Effects of perceived autonomy support and basic need satisfaction on quality of life in hemodialysis patients

Mei-Fang Chen; Ray-E Chang; Hung-Bin TsaiYing-Hui Hou

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Effects of perceived autonomy support and basic need satisfaction on quality of life in hemodialysis patients

机译：Effects of perceived autonomy support and basic need satisfaction on quality of life in hemodialysis patients

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Abstract Purpose Despite a growing understanding of health-related quality of life (HRQOL) and its determinants in hemodialysis (HD) patients, little is known about the effects and interrelationships concerning the perception of autonomy support and basic need satisfaction of HD patients on their HRQOL. Based on self-determination theory (SDT), this study examines whether HD patients’ perceived autonomy support from health care practitioners (physicians and nurses) relates to the satisfaction of HD patients’ basic needs and in turn influences their HRQOL. Methods A questionnaire was administered to 250 Taiwanese HD patients recruited from multiclinical centers and regional hospitals in northern Taiwan. Structural equation modeling (SEM) analysis was conducted to examine the causal relationships between patient perceptions of autonomy support and HRQOL through basic need satisfaction. Results The empirical results of SEM indicated that the HD patients’ perceived autonomy support increased the satisfaction of their basic needs (autonomy, competency, and relatedness), as expected. The higher degree of basic need satisfaction led to higher HRQOL, as measured by physical and mental component scores. Conclusion Autonomy support from physicians and nurses contributes to improving HD patients’ HRQOL through basic need satisfaction. This indicates that staff caring for patients with severe chronic diseases should offer considerable support for patient autonomy.

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《Quality of life research: An international journal of quality of life aspects of treatment, care and rehabilitation》 |2018年第3期|765-773|共9页
作者
Mei-Fang Chen; Ray-E Chang; Hung-Bin TsaiYing-Hui Hou;
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作者单位

Institute of Health Policy and Management, College of Public Health, National Taiwan University;

Department of Business Management, College of Management, Tatung University;

Department of Health Industry Management, School of Healthcare Management, Kainan University;

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原文格式 PDF
正文语种英语
中图分类医药、卫生;
关键词
Health-related quality of life (HRQOL); Hemodialysis (HD); Perceived autonomy support; Basic need satisfaction; Self-determination theory (SDT);

Effects of perceived autonomy support and basic need satisfaction on quality of life in hemodialysis patients

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