Self-care in individuals with chronic kidney disease on hemodialysis

Abstract

<jats:p>ABSTRACT Objective: To understand how self-care is carried out by people with chronic kidney disease on hemodialysis. Method: A qualitative approach was used. Data was collected through semi-structured interviews in 12 individuals on hemodialysis in Chile between September and December 2018. Dorothea Orem's self-care theory was used for directed content analysis. Results: Three categories emerged: self-care requirements, self-care deficit, and education and information management for self-care. People were aware of the importance of carrying out their self-care. They also stated not to carry out the care actions rigorously enough showing some limitations. Finally, people’s knowledge about their condition was usually acquired from the Internet and from their own experience rather than through consultations with a health team. Considerations: People are conscious about their role in their health in a flexible way. The health team should know how to recognize conditions interfering in people’s self-care and help to overcome them.</jats:p>

Gender-Specific Differences in Self-Care, Treatment-Related Symptoms, and Quality of Life in Hemodialysis Patients

“…Similar results from Trask et al [ 22 ] showed that with higher self-care, the QoL was better and that an increase in HD knowledge by the patients and self-care promotion in their treatment decreased their one-year mortality. A previous report showed that patients in chronic HD consider physical activity as an important self-care factor to maintain their health, but at the same time, they consider that an important barrier to practicing physical activity is the fatigue attributed both to the disease and to the HD treatment [ 23 ]. The present study shows that, although there was a significant association between physician functioning and self-care for both genders ( Table 4 ), female patients reported a greater impact in both physical functioning and fatigue/energy compared to male patients ( Table 3 ).…”

Autocuidado de catadores de material reciclável: ações de Enfermagem à luz da Pesquisa Convergente-Assistencial

“…Em contraponto, os dados da segunda categoria evidenciam que à agência de autocuidado dos catadores contrastavam-se os déficits. Indo ao encontro disso, estudos realizados com outras populações evidenciaram que, apesar dos indivíduos, muitas vezes, reconhecerem a importância do autocuidado e identificarem as ações de que necessitam, nem sempre conseguem colocá-las em prática, pois encontram, como obstáculos, a falta de orientações por parte dos profissionais de saúde, a desmotivação e fatores extrínsecos como domésticos e do trabalho 18,19 .…”

“…A Teoria dos Déficits de Autocuidado tem sido aplicada em estudos nacionais e internacionais recentes, contribuindo para a obtenção de bons resultados, não apenas de pesquisa, mas autocuidado de catadores de material reciclável Centenaro APFC, Beck CLC, Silva RM, Camponogara S, Silveira A, Cabral FB também de intervenção 8,9,18,19 . Nesta pesquisa, corrobora-se a completude desta teoria de Enfermagem e sua potencialidade para a pesquisa e a assistência.…”

Management of chronic kidney disease: perspectives of Brazilian primary care physicians

“…Still, due to some limitations, it was noticed that people's knowledge about their condition was generally acquired through the Internet and their own experience, and not through the health team. The authors concluded that people have the responsibility of maintaining their health but the health care team should recognize the conditions that interfere in these patients' self-care to collaborate in overcoming the difficulties (Santana et al, 2020).…”