Key result
Perceived social support correlates with better self-management in hemodialysis patients, partially mediated by self-esteem.
Why the study?
Patients undergoing hemodialysis experience psychosocial burdens that may hinder self-management, motivating an evaluation of whether self-esteem mediates the link between social support and self-management.
Does perceived social support improve self-management behavior in hemodialysis patients?
Cross-Sectional (n=145)
Yes
Does perceived social support improve self-management behavior in hemodialysis patients?
Effect estimate: r = 0.41
p-value: p=< 0.001
Higher perceived social support and self-esteem are associated with better self-management behavior among hemodialysis patients, suggesting that nursing interventions targeting these factors may be beneficial.
Self-esteem may mediate social support–self-management links in hemodialysis; hypothesis-generating, longitudinal studies needed before intervention targeting.
Background/Objectives: Patients undergoing hemodialysis experience psychosocial burdens that may hinder self-management. Guided by Bandura’s social cognitive theory, this study examined whether self-esteem statistically mediated the association between perceived social support and self-management behavior. Methods: A descriptive cross-sectional study was conducted with 145 patients receiving regular hemodialysis at three medical institutions in South Korea. The mediation model was tested using Hayes’ PROCESS macro Model 4 with 5000 bootstrap samples and 95% bias-corrected confidence intervals, adjusting for relevant covariates. Results: Self-management behavior was positively correlated with social support (r = 0.41, p < 0.001) and self-esteem (r = 0.52, p < 0.001). Social support was also positively correlated with self-esteem (r = 0.67, p < 0.001). Social support was associated with self-management both directly and indirectly through self-esteem. The bootstrap confidence interval for the indirect association excluded zero, consistent with partial statistical mediation. The indirect association accounted for approximately 45% of the total association. Conclusions: Higher perceived social support and self-esteem were associated with better self-management behavior among patients undergoing hemodialysis. Nursing interventions that strengthen supportive social resources and self-esteem may help promote sustained self-management in this population.
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Kim et al. (2026) conducted a cross-sectional in Hemodialysis (n=145). Perceived social support was evaluated on Self-management behavior (r = 0.41, p=< 0.001). Perceived social support was positively correlated with self-management behavior (r = 0.41, p < 0.001), an association that was partially mediated by self-esteem.
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