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The structural model on the effect of vascular access construction in dialysis acceptance in patients with diabetic nephropathy
https://doi.org/10.24517/00056813
https://doi.org/10.24517/0005681336127dbe-28c0-4976-85ef-a9987e327d06
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
2434-1509_43-2-33-44.pdf (1.4 MB)
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| Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
|---|---|---|---|---|---|---|
| 公開日 | 2019-02-03 | |||||
| タイトル | ||||||
| タイトル | The structural model on the effect of vascular access construction in dialysis acceptance in patients with diabetic nephropathy | |||||
| 言語 | ||||||
| 言語 | eng | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題Scheme | Other | |||||
| 主題 | Vascular access construction | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題Scheme | Other | |||||
| 主題 | dialysis acceptance | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題Scheme | Other | |||||
| 主題 | diabetes | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題Scheme | Other | |||||
| 主題 | diabetic nephropathy | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題Scheme | Other | |||||
| 主題 | structural model | |||||
| 資源タイプ | ||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
| 資源タイプ | departmental bulletin paper | |||||
| ID登録 | ||||||
| ID登録 | 10.24517/00056813 | |||||
| ID登録タイプ | JaLC | |||||
| その他のタイトル | ||||||
| その他のタイトル | 糖尿病性腎症患者における内シャント造設が透析受容に影響する構造モデル | |||||
| 著者 |
Fujita, Yuko
× Fujita, Yuko× Inagaki, Michiko× Tasaki, Keiko× Horiguchi, Tomomi× Asada, Yuya |
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| 著者別表示 |
藤田, 祐子
× 藤田, 祐子× 稲垣, 美智子× 多崎, 恵子× 堀口, 智美× 浅田, 優也 |
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| 書誌情報 |
Journal of wellness and health care en : Journal of wellness and health care 巻 43, 号 2, p. 33-44, 発行日 2020-02-03 |
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| ISSN | ||||||
| 収録物識別子タイプ | ISSN | |||||
| 収録物識別子 | 2434-1509 | |||||
| 出版者 | ||||||
| 出版者 | Wellness and Health Care Society | |||||
| 出版者（別名） | ||||||
| 出版者 | ウェルネス・ヘルスケア学会 | |||||
| 抄録 | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | Background: Issues with hemodialysis initiation in patients with diabetic nephropathy can be largely attributed to difficulty in accepting this procedure. Vascular access construction is essential for initiation of dialysis, but there has been no focus on the patient’s condition at the time of treatment. Purpose: This study was performed to create a structural model of the effect of vascular access construction for maintenance of dialysis and how it influences the acceptance of dialysis in patients with diabetic nephropathy. Methods: Type 2 diabetes patients with diabetic nephropathy who began receiving hemodialysis less than 5 years prior to the start of the study were included. Patients were surveyed by completing an anonymous self-recorded questionnaire and data were analyzed using exploratory factor analysis and structural equation modeling. Results: Data of 90 patients were analyzed. A number of factors related to self-care behaviors adopted in response to vascular access construction, including “body-conscious dialysis treatment life,” “hoping that one’s body is still fine,” and “recollection of the feeling of having distanced vascular access construction,” were identified and subsequently inserted into our structural model. The structural model by which vascular access construction directly affected dialysis acceptance was then elucidated. The chi-squared value was 117.358, Goodness of Fit Index (GFI) was 0.863, Adjusted Goodness of Fit Index (AGFI) was 0.814, Comparative Fit Index (CFI) was 0.945, and Root Mean Square Error Approximation (RMSEA) was 0.044, indicating slightly lower values for GFI and AGFI. GFI was higher than AGFI and RMSEA was < 0.050. Therefore, the model was suggested to show goodness of fit. Conclusion: The structural model by which vascular access construction affects dialysis acceptance in patients with diabetic nephropathy was clarified. |
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| 著者版フラグ | ||||||
| 出版タイプ | VoR | |||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
| 見出し | ||||||
| 大見出し | 原著 | |||||
| 言語 | ja | |||||
| 見出し | ||||||
| 大見出し | Original Article | |||||
| 言語 | en | |||||
