Chia Nan University of Pharmacy & Science Institutional Repository:Item 310902800/34638
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    CNU IR > Offices > 123 >  Item 310902800/34638
    Please use this identifier to cite or link to this item: https://ir.cnu.edu.tw/handle/310902800/34638


    Title: Symptom perception and self-care practice for uraemic pruritus in patients receiving haemodialysis
    Authors: Huang, Chih-Yuan
    Chen, Ching-Ju
    Lin, Jong-Ni
    Shih, Ya-Yun
    Chen, Chiu-Feng
    Contributors: Chia Nan University of Pharmacy & Science
    Fooyin University
    Da Yeh University
    Keywords: chronic kidney-disease
    common-sense model
    management
    itch
    burden
    health
    Date: 2022
    Issue Date: 2023-12-11 14:01:58 (UTC+8)
    Publisher: WILEY
    Abstract: BackgroundDue to the recurrent nature of uraemic pruritus among patients receiving haemodialysis, self-care can offer patients a means to ameliorate this symptom. Qualitative data on self-care of uraemic pruritus are limited. ObjectiveTo explore how patients on haemodialysis perceive uraemic pruritus, implement self-care practice, and appraise the outcome of self-caring uraemic pruritus. DesignThe Common Sense Model of Self-Regulation guided the study design. Participants and approachesData were collected through face-to-face interviews with 30 patients receiving haemodialysis who were aged from 50 to 89 years and had had uraemic pruritus for more than 6 weeks. Interviews were audio recorded, and verbatim transcriptions of interviews were analysed. FindingsOur participants generally used life-related analogies to describe uraemic pruritus, which they reviewed as a momentarily controllable symptom with an endless timeline. Most participants reported limited knowledge of the aetiology and multifaceted impacts of uraemic pruritus on their daily life and emotional status. The impacts on daily life included decreased zest for activities and sleep disturbances. Physical management of uraemic pruritus involved daily substance use and interventions employed during pruritic episodes. Psychological managements involved preferences for indoor activities and a fatalistic outlook. Unsatisfactory outcomes and psychological burdens from self-care practice were reported. ConclusionsLife experiences shape symptom presentation and self-care practice in patients on haemodialysis. The modalities for self-caring for uraemic pruritus are diverse but not remarkably effective. Performing self-care tasks places a substantial burden on patients. Individualised educational programs should be developed to improve the outcome of self-care practice.
    Relation: JOURNAL OF RENAL CARE, v., n.CB2, pp.CC2, pp.-,
    Appears in Collections:[Offices] 123

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