Development of Recommendations for Nurses to Prepare Patients and Their Families for Dialysis
Maxudova, Makhigul (2019)
2019
All rights reserved. This publication is copyrighted. You may download, display and print it for Your own personal use. Commercial use is prohibited.
Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-2019081317801
https://urn.fi/URN:NBN:fi:amk-2019081317801
Tiivistelmä
Background. Annually more than 2.5 million people with chronic renal failure around the
world receive renal replacement therapy—dialysis. The most common causes that lead to
dialysis are diabetes mellitus and hypertension. Against the background of chronic
diseases, it is important to conduct timely examination of the kidneys and, if necessary,
gradual preparation of patients for the start of renal replacement therapy.
Objective: improve the quality of nursing by creating recommendations for preparation of
patients with end-stage of chronic renal failure and their family members at the beginning
of dialysis to reduce the risk of complications and improve quality of life.
Methods: This qualitative research was conducted from May to November 2018. A total 22 participants (seven dialysis patients, five patients’ relatives, five nurses, and five
nephrologists) were interviewed. The interviews were analyzed using qualitative content
analysis.
Results: Data analysis led to the production of four main categories, which were selected
for each group of respondents separately. 1—Pre-dialysis training helps to reduce possible complications of dialysis issues. 2—Effectiveness of regular counseling of patients and their families at the pre-dialysis stage. 3—The need for psychological help and counseling for patients and their relatives before and at the beginning of dialysis. 4—For further qualitative development of the dialysis service, it is necessary to actively conduct predialysis training jointly with patients with chronic renal failure and with relatives.
Conclusion: Six common recommendations were developed for counseling: 1—changes in
lifestyle, 2—social help, 3—medical interventions, 4—informing patients and their families, 5—psychological preparation, and 6—social life. Developed recommendations for nurses to prepare patients and their families for dialysis were aimed at reducing the risk of
developing complications and improving the quality of life of dialysis patients.
world receive renal replacement therapy—dialysis. The most common causes that lead to
dialysis are diabetes mellitus and hypertension. Against the background of chronic
diseases, it is important to conduct timely examination of the kidneys and, if necessary,
gradual preparation of patients for the start of renal replacement therapy.
Objective: improve the quality of nursing by creating recommendations for preparation of
patients with end-stage of chronic renal failure and their family members at the beginning
of dialysis to reduce the risk of complications and improve quality of life.
Methods: This qualitative research was conducted from May to November 2018. A total 22 participants (seven dialysis patients, five patients’ relatives, five nurses, and five
nephrologists) were interviewed. The interviews were analyzed using qualitative content
analysis.
Results: Data analysis led to the production of four main categories, which were selected
for each group of respondents separately. 1—Pre-dialysis training helps to reduce possible complications of dialysis issues. 2—Effectiveness of regular counseling of patients and their families at the pre-dialysis stage. 3—The need for psychological help and counseling for patients and their relatives before and at the beginning of dialysis. 4—For further qualitative development of the dialysis service, it is necessary to actively conduct predialysis training jointly with patients with chronic renal failure and with relatives.
Conclusion: Six common recommendations were developed for counseling: 1—changes in
lifestyle, 2—social help, 3—medical interventions, 4—informing patients and their families, 5—psychological preparation, and 6—social life. Developed recommendations for nurses to prepare patients and their families for dialysis were aimed at reducing the risk of
developing complications and improving the quality of life of dialysis patients.