ArticleHealthcare (Basel, Switzerland)2025
Effects of Shared Decision-Making, Health Literacy, and Self-Care Knowledge on Self-Care Behavior Among Hemodialysis Patients in Korea: A Cross-Sectional Survey.
Article in Healthcare (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Facilitators and barriers to self-management among patients with maintenance hemodialysis in central China: a qualitative study.BMC nephrology · 2026Article
- Multilevel barriers and facilitators of shared decision-making in chronic illness management: a social ecological model approach.BMC health services research · 2026Article
- Latent profile analysis of oral health self-efficacy in maintenance hemodialysis patients and its impact on oral health.Frontiers in public health · 2026Article
- The impact of a partnership care model on self-efficacy and self-care in hemodialysis patients: A quasi-experimental study.Contemporary clinical trials communications · 2025Article
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2 authors.
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Abstract
backgroundPatients undergoing hemodialysis for chronic kidney failure experience various complications and physical and emotional difficulties, leading to decreased quality of life. Self-care behaviors are essential for preventing complications and reducing mortality rates. Effective self-care behaviors significantly depend on shared decision-making, health literacy, and self-care knowledge, each critical in patient self-care performance and disease management. This study aimed to determine the importance and relevance of shared decision-making, health literacy, and self-care knowledge. In particular, it enhances self-care behaviors among hemodialysis patients.
methodsParticipants were 108 adult hemodialysis patients from the hemodialysis centers of three medical institutions in Cheongju City, Korea. Moreover, the study utilized a descriptive survey research design. Data were analyzed using descriptive statistics, independent
resultsThe average score for self-care behaviors was 125.28 out of 175 points, with high scores for medication and vascular management. Furthermore, there were low scores for social activities and dietary management. Factors influencing self-care behaviors in hemodialysis patients were identified as sex, age, economic status, health literacy, and self-care knowledge. These factors explained 45.2% of the variance in self-care behaviors.
conclusionsTo promote self-care behaviors in hemodialysis patients, it is essential to improve health literacy and self-care knowledge, strengthen tailored educational programs, and promote the explanatory role of nurses and shared decision-making. Additionally, comprehensive interventions, including economic support, are necessary.
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