Effectiveness of Self-Care Program on the Health-Related Quality of Life for Children Undergoing Hemodialysis

Document Type : Original Article

Authors

1 Demonstrator of Pediatric Nursing, Faculty of Nursing, Mansoura University, Egypt

2 Professor of Pediatric Nursing, Faculty of Nursing, Mansoura University, Egypt

3 Lecturer of Pediatric Nursing, Faculty of Nursing, Mansoura University, Egypt

Abstract

Background: Children maintained on hemodialysis struggle with their disease and are facing multiple and potentially
overwhelming stressors that affect negatively their quality of life. Aim: the aim of this study was to evaluate the
effectiveness of self-care program on the health-related quality of life for children undergoing hemodialysis. Methods: A
quasi-experimental design was utilized on a purposive sample of 40 pediatric patients undergoing hemodialysis at the
New General Hospital, Mansoura city. Three tools were used in this study. They were children`s socio-demographic
characteristics and their clinical data, Orem’s self-care checklist and Standardized Quality Of Life (QOL) Questionnaire.
Results: According to the findings of this study, there was a highly statistically significant difference in the total studied
children's self-care practices after the implementation of the self-care program. Furthermore, there was a highly
statistically significant difference in the total studied children's health-related quality of life levels 3 months follow up
after the self-care program was implemented. The median of the total studied children health related quality of life has
increased 3 months follow up compared to pre and immediately post program implementation. Conclusion: Self-care
education improves the quality of life of pediatric hemodialysis patients. Recommendation: More studies are needed to
measure children’s undergoing hemodialysis self-care practices and their quality of life among different age groups.

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