Abstract
[Objective]
The purpose of this study was to identify factors affecting acceptance of disability in hemodialysis patients with diabetic nephropathy and their structure.
[Methods]
We selected 212 chronic maintenance hemodialysis outpatients with diabetic nephropathy as a primary disease, and conducted a diagnostic test for disability adjustment. Then, we performed an exploratory factor analysis of the results of the diagnostic test to identify factors, and carried out a confirmatory factor analysis to clarify the structure.
[Results]
Valid answers were obtained from 150 patients (70.7%), consisting of 105 males and 45 females with a mean age of 63.41 ±9.56 years. Exploratory factor analysis identified four factors: "feelings and behaviors derived from difficulty in facing the disability", "negative feelings attributed to the disability", "decrease in self-esteem", and " behaviors regarding relationships with others". Confirmatory factor analysis demonstrated a three-factor structure.
[Discussion]
Since a "decrease in self-esteem" strongly affects feelings towards the disability, it is important to provide care based on the social model of disability and enhance self-esteem.
[Conclusion]
Four factors were identified acceptance of disability in hemodialysis patients, whereas a three-factor structure was demonstrated.
