{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T03:46:59Z","timestamp":1782186419878,"version":"3.54.5"},"reference-count":51,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T00:00:00Z","timestamp":1777334400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T00:00:00Z","timestamp":1777334400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing &amp;amp; Health Sciences"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Effective self\u2010management is vital for improving outcomes in middle\u2010aged and younger adults receiving maintenance hemodialysis. However, their self\u2010management behaviors vary widely and remain understudied. This cross\u2010sectional study included 458 individuals to identify distinct self\u2010management profiles and related influencing factors. Participants completed a self\u2010management behavior scale and the Hospital Anxiety and Depression Scale. Latent profile analysis revealed three profiles: Skill Deficiency Type (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u2009157), Emotional Disorders Type (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u2009190), and Comprehensive Self\u2010manager (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u2009111). Education level, dialysis duration, dialysis frequency, anxiety, and depression levels differed significantly between groups (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.05). Multivariate logistic regression confirmed these as key predictors of profile membership. Findings highlight the heterogeneity of self\u2010management in this population, influenced mainly by educational background, dialysis experience, and psychological health. Tailored interventions addressing both behavior and emotional support are recommended to enhance patient outcomes.\n                  <\/jats:p>","DOI":"10.1111\/nhs.70346","type":"journal-article","created":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T06:22:04Z","timestamp":1777443724000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Self\u2010Management Level and Influencing Factors of Middle\u2010Aged and Younger Adults Undergoing Hemodialysis: A Latent Profile Analysis"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-5747-9254","authenticated-orcid":false,"given":"Zhao","family":"Qingjie","sequence":"first","affiliation":[{"name":"Blood Purification Center of the Second Affiliated Hospital of Harbin Medical University  Harbin China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zheng","family":"Shuang","sequence":"additional","affiliation":[{"name":"Blood Purification Center of the Second Affiliated Hospital of Harbin Medical University  Harbin China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhang","family":"Hui","sequence":"additional","affiliation":[{"name":"Department of Nursing Harbin Medical University  Harbin China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wang","family":"Jing","sequence":"additional","affiliation":[{"name":"Blood Purification Center of the Second Affiliated Hospital of Harbin Medical University  Harbin China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhao","family":"Beibei","sequence":"additional","affiliation":[{"name":"Jiangsu Vocational College of Nursing  Huai'an China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiang","family":"Xue","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery The Second Affiliated Hospital of Harbin Medical University  Harbin China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhang","family":"Rui","sequence":"additional","affiliation":[{"name":"Blood Purification Center of the Second Affiliated Hospital of Harbin Medical University  Harbin China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,28]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0274454"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2022.1041912"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ASN.0000133041.27682.A2"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.xkme.2023.100712"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/PSY.0000000000001163"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000041050"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-023-09907-5"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.17193"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/17437199.2025.2471775"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jrn.2011.10.009"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.03280314"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)60595-4"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12882-022-02701-1"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2018.07.012"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2369-12-4"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfy104.SP325"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.1038\/ki.1995.132"},{"key":"e_1_2_14_19_1","doi-asserted-by":"publisher","DOI":"10.14710\/nmjn.v10i2.26502"},{"key":"e_1_2_14_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2015.01.006"},{"key":"e_1_2_14_21_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jvca.2017.04.019"},{"key":"e_1_2_14_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/jnr.0000000000000523"},{"key":"e_1_2_14_23_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph182412934"},{"key":"e_1_2_14_24_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph16224459"},{"key":"e_1_2_14_25_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0904655"},{"key":"e_1_2_14_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2013.05.012"},{"issue":"11","key":"e_1_2_14_27_1","first-page":"1392","article-title":"Introduction and Reliability and Validity Detection of the Self\u2010Management Scale for Hemodialysis Patients","volume":"50","author":"Li Hui C. Y.","year":"2015","journal-title":"Chinese Journal of Nursing"},{"key":"e_1_2_14_28_1","doi-asserted-by":"publisher","DOI":"10.2147\/PPA.S415593"},{"key":"e_1_2_14_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2017.06.008"},{"key":"e_1_2_14_30_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2023.1234553"},{"key":"e_1_2_14_31_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0270100"},{"key":"e_1_2_14_32_1","doi-asserted-by":"publisher","DOI":"10.1093\/heapro\/15.3.259"},{"key":"e_1_2_14_33_1","doi-asserted-by":"publisher","DOI":"10.1080\/10705510701575396"},{"key":"e_1_2_14_34_1","doi-asserted-by":"publisher","DOI":"10.1097\/jnr.0000000000000309"},{"key":"e_1_2_14_35_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-025-97414-4"},{"key":"e_1_2_14_36_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12882-025-04320-y"},{"key":"e_1_2_14_37_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-1755.2003.00064.x"},{"key":"e_1_2_14_38_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000004710"},{"key":"e_1_2_14_39_1","doi-asserted-by":"publisher","DOI":"10.1177\/0193945921996648"},{"issue":"2","key":"e_1_2_14_40_1","first-page":"198","article-title":"Study on the Reliability and Validity of the Hospital Anxiety and Depression Scale","volume":"11","author":"Sun Zhenxiao L. H.","year":"2017","journal-title":"Chinese Journal of Clinical Physicians"},{"key":"e_1_2_14_41_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfx293"},{"key":"e_1_2_14_42_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.12921216"},{"key":"e_1_2_14_43_1","doi-asserted-by":"publisher","DOI":"10.1080\/10705511.2013.824781"},{"key":"e_1_2_14_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.colegn.2013.02.003"},{"key":"e_1_2_14_45_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.00220114"},{"key":"e_1_2_14_46_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.04160320"},{"key":"e_1_2_14_47_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.16046"},{"key":"e_1_2_14_48_1","doi-asserted-by":"publisher","DOI":"10.5339\/qmj.2024.12"},{"key":"e_1_2_14_49_1","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2025.1530465"},{"key":"e_1_2_14_50_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2022.873444"},{"key":"e_1_2_14_51_1","doi-asserted-by":"publisher","DOI":"10.26689\/jcnr.v8i8.8210"},{"key":"e_1_2_14_52_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12882-016-0257-z"}],"container-title":["Nursing &amp; Health Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/nhs.70346","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/nhs.70346","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/nhs.70346","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T02:53:07Z","timestamp":1782183187000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/nhs.70346"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,28]]},"references-count":51,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1111\/nhs.70346"],"URL":"https:\/\/doi.org\/10.1111\/nhs.70346","archive":["Portico"],"relation":{},"ISSN":["1441-0745","1442-2018"],"issn-type":[{"value":"1441-0745","type":"print"},{"value":"1442-2018","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,28]]},"assertion":[{"value":"2025-05-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-20","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70346"}}