Self-delivery of hemodialysis care: A therapy in itself

Changes in health-related quality of life in patients of self-care vs. in-center dialysis during the first year

“…Looking at cohorts of incident patients, findings have been somewhat discordant: Wu et al [30] found no evidence of an advantage for any given technique, while Frimat et al [31] observed that HRQoL was better in PD than HD patients. Other studies have investigated HRQoL among self-care dialysis patients [4,24,32,33]. Findings have been more homogeneous and are similar to those reported here, i.e., improved HRQoL in self-care dialysis patients.…”

Hemodialysis Arteriovenous Fistula Self-cannulation

“…Noteworthy in research literature is the finding that patients with chronic kidney disease who have been instructed in self-care practices such as AVF self-cannulation typically experience an improved sense of well-being and better health care quality-of-life dimension scores than persons requiring complete, dependent care. 32,33 Furthermore, some authors indicate that self-cannulation decreases pain on needle insertion and preserves the life of the AVF. 8 Therefore, nurses armed with knowledge of Orem's selfcare-deficit theory and the best available clinical evidence could assist the patient in overcoming a self-care knowledge deficit by teaching the patient the advantages and benefits of self-cannulation.…”

Experiences with Establishing the First Self-Care Hemodialysis Program in a Hospital in Mainland China

“…3 Moreover, studies have shown that self-care patients have greater potential for rehabilitation, independence, and a better quality of life (QOL). 4,5,6 Home HD (HHD) has been used only in a minority of patients in past years around the world, although it may offer significant advantages over other renal replacement therapies. There has never been a HHD program or SC-HD program in Mainland China, and it may be plausible starting from an SC-HD program.…”