Potential categories and influencing factors of disease progression fear and self-management ability in maintenance hemodialysis patients
10.3760/cma.j.cn115682-20240416-02106
- VernacularTitle:维持性血液透析患者疾病进展恐惧及自我管理能力的潜在类别及其影响因素
- Author:
Jing REN
1
;
Lu DAI
;
Guiqin WAN
;
Dongqing CAI
;
Qianqian YANG
Author Information
1. 南京医科大学附属淮安第一医院血液净化中心，淮安 223300
- Publication Type:Journal Article
- Keywords:
Hemodialysis;
Disease progression;
Fear;
Self-management;
Influencing factor
- From:
Chinese Journal of Modern Nursing
2025;31(8):1094-1101
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore potential categories of disease progression fear and self-management ability in patients with maintenance hemodialysis (MHD) and their influencing factors.Methods:Convenience sampling was used to select MHD patients in the Blood Purification Center of the Affiliated Nantong Hospital of Nanjing University of Chinese Medicine, the Affiliated Suzhou Hospital of Nanjing University Medical School, and the Affiliated Huaian First People's Hospital of Nanjing Medical University from November 2022 to May 2023 as study subjects. General Information Questionnaire, Fear of Progression Questionnaire-short form (FoP-Q-SF), Hemodialysis Self-management Instrument (HDSMI), and Perceived Social Support Scale (PSSS) were used to conduct the survey. Mplus 8.7 software was applied to conduct latent profile analysis, and multiple Logistic regression was used to explore the factors influencing the disease progression fear and self-management ability of different MHD patients.Results:A total of 380 questionnaires were distributed, and 364 valid questionnaires were recovered, with an effective recovery rate of 95.79%. The mean scores of FoP-Q-SF and HDSMI in 364 MHD patients were (2.53±0.84) and (2.81±0.54), respectively. MHD patients' fear of disease progression and self-management ability were manifested in three different potential categories, named high fear-general self-management (59.34%, 216/364), moderate fear-low self-management (24.45%, 89/364), and low fear-good self-management (16.21%, 59/364). Multiple Logistic regression showed that age, education level, marital status, comorbidities, duration on dialysis, and social support were influencing factors in the potential categories of fear of disease progression and self-management ability in MHD patients, and the difference was statistically significant ( P<0.05) . Conclusions:Healthcare professionals should give appropriate interventions to MHD patients with different types of fear of progression and self-management ability in order to reduce patients' fear of disease progression and improve their self-management ability.
