فهرست مطالب golshan ghasemzadeh

Hemodialysis is currently a common treatment for chronic renal disease, which is associated with numerous limitations in the physical, mental and even social function of the patients. As such, self-care activities could significantly help hemodialysis patients to adapt to the course of their disease. The present study aimed to determine self-care agency and its influential factors in hemodialysis patients.Materials &

This cross-sectional was conducted on the patients referring to Razi Educational-Therapeutic Hemodialysis Center in Rasht, Iran in 2017. In total, 126 patients were selected via random sampling. Data were collected using a two-section questionnaire of sociodemographic characteristicsand modulated Chinese version of 28-statement self-care agency. Data analysis was performed using descriptive statistics (mean, standard deviation, frequency, and percentage) and analytical tests (independent t-test, correlation-coefficient, analysis of variance, and logistic regression analysis).

Approximately 71.4% of the patients had optimal self-care abilities, and a significant correlation was observed between age and self-care agency (P=0.013). Moreover, education level was significantly correlated with self-care agency (P<0.0001). The logistic regression analysis also indicated that the increased age of the patients from the mean age was associated with the reduction of their self-care agency by 1.5 times.

Although the majorityof the patients had optimal self-care abilities, the results also indicated that with increased age and due to the treatment procedure and disease complications, hemodialysis patients were faced with limitations in proper self-care. Therefore, it is recommended that proper measures be taken regarding the care program of these patients, so that they could fully contribute to their care process as a member of the healthcare team.

Today, hemodialysis is the most common treatment method for patients with chronic kidney diseases. Patients under hemodialysis, because of their complex treatment regimen, experience fundamental changes in their lifestyle and sleep quality. This study aimed to investigate lifestyle, sleep quality, and related factors in hemodialysis patients. This is an analytical study with cross-sectional design conducted on 126 hemodialysis patients referred to one of the hospitals in Rasht City, Iran, in 2016. The study samples were selected randomly. A three-part questionnaire was used to collect data which included a demographic form, the Persian versions of Health Promoting Lifestyle Profile II (HPLP2), and Pittsburgh Sleep Quality Index (PSQI). After collecting data, they were analyzed using descriptive statistics (mean, standard deviation and percentage) and inferential statistics (The Pearson correlation, ANOVA, and regression analysis). About 50.8% of the patients had a favorable lifestyle, and 55.4% had good sleep quality. There was a significant relationship between lifestyle and sleep quality (P=0.02). Also, lifestyle and sleep quality of the patients had a significant relationship with their age and education level, while their sleep quality was significantly correlated to smoking and alcohol consumption (P<0.05). Moreover, based on regression analysis results, lifestyle has a significant relationship with educational level (β=8.32; 95%CI:7.60-26.32; P<0.0001), and sleep quality has a significant association with alcohol consumption (β=2.28; 95%CI:1.66-13.78; P<0.01). Hemodialysis patients have good lifestyle except in the areas of stress management and physical activity, and those with higher education have poorer sleep quality. Considering that the limitations resulted from chronic kidney disease can cause problems in lifestyle and sleep quality in these patients, measures should be taken to increase stress management and physical activity and reduce tension in patients with higher education levels to modify their lifestyle and maintain balanced sleep quality in them.