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ADAPTABILITY (Psychology), PSYCHOLOGICAL adaptation, CORRELATION (Statistics), T-test (Statistics), UNCERTAINTY, HEMODIALYSIS patients, MULTIPLE regression analysis, SOCIAL support, CROSS-sectional method, DESCRIPTIVE statistics, ONE-way analysis of variance, and PSYCHOLOGY

Purpose: The purpose of this study was to identify the factors involved in psychosocial adjustment of hemodialysis patients. Methods: This correlational, cross-sectional study included 172 hemodialysis patients from 11 different nephrology clinics. Data was collected from May to August 2018 using a structured questionnaire including patient' characteristics, uncertainty, social support, coping, and psychosocial adjustment. Data was analyzed using descriptive statistics, independent t-tests, one-way ANOVA, Pearson's correlation coefficient, and stepwise multiple linear regression. Results: The total score for psychosocial adjustment was 406.23±44.58 out of a maximum of 700. Psychosocial adjustment had a statistically significant relationship with occupation (t=-3.88, p<.001) and albumin (t=-2.06, p=.041). Furthermore, uncertainty (r=.45, p<.001), social support (r=-.37, p<.001), and coping (r=-.31, p<.001) were significantly correlated with psychosocial adjustment. Stepwise multiple linear regression demonstrated that uncertainty, having an occupation, social support, and being women explained 35.4% of the variance in psychosocial adjustment. Conclusion: Uncertainty was found to have the largest influence on psychosocial adjustment, followed by occupation, social support, and gender. It is necessary to develop a detailed intervention that considers all these factors to promote psychosocial adjustment of patients with hemodialysis. Furthermore, the importance of the psychosocial adjustment of chronic illness needs to be stressed in nursing education. [ABSTRACT FROM AUTHOR]

This purpose of study was to identify variables predicting basic psychological need in hemodialysis patients. The participants were 134 patients from two major general hospitals and two dialysis center located in J city. Data were collected using self-report questionnaires and physiological index. Data analysis was done by using SPSS WIN 18.0 program for one-way ANOVA, independent t-test, Pearson correlation coefficients, and multiple regression. This study showed a negative correlation between basic psychological need and uncertainty(r=--.464, p<.001), depression(r=-.422, p<.001). In addition, relationships and physiological index were Positively correlated. The uncertainty(β=-.345), depression(β=-.279), physiological index(β=-.117) have a 29% explanatory power for the basic psychological need in hemodialysis patients. Physiological index, uncertainty and depression in turn influenced the basic psychological needs of hemodialysis patients. It is necessary to develop nursing strategies and programs to reduce disease uncertainty and depression in order to increase self-deterministic health behavior through autonomy, competence and relationship satisfaction. [ABSTRACT FROM AUTHOR]