Embedded Files
SELF-CARE ACTIVITIES OF PATIENTS UNDERGOING MAINTENANCE HEMODIALYSIS IN ERBIL GOVERNORATE
SELF-CARE ACTIVITIES OF PATIENTS UNDERGOING MAINTENANCE HEMODIALYSIS IN ERBIL GOVERNORATE
Sideeq Sadir Ali a
a Dept. of Adult Nursing, College of Nursing, Hawler Medical University, Erbil, Iraq.
Submitted: 1/4/2020; Accepted: 17/11/2020; Published: 21/3/2021
DOI Link: https://doi.org/10.17656/jsmc.10282
ABSTRACT
Background
Self-Care activities of hemodialysis patients are very important on a daily base, which improve their health and prevent them from complications and illness. This practice was the best practice that used since Orem’s nursing theory until now to improve all sides of patients.
Objectives
This study aims to assess the level of Self-Care activities and determines the association factors affecting their activity among hemodialysis patients.
Materials and Methods
This cross-sectional study involved 242 patients that maintain on the hemodialysis treatment in Erbil City from November 2019 to April 2020, by using interview questionnaires. Data were analyzed by SPSS Program version 23 involved descriptive statistics, including frequency, percentage, and chi-square tests.
Results
More than half of the participants (55.4%) were in the older adult age group, male (52.5%), illiterate (53.7%), and live in the urban area (54.5%). The majority of them were married (72.3%) and poor income (76%). Highly percentage were non- smokers (94.6%), 88.8% were with chronic diseases and hypertension (72.7%). 50.4% of them time duration of hemodialysis treatment was between 1 year to 4 years. Most of the participants (70.2%) sometimes they were done self-care activities. Dependency of self-care activities was significantly higher associated with all the variables of socioeconomic (P <0.001) except with sex, however, there was no significant association with all the variables of clinical data except with associated disease of Chronic Renal Failure, the existence of heart disease and with a duration of hemodialysis treatment.
Conclusion
In general, hemodialysis patients sometimes can perform self-care activities. Dependency of self-care activities was highly significantly associated with the majority of socioeconomic variables and with the few parts of the clinical variable. Hemodialysis patients need their self-care activities for improving their health and well-being continually.
KEYWORDS
Self-care; Activities; Hemodialysis; Dependency; Patient.
References
1. Timby BK, Smith NE. Introductory medical-surgical nursing. 10th ed. USA. Philadelphia, PA: Wolters Kluwer Health | Lippincott Williams & Wilkins; 2010. P. 931.
2. Williams LS, Hopper PD. Understanding Medical-Surgical Nursing. 2nd ed. USA. Philadelphia, PA: F.A. Davis Company; 2003. P. 605.
3. Parker ME. Nursing Theories and Nursing Practice. 1st ed. Chapter 13 part 1. USA. Philadelphia, PA: F.A. Davis Company; 2001. P. 196.
4. Fitzpatrick JJ, Wallace M. Encyclopedia of Nursing Research. 2nd ed. Springer Publishing Company, Inc; 2006. P. 426.
5. Shukla B, Kaur A. Study to assess knowledge and attitude regarding self-care among patients undergoing hemodialysis in selected hospital of Punjab, India. JARS International Research Journal. 2012; 2 (1): 3-4.
6. Han SJ, Kim HW. Self-care Behavior and Physical Factors in Elderly Hemodialysis Patients. Healthcare and Nursing. 2016; 128 (1): 68-72.
7. Johansen KL, Chertow GM, Ng AV, Mulligan K, Carey S, Schoenfeld PY, Kent-Braun JA. Physical activity levels in patients on hemodialysis and healthy sedentary controls. Kidney International. 2000 Jun 1; 57 (6): 2564-70.
8. Painter P, Marcus RL. Assessing Physical Function and Physical Activity in Patients with CKD. Clin J Am Soc Nephrol. 2013 May 7; 8 (5): 861-72. doi: 10.2215/CJN.06590712
9. Al Nazly E, Ahmad M, Musil C, Nabolsi M. Hemodialysis Stressors and Coping Strategies Among Jordanian Patients On Hemodialysis: A Qualitative Study. Nephrology Nursing Journal. 2013 Jul 1; 40 (4): 321-327.
10. Ali SS, Baker JM, Doski NA. Physical and Psychological Self-Care Assessment for Disabled clients attending Emergency Management Center in Erbil City. Kufa Journal for Nursing Sciences. 2015; 5 (3): 257-64.
11. Smeltzer SO, Bare BG. Brunner and Suddarth's Textbook of Medical-Surgical Nursing. 10th ed. Philadelphia: JB Lippincott; 2003. P. 1287.
12. Ghadam MS, Poorgholami F, Jahromi ZB, Parandavar N, Kalani N, Rahmanian E. Effect of self-care education by face-to-face method on the quality of life in hemodialysis patients (Relying on Ferrans and Powers Questionnaire). Global Journal of Health Science. 2016 Jun; 8 (6): 121-7. doi:10.5539/gjhs.v8n6p121.
13. Khaledi-Paveh B, Fashi FM, Hashemian AH. Study of Self-care and Its Related Factors in Hemodialysis Patients in Kermanshah. J Pharm Res Int. 2018; 24 (6): 1-7. DOI: 10.9734/JPRI/2018/43244.
14. Saakvitne KW, Pearlman LA, Traumatic Stress Inst, Ctr for Adult & Adolescent Psychotherapy LLC. Transforming the pain: A workbook on vicarious traumatization. A Norton professional book. 6th ed. New York. WW Norton & Co; 1996. pp. 61-66, 93-95.
15. Kanter B, Sherman A. The happy, healthy nonprofit: Strategies for impact without burnout. 1st ed. Canada. John Wiley & Sons; 2016 Sep 26. pp. 28-38.
16. McCaleb A, Cull VV. Sociocultural influences and self-care practices of middle adolescents. Journal of Pediatric Nursing. 2000 Feb 1; 15 (1): 30-5.
17. Shad FS, Rahnama M, Abdollahimohammad A, Sima SA. An Investigation into the Impact of Orem’s Self-Care Program on Life Satisfaction in Hemodialysis Patients: A Clinical Trial Study. Med Surg Nurs Nurs J. 2018 Nov 30; 7 (4): 1-6. doi: 10.5812/msnj.88795.
18. Faucett J, Ellis V, Underwood P, Naqvi A, Wilson D. The effect of Orem's self-care model on nursing care in a nursing home setting. Journal of Advanced Nursing. 1990 Jun; 15 (6): 659-66.
19. Manzini FC, Simonetti JP. Nursing consultation applied to hypertensive clients: application of orem's self-care theory. Revista Latino-Americana De Enfermagem. 2009 Feb; 17 (1): 113-9.
20. Akyol AD, Cetinkaya Y, Bakan G, Yaralı S, Akkuş S. Self-care agency and factors related to this agency among patients with hypertension. Journal of Clinical Nursing. 2007 Apr; 16 (4): 679-87. doi: 10.1111/j.1365-2702.2006.01656.x.
21. Rahimi F, Oskouie F, Naser O, Sanandji ME, Gharib A. The effect of self-care on patients undergoing Hemodialysis in the Sanandaj Hospitals affiliated to Kurdistan University of Medical Sciences in 2016. Bali Med Journal. 2017 Jan 1; 6: 684-9.
22. Poodine Moghadam M, Nasiri A. The effect of self-care program on the dependence of hemodialysis patients based on Orem’s self-care theory. Int J Current Life Sci. 2014; 4 (12): 11757-63.
23. Muehrer RJ, Schatell D, Witten B, Gangnon R, Becker BN, Hofmann RM. Factors affecting employment at initiation of dialysis. Clinical Journal of the American Society of Nephrology. 2011 Mar 1; 6 (3): 489-96.
24. Hallab A, Wish JB. Employment among patients on dialysis: An unfulfilled promise. Clin J Am Soc Nephrol. 2018; 13 (1): 1-2. doi: https://doi.org/10.2215/CJN.13491217.
25. Gela D, Mengistu D. Self-management and associated factors among patients with end-stage renal disease undergoing hemodialysis at health facilities in Addis Ababa, Ethiopia. International Journal of Nephrology and Renovascular Disease. 2018; (1): 329-36.
26. Atashpeikar S, Jalilazar T, Heidarzadeh M. Self-care ability in hemodialysis patients. Journal of Caring Sciences. 2012 May; 1 (1): 31-35.
27. Mousa I, Ataba R, Al-ali K, Alkaiyat A, Sa’ed HZ. Dialysis-related factors affecting self-efficacy and quality of life in patients on haemodialysis: a cross-sectional study from Palestine. Renal Replacement Therapy. 2018 Dec 1; 4 (1): 2-12.
28. Rahimi F, Gharib A, Beyramijam M, Naseri O. Effect of self-care education on self-efficacy in patients undergoing hemodialysis. Life Science Journal. 2014; 11 (1 SPEC): 136-40.
29. Unsar S, Erol O, Mollaoglu M. The self-care agency in dialyzed patients. Dialysis & Transplantation. 2007; 36 (2): 57-70.
30. Baraz SH, Mohammadi E, Broumand B. The effect of self-care educational program on decreasing the problems and improving the quality of life of dialysis patients. Journal of Hayat. 2005 May 15; 11 (2): 51-62.
31. Rostami F, Badr FR, Falah N. A survey of the Impact of using Orem self-care model on Adequacy of Dialysis in Hemodialysis Patients. Bull Env Pharmacol Life Sci. 2015 Apr 5; 4 (5): 19-23.
32. Rayyani M, Malekyan L, Forouzi MA, Haghdoost A, Razban F. Self-care self-efficacy and quality of life among patients receiving hemodialysis in South-East of Iran. Asian Journal of Nursing Education and Research. 2014; 4 (2): 165-71.
33. Li H, Jiang YF, Lin CC. Factors associated with self-management by people undergoing hemodialysis: a descriptive study. International Journal of Nursing Studies. 2014 Feb 1; 51 (2): 208-16.
34. Bağ E, Mollaoğlu M. The evaluation of self-care and self-efficacy in patients undergoing hemodialysis. Journal of Evaluation in Clinical Practice. 2010; 16 (3): 605-10. doi:10.1111/j.1365-2753.2009.01214.x.
© The Authors, published by University of Sulaimani, College of Medicine
This work is licensed under a Creative Commons Attribution 4.0 International License.
Page updated
Report abuse