Maintenance Hemodialysis Patients Self-efficacy, Self-management And The Correlation Between The Quality Of Life

Purpose:By maintenance hemodialysis (MHD) patients demographic survey of basichealth information, self-efficacy, self-management and quality of life status quoanalysis on maintenance hemodialysis (MHD) patients with basic information on thequality of life, and to explore self-efficacy, self-management and quality of liferelevance. To improve maintenance hemodialysis (MHD) to provide a theoreticalreference for the quality of life of patients.Methods:This study used a convenience sample of patients selected from September2014to December2014in Changchun City, a three-level general hospital bloodpurification hemodialysis centers for the study of120cases. The method of collectingdata for basic information questionnaire and scale combination of methods. Researchtools include: basic information questionnaire, Chronic Disease Self-Efficacy Scale(Secd6), hemodialysis patient self-management scale, short form health survey(SF-36). Selection EpiData3.1data entry, SPSS17.0analysis of data.Results:1.Levels of self-efficacy in patients of MHD with lower overall <7pointsaccounted for68.3%.2.MHD overall patient self-management level is not high. Especially in theemotional processing, perform self-care dimension.3.The overall quality of life in patients MHD lower than the national norm, theoverall scores were lower dimensions.4.Quality of different ages survival in MHD patients have scored significantdifference (P <0.005), with age, physical function scores decreasing dimensions MHDpatients (P <0.005), aged35-55years old in the body of the patient role, emotionalRole scores lower than <35years,55-75years old patients (P <0.005). Male physicalfunction scores than women (P <0.005), the quality of life in patients with differentincidence of MHD original statistically significant (P <0.005) scores, primary diabetes in vitality/energy, emotional role and mental health dimensions and survival Qualityscores were lower in patients with primary hypertension (P <0.005), in physicalfunction, general health and quality of life scores were lower than those of primaryrenal disease (P <0.005).5-10years of dialysis patients in dialysis social functionscores less than2-5years,>10years of patients (P <0.005). Education for primaryschool in general health education for patients with scores lower than junior highschool (P <0.005). Alone in the social function of patients living with their familiesbelow the scores of patients (P <0.005), role emotional scores higher than living withfamily members of patients (P <0.005). Patient involvement in physical functioning,general health, vitality/energy, social functioning, mental health and quality of lifedimension scores were higher in patients not involved in the work of the (P <0.005).Medicare patients City than Medicare patients towns in bodily pain, vitality/energy,high mental health scores (P <0.005). No financial burden of patients in bodily pain,vitality/energy score higher than mild, moderate and severe economic burden ofpatients (P <0.005). In patients with severe insomnia in bodily pain, role emotionalscores than those without insomnia symptoms (P <0.005), with moderate insomniapatients were lower in bodily pain, general health, vitality/energy, emotional roledimensions and quality of life scores in no insomnia, mild insomnia patients (P<0.005). Complications in two patients and more bodily pain, vitality/energydimension and quality of life scores were lower than in patients without complications(P <0.005).5. Multiple regression analysis showed: age, insomnia, primary disease, workingconditions into the regression equation, is an important factor affecting the quality ofsurvival in MHD patients. Age35-55years old,>75years, moderate, severe insomnia,primary disease of diabetes, can not participate in the work of the negative factorsaffecting the quality of life of MHD.6. The self-efficacy, self-management were positively correlated with quality oflife. Self-efficacy of symptom management, common management and quality of lifedimensions were positively correlated, self-management partnership, emotionalprocessing dimensions and quality of life were positively correlated. Conclusion:1.MHD patient self-efficacy, self-management, the average survival is lowquality water.2. Age, primary disease, working conditions, insomnia, number of complicationsare the main factors affecting the quality of survival in MHD patients. Shouldstrengthen the guidance of35-55year-old age mental health patients, concerns aged>75years in patients with physical health; strengthen primary diabetes care and healtheducation, delaying the onset of diabetes complications; actively encourage patients toparticipate in the work, Reintegration, coordinate the relationship between patientself-care and family support weight; attention problems in patients with insomnia,take effective measures to relieve insomnia; attention dialysis complications,symptomatic treatment of complications, reduce the incidence of complications andimprove the quality of life in patients with MHD.3. The self-efficacy, self-management were positively correlated with quality oflife. Self-efficacy of symptom management, common management and quality of lifedimensions were positively correlated, self-management partnership, emotionalprocessing dimensions and quality of life were positively correlated.