지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 1 - 11 (11page)
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Background: Non-adherence and comorbidities are prevalent among hemodialysis patients and are associated with increased mortality and financial burden. We aimed to investigate the influence of major coping strategies (CSs) on non-adherence and comorbidities in hemodialysis patients. Methods: A total of 49 patients were enrolled. We collected participant data including CS measured by a Korean version of the ways of coping questionnaire (K-WCQ), comorbidities measured by age-adjusted Charlson comorbidity index (CCI), and adherence measured by the 8-item Morisky medication adherence scale (MMAS-8). Results: Regarding major CS, 61.2% of participants reported use of support-seeking CS (SUP group), 14.3% reported use of problem-focused CS (PRO group), and 24.5% reported use of hopeful-thinking CS (HOP group). The mean MMAS-8 score was higher in the PRO group than in the HOP group (P = 0.024). The mean CCI score was lower in the PRO group than in the HOP group (P = 0.017). In the HOP group, the severity of somatic symptoms was positively correlated with the scores for the emotion-focused CS subscale (r = 0.39, P = 0.029) and the hopeful-thinking CS subscale (r = 0.38, P = 0.036) of the K-WCQ. The level of life satisfaction positively correlated with the score for the problem-focused CS subscale in the HOP group (r = 0.40, P = 0.027). Conclusion: We should pay more attention to the CSs of hemodialysis patients and provide interventions that promote problem-focused CSs, especially for nonadherent patients with high comorbidity rates who mainly use a hopeful-thinking CS.
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참고문헌 (35)
참고문헌 신청
Clark S / 2014 / Nonadherence in dialysis patients: prevalence, measurement, outcome, and psychological determinants / Semin Dial 27(1):42~49
Schmid H / 2009 / Adherence to prescribed oral medication in adult patients undergoing chronic hemodialysis: a critical review of the literature / Eur J Med Res 14(5):185~190
Saran R / 2003 / Nonadherence in hemodialysis: associations with mortality, hospitalization, and practice patterns in the DOPPS / Kidney Int 64(1):254~262
DiMatteo MR / 2004 / Variations in patients' adherence to medical recommendations: a quantitative review of 50 years of research / Med Care 42(3):200~209
Kugler C / 2011 / Non-adherence in patients on chronic hemodialysis: an international comparison study / J Nephrol 24(3):366~375
Schmid H / 2009 / Adherence to prescribed oral medication in adult patients undergoing chronic hemodialysis: a critical review of the literature / Eur J Med Res 14(5):185~190
Saran R / 2003 / Nonadherence in hemodialysis: associations with mortality, hospitalization, and practice patterns in the DOPPS / Kidney Int 64(1):254~262
DiMatteo MR / 2004 / Variations in patients' adherence to medical recommendations: a quantitative review of 50 years of research / Med Care 42(3):200~209
Kugler C / 2011 / Non-adherence in patients on chronic hemodialysis: an international comparison study / J Nephrol 24(3):366~375
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