| Summary: | 碩士 === 國立成功大學 === 護理學系 === 102 === Background: Self-efficacy has been proposed to link with positive adherence outcomes in some difficult regimens of chronic condition. However, whether self-efficacy is also related to adherence in fluid intake restriction among hemodialysis patients have not been examine yet.
Purpose: to determine whether self-efficacy can be used to predict patients’ adherence in fluid intake among patient with hemodialysis.
Design and sampling: This was a cross sectional design study employed a convenience sampling in patients with hemodialysis at two hospitals in Yogyakarta, Indonesia. Indonesian - Fluid intake appraisal inventory (I-FIAI) were used to measure the self-efficacy. A month inter dialytic weight gain (IDWG) were recorded to determine patiens’ adherence to fluid intake.
Analysis: Data were analyzed using SPSS software. Descriptive statistic was used to identify current state of adherence to fluid intake and self-efficacy. A hierarchical multivariate linear regression analysis was performed to assess the relationship between self-efficacy and fluid adherence, after controlling other demographic and clinical factors.
Result: Of 159 respondents were recruited in this research. Female patients with the increased of self efficacy score had lower weight gain, indicating a good fluid intake restriction. Interestingly, result also revealed that environmental-specific self-efficacy score among Indonesian patients with hemodialysis was slightly lower that other countries, possibly this due to climate difference between Indonesia and Northern European countries in the previous research.
Conclusion: Self-efficacy is a potential predictor that can be modified by nephrology nurses in enhancing fluid intake restriction among hemodialysis patients.
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