Factors That Promote Autonomous and Controlled Motivation in Self-management Behavior of Hemodialysis Patients

• 作者: Akiko Okumiya Kayoko Yamamoto
• 来源期刊: 健康科学:英文版
• 学科: 生物学
• 关键词: Patients with HEMODIALYSIS treatment AUTONOMOUS MOTIVATION CONTROLLED MOTIVATION SELF-MANAGEMENT behavior.
• 年，卷（期）: 2018,（6）
• 页码范围: 393-405
• 页数: 13页
• 分类号: Q

摘要

This study examined the differences and primary factors from the impact of autonomous motivation and controlled motivation on the self-management behavior of hemodialysis patients.Anonymous,self-describing questionnaires were used for research on nine different dialysis facilities of 413 people who regularly visit.From using the primary factor results of multiple regression analysis,that took autonomous motivation and controlled motivation as the dependent variable,a path diagram was created that led to each motivation.The acknowledgement of autonomy support facilitated whether it was autonomous motivation or controlled motivation(The standardized coefficient was 0.385,0.346,p<0.0001).Positive evaluation coping skills were a primary factor that promoted autonomous motivation,while trait anxiety,disorders of social activities,and lack of motivation were primary factors that promoted controlled motivation.In order to raise the autonomous motivation to promote self-management behavior in patients with hemodialysis treatment,situations that easily cause amotivation and anxiety,as well as tendencies for depression should be assessed.Also the encouragement to attain positive evaluation coping skills to support patient autonomy appears to be effective.