Main Article Content

Abstract

Introduction: In many cases, haemodialysis patients lack tools that allow them to develop self-care practices and adapt to the changes associated with their treatment.
Objectives: The present study aimed to evaluate the effectiveness of an educational intervention on the self-care management capacity in people on haemodialysis.
Material and Method: We conducted a quantitative, pre-experimental, interventional, single-centre study. A sample of 77 haemodialysis patients was included from November 2023 through June 2024. To evaluate self-care management capacity, the Appraisal of Self-Care Agency Scale (ASA-A) and a self-designed questionnaire on Self-Care Activities in Haemodialysis (SAH), validated by experts, were used. The educational intervention was carried out individually during haemodialysis sessions, with periodic evaluations to identify acquired knowledge and areas requiring reinforcement.
Results: The mean pretest scores were 81.46 and the post-test scores were 84.22. A Student's t-test for related samples was performed, and the results showed a statistically significant value in self-care management capacity (t=-3.469, p=0.001), indicating that the observed difference is attributable to the intervention.
Conclusions: The importance of establishing an educational programme in haemodialysis, led by nursing professionals with an educator profile, was confirmed to follow up on patients and strengthen their self-care capabilities.

Keywords

haemodialysis education self-care self-management

Article Details

Author Biographies

Cynthia Sandoval-Álvarez, Facultad de Estudios Superiores Iztacala-UNAM. México

Graduate in nursing, certified in hemodialysis

Jorge Víquez-Rodríguez, Facultad de Estudios Superiores Iztacala-UNAM. México

Professor of the Psychology Degree

Dante Amato, Facultad de Estudios Superiores Iztacala-UNAM. México

Profesoor of the Medicine  Degree

How to Cite
1.
Sandoval Álvarez C, Rodríguez Zamora MC, Víquez Rodríguez J, Amato D. Effectiveness of an individual educational intervention related to self-care management capacity in people on haemodialysis. Enferm Nefrol [Internet]. 2025 [cited 2025 Nov 14];28(2):[about 8 p.]. Available from: https://www.enfermerianefrologica.com/revista/article/view/4871

References

  1. Santana MBA, Silva DMGV, Echevarría-Guanilo ME, Lopes SGR, Romanoski PJ, Böell JEW. Autocuidado en personas con enfermedad renal crónica en hemodiálisis. Rev Gaúcha Enferm [Internet]. 2020 [consultado 12 Jun 2024];41:e20190220. https://doi.org/10.1590/1983-1447.2020.20190220 DOI: https://doi.org/10.1590/1983-1447.2020.20190220
  2. Torres-Toledano. Granados-García V, López O. LR. Carga de la enfermedad renal crónica en México. Rev. Med. Inst. Mex Seguro Soc. 2017;55 Supl 2:118-23.
  3. Orem D. Conceptos de enfermería en la práctica. Ediciones Científicas y Técnicas S.A. 1993. p.177.
  4. Naranjo Hernández Y, Concepción Pacheco JA, Rodríguez Larreynaga M. La teoría Déficit de autocuidado: Dorothea Elizabeth Orem. Gac Méd Espirit [Internet]. 2017 [consultado 15 Jun 2024];19(3):89-100. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid
  5. =S1608-89212017000300009&lng=es
  6. Ocaña-Quero AM, Prados-Bravo MI, Ramírez-Estévez N, Díaz-Gómez D, Suárez-López R, Alcántara-Crespo M. Nivel de conocimientos y capacidad para el autocuidado en personas en tratamiento con hemodiálisis y su relación con la calidad de vida. Enferm Nefrol [Internet]. 2023 [consultado 16 Jun 2024];26(4):366-70. Disponible en: https://dx.doi.org/10.37551/s2254-28842023036 DOI: https://doi.org/10.37551/S2254-28842023036
  7. Ojeda Ramírez MD, Caro Rodríguez I, Ojeda Ramírez D, García Pérez AM, García Hita S, García Marcos S. Consulta de enfermería y adherencia terapéutica del paciente en hemodiálisis. Enferm Nefrol [Internet]. [consultado 3 Jul 2017];20(2):132-8. Disponible en: https://enfermerianefrologica.com/revista/article/view/4121 DOI: https://doi.org/10.4321/S2254-288420170000200006
  8. Griva K, Nandakumar M, Ng JH, Lam KFY, McBain H, Newman SP. Hemodialysis Self-management Intervention Randomized Trial (HED-SMART): A Practical Low-Intensity Intervention to Improve Adherence and Clinical Markers in Patients Receiving Hemodialysis. American Journal of Kidney Diseases [Internet]. 2018 [consultado 16 Jun 2024];71(3):371–81. https://doi.org/10.1053/j.ajkd.2017.09.014
  9. Manrique-Abril F, Fernández A, Velandia A. Análisis factorial de la Escala Valoración de Agencia de Autocuidado (ASA) en Colombia. Aquichan [Internet]. 2009 [consultado 09 Jun 2024];9(3):222-35. Disponible en: https://www.redalyc.org/articulo.oa?id=74112147003
  10. Gallegos Cabriales E. Validez y confiabilidad de la versión en español de la escala: Valoración de las Capacidades de Autocuidado. Desarrollo científico de Enfermería. 1998;6(9):260-6.
  11. Velandia Arias A, Rivera Álvarez LN. Confiabilidad de la escala "Apreciación de la agencia de autocuidado" (ASA), segunda versión en español, adaptada para población colombiana. av.enferm [Internet]. 2009 [cited 2025 May 07];27(1):38-47. Available from: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0121-45002009000100005&lng=en
  12. México. Ley General de Salud. Ciudad de México: Cámara de Diputados del H. Congreso de la Unión [Internet]. 1984 [consultado 04 Abr 2024]. Disponible en: https://www.diputados.gob.mx/LeyesBiblio/pdf/Ley_General_de_Salud.pdf
  13. Griva K, Nandakumar M, Ng JH, Lam KFY, McBain H, Newman SP. Hemodialysis Self-management Intervention Randomized Trial (HED-SMART): A Practical Low-Intensity Intervention to Improve Adherence and Clinical Markers in Patients Receiving Hemodialysis. American Journal of Kidney Diseases. 2018;71(3):371–81. https://doi.org/10.1053/j.ajkd.2017.09.014 DOI: https://doi.org/10.1053/j.ajkd.2017.09.014
  14. Ren Q, Shi S, Yan C, Liu Y, Han W, Lin M, He H, Shen Q. Self-Management Micro-Video Health Education Program for Hemodialysis Patients. Clin Nurs Res [Internet]. 2022 [consultado 24 Jun 2024];31(6):1148–57. Disponible en: https://doi.org/10.1177/10547738211033922. DOI: https://doi.org/10.1177/10547738211033922
  15. Liu L, Liu YP, Wang J, An LW, Jiao JM. Use of a knowledge-attitude-behaviour education programme for Chinese adults undergoing maintenance haemodialysis: Randomized controlled trial. J Int Med Res [Internet]. 2016 [consultado 24 Jun 2024];44(3):557-68.
  16. https://doi.org/10.1177/0300060515604980 DOI: https://doi.org/10.1177/0300060515604980
  17. Keivan S, Shariati A, Miladinia M, Haghighizadeh MH. Role of self-management program based on 5A nursing model in quality of life among patients undergoing hemodialysis: a Randomized Clinical Trial. BMC Nephrology [Internet]. 2023 [consultado 24 Jun 2024];24(1). https://doi.org/10.1186/s12882-023-03108-2 DOI: https://doi.org/10.1186/s12882-023-03108-2
  18. Mansouri S, Jalali A, Rahmati M, Salari N. Educational supportive group therapy and the quality of life of hemodialysis patients. BioPsychoSocial Med [Internet]. 2020 [consultado 24 Jun 2024];14:27 https://doi.org/10.1186/s13030-020-00200-z DOI: https://doi.org/10.1186/s13030-020-00200-z
  19. Silva AFO, Costa FB, Cavalcante TF, Santos ADB, Lira ALBC, Melo GSM. Factors associated with the leisure practice of individuals on hemodialysis. Rev Bras Enferm [Internet]. 2022 [consultado 15 Jun 2024];75(4):e20210058. https://doi.org/10.1590/0034-7167-2021-0058. DOI: https://doi.org/10.1590/0034-7167-2021-0058
  20. Sociedad Chilena de Nefrología. Plan Nacional de Acción en Situación de Desastre para Pacientes Renales. Santiago de Chile: Sociedad Chilena de Nefrología [Internet]. 2017. [consultado 15 Jun 2024]; Disponible en: https://www.nefro.cl/web/biblio/guias/42.pdf
  21. Pereira García M. Educación sanitaria a la persona con enfermedad renal en hemodiálisis: dieta, medicación e higiene. En: Crespo Montero R, Casas Cuesta R, Ochando García A, editores. Procedimientos y Protocolos con Competencias Específicas para Enfermería Nefrológica Madrid: Sociedad Española de Enfermería Nefrológica; [Internet]. 2024 [consultado 15 Jun 2024]; Disponible en: https://www.enfermerianefrologica.com/procedimientos/article/view/3.15 DOI: https://doi.org/10.37551/S3020-45420030
  22. Johns TS, Yee J, Smith Jules T, Campbell RC, Bauer C, et al. Interdisciplinary care clinics in chronic kidney disease. BMC Nephrol [Internet]. 2015 [consultado 15 Jun 2024];16:161. Disponible en: https://doi.org/10.1186/s12882-015-0158-6 DOI: https://doi.org/10.1186/s12882-015-0158-6
  23. López-Fernández JF, Aguilera-Martínez A. Educación en pacientes con hemodiálisis: influencia en la calidad de vida y bienestar emocional. Nefrología [Internet]. 2016 [consultado 15 Jun 2024];36(2):190–8. https://doi.org/ 10.1016/j.nefro.2015.06.004
  24. Hensen A, Jeffrey C. Utilizing the ‘Iowa Model Revised: Evidence-Based Practice’ to Develop an Intervention for Use in a Hemodialysis Setting. Hemodialysis Pract Res [Internet]. 2024 [consultado 15 Jun 2024];18(1):45–53. Disponible en: https://pubmed.ncbi.nlm.nih.gov/38727593/.
  25. Natti Krishna V, Tiwary B, Nayak MN, Patel N, Gandhi P, Majumdar P. Knowledge of arteriovenous fistula care in patients with end-stage kidney disease in south Asian countries: A systematic review and meta-analysis. Chronic Illn [Internet]. 2023 [consultado 15 Jun 2024];17423953231167378. https://doi.org/10.1177/17423953231167378 DOI: https://doi.org/10.1177/17423953231167378
  26. Castro Notario MJ, Ruíz Álvarez MP, Carrasco Rubio S, Moreno Liébana P, Cristóbal García ME. Protocolo de enseñanza de la persona con enfermedad renal en diálisis peritoneal. En: Crespo Montero R, Casas Cuesta R, Ochando García A (Eds). Procedimientos y Protocolos con Competencias Específicas para Enfermería Nefrológica. Madrid: Sociedad Española de Enfermería Nefrológica [Internet]. 2024 [consultado 15 Jun 2024]; [aprox. 15 p.]. Disponible en: https://enfermerianefrologica.com/procedimientos/article/view/6.18 ISSN:3020-4542 DOI: https://doi.org/10.37551/S3020-45420076

Most read articles by the same author(s)

Similar Articles

<< < 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 > >> 

You may also start an advanced similarity search for this article.