Nursing in the orientation of the self care of patients in hemodialysis

Abstract

Objective:to know the role of nursing in guiding the self-care of patients on hemodialysis. Method: descriptive qualitative study guided by Dorothea Orem's Self-Care Theory.Semi-structured interviews were conducted with 18 nursing professionals from a renal dialysis unit. Results: the analysis made it possible to identify two categories: self-care demands of hemodialysis patients and the role of nursing in guiding the self-care of patients on hemodialysis. Conclusion: It was possible to verify that the nursing team recognizes and carries out self-care guidance. However, this action is still permeated with challenges of the service itself, such as work overload and the difficulty of inserting guidance in an organized and systematic way in the care protocols. It was evident, therefore, the need to encourage permanent education and the creation of protocols and rules aimed at this action.