Victoria Socha

DocwireNews

Dallas&mdash;Patients receiving hemodialysis therapy may face complex lifestyle changes, including diet and fluid restrictions, that have adverse effects on their physical and emotional well-being. The role of nephrology nurses to promote patient self-management and helping patients manage these changes in lifestyle is key.Rahel Bahru, RN, BN, MScA(N), and colleagues at the hemodialysis unit of St. Mary&rsquo;s Hospital Center at the Ingram School of Nursing, McGill University, in Montreal, Canada, conducted a study to examine patient perspectives on nursing care that enables or hinders their ability to manage their illness. Study results were reported at the 2019 ANNA National Symposium in a presentation titled&nbsp;Perceptions of Nursing Care to Promote Self-Management in Chronic Kidney Disease.The study utilized a qualitative descriptive design and included six male and three female hemodialysis patients. The seven patients were interviewed during their outpatient dialysis treatment at the hospital.The interviews revealed three major themes: (1) what it means to live with kidney disease; (2) managing the illness and treatment regimen; and (3) the nature of the therapeutic relationship with nurses to promote self-management. When asked about care that helped with self-management of their illness, the patients cited nurses&rsquo; friendly demeanor and patient-centered care as helpful qualities.&ldquo;These findings underscore the importance of creating a nurturing and supportive environment, and focusing on patients&rsquo; individual needs. Reflective practice may be a helpful strategy to assist the nurse to consider the interpersonal aspect of the nurse-patient relationship. The nurse&rsquo;s use of motivational interviewing may help to gain the patients&rsquo; perspective and engage them in their care,&rdquo; the authors said.Source: Bahru R, Purden M, Kerr M. Perceptions of nursing care to promote self-management in chronic kidney disease. Abstract of a presentation at the 2019 American Nephrology Nurses Association National Symposium, April 14-17, 2019, Dallas Texas.

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Dallas—Patients receiving hemodialysis therapy may face complex lifestyle changes, including diet and fluid restrictions, that have adverse effects on their physical and ...

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