, Graduate School of Comprehensive Human Sciences, University of Tsukuba
  • Okuno Junko
    Department of Medical Science and Welfare, Graduate School of Comprehensive Human Sciences, University of Tsukuba
  • Tomura Shigeo
    Department of Medical Science and Welfare, Graduate School of Comprehensive Human Sciences, University of Tsukuba

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  • 血液透析患者の自己管理力に影響を及ぼす治療適応意識とその類型
  • ケツエキ トウセキ カンジャ ノ ジコ カンリリョク ニ エイキョウ オ オヨボス チリョウ テキオウ イシキ ト ソノ ルイケイ

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Abstract

We studied the attitudes of hemodialysis patients toward their treatment; the status of self-care, eating and drinking patterns, sense of support, methods of coping with stress, and perspectives on life. The subjects were 110 hemodialysis patients who gave informed consent after receiving an explanation of the concept of the study.<br>Factor analysis was conducted by using items on a category-based questionnaire. We selected items whose factor load was 0.40 or higher for only one factor. Using these subscales, principal component and cluster analyses were conducted, and patients were classified into one of four behavioral pattern groups: “idealist”, “indifferent”, “pseudo-adjusted”, and “desperate”. Patients in the “pseudo-adjusted” group showed good selfmanagement in terms of body weight control, and therefore, we supposed that their problems were easily overlooked. Many exhibited signs of internal struggle and behavioral problem, suggesting that they are considered to be the priority patients who need the support from the perspective of mind-body medicine.

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