Self-Management of Chronic Illness in Patients Undergoing Hemodialysis: The Role of Individual Factors and Adaptation to Illness
Western Journal of Nursing Research, 2026 (SCI-Expanded, SSCI, Scopus)
- Yayın Türü: Makale / Tam Makale
- Basım Tarihi: 2026
- Doi Numarası: 10.1177/01939459261477860
- Dergi Adı: Western Journal of Nursing Research
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, CINAHL, EMBASE, Gender Studies Database, MEDLINE, Psycinfo, Public Affairs Index, Violence & Abuse Abstracts, Academic Search Ultimate (EBSCO), Health Research Premium Collection (ProQuest), Sociology Source Ultimate (EBSCO)
- Anahtar Kelimeler: chronic disease, hemodialysis, illness adaptation, renal failure, self-management
- Çukurova Üniversitesi Adresli: Evet
Özet
Background: Chronic kidney disease adversely affects quality of life and requires continuous self-management. Objective: This study examined the effects of adaptation to chronic illness and individual characteristics on self-management in patients undergoing hemodialysis. Methods: This descriptive, cross-sectional study was conducted between June and August 2024 with 348 patients undergoing hemodialysis at a university hospital in the Mediterranean region of Turkey. Data collected included demographics, the Adaptation to Chronic Illness Scale, and the Chronic Disease Self-Management Scale. Relationships between dimensions of illness adaptation (physical, social, and psychological) and self-management components (self-stigma, coping with stigma, healthcare effectiveness, and treatment adherence) were examined using correlation and regression analyses. Results: Significant associations were identified between dimensions of illness adaptation (physical, social, and psychological) and self-management components among patients undergoing hemodialysis. Self-stigma was negatively associated with all adaptation dimensions (r = −0.181 to −0.338; P < .001). In contrast, healthcare effectiveness showed moderate positive associations, particularly with physical and psychological adaptation (r = 0.355-0.429; P < .001). Coping with stigma and treatment adherence were positively associated with adaptation, although these relationships were weaker and varied across dimensions (r = 0.153-0.260; P < 01). Robust regression analyses showed all models were significant (F = 6.121-24.187; P < .001; R2 = 0.158-0.182), and education level, illness-related education, having children, and engagement in non-work activities predicted self-management (β = −0.50 to 0.44; P < 0.05). Conclusions: Physical, psychological, and social adaptation to chronic illness is significantly associated with self-management among patients undergoing hemodialysis, suggesting that holistic nursing approaches that emphasize patient education and engagement in daily activities may enhance self-management behaviors.