The Correlation of Self-Regulation Theory Constructs and the Incidence of Intradialytic Complications during Hemodialysis

2021 ◽  
Vol 8 (2) ◽  
pp. 153-160
Author(s):  
Sandi Alfa Wiga Arsa

Hemodialysis is currently applied as a routine treatment that is widely used by patients with chronic kidney failure, though complications still occur during dialysis. Self-regulation is a kind of theoretical model that represents the effect of perceived disease on behavior and health-related consequences. There is a process of problem representation, coping and appraisal or assessment of coping success involved in self-regulation. This study aimed to determine the correlation between self-regulation theory constructs and the incidence of intradialytic complications during hemodialysis. This was a descriptive analytic study with cross-sectional design. Consecutive sampling resulted in 42 respondents. Logistic regression results obtained disease representation variable with timeline (p=0.122; OR=0.412) and control (p=0.068; OR=0.582) sub-variables; as well as coping variable with Problem-focused (p=0.219; OR=0.912) and emotion-focused (p=0.036; OR=0.3) sub-variables. Intradialytic complications are complex conditions that involve many factors, but the patient's psychological adaptation process also deserves to be considered in developing self-regulation among hemodialysis patients. It is necessary to consider the provision of health education based on the constructs of this self-regulation theory, especially on variables/factors that have a correlation with the incidence of intradialytic complications in order to improve self-management among hemodialysis patients to get a better life.

Author(s):  
Peter A. Hall ◽  
Geoffrey T. Fong ◽  
Cassandra J. Lowe

Affective experiences are part of our everyday life, but do they influence health-related decisions and behaviors in a systematic way? Temporal self-regulation theory (TST) posits that health behaviors are a joint function of neurobiologically rooted executive control processes, prepotency, and intentions. The relative weights of these in turn depend largely on the ecological context in which the behaviors are being performed. On the surface, then, TST is a model of health behavior that relies predominantly on social-cognitive and neurocognitive constructs to explain health behavior trajectories. For this reason, it appears to not deal directly with the topic of affect in general, and emotion more specifically. However, there are several facets of the TST model that involve these processes, or are heavily influenced by them. This chapter discusses each of the primary points of intersection between affective processes and constructs within TST.


e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Moch. T. S. A. Rahman ◽  
Theresia M. D. Kaunang ◽  
Christofel Elim

Abstract: Chronic kidney disease (CKD) results in a decrease in kidney function that is irreversible and requires treatment in the form of a kidney transplant or hemodialysis. The main goal of hemodialysis is to prevent and control uremia, fluid overload, and electrolyte imbalance. Problems that commonly associate hemodialysis patients are physical and psycological stress that affect the quality of life. This study aimed to obtain the relationship between the duration of hemodialyis and the quality of life. This was an observational analytical study with a cross sectional design. The study included all hemodialysis patients in Dahlia and Melati Hemodialysis Unit Prof. Dr. R. D. Kandou Hospital Manado. There were 34 patients that met the inclusion criteria. The results showed that the correlation between the duration of hemodialyis and the quality of life had a p value of 0.579. Conclusion: The duration of hemodialysis did not correlate significantly with the quality of life of hemodialysis patients.Keywords: The duration of hemodialysis, quality of life.Abstrak: Gagal ginjal kronik (PJK) mengakibatkan penurunan fungsi ginjal yang ireversibel, yang memerlukan terapi berupa transplantasi ginjal atau hemodialisis. Tujuan utama hemodialisis yaitu mengendalikan uremia, kelebihan cairan dan ketidakseimbangan elektrolit. Permasalahan yang muncul pada pasien hemodialisis ialah masalah fisik, psikologi, perubahan sosial, dan gaya hidup; hal tersebut memengaruhi kualitas hidup pasien. Peneltian ini bertujuan untuk mencari hubungan antara lama menjalani hemodialisis dengan kualitas hidup. Metode penelitian yang digunakan ialah observasional analitik dengan pendekatan potong lintang Penelitian ini melibatkan semua pasien hemodialisis di Unit Hemodialisis Dahlia dan Melati RSUP Prof. Dr. R. D. Kandou Manado yang memenuhi kriteria inklusi yaitu sebanyak 34 orang. Hasil penelitian menunjukkan korelasi antara lama menjalani hemodialisis dengan kualitas hidup dengan nilai P=0,579. Simpulan: Tidak terdapat hubungan antara lama menjalani hemodialisis dengan kualitas hidup pada pasien hemodialisis.Kata kunci: lama menjalani hemodialisis, kualitas hidup.


Jurnal NERS ◽  
2019 ◽  
Vol 13 (2) ◽  
pp. 171
Author(s):  
Kusnanto Kusnanto ◽  
Retno Dwi Susanti ◽  
Lailatun Ni'mah ◽  
Hakim Zulkarnain

Introduction: Controlling blood sugar can be done by dietary adherence of DM. To control glycemic, it is necessary to have motivation and health locus of control to face boredom in dietary adherence of DM. The aim was to analyse the correlation between motivation and health locus of control with dietary adherence of DM.Methods: Cross-sectional design was conducted and involved 106 respondents from five public health centers in Surabaya selected by random sampling. Data were collected by questionnaire Treatment Self-Regulation Questionnaire (TSRQ), Multidimensional Health Locus of Control Scales” (MHLC), and Diet Adherence. The analysis data was using statistical Spearman rho (α ≤ 0.05).Results: There was no correlation between motivation and dietary adherence (p=0.178), and there was a correlation between health locus of control with dietary adherence (p = 0.002).Conclusion: According to analysis, it can be concluded that motivation is influenced by many things to the role the forming of patient behavior in dietary adherence of DM while health locus of control has an influence to dietary adherence of DM. Because of that, it is necessary to increase the factor that influences the behavior of DM control. One of it is health locus of control. So that the glycemic control with dietary adherence of DM can increase and be better.


2011 ◽  
Vol 37 (5) ◽  
pp. 669-679 ◽  
Author(s):  
Melissa Scollan-Koliopoulos ◽  
Elizabeth A. Walker ◽  
Kenneth J. Rapp

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