Factors Influencing Self-Management Among Patients Receiving Maintenance Hemodialysis

To assess self-management and its influencing factors among patients receiving hemodialysis. Applying random sampling method, 180 patients receiving maintenance hemodialysis (MHD) were included from February 2022 to June 2022 from a hemodialysis center of the tertiary university-affiliated hospital in Southern China. The self-rating anxiety scale (SAS) and self -rating depression scale (SDS) were administered to evaluate anxiety and depression. A self-management questionnaire was applied to assess the capacity of self-management. Demographic data and laboratory tests were assessed to inform the influencing factors on self-management in the MHD patients. The incidences of anxiety and depression were 34.89% and 30.02%, respectively, and the mean score of self-management was (55.51±11.22) in the MHD patients. More than half (57.8%) of the patients had low score of self-management. Monthly income, education level, duration of dialysis, plasma albumin (ALB), anxiety and depression were significant factors influencing self-management among patients receiving MHD (P<0.05). Self-management in MHD patients is at an intermediate level, especially among those who have low education level, poor economic status, disadvantaged nutritional condition, as well as unstable emotion. Tailored strategies should be developed to achieve better outcome for the patients undergoing MHD.