Differences in perceptions by stage of fluid adherence.

OBJECTIVE The purpose of this study was to determine in a group of hemodialysis patients whether perceptions of barriers to and benefits of adherence to fluid limitations, perceived seriousness of and susceptibility to the consequences of nonadherence, self-efficacy, and thirst differed by stage of fluid adherence. DESIGN Cross-sectional descriptive design. SETTING There were 147 participants from rural, suburban, and urban outpatient hemodialysis units. RESULTS Significant differences were found in perceived benefits, barriers, seriousness, susceptibility, and thirst intensity by stage of fluid adherence. There were no significant differences in self-efficacy by stage of fluid adherence. CONCLUSION Stage of fluid adherence may be important to consider when designing interventions to reduce fluid intake.

[1]  M. Norusis,et al.  A double-blind evaluation of sodium gradient hemodialysis. , 1985, American journal of nephrology.

[2]  Sara S Johnson,et al.  The transtheoretical model of behavior change. , 1998 .

[3]  J. Prochaska,et al.  In Search of How People Change: Applications to Addictive Behaviors , 1992, The American psychologist.

[4]  A. Bandura.  Social Foundations of Thought and Action: A Social Cognitive Theory , 1985 .

[5]  J. Austin,et al.  Factors associated with treatment-related stressors in hemodialysis patients. , 1999, ANNA journal.

[6]  W. Velicer,et al.  The Transtheoretical Model of Health Behavior Change , 1997, American journal of health promotion : AJHP.

[7]  J. Welch.  Hemodialysis patient beliefs by stage of fluid adherence. , 2001, Research in nursing & health.

[8]  S. Marshall,et al.  The transtheoretical model of behavior change: a meta-analysis of applications to physical activity and exercise , 2001, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[9]  N W Levin,et al.  Psychosocial Factors Affecting Adherence to Medical Regimens in a Group of Hemodialysis Patients , 1982, Medical care.

[10]  R. Friend,et al.  Fluid noncompliance and symptomatology in end-stage renal disease: cognitive and emotional variables. , 1991, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[11]  C. Tucker,et al.  An investigation of factors associated with fluid adherence among hemodialysis patients: A self-efficacy theory based approach , 1997, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[12]  V. Champion.  Beliefs about breast cancer and mammography by behavioral stage. , 1994, Oncology nursing forum.

[13]  A. Antonelli,et al.  Dipsogenic factors operating in chronic uremics on maintenance hemodialysis. , 1994, Nephron.

[14]  A. Bandura.  Social Foundations of Thought and Action , 1986 .

[15]  R. Fitzpatrick,et al.  Factors influencing compliance with dietary restrictions in dialysis patients. , 1988, Journal of psychosomatic research.

[16]  I. Rosenstock.  Why people use health services. , 1966, The Milbank Memorial Fund quarterly.

[17]  Betts Dk,et al.  Response to illness and compliance of long-term hemodialysis patients. , 1988 .

[18]  Jeffrey K. Springston,et al.  Mammography adherence and beliefs in a sample of low-income African American women , 1999, International journal of behavioral medicine.

[19]  C. Kjellstrand,et al.  Sodium ramping in hemodialysis: a study of beneficial and adverse effects. , 1997, American journal of kidney diseases : the official journal of the National Kidney Foundation.

[20]  M. Rosenbaum,et al.  Cognitive and personality factors in the delay of gratification of hemodialysis patients. , 1986, Journal of personality and social psychology.