혈액투석 환자의 자기관리증진 프로그램 효과

Abstract

Purpose: This study was conducted to verify the effects of a self-management promotion program for hemodialysis patients on self-efficacy, knowledge about hemodialysis, self-care compliance, dysfunctional cognition about sleep, and insomnia. Methods: 49 hemodialysis patients in this study participated in a non-equivalent control group pre-post test design. The experimental group attended a 10-session self-management promotion program for hemodialysis patients. The study measurements such as self-efficacy, knowledge about self-care, compliance with self-care, dysfunctional cognition about sleep, and insomnia severity index were used to evaluate the program''s effect. Data were analyzed by frequency, percentage, standard deviation, χ²-test, Fisher''s exact test, and independent two-sample t-test using the IBM SPSS Statistics 21.0 program. Results: Self-efficacy (t=3.68, p=.001), knowledge about self-care (t=2.96, p=.005), compliance with self-care (t=2.76, p=.008), dysfunctional cognition about sleep (t=-4.25, p<.001), and insomnia (t=-5.91, p<.001) were significantly different in the experimental group compared to the control group. Conclusion: The self-management promotion program effectively improved self-efficacy, knowledge about self-care, compliance with self-care, and decreased dysfunctional cognition and insomnia in hemodialysis patients. Therefore, this self-management promotion program can increase self-care behavior and reduce insomnia for hemodialysis patients.