Influencing factors of resource utilisation in haemodialysis patients-Based on socioecological pyramid model.
Xiao-Yue Yao, Yan Wang, Zhun-Ji Liu and 2 others
PMID 34396613WHAT IT FOUND
Haemodialysis patients used neighbourhood/community and organisation resources poorly.
Hope and self-efficacy were higher with better resource use; anxiety was lower. Nurses can assess these factors and target support for patients with low education or income.
Key findings
01The average resource utilisation score was 2.95, and 55.1% of patients scored below 3.
02Higher hope and self-efficacy were associated with higher resource utilisation, while higher anxiety was associated with lower resource utilisation.
03Education, monthly income and hospital were among the factors retained in the regression model for resource utilisation.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The authors used convenience sampling from three hospitals in one region, so the patients may not represent haemodialysis patients elsewhere. The authors report 320 recruited and 314 valid questionnaires, with six invalid responses; the sample was not randomly selected. All measures were self-reported, and the authors note that patients may have answered in a socially expected way rather than reporting their true feelings. The study measured how much resources were used, but it did not determine whether low use was caused by missing resources or by patients not using available resources.
Declared interests
The authors declared no conflict of interest.
The easy way to misread this
Do not conclude that raising hope or self-efficacy will improve resource utilisation. This was a questionnaire survey, so the associations cannot show cause and effect.