Relational model of factors influencing fluid management in hemodialysis patients based on the health belief model
10.3761/j.issn.0254-1769.2023.24.008
- VernacularTitle:基于健康信念模式的血液透析患者液体管理影响因素的关系模型研究
- Author:
Chen CHEN
1
;
Jing ZHENG
;
Xu LIU
;
Jiali LIU
;
Liming YOU
Author Information
1. 518000 深圳市 深圳大学第一附属医院护理部
- Keywords:
End-Stage Renal Disease;
Hemodialysis;
Fluid Management;
Adherence;
Health Belief Model;
Nursing Care
- From:
Chinese Journal of Nursing
2023;58(24):2996-3003
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the influencing factors and pathways of fluid management adherence and interdialytic weight control in hemodialysis patients based on the health belief model.Methods Using convenience sampling,433 patients receiving hemodialysis were included from 4 hospitals in Guangdong province.The demographic and clinical data questionnaire,Health Belief Scale of Fluid Restriction,and Fluid Intake Adherence Scale were used.The relative-interdialytic weight gain(R-1DWG)was calculated.Results The mean score of patients'fluid management adherence was 3.08±0.97,indicating a moderate level,with 35.57％of patients exceeding the required R-IDWG standard.Regarding health beliefs,perceived benefits(β=0.161)and self-efficacy(β=0.685)of fluid restriction directly affected fluid adherence;perceived threats of poor fluid restriction indirectly affected fluid management adherence through perceptions of benefits and self-efficacy(β=0.235);perceived barriers were indirectly and negatively associated with fluid management adherence through self-efficacy(β=-0.246).Higher fluid management adherence was associated with better control of R-IDWG(β=-0.361).Regarding the coordinating factors,age,educational level,hemodialysis vintage and diabetes were influential factors of fluid management adherence(|β|:0.050-0.162)and R-IDWG control(|β |:0.049-0.309).The coefficients(β)of each path were statistically significant(P＜0.05).Conclusion Healthcare providers should comprehensively assess patients'health beliefs,focus on patients with lower educational levels and diabetes,and identify weakness in their fluid management to achieve the required R-IDWG standard.
