Home Self-Care for Client with Hemodialysis

Abstract

Background: Hemodialysis is a therapy that filters waste, removes extra fluid and balances electrolytes (sodium, potassium, bicarbonate, chloride, calcium, magnesium and phosphate) when the kidneys are in a state of renal failure. Aim of the study: Evaluate home self-car for clients with hemodialysis. Design was used a quasi-experimental. Setting: Hemodialysis unit in Ashmon district Hospital, Menofia governorate. The study sample A purposive sample of 80 clients hemodialysis Tools used were (1) An interview questionnaire used to collect data from clients, assistance related to demographic data and knowledge related to RF. (2) Client practices of self care items, included Fluid, diet, medication and vascular access management. (3) Assessment of client activities of daily living, (4) Check list assessment of safety home environment. Results: finding of the present study revealed that, the age for more half of clients their age ranged from aged over 40-60 years. There is statistically significant relation pre and post program related to client's knowledge about RF, diet regimen, fluid, vascular access and medication. There is statistically significant relation pre and post program related to clients self-care practices at home related to fluid intake and diet, medication, vascular access and exercise, there is statistically significant relation pre and post program related to HD clients related to daily living activity and safe home environment. There is significant correlation clients satisfaction practices pre and post program about RF. There is significant correlation between age, education levels and occupational with client's practices about RF. Concluded: Revealed that. Improve client’s self car, effect positively through knowledge and practices towards health problems, through activity of daily living for client with hemodialysis post program implementation. Recommendations: Health educational program to improve clients self-care practice, before starting HD sessions about medication, side effect of treatment, care of vascular access, diet and fluid restriction, important exercise, prevention and management of complication.