조영문1, 성기월2

1영동대학교 보건산업대학 간호학과, 2대구가톨릭대학교 간호대학 간호학과

Background: This study aimed to identify the association of compliance with sick role behavior with satisfaction
of basic psychological needs, and to assess the influence of compliance with sick role behavior among hemodialysis
patients.
Methods: Participants included 109 patients from outpatient dialysis clinics at 6 major general hospitals located
in urban areas in Korea. Data for compliance with sick role behavior and basic psychological needs were collected
through a self-reported questionnaire and was analyzed with independent t-test, one-way analysis of
variance, Pearson' correlation analysis, and multiple stepwise linear regression analysis.
Results: This study showed positive correlations between compliance with sick role behavior and satisfaction
of basic psychological needs (r=0.59, P<0.001). The variables predicting compliance with sick role behavior
were relatedness (β=0.28), autonomy (β=0.29), competency (β=0.30), and age (β=0.24). These variables accounted
for 38.2% of the variance of compliance with sick role behavior in hemodialysis patients.
Conclusions: Our results indicated that it is necessary to improve compliance with sick role behaviorin order to
increase satisfaction of basic psychological needs in hemodialysis patients.

Korean J Health Promot 2012;12(1):58-65
Keywords: Sick role, Patient compliance, Self determination, Hemodialysis