The Mediating Effect of Meaning in Life in the Relationship between Self-Efficacy for Managing Chronic Disease and Compliance of Patient Role Behavior in Hemodialysis Patients

This study aimed to examine the mediating effect of meaning in life in the relationship between self-efficacy for managing chronic disease and compliance of patient role behavior in hemodialysis patients. Participants included 149 hemodialysis patients. Data were collected from July, 3 to July, 21, 2023 using self-reported questionnaires. Data were analyzed using descriptive statistics, t-test, ANOVA, Scheffé test, Pearson’s correlation coefficient, multiple regression. Mediation analysis was performed using the Baron and Kenny method and Sobel test. The higher the self-efficacy for managing chronic disease, the higher the meaning in life(r=.61, p<.001), and the higher the compliance patient role behavior(r=.59, p<.001). In addition, a significant positive correlation was found that the higher the awareness of the meaning in life, the higher the compliance of patient role behavior(r=.65, p<.001). Meaning in life showed partial mediating effects in the relationship between self-efficacy for managing chronic disease and compliance of patient role behavior. Thus, it is required to develop interventions to enhance self-efficacy for managing chronic disease and to strengthen meaning in life. It is necessary also to prepare programs and strategies to improve compliance of patient role behavior.