| Learning Objective #1: Learn increased understanding of the structural equation model | |||
| Learning Objective #2: Learn increased understanding of the functional status of hemodialysis patients |
The primary purpose of this Roy Adaptation Model-based study was to examine the relationship of the focal stimulus of physical symptom distress and the contextual stimuli of cultural variables (level of education, belief of disease causes, use of complementary therapy), developmental variables (gender, age, marital status), and environmental variables (duration of hemodialysis, presence or absence of diabetes, adherence) to physiological (physical activity), self-concept (cognitive and emotional behaviors), role function (role performance), and interdependence (interpersonal interaction) mode responses. Structural equation modeling was used to analyze data collected from a sample of 160 End Stage Renal Disease (ESRD) patients treated with hemodialysis (HD) in Taipei, Taiwan. The proposed model was specified, modified, and respecified. The model explains 66% of the variance in functional status. Physical symptom distress was found to contribute most to functional status (.54). The model built in this study should guide nurses in practice to identify important assessments and stimulate thinking about designing nursing interventions that take into account the important factors that influence patients' functional status.
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