{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T14:44:21Z","timestamp":1792334661137,"version":"4.4.0"},"reference-count":56,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["West J Nurs Res"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Chronic kidney disease adversely affects quality of life and requires continuous self-management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study examined the effects of adaptation to chronic illness and individual characteristics on self-management in patients undergoing hemodialysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This descriptive, cross-sectional study was conducted between June and August 2024 with 348 patients undergoing hemodialysis at a university hospital in the Mediterranean region of Turkey. Data collected included demographics, the Adaptation to Chronic Illness Scale, and the Chronic Disease Self-Management Scale. Relationships between dimensions of illness adaptation (physical, social, and psychological) and self-management components (self-stigma, coping with stigma, healthcare effectiveness, and treatment adherence) were examined using correlation and regression analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Significant associations were identified between dimensions of illness adaptation (physical, social, and psychological) and self-management components among patients undergoing hemodialysis. Self-stigma was negatively associated with all adaptation dimensions (\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      \u2009=\u2009\u22120.181 to \u22120.338;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001). In contrast, healthcare effectiveness showed moderate positive associations, particularly with physical and psychological adaptation (\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      \u2009=\u20090.355-0.429;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001). Coping with stigma and treatment adherence were positively associated with adaptation, although these relationships were weaker and varied across dimensions (\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      \u2009=\u20090.153-0.260;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u200901). Robust regression analyses showed all models were significant (\n                      <jats:italic toggle=\"yes\">F<\/jats:italic>\n                      \u2009=\u20096.121-24.187;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001;\n                      <jats:italic toggle=\"yes\">R<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090.158-0.182), and education level, illness-related education, having children, and engagement in non-work activities predicted self-management (\u03b2\u2009=\u2009\u22120.50 to 0.44;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Physical, psychological, and social adaptation to chronic illness is significantly associated with self-management among patients undergoing hemodialysis, suggesting that holistic nursing approaches that emphasize patient education and engagement in daily activities may enhance self-management behaviors.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/01939459261477860","type":"journal-article","created":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T11:58:18Z","timestamp":1788782298000},"page":"1222-1233","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Self-Management of Chronic Illness in Patients Undergoing Hemodialysis: The Role of Individual Factors and Adaptation to Illness"],"prefix":"10.1177","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8268-835X","authenticated-orcid":false,"given":"Zehra","family":"Eskimez","sequence":"first","affiliation":[{"name":"Department of Nursing, Faculty of Health Sciences, \u00c7ukurova University, Adana, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6580-2843","authenticated-orcid":false,"given":"Alev","family":"Keskin","sequence":"additional","affiliation":[{"name":"Orthopedic Service, Faculty of Medicine, Balcal\u0131 Hospital, \u00c7ukurova University, Adana, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-6085-9177","authenticated-orcid":false,"given":"Nur","family":"Halis\u00e7elik","sequence":"additional","affiliation":[{"name":"Internal Medicine Intensive Care Unit, Faculty of Medicine, Balcal\u0131 Hospital, \u00c7ukurova University, Adana, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0788-8319","authenticated-orcid":false,"given":"R\u00fcya","family":"Kozano\u011flu","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Baskent University Adana Dr. Turgut Noyan Traning and Research Hospital, Adana, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,7]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-019814"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000046189"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12325-023-02608-9"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30045-3"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41581-024-00820-6"},{"key":"e_1_3_3_7_2","first-page":"56","volume-title":"Urinary System Diseases and Nursing Approaches","author":"Akbal Y","year":"2021","unstructured":"Akbal Y, Nural N. \u0130ntradiyalitik komplikasyonlarda hem\u015firelik yakla\u015f\u0131mlar\u0131 [Nursing approaches in intradialitic complication]. 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