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系統識別號 U0026-2706201416230300
論文名稱(中文) 印尼血液透析患者的自我效能與液體攝入限制之相關探討
論文名稱(英文) Self-efficacy as a Predictor on Fluid Intake Restriction among Patients with Hemodialysis in Indonesian
校院名稱 成功大學
系所名稱(中) 護理學系
系所名稱(英) Department of Nursing
學年度 102
學期 2
出版年 103
研究生(中文) 潘黛拉
研究生(英文) Melyza Perdana
學號 T26017145
學位類別 碩士
語文別 英文
論文頁數 79頁
口試委員 指導教授-顏妙芬
召集委員-王明誠
口試委員-陳清惠
中文關鍵字 none 
英文關鍵字 self-efficacy  adherence to fluid intake  hemodialysis 
學科別分類
中文摘要 none
英文摘要 Background: Self-efficacy has been proposed to link with positive adherence outcomes in some difficult regimens of chronic condition. However, whether self-efficacy is also related to adherence in fluid intake restriction among hemodialysis patients have not been examine yet.
Purpose: to determine whether self-efficacy can be used to predict patients’ adherence in fluid intake among patient with hemodialysis.
Design and sampling: This was a cross sectional design study employed a convenience sampling in patients with hemodialysis at two hospitals in Yogyakarta, Indonesia. Indonesian - Fluid intake appraisal inventory (I-FIAI) were used to measure the self-efficacy. A month inter dialytic weight gain (IDWG) were recorded to determine patiens’ adherence to fluid intake.
Analysis: Data were analyzed using SPSS software. Descriptive statistic was used to identify current state of adherence to fluid intake and self-efficacy. A hierarchical multivariate linear regression analysis was performed to assess the relationship between self-efficacy and fluid adherence, after controlling other demographic and clinical factors.
Result: Of 159 respondents were recruited in this research. Female patients with the increased of self efficacy score had lower weight gain, indicating a good fluid intake restriction. Interestingly, result also revealed that environmental-specific self-efficacy score among Indonesian patients with hemodialysis was slightly lower that other countries, possibly this due to climate difference between Indonesia and Northern European countries in the previous research.
Conclusion: Self-efficacy is a potential predictor that can be modified by nephrology nurses in enhancing fluid intake restriction among hemodialysis patients.
論文目次 Table of content
Abstract ii
Table of Content iii
List of Tables and Figure vi
Chapter I Introduction 1
Section 1. Background 1
Section 2. Research Purpose 4
Chapter II Literature Review
Section 1. Chronic Kidney Disease
1.1.Kidney and Kidney Disease 6
1.2. Kidney Disease Treatment 7
1.2.1. Kidney Transplantation 7
1.2.2. Peritoneal Dialysis 8
1.2.3. Hemodialysis 9
Section 2. Fluid Intake Restriction
2.1. Definition 10
2.2. Adherence to Fluid Intake 10
2.3. Complications of Non-adherence to Fluid Intake 12
2.4. Factors Associated with Adherence to Fluid Intake 13
2.4.1. Age 13
2.4.2. Gender 14
2.4.3. Educational Background 14
2.4.4. Employment Status 14
2.4.5. Duration of Hemodialysis 15
2.4.6. Frequency of Hemodialysis Session per Week 15
2.4.7. Level of Thirst 16
2.4.8. Daily Urine Output 16
2.4.9. Psychosocial Variable 17
2.4.10. Cultural Issue 17
Section 3. Self-efficacy
3.1. Definition of Self-efficacy 19
3.2. Self-efficacy Measurement 21
Chapter III Research Methodology
Section 1. Design and Sampling 23
Section 2. Research Framework 23
Section 3. Instrument 24
Demography data 24
Fluid Intake Appraisal Inventory (FIAI) 24
Adherence Measurement: Intra Dialytic Weight Gain (IDWG) 25
Level of Thirst Measurement 26
Daily Urine Output Record 26
Section 4. Ethical Consideration 26
Section 5. Data Collection Procedure 26
Section 6. Data Analysis 27
Chapter IV Result
Section 1. Sample Characteristic 28
Section 2. Self-efficacy level 30
Section 3. Relationships between self efficacy and adherence to fluid restriction 30
Chapter V Discussion
Section 1. Fluid adherence 33
Factors associated with fluid adherence
Self-efficacy 33
Gender 35
Educational background 35
Average of daily urine output 36
Factor not associated with fluid adherence
Age 36
Employment status 37
Hemodialysis frequency/ week 37
Jamu consumption 38
Duration of receiving HD 38
Level of thirst 38
Section 2. Study Limitation 39
Section 3. Conclusion and Recommendation 39

References 41
Appendices
Appendix A. IRB approval 53
Appendix B. Permission to use and user’s Agreement for the FIAI 54
Appendix C. Inform consent (English Version) 56
Appendix D. Inform consent (Indonesian Version) 59
Appendix E. Research Instrument (English Version) 63
Appendix F. Research Instrument (Indonesian Version) 70
Appendix G. Swedish Fluid Intake Appraisal Inventory (S-FIAI) 76
Appendix H. Hospital Permit for the Research 78

List of Tables and Figure

List of Tables
Table 1. Demographic Data 29
Table 2. The I-FIAI and its subscales 30
Table 3. Differences mean IDWG between group 31
Table 4. Correlation between demographic data and IDWG 32
Table 5. Multiple Hierarchical Linear Regression of IDWG on gender, educational background, average daily urine output, and self-efficacy among patients with hemodialysis in Indonesia 32

List of Figure
Fgure 1. Research Framework 23
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