The Outcomes of Family Empowerment in Hemodialysis Patients Using The Family-Centered Empowerment Model: An Integrative Review

Today, with the increase of chronic diseases, paying attention to the model of family empowerment is considered a basic pillar in the field of medical education, and the role of the family in supporting and caring for patients undergoing hemodialysis is important. This study was conducted with the aim of determining the consequences of family empowerment in hemodialysis patients using the family-centered empowerment model.

The present study is an integrated review based on Russell's 5-stage model. All internal and external articles in the period from 2015 to 2022 that used the family-centered empowerment model and patients undergoing hemodialysis were searched. To find related articles in Persian language databases SID, Iran Doc and Magiran and English language, Pub med, Web of science, Scopus, and Google scholar scientific search engine with keywords " Hemodialysis Patients ", " Family centered care " and "family-centered empowerment" and the English words "Hemodialysis Patients", "Family-centered care" and "Family-centered Empowerment" "Chronic kidney disease" were searched. 30 articles were found in this field, and according to the purpose of the study, finally 8 articles were reviewed and analyzed. Data analysis was done according to Russe(2005).

The findings of the present study showed that the family-centered empowerment model among hemodialysis patients has been investigated in 9 studies and has had an impact on various dimensions of life of hemodialysis patients and their families, including quality of life, care pressure, self-efficacy, self-care, and resilience.

The results showed that the implementation of the family-centered empowerment model had an impact on the various outcomes of hemodialysis patients, so it is suggested to try to improve the quality of life of patients and their families, reduce the care pressure of caregivers, and increase the self-efficacy and self-care of patients by implementing the family-centered empowerment model. It is also possible to take a step towards improving the health of these patients by teaching this empowerment method to the nurses of the hemodialysis department. ​