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A study on the information-motivation-behavioural skills model among Chinese adults with peritoneal dialysis.

Abstract：

AIM AND OBJECTIVE:To examine whether the information-motivation-behavioural skills model could predict self-care behaviour among Chinese peritoneal dialysis patients. BACKGROUND:Peritoneal dialysis is a treatment performed by patients or their caregivers in their own home. It is important to implement theory-based projects to increase the self-care of patients with peritoneal dialysis. The information-motivation-behavioural model has been verified in diverse populations as a comprehensive, effective model to guide the design, implementation and evaluation of self-care programmes. DESIGN:A cross-sectional, observational study. METHODS:A total of 201 adults with peritoneal dialysis were recruited at a 3A grade hospital in China. Participant data were collected on demographics, self-care information (knowledge), social support (social motivation), self-care attitude (personal motivation), self-efficacy (behaviour skills) and self-care behaviour. We also collected data on whether the recruited patients had peritoneal dialysis-associated peritonitis from electronic medical records. Measured variable path analysis was performed using mplus 7.4 to identify the information-motivation-behavioural model. RESULTS:Self-efficacy, information and social motivation predict peritoneal dialysis self-care behaviour directly. Information and personal support affect self-care behaviour through self-efficacy, whereas peritoneal dialysis self-care behaviour has a direct effect on the prevention of peritoneal dialysis-associated peritonitis. CONCLUSIONS:The information-motivation-behavioural model is an appropriate and applicable model to explain and predict the self-care behaviour of Chinese peritoneal dialysis patients. Poor self-care behaviour among peritoneal dialysis patients results in peritoneal dialysis-associated peritonitis. RELEVANCE TO CLINICAL PRACTICE:The findings suggest that self-care education programmes for peritoneal dialysis patients should include strategies based on the information-motivation-behavioural model to enhance knowledge, motivation and behaviour skills to change or maintain self-care behaviour.

journal_name

J Clin Nurs

journal_title

Journal of clinical nursing

authors

Chang TY,Zhang YL,Shan Y,Liu SS,Song XY,Li ZY,Du LP,Li YY,Gao D

doi

10.1111/jocn.14304

subject

Has Abstract

pub_date

2018-05-01 00:00:00

pages

1884-1890

issue

9-10

eissn

0962-1067

issn

1365-2702

journal_volume

pub_type

杂志文章

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A study on the information-motivation-behavioural skills model among Chinese adults with peritoneal dialysis.