The Relationship Between Chronic Disease Self-Management and Well-Being in Hemodialysis Patients / Hemodiyaliz Hastalarında Kronik Hastalık Öz Yönetimi ve İyilik Hali Arasındaki İlişki

Abstract

Aims: To appraise the relation between self-management and well-being and related sociodemographic and clinical features in patients receiving hemodialysis treatment. Methods: The study was carried out with 261 patients who were treated at three hemodialysis centers in Izmir between September and December 2022 and who met the criteria for inclusion. The data of the research; “Sociodemographic Data Form”, “PERMA Scale” and “Chronic Illness SelfManagement Scale” were collected through face-to-face interviews. Ethics committee approval was obtained to conduct the study. Number, percent, mean, standard deviation, Mann Whitney U/Kruskal Wallis H tests and Spearman correlation analysis were used in the statistical analysis of the data. Results: The PERMA Scale mean score was 7.21±1.31 and the self management scale mean score was 3.31±0.35. Patients who have a high perception of psychological well-being, who have no problems with diet and who can cope with physical problems completely have higher levels of both self-management and well-being (p<0.05).There is a positive relationship between self-management and well-being (r: 0.385, p<0.01). Conclusion: Results supported that hemodialysis patients were found to have moderate disease self-management and high wellbeing. In addition, it was determined that as the disease selfmanagement increased, the well-being of the patients increased.