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Article
Author(s)
Kayoko Yamamoto1 and Akiko Okumiya2
Full-Text PDF XML 484 Views
DOI:10.17265/2328-7136/2018.06.001
Affiliation(s)
1. Faculty of Nursing, Yokohama Soei University, Yokohama, Kanagawa 2260015, Japan
2. Department of Nursing, Faculty of Health Sciences, Hokkaido University of Science, Sapporo, Hokkaido 0068585, Japan
ABSTRACT
This study examined the differences and primary factors
from the impact of autonomous motivation and controlled motivation on the
self-management behavior of hemodialysis patients. Anonymous,
self-describing questionnaires were used for research on nine different
dialysis facilities of 413 people who regularly visit. From
using the primary factor results of multiple regression analysis, that took
autonomous motivation and controlled motivation as the dependent variable, a
path diagram was created that led to each motivation. The acknowledgement of
autonomy support facilitated whether it was autonomous motivation or controlled
motivation (The standardized coefficient was 0.385,
0.346, p < 0.0001). Positive evaluation coping
skills were a primary factor that promoted autonomous motivation, while trait anxiety,
disorders of social activities, and lack of motivation were primary factors
that promoted controlled motivation. In
order to raise the autonomous motivation to promote self-management behavior in
patients with hemodialysis treatment, situations that easily cause amotivation
and anxiety, as well as tendencies for depression should be assessed. Also the
encouragement to attain positive evaluation coping skills to support patient
autonomy appears to be effective.
KEYWORDS
Patients with hemodialysis treatment, autonomous motivation, controlled motivation, self-management behavior.
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