Exploring the self-care challenges in patients undergoing hemodialysis: A conventional content analysis

Background & Aim: Self-care plays an important role in the management of care for patients with chronic renal failure. In order to provide effective education, it is necessary to identify problems, concerns and challenges in this group of patients. The aim of this study was to explore the challe...

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Main Authors: Parvaneh Asgari, Esmail Shariat, Mostafa Gholami, Fatemeh Bahramnezhad
Format: Article
Language:fas
Published: Tehran University of Medical Sciences 2020-06-01
Series:حیات
Subjects:
Online Access:http://hayat.tums.ac.ir/article-1-3474-en.html
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spelling doaj-714b8255493144c2bcacce7fd2d0881f2021-09-26T10:33:18ZfasTehran University of Medical Sciencesحیات1735-22152008-188X2020-06-01262118130Exploring the self-care challenges in patients undergoing hemodialysis: A conventional content analysisParvaneh Asgari0Esmail Shariat1Mostafa Gholami2Fatemeh Bahramnezhad3 Dept. of Critical Care Nursing and Management, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran Dept. of Critical Care Nursing and Management, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran Dept. of Medical Surgical Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran Dept. of Critical Care Nursing and Management, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran; Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran; Spiritual Health Group, Research Center of Quran, Hadith and Medicine, Tehran University of Medical Sciences, Tehran, Iran Background & Aim: Self-care plays an important role in the management of care for patients with chronic renal failure. In order to provide effective education, it is necessary to identify problems, concerns and challenges in this group of patients. The aim of this study was to explore the challenges of self-care in the patients undergoing hemodialysis. Methods & Materials: This study is part of a research project on adherence to treatment regimen in hemodialysis patients referred to hospitals affiliated to Tehran University of Medical Sciences in 2019. Patients with the highest and lowest mean (SD) scores of self-care were selected by the purposeful sampling method and finally, 22 in-depth semi-structured interviews were performed with 18 interviewees. All data were recorded, transcribed and analyzed using the conventional content analysis approach proposed by Graneheim and Lundman. Results: Findings from the data analysis included four categories: "the mismatch between the view of patient and the view of nurse", "missing loop training", "culture: a double sword ", and "dual role of religious beliefs". Conclusion: The results of the present study showed that patients undergoing hemodialysis faced many challenges in self-care. They had difficulty in understanding the meaning of self-care and its implications. There is a need to plan for educating these patients and also changing their religious and cultural beliefs.http://hayat.tums.ac.ir/article-1-3474-en.htmlhemodialysisself-carecontent analysisqualitative research
collection DOAJ
language fas
format Article
sources DOAJ
author Parvaneh Asgari
Esmail Shariat
Mostafa Gholami
Fatemeh Bahramnezhad
spellingShingle Parvaneh Asgari
Esmail Shariat
Mostafa Gholami
Fatemeh Bahramnezhad
Exploring the self-care challenges in patients undergoing hemodialysis: A conventional content analysis
حیات
hemodialysis
self-care
content analysis
qualitative research
author_facet Parvaneh Asgari
Esmail Shariat
Mostafa Gholami
Fatemeh Bahramnezhad
author_sort Parvaneh Asgari
title Exploring the self-care challenges in patients undergoing hemodialysis: A conventional content analysis
title_short Exploring the self-care challenges in patients undergoing hemodialysis: A conventional content analysis
title_full Exploring the self-care challenges in patients undergoing hemodialysis: A conventional content analysis
title_fullStr Exploring the self-care challenges in patients undergoing hemodialysis: A conventional content analysis
title_full_unstemmed Exploring the self-care challenges in patients undergoing hemodialysis: A conventional content analysis
title_sort exploring the self-care challenges in patients undergoing hemodialysis: a conventional content analysis
publisher Tehran University of Medical Sciences
series حیات
issn 1735-2215
2008-188X
publishDate 2020-06-01
description Background & Aim: Self-care plays an important role in the management of care for patients with chronic renal failure. In order to provide effective education, it is necessary to identify problems, concerns and challenges in this group of patients. The aim of this study was to explore the challenges of self-care in the patients undergoing hemodialysis. Methods & Materials: This study is part of a research project on adherence to treatment regimen in hemodialysis patients referred to hospitals affiliated to Tehran University of Medical Sciences in 2019. Patients with the highest and lowest mean (SD) scores of self-care were selected by the purposeful sampling method and finally, 22 in-depth semi-structured interviews were performed with 18 interviewees. All data were recorded, transcribed and analyzed using the conventional content analysis approach proposed by Graneheim and Lundman. Results: Findings from the data analysis included four categories: "the mismatch between the view of patient and the view of nurse", "missing loop training", "culture: a double sword ", and "dual role of religious beliefs". Conclusion: The results of the present study showed that patients undergoing hemodialysis faced many challenges in self-care. They had difficulty in understanding the meaning of self-care and its implications. There is a need to plan for educating these patients and also changing their religious and cultural beliefs.
topic hemodialysis
self-care
content analysis
qualitative research
url http://hayat.tums.ac.ir/article-1-3474-en.html
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