Factors Influencing Self-Management Behaviors among Hemodialysis Patients

Li Ching Ma, Yueh Min Liu, Yen Chung Lin, Chia Te Liao, Kuo Chin Hung, Remy Chen, Kuo Cheng Lu, Kuei Fang Ho, Cai Mei Zheng

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)


Aim: To investigate the factors affecting hemodialysis patients’ self-management ability at a dialysis center in Taiwan. Background: Taiwan has the highest incidence and prevalence of end-stage kidney disease (ESKD) in the world. Over 90% of patients with ESKD receiving hemodialysis (HD) and self-management behaviors are critical among these patients. Failure to adhere to self-managed care increases the cost of medical care and the risk of morbidity and mortality. Methods: In this cross-sectional study, a total of 150 HD patients were observed for their self-management behaviors and the factors influencing these behaviors including education level, comorbid conditions, biochemical analysis, depression, and social support, etc., were analyzed. Results: Self-management behaviors in HD patients were significantly impaired in the presence of diabetes mellitus, hypertension, anemia, hypoalbuminemia, and depression. The major predictor of patients’ self-management was depression, explaining 14.8% of the total variance. Further addition of social support, hypertension, and diabetes mellitus into the regression model increased the total explained variance to 28.6%. Of the various domains of self-management, the partnership domain received the highest score, whereas emotional processing received the lowest score. Conclusions: This study found the important factors influencing self-management behaviors; through this acknowledgement and early correction of these factors, we hope to improve HD patients’ individual life quality and further decrease their morbidity and mortality.

Original languageEnglish
Article number1816
JournalJournal of Personalized Medicine
Issue number11
Publication statusPublished - Nov 2022


  • comorbid conditions
  • depression
  • hemodialysis patients
  • self-management behavior
  • social support

ASJC Scopus subject areas

  • Medicine (miscellaneous)


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