Self-care of patients during hemodialysis: A qualitative study

Siregar, Cholina Trisa; Nasution, Siti Zahara; Zulkarnain,; Ariga, Reni Asmara; Lufthiani,; Harahap, Ikhsanuddin Ahmad; Tanjung, Dudut; Rasmita, Dina; Ariadni, Dwi Karina; Bayhakki,; Harahap, M. Pahala Hanafi

doi:10.1016/j.enfcli.2021.04.018

Cited by 4 publications

(5 citation statements)

References 17 publications

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“…The current study revealed a highly significant positive correlation between total mean score of fatigue and total mean score of Pittsburgh sleep quality index among the studied geriatric patients undergoing hemodialysis one and two months after application of Jacobson's progressive muscle relaxation. Similar finding was supported by a study carried out in Indonesia by Siregar, et al, (60) who stated that there was a significant relation between fatigue and sleep quality, when fatigue level is relieved , the sleep quality of hemodialysis patients becomes better. This result was agreed with a study carried out by Dardin, et al, (61) in Brazil who showed statistically significant correlations between PSQI and fatigue.…”

Section: Poor Sleep Quality Experienced By Geriatricsupporting

confidence: 81%

Effect of Jacobson’s Progressive Muscle Relaxation on Fatigue and Sleep Quality among Geriatric Patients Undergoing Hemodialysis

Boughdady,

Elashri,

Ibrahim

2024

Zagazig Nursing Journal

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Background: Geriatric patients undergoing hemodialysis often grapple with persistent fatigue and poor sleep quality, which can significantly impact on their daily functioning and contribute to a diminished quality of life. Jacobson's progressive muscle relaxation, a structured technique involving the systematic tensing and subsequent relaxation of muscle groups alleviating theses hemodialysis consequences. Aim of the study was to evaluate the effect of Jacobson's progressive muscle relaxation on fatigue and sleep quality among geriatric patients undergoing hemodialysis. Subjects and Methods: Research design: A Quasi-experimental research design using one group pre-post 1and post2 test was used. Setting: The study was conducted in the dialysis units of Mansoura University Hospital and New Mansoura General Hospital. Subjects: A purposive sample of 61 geriatric patients who diagnosed with end-stage renal failure and on regular hemodialysis for at least 6 months. Tools of data collection:The data were collected through Mini-Mental State Examination, Structured interview schedule sheet, The Multidimensional Fatigue Inventory Scale and The Pittsburgh Sleep Quality Index. Results: The mean age of the studied geriatric patients was 67.869±4.863 years, a statistically significant change in fatigue level and sleep quality Index among the studied geriatric patients after application of Jacobson's progressive muscle relaxation (P=0.000**) was observed. Conclusion: implementation of Jacobson's progressive muscle relaxation evidenced to be effective in reducing the fatigue level and improving sleep quality among geriatric patients undergoing hemodialysis. Recommendation: For hemodialysis patients, practicing Jacobson's progressive muscle relaxation regularly is recommended to lessen fatigue and improve sleep quality.

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Section: Poor Sleep Quality Experienced By Geriatricsupporting

confidence: 81%

Effect of Jacobson’s Progressive Muscle Relaxation on Fatigue and Sleep Quality among Geriatric Patients Undergoing Hemodialysis

Boughdady,

Elashri,

Ibrahim

2024

Zagazig Nursing Journal

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“…Qualitative data lay the groundwork for helping patients improve self-care (Siregar et al, 2021). Psychosocial factors and ethnicity can shape the interpretation of symptoms and guide self-care approaches (Jafferany & Davari, 2019;McColl et al, 2021).…”

Section: Literature Reviewmentioning

confidence: 99%

“…Some have argued that quantitative information cannot provide sufficient detail to convey the whole picture of patients' self‐care practice, and that qualitative research can fill in this gap. Qualitative data lay the groundwork for helping patients improve self‐care (Siregar et al, 2021). Psychosocial factors and ethnicity can shape the interpretation of symptoms and guide self‐care approaches (Jafferany & Davari, 2019; McColl et al, 2021).…”

Section: Literature Reviewmentioning

confidence: 99%

Symptom perception and self‐care practice for uraemic pruritus in patients receiving haemodialysis

Huang

Chen

Lin

et al. 2022

Journal of Renal Care

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BackgroundDue to the recurrent nature of uraemic pruritus among patients receiving haemodialysis, self‐care can offer patients a means to ameliorate this symptom. Qualitative data on self‐care of uraemic pruritus are limited.ObjectiveTo explore how patients on haemodialysis perceive uraemic pruritus, implement self‐care practice, and appraise the outcome of self‐caring uraemic pruritus.DesignThe Common Sense Model of Self‐Regulation guided the study design.Participants and approachesData were collected through face‐to‐face interviews with 30 patients receiving haemodialysis who were aged from 50 to 89 years and had had uraemic pruritus for more than 6 weeks. Interviews were audio recorded, and verbatim transcriptions of interviews were analysed.FindingsOur participants generally used life‐related analogies to describe uraemic pruritus, which they reviewed as a momentarily controllable symptom with an endless timeline. Most participants reported limited knowledge of the aetiology and multifaceted impacts of uraemic pruritus on their daily life and emotional status. The impacts on daily life included decreased zest for activities and sleep disturbances. Physical management of uraemic pruritus involved daily substance use and interventions employed during pruritic episodes. Psychological managements involved preferences for indoor activities and a fatalistic outlook. Unsatisfactory outcomes and psychological burdens from self‐care practice were reported.ConclusionsLife experiences shape symptom presentation and self‐care practice in patients on haemodialysis. The modalities for self‐caring for uraemic pruritus are diverse but not remarkably effective. Performing self‐care tasks places a substantial burden on patients. Individualised educational programs should be developed to improve the outcome of self‐care practice.

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“…Parts of the process of self-care may be separated by time and space in terms of a person’s state of human functioning and human development [ 2 ]. However, most self-care practices for haemodialysis patients are concentrated on physical care, such as monitoring dialysis vessels or controlling diet, fluid intake, and weight [ 3 , 4 ]. Although haemodialysis patients suffer from symptom mitigation and deterioration, similar to other patients with chronic illnesses, the formal cycle of acceptance, adaption, and regaining control may not be sufficient to understand these patients, as has been explored in qualitative studies [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

The Lived Self-Care Experiences of Patients Undergoing Long-Term Haemodialysis: A Phenomenological Study

Kim¹,

Lee

2023

IJERPH

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The study aims to understand the lived self-care experiences of patients who have undergone long-term haemodialysis. The study adopts a qualitative phenomenological design. Data were collected for six months, from 1 July to 31 December 2020. Out of 90 outpatients in a haemodialysis clinic at a university hospital in Seoul, Korea, 11 patients who had received haemodialysis for more than 10 years were purposefully selected, and 9 of them took part in in-depth interviews. The main research question was, ‘What was the experience of surviving long-term haemodialysis?’ The study revealed four main themes surrounding the topic of self-care: (A) the desire to keep living despite challenges, (B) creating one’s own dietary principles, (C) moving one’s body with the remaining strength, and (D) moving toward independence. In the long-term self-care of haemodialysis patients, they shared personal observations on their disease and treatment process and their struggles to try to manage their own physical and emotional self-care. By exploring the experience of long-term haemodialysis, it is possible to gain a deeper understanding of their perceptions, emotions, and motivations. With this information, healthcare professionals can develop interventions and support strategies that are tailored to the specific needs of haemodialysis patients.

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Self-care of patients during hemodialysis: A qualitative study

Cited by 4 publications

References 17 publications

Effect of Jacobson’s Progressive Muscle Relaxation on Fatigue and Sleep Quality among Geriatric Patients Undergoing Hemodialysis

Effect of Jacobson’s Progressive Muscle Relaxation on Fatigue and Sleep Quality among Geriatric Patients Undergoing Hemodialysis

Symptom perception and self‐care practice for uraemic pruritus in patients receiving haemodialysis

The Lived Self-Care Experiences of Patients Undergoing Long-Term Haemodialysis: A Phenomenological Study

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