HEMODİYALİZ HASTALARINDA ÖZBAKIMIN DESTEKLENMESİNDE HEMŞİRELİK YAKLAŞIMLARI: GÜNCEL LİTERATÜR IŞIĞINDA BİR DERLEME
13th International European Conference on Interdisciplinary Scientific Research, Tirane, Arnavutluk, 25 - 26 Mayıs 2026, ss.85-90, (Tam Metin Bildiri)
- Yayın Türü: Bildiri / Tam Metin Bildiri
- Basıldığı Şehir: Tirane
- Basıldığı Ülke: Arnavutluk
- Sayfa Sayıları: ss.85-90
- Uşak Üniversitesi Adresli: Evet
Özet
Abstract Hemodialysis is one of the primary treatment modalities that helps maintain life in individuals with end-stage renal failure (ESRF). However, this treatment process requires not only regular attendance at dialysis units but also necessitates the patient to take responsibility for various aspects of daily life, such as nutrition, fluid intake, medication use, vascular access care, and symptom management. Therefore, strengthening self-care among hemodialysis patients is a critical nursing priority to ensure treatment adherence and prevent complications. This review examines current nursing approaches to supporting self-care in hemodialysis patients and evaluates their impact on patient outcomes. The literature indicates that nursing interventions supporting self-care primarily focus on key areas such as technology-supported education, theory-based interventions, and structured patient training. In particular, mobile applications, digital platforms, and video-based education are reported to be more effective than traditional verbal education in improving self-care behaviors and biochemical indicators. Furthermore, interventions grounded in theoretical frameworks such as Orem's Self-Care Theory, the Health Belief Model, and the 5A Self-Management Model have been reported to enhance patients' self-efficacy and self-care capacity. Nurse-led, face-to-face, and planned education has been shown to increase patients' knowledge levels and promote more active participation in the treatment process regarding nutrition, fluid restriction, medication adherence, and fistula care.
Additionally, structured education programs are reported to support quality of life, reduce symptom burden, and improve patients' self-care agency. In conclusion, supporting self-care in hemodialysis patients is a fundamental component of nursing care. It is recommended that clinical practice places a greater emphasis on technology-supported, theory-based, and nurse-led structured programs.
Keywords: Hemodialysis, Self-Care, Nursing Approaches, Quality of Life, Self-Efficacy.