title: [Structural Equation Modeling of Self-Management in Patients with Hemodialysis].
abstract: OBJECTIVE
  The purpose of this study was to construct and test a hypothetical model of self-management in patients with hemodialysis based on the Self-Regulation Model and resource-coping perspective.
  
  
  METHODS
  Data were collected from 215 adults receiving hemodialysis in 17 local clinics and one tertiary hospital in 2016. The Hemodialysis Self-management Instrument, the Revised Illness Perception Questionnaire, Herth Hope Index and Multidimensional Scale of Perceived Social Support were used. The exogenous variable was social context; the endogenous variables were cognitive illness representation, hope, self-management behavior, and illness outcome. For data analysis, descriptive statistics, Pearson correlation analysis, factor analysis, and structural equation modeling were performed.
  
  
  RESULTS
  The hypothetical model with six paths showed a good fitness to the empirical data: GFI=.96, AGFI=.90, CFI=.95, RMSEA=.08, SRMR=.04. The factors that had an influence on self-management behavior were social context (β=.84), hope and cognitive illness representation (β=.37 and β=.27) explaining 92.4% of the variance. Self-management behavior mediated the relationship between psychosocial coping resources and illness outcome.
  
  
  CONCLUSIONS
  This research specifies a more complete spectrum of the self-management process. It is important to recognize the array of clinical resources available to support patients' self-management. Healthcare providers can facilitate self-management through collaborative care and understanding the ideas and emotions that each patient has about the illness, and ultimately improve the health outcomes. This framework can be used to guide self-management intervention development and assure effective clinical assessment.
authors.affiliation: College of Nursing · The Research Institute of Nursing Science, Kyungpook National University, Daegu, Korea. jecha@knu.ac.kr.
authors.forename: Jieun
authors.initials: J
authors.lastname: Cha
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D005163:Factor Analysis, Statistical; D005260:Female; D015438:Health Behavior; D065026:Hope; D006801:Humans; D008297:Male; D008875:Middle Aged; D008962:Models, Theoretical; D006435:Renal Dialysis; D012648:Self Care; D012944:Social Support; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Chronic disease; Health behavior; Health resources; Renal dialysis; Self-control