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Hemodialysis patient beliefs by stage of fluid adherence
Author(s) -
Welch Janet L.
Publication year - 2001
Publication title -
research in nursing and health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.836
H-Index - 85
eISSN - 1098-240X
pISSN - 0160-6891
DOI - 10.1002/nur.1013
Subject(s) - transtheoretical model , medicine , seriousness , hemodialysis , stage (stratigraphy) , psychological intervention , self efficacy , health belief model , cross sectional study , fluid restriction , end stage renal disease , health psychology , intensive care medicine , health promotion , psychology , nursing , public health , psychotherapist , paleontology , pathology , political science , law , biology , hyponatremia
Fluid limitations are difficult for hemodialysis patients to follow, and factors related to fluid adherence are not well known. The primary purpose of this study, which was guided by the health belief model and the transtheoretical model for behavior change, was to determine whether differences exist in perceived benefits, barriers, susceptibility, seriousness, or self‐efficacy among individuals in different stages of fluid adherence. In a cross‐sectional descriptive design, 148 persons (mean age=53.9 years; 52% male) were interviewed using a structured format. Hemodialysis patients in the action/maintenance stage perceived significantly more benefits to fluid adherence than persons in the precontemplation stage. Persons who were in the action/maintenance stage perceived they were significantly more susceptible to pulmonary edema than persons in the contemplation stage. Stage‐appropriate interventions may be needed to target specific beliefsabout fluid adherence. © 2001 John Wiley & Sons, Inc. Res Nurs Health 24: 105–112, 2001