Stigma and Self-Management in Patients Undergoing Hemodialysis: A Cross-Sectional Study.
Purpose: This study aimed to examine the relationship between stigma and self-management among patients undergoing hemodialysis and to identify the key factors influencing their self-management practices. Methods: A convenience sample of 139 hemodialysis patients, aged 18 years or older with an arte...
| Publicado en: | Korean Journal of Adult Nursing Vol. 37; no. 4; pp. 425 - 436 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Korean Society of Adult Nursing
Nov2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=189698929&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 189698929 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 12254886 BKLA jtl: Korean Journal of Adult Nursing issn: 12254886 maglogo: N pubinfo: dt: Nov2025 vid: 37 iid: 4 pid: 69073 pub: Korean Society of Adult Nursing artinfo: ui: 189698929 189698929 189698929 10.7475/kjan.2025.0606 189698929 ppf: 425 ppct: 11 formats: fmt: @attributes: type: P tig: atl: Stigma and Self-Management in Patients Undergoing Hemodialysis: A Cross-Sectional Study. aug: au: Ryu, Seulgi Park, Yeon-Hwan affil: Doctoral Student, School of Nursing, The University of Texas at Austin, Austin, TX, USA sug: subj: Dialysis Patients Psychosocial Factors Self-Management Psychosocial Factors Hemodialysis Stigma Sociodemographic Factors Human South Korea Male Female Adult Middle Age Aged Cross Sectional Studies Correlational Studies Surveys Scales Summated Rating Scaling Data Analysis Software Descriptive Statistics T-Tests One-Way Analysis of Variance Post Hoc Analysis Pearson's Correlation Coefficient Convenience Sample Disease Attributes Income Marital Status Dialysis Office Visits Social Class Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Purpose: This study aimed to examine the relationship between stigma and self-management among patients undergoing hemodialysis and to identify the key factors influencing their self-management practices. Methods: A convenience sample of 139 hemodialysis patients, aged 18 years or older with an arteriovenous fistula, was recruited from online websites designed for patients undergoing hemodialysis in South Korea. Data were collected using a self-reported questionnaire that assessed demographic and clinical characteristics, self-management behavior, and stigma. Data analysis included descriptive statistics, the independent t-test, one-way analysis of variance, Pearson r correlations, and hierarchical regression analysis to evaluate the influence of stigma on self-management. Results: Hierarchical regression analysis showed that demographic and clinical characteristics accounted for 25.1% of the variance in self-management, and the inclusion of stigma increased the explained variance to 31.4%. Significant predictors included the number of hemodialysis sessions per week (≥3) (β=-.38, p<.001), stigma (β=-.27, p<.001), monthly household income (≥4 million won) (β=.24, p=.014), and marital status (single) (β=-.18, p=.028). Conclusion: The findings highlight the substantial impact of stigma and treatment burden on self-management, while socioeconomic status and marital support serve as protective factors. Targeted interventions that reduce stigma and strengthen support systems are warranted. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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