Predictive Model of Self-Management and Quality of Life for Patients on Hemodialysis Using Information-Motivation-Behavioral Skills Model: A Cross-Sectional Study.

Abstract

The aim of this study was to develop and validate a predictive model to enhance self-management and quality of life in patients undergoing hemodialysis, using the Information-Motivation-Behavioral (IMB) skills model. A cross-sectional study design was employed, with data collected from 245 participants selected through convenience sampling from seven hemodialysis centers in the Republic of Korea. Data were gathered using a structured questionnaire and analyzed with descriptive statistics, Pearson's correlation coefficients, and path analysis, utilizing Statistical Package for the Social Sciences 27 and Amos 23.0. In patients undergoing hemodialysis, family income, self-management knowledge, attitude toward self-management, and social support were found to influence quality of life indirectly through self-efficacy and self-management. In contrast, comorbidities and duration of hemodialysis were found to have a direct impact on quality of life. The IMB model, incorporating individual-level factors proves to be an effective framework for predicting self-management and quality of life in patients undergoing hemodialysis. Enhancing self-management and quality of life remains a critical issue for this population.