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. 2024 Mar 14;2024(1):12.
doi: 10.5339/qmj.2024.12. eCollection 2024.

Factors influencing self-care management in adult hemodialysis patients: An integrative review

Fadumo Yasin  1 , Fadi Khraim  2 , Mark Santos  1 , Daniel Forgrave  3 , Abdullah Hamad  1
Affiliations

Factors influencing self-care management in adult hemodialysis patients: An integrative review

Fadumo Yasin et al. Qatar Med J. .

Abstract

Background: End-stage renal disease (ESRD) poses a significant health challenge, with hemodialysis (HD) being the most prevalent therapy. Patients undergoing HD must comply with a strict therapeutic regimen, including dietary control, fluid restriction, and medication adherence. Successful disease management and improved outcomes rely on patients' involvement and participation in their care. Aim: To identify the factors that hinder or facilitate self-care management (SCM) in HD patients. Methodology: This review followed Whittemore and Knafl's integrative review framework. A comprehensive literature search of articles published between 2017 and 2022 was conducted in CINAHL, Medline, and PubMed using the keywords end-stage renal disease, hemodialysis, self-care management, self-care, and self-management. This search yielded 21 suitable articles for review. Results: SCM is influenced by three main factors: facilitators, barriers, and outcomes. Facilitators of SCM include self-care management interventions, patient knowledge, socio-demographic factors, family support, healthcare professionals, peer support, and psychological factors. Barriers encompass psychological and physical conditions. Outcomes include both physiological and psychological aspects. Conclusion: Understanding the factors influencing SCM in HD patients is vital for developing reliable and effective self-care strategies and interventions to enhance both physical and psychological outcomes.

Keywords: barriers; end-stage renal disease; facilitators; hemodialysis; self-care management.

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Conflict of interest statement

The authors have no conflicts of interest to declare.

Figures

Figure 1.
Figure 1.
Literature search flow diagram.
Figure 2.
Figure 2.
Factors influencing SCM.
Figure 3.
Figure 3.
Categorization of factors influencing SCM and outcomes.
Figure 4.
Figure 4.
Main themes of SCM in HD patients.
See this image and copyright information in PMC

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References

    1. Jain D, Haddad DB, Goel N. Choice of dialysis modality prior to kidney transplantation: Does it matter? World J Nephrol. 2019 Jan 21;;8((1):):1-10. doi: 10.5527/wjn.v8.i1.1. doi: - DOI - PMC - PubMed
    1. Al Malki H, Rashed AH, Asim M. Renal replacement therapy in Qatar—past, present and future. Open Journal of Nephrology. 2018 Jun 14;;8((02):):42.
    1. Hemodialysis [Internet] 2021 [cited 2021 Jul 29] Available from: https://www.kidney.org/atoz/content/hemodialysis.
    1. Keskin G. Resilience in patients with dialysis-dependent renal failure: Evaluation in terms of depression, anxiety, traumatic growths. Appl Nurs Res. 2022 Jun;65:151575. doi: 10.1016/j.apnr.2022.151575. doi: - DOI - PubMed
    1. D’Onofrio G, Simeoni M, Rizza P, Caroleo M, Capria M, Mazzitello G, et al. Quality of life, clinical outcome, personality and coping in chronic hemodialysis patients. Ren Fail. 2017 Nov;39((1):):45-53. doi: 10.1080/0886022X.2016.1244077. doi: - DOI - PMC - PubMed

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