Nursing problems of patients on hemodialysis therapy according the Roper-Logan-Tierney Model

Background Patients undergoing hemodialysis therapy (HD) experience a change in their well-being (D’Onofrio G. et al., 2017, Naderifar M. et al., 2018). Identifying factors influencing self-care management and the most effective interventions should be considered a priority in HD patients’ care (Yasin F. et al., 2024). Objectives To assess nursing problems of patients on hemodialysis therapy according the Roper-Logan-Tierney Model. Methods The research was conducted in Nephrology clinic. 55 HD patients and 55 nurses of Nephrology clinic participated in the study. Response rate was 82.8 %. Questionnaire was made according Roper-Logan-Tierney Model by authors. The study was approved by University Bioethics Centre No. BEC-SL(N)-248. Scores was evaluated from 1 to 10, as 10 was extremely important problem. Independent samples t-test and Pearson Chi-square (χ2) test was used. Results Nurses all 12 activities of daily living were assessed as more important than HD patients. Mobility activity of daily living was reported as the most relevant problem for patients among nurses ((mean (SD) 7.6 (1.51)) as HD patients evaluated as less important ((mean (SD) 4.6 (2.61)), p<0,001. Sleeping problems nurses evaluated as more important ((mean (SD) 7.4 (1.79)), than HD patients ((mean (SD) 4.6 (2.63)), p<0,001. According HD patients, the most important problems for them was fatigue ((mean (SD) 5.5 (2.63)), difficulties to sleep ((mean (SD) 5.3 (3.23)), high blood pressure ((mean (SD) 5.3 (3.08)), weakness ((mean (SD) 5.1 (2.82)). The most reveal problems for patient’s nurses reported as high blood pressure ((mean (SD) 8.0 (1.92)), fatigue ((mean (SD) 7.9 (1.75)), weakness ((mean (SD) 7.8 (2.05)). Conclusion/Application to practice HD patients have nursing problems in all activities of daily living. It is important for nurses to assess the problems, taking into account the patients‘ opinions. The results of the study will help more effectively solve nursing problems and ensure better HD patients care.