The purpose of this study is to investigate the factors influencing the prevention of respiratory infections in hemodialysis patients and to provide baseline data on prevention programs for the prevention of respiratory infections in hemodialysis patients.
This study was a descriptive correlation study, and the conceptual framework of the study was to use the health belief model Prevention of Respiratory Infection in Hemodialysis Patients In order to investigate the factors influencing health behavior, 10 items of general characteristics, 6 items of disease related characteristics, 21 items of health belief about respiratory infections, and 10 items of respiratory infection prevention health behavior were examined. Study subjects were hemodialysis patients who visiting the artificial kidney room of K university hospital from 18 to 80 years of age. The data collection period was from August 21, 2017 to October 28, 2017 and 130 self-written questionnaires were distributed and 109 were used for analysis. The frequency, percentage, mean, standard deviation, chi-square test, independent sample T-test and logistic regression analysis were performed using the statistical software R program.
The results of this study are as follows. In Cue-to-Action, those who were instructed to practice respiratory infection prevention from health care providers practiced personal health behaviors better. In perceived benefits, the practice of health behaviors was more common in the group who recognized the ease of practicing preventive activities, In perceived barriers, practice of health behavior was more common in the group without knowledge deficit.
Other than the above results, some of the sensitivity, seriousness and self-efficacy were suggested. However, this was contrary to expectations of this study. This suggests that the specificity of chronic diseases should be understood and approached. Therefore, it is necessary for the patients to have proactive social support for the practice of health behavior, and to find a way to expand the role of the artificial kidney room medical team, which is the best adviser for self-management. Also, it should be noted that the education of medical staff is a trigger for action in practice of health behavior. In order to do this, the education of the artificial kidney room medical staff should not be one-time or one-sided concept of information transmission, compensation shall also be provided for the education of patients with hemodialysis to enable effective and regular training. Through this, it is expected that patients with chronic diseases such as hemodialysis patients will be able to play a role as social supporters for the promotion of health behavior by approaching 'Care' rather than 'Treatment'.