@article{oai:kanazawa-u.repo.nii.ac.jp:00054130,
 author = {大橋, 佳代 and 稲垣, 美智子 and 多崎, 恵子 and 堀口, 智美 and 浅田, 優也 and Ohashi, Kayo and Inagaki, Michiko and Tasaki, Keiko and Horiguchi, Tomomi and Asada, Yuya},
 issue = {2},
 journal = {Journal of wellness and health care, Journal of wellness and health care},
 month = {Feb},
 note = {Purpose: Hemodialysis patients create perspectives based on their current medical condition, ranging from acute exacerbation or terminal manifestation, and we believe that such perspectives may serve as the foundation of patient self-care. We developed a questionnaire to clarify the aspect of perspective in hemodialysis patients, and aimed to structuralize the relationship between their perspectives and self-care agency (SCAQ) and other associated factors.
Method: Based on the chronic illness trajectory framework, we developed a ２５-item questionnaire regarding perspective for patients on hemodialysis, to identify factor structure through exploratory factor analysis. We also used structural equation modeling (SEM) to develop a structural model. 
Results: We obtained a total of １０４ valid responses. From the questionnaire, １７ out of ２５ items were extracted to develop questions comprising a five-factor structure, with a ６３.９４３% contribution ratio. The five factors included "perspective of uncontrollable sickness" as the first factor, followed by "perspective of getting one's own life back”, "perspective of life going on as a hemodialysis patient", "perspective of maintaining socialization or pastimes”, and " perspective of recovery from sickness”. 
The structural model consisted of eight items: four factors from the questionnaire, as well as physical symptoms, age, cohabitating individuals, and SCAQ. The measurement of fit had chi-squared value = １５１.７２４ (P-value = ０.０６７), GFI = ０.８６５, AGFI = ０.８１９, CFI = ０.９４３, and RMSEA = ０.０４３, meeting the criteria as a model. Of the five factors, two ("perspective of getting one's own life back" and "perspective of life going on as a hemodialysis patient") showed significant effects on self-care agency. In addition, the factor "perspective of maintaining socialization or pastimes" was demonstrated to enhance those two factors. Discussion: Our findings indicate a relationship between the structural model and the items extracted for effective perspective for self-care in patients on hemodialysis.},
 pages = {23--34},
 title = {Development of a perspective structural model for self-care in patients on hemodialysis},
 volume = {44},
 year = {2021}
}