PDF(Pubmed)
Abstract：
Background: End-stage renal disease (ESRD) poses a significant health challenge, with hemodialysis (HD) being the most prevalent therapy. Patients undergoing HD must comply with a strict therapeutic regimen, including dietary control, fluid restriction, and medication adherence. Successful disease management and improved outcomes rely on patients\' involvement and participation in their care. Aim: To identify the factors that hinder or facilitate self-care management (SCM) in HD patients. Methodology: This review followed Whittemore and Knafl\'s integrative review framework. A comprehensive literature search of articles published between 2017 and 2022 was conducted in CINAHL, Medline, and PubMed using the keywords end-stage renal disease, hemodialysis, self-care management, self-care, and self-management. This search yielded 21 suitable articles for review. Results: SCM is influenced by three main factors: facilitators, barriers, and outcomes. Facilitators of SCM include self-care management interventions, patient knowledge, socio-demographic factors, family support, healthcare professionals, peer support, and psychological factors. Barriers encompass psychological and physical conditions. Outcomes include both physiological and psychological aspects. Conclusion: Understanding the factors influencing SCM in HD patients is vital for developing reliable and effective self-care strategies and interventions to enhance both physical and psychological outcomes.
摘要：
背景：终末期肾病（ESRD）构成了重大的健康挑战，血液透析（HD）是最普遍的治疗方法。接受HD的患者必须遵守严格的治疗方案，包括饮食控制，流体限制,和药物依从性。成功的疾病管理和改善的结果依赖于患者对其护理的参与和参与。目的：探讨阻碍或促进HD患者自我护理管理（SCM）的因素。方法：这篇综述遵循了Whittemore和Knafl的综合综述框架。在CINAHL中对2017年至2022年发表的文章进行了全面的文献检索，Medline,和PubMed使用关键词终末期肾病，血液透析,自我护理管理，自我照顾,和自我管理。此搜索产生了21篇合适的文章供审查。结果：供应链管理受三个主要因素的影响：促进者，障碍,和结果。SCM的促进者包括自我保健管理干预措施，患者知识,社会人口因素，家庭支持,医疗保健专业人员,同行支持，和心理因素。障碍包括心理和身体状况。结果包括生理和心理方面。结论：了解影响HD患者SCM的因素对于制定可靠有效的自我护理策略和干预措施以提高身体和心理预后至关重要。
