Possible variances of blood urea nitrogen, serum potassium and phosphorus levels and interdialytic weight gain accounted for compliance of hemodialysis patients

Jiro Takaki, Tadahiro Nishi, Hiromi Shimoyama, Toshio Inada, Norimasa Matsuyama, Tadashi Sasaki, Hiroaki Kumano, Tomifusa Kuboki

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Objective: The aim of this study was to assess the possible variances of blood urea nitrogen (BUN), serum potassium (SK) and serum phosphorus (SPO 4) levels and interdialytic weight gain (IWG) accounted for compliance of uremic patients on hemodialysis (HD). Methods: BUN, SK and SPO4 levels and IWG of uremic patients (n=310) regularly undergoing three HD sessions per week for more than 1 year in Japan were assessed. Patients suffering from problems influencing dietary intake and those with malnutrition were excluded. The variances accounted for self-efficacy for health-related behavior and avoidance-oriented coping (AOC) with stress were assessed by hierarchical multiple regression analyses. Results: BUN and SPO 4 levels were not significantly (P<.05) associated with self-efficacy or AOC. SK levels and IWG were significantly (P<.05) associated with self-efficacy and/or AOC. The variances of SK levels and IWG accounted for self-efficacy and/or AOC, independent of age, sex, duration of HD and facilities, were 1.6% and 5.0%, respectively. Conclusions: Although the variances of SK levels and IWG accounted for self-efficacy and/or AOC were rather small, the significance of their relationships may suggest that intervention for self-efficacy or AOC could improve compliance and reduce SK levels and IWG of uremic patients on HD.

Original languageEnglish
Pages (from-to)525-529
Number of pages5
JournalJournal of Psychosomatic Research
Volume55
Issue number6
DOIs
Publication statusPublished - 2003 Dec
Externally publishedYes

Keywords

  • Compliance
  • Hemodialysis
  • Interdialytic weight gain
  • Self-efficacy
  • Stress coping

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

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