Cross-sectional analysis reveals how sleep disorders and resilience impact self-care performance in hemodialysis patients, suggesting targeted nursing interventions.
Purpose: This study aims to provide essential data for creating a nursing intervention program to improve self-care performance in chronic hemodialysis patients. It examines factors that influence self-care performance, including sleep disorders, depression, and resilience. Methods: A descriptive research design was employed, involving 84 patients undergoing hemodialysis at a general hospital in B City. Data analysis included t-tests, ANOVA, the Scheffé test, Pearson's correlation coefficients, and stepwise multiple regression analysis. Results: The average self-care performance score among hemodialysis patients was 3.57 out of 5. The significant factors affecting self-care performance were resilience (β=.58, p<.001), type of helper (β=.22, p=.005), and sleep disorders (β=-.16, p=.048). Together, these variables accounted for 52% of the variance in self-care performance. Conclusion: The study confirmed that resilience, type of helper, and sleep disorders significantly impact self-care performance. Therefore, interventions should focus on enhancing resilience, mitigating sleep disorders, and implementing tailored programs based on the type of helper.
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Hong et al. (2025) studied this question.
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