Main Article Content
Abstract
Introduction: People on hemodialysis must take daily care of their vascular access, adhere to diet and fluid restrictions. However, there are few qualitative studies on this.
Objective: To analyze home care in people on hemodialysis, emphasizing diet and vascular access.
Material and Method: We conducted a qualitative, descriptive, exploratory, and interpretive study, where 12 people on hemodialysis at the Northern Kidney Center in Peru participated, with convenience sampling. The sample size was obtained by the criterion of saturation and redundancy. A semi-structured interview validated by expert judgment was used to collect the data, which were processed according to thematic content analysis.
Results: a) New eating habits to comply with dietary regimen, b) Strategies to comply with fluid regimen and thirst control, c) Care of vascular access in their daily life.
Conclusions: It has been identified that people on hemodialysis, with the support of their families, follow the recommendations of health professionals regarding dietary and fluid restrictions, meticulous care of their vascular access in terms of body hygiene and rest. However, aspects that require improvement through personalized education are identified, especially when they avoid eating at night to control weight, eating out in restaurants or at family gatherings, where the prescribed diet is not followed.
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Copyright (c) 2025 Julia Camizan-García, Rosa Jeuna Díaz -Manchay, Mirtha Flor Cervera-Vallejos, Lisseth Dolores Rodríguez-Cruz, Sonia Cededonia Huyhua-Gutierrez, Sonia Tejada-Muñoz

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References
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- Kim S, Lee H. (2023). The Lived Self-Care Experiences of Patients Undergoing Long-Term Haemodialysis: A Phenomenological Study. Int. J. Environ. Res. Public Health [Internet]. 2023 [consultado 21 Feb 2024];20(6):4690. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC10048782/pdf/ijerph-20-04690.pdf
- Hwang W, Lee J, Nam J, Oh J, Park I, Cho M. (2022). Self-care Through Dynamic Appetite Alteration: A Grounded Theory Study of Patient Experience on Maintenance Hemodialysis. Clin Nutr Res. [Internet]. 2022 [consultado 21 Feb 2024];11(4):264-76. Disponible en: https://pubmed.ncbi.nlm.nih.gov/36381473/.
- Vijay V, Kaur H. (2022). The Worldwide Prevalence of Nonadherence to Diet and Fluid Restrictions Among Hemodialysis Patients: A Systematic Review and Meta-analysis. J Ren Nutr. [Internet]. 2022 [consultado 21 Feb 2024];32(6):658-69. Disponible en: https://pubmed.ncbi.nlm.nih.gov/34923113/.
- Sukartini T, Efendi F, Putri N. A phenomenological study to explore patient experience of fluid and dietary restrictions imposed by hemodialysis. J Vasc Nurs. [Internet]. 2022 [consultado 21 Feb 2024];40(2):105-11. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S1062030322000243
- Muthusamy D, Sudha R, Grace P, Cheranmadevi P. Assessment of knowledge and self-reported practices regarding self-care of arteriovenous (AV) fistula among patients undergoing hemodialysis. Manipal Journal of Nursing and Health Sciences [Internet]. 2021 [consultado 21 Feb 2024];7(2):27-33. Disponible en: https://impressions.manipal.edu/cgi/viewcontent.cgi?article=1033&context=mjnhs
- Fernández R, Núñez M, Peláez B, Fernández M, Rábano M. Vivencias del paciente renal en la transición de diálisis peritoneal a hemodiálisis: estudio fenomenológico. Enferm Nefrol. [Internet]. 2019 [consultado 21 Ene 2025];22(1):68-79. Disponible en: https://www.enfermerianefrologica.com/revista/article/view/4007/1225
References
Kovesdy C. Epidemiology of Chronic kidney disease: an update 2022. Kidney Int Suppl. [Internet]. 2022 [consultado 21 Feb 2024];12(1):7-11. Disponible en: https://pubmed.ncbi.nlm.nih.gov/35529086/.
Matos G, Martín L, Alvarez B, Remón L, González J. Adherencia terapéutica de pacientes con Insuficiencia Renal Crónica en tratamiento dialítico. Revista Habanera de Ciencias Médicas [Internet]. 2019 [consultado 21 Feb 2024];18(4):666-77. Disponible en: https://revhabanera.sld.cu/index.php/rhab/article/view/2313/2393
Mignote H, Senetsehuf M. The lived experiences of patients on hemodialysis: a metha-synthesis. Research Square [Internet]. 2019 [consultado 21 Feb 2024];1-16. Disponible en: https://www.researchsquare.com/article/rs-8777/v1
Santana M, Silva D, Echevarría M, Lopes S, Romanoski P, Böell J. Self-care in individuals with chronic kidney disease on hemodialysis. Rev Gaúcha Enferm. [Internet]. 2020 [consultado 21 Feb 2024];41:e20190220. Disponible en: https://www.scielo.br/j/rgenf/a/QhQmcQNhLs7VNQ3X9fFrRWS/?format=pdf
Araujo G, Lima A, Lima F, Silva V, Sousa A, Barros E, et al. (2021). Cuidados com o acesso vascular para hemodiálise: revisão integrativa. Cuidarte [Internet]. 2021 [consultado 21 Feb 2024];12(3)e2090. Disponible: https://revistas.udes.edu.co/cuidarte/article/view/2090
Rivera E, Franco M, Enriquez O, Toro M. Cuidados del acceso vascular para hemodiálisis. RECIAMUC [Internet]. 2020 [consultado 21 Feb 2024];4(1):325-32. Disponible en: https://www.researchgate.net/publication/339382322_Cuidados_del_acceso_vascular_para_hemodialisis
Ozen N, Cinar F, Askin D, Mut D, Turker T. Nonadherence in hemodialysis patients and related factors: A multicenter study. The Journal of Nursing Research [Internet]. 2019 [consultado 21 Feb 2024];27(4):e36.
Lee E, Chang A, Chung Y. Socioecological Factors Affecting Fluid Restriction Adherence Among Korean Patients Receiving Hemodialysis: A Qualitative Study. Journal of Transcultural Nursing [Internet]. 2021 [consultado 21Feb 2024];32(3):239-47. Disponible en: https://pubmed.ncbi.nlm.nih.gov/32384013/
Tao Y, Liu T, Li P, Lv A, Zhuang K, Ni C. (2023). Self-management experiences of haemodialysis patients with self-regulatory fatigue: A phenomenological study. Journal of Advanced Nursing [Internet]. 2023 [consultado 21 Feb 2024];79:2250-8. Disponible en: https://pubmed.ncbi.nlm.nih.gov/36794672/.
Naseef H, Haj N, Arafat A, Khraishi S, AbuKhalil A, Al-Shami N, Ladadweh H, et al. Quality of Life of Palestinian Patients on Hemodialysis: Cross-Sectional Observational Study. Scientific World Journal [Internet]. 2023 [consultado 21 Feb 2024];4898202. Disponible en: https://pubmed.ncbi.nlm.nih.gov/36937545/.
Sullon J. Nivel de autocuidado en los pacientes con tratamiento de hemodiálisis. Clínicas nefrológicas [tesis]. Universidad Católica Santo Toribio de Mogrovejo, Chiclayo, Perú [Internet]. 2019 [consultado 21 Feb 2024];[aprox. 87 p.] Disponible en: https://tesis.usat.edu.pe/handle/20.500.12423/2260
Oliveira J, Sousa H, Bártolo A, Figueiredo D, Ribeiro O. Illness perception and treatment adherence in haemodialysis: a systematic review. Psychology, Health & Medicine [Internet]. 2023 [consultado 21 Feb 2024];28(7):1641-55.
Özkan I, Taylan S. Diet and fluid restriction experiences of patients on hemodialysis: a meta-synthesis study. Rev Nefrol Dial Traspl. [Internet]. 2022 [consultado 21 Feb 2024];42(1):22-40. Disponible en: http://www.scielo.org.ar/pdf/nefro/v42n1/2346-8548-nefro-42-01-22.pdf
Grove S, Gray J, Burns, N. Investigación en enfermería. Desarrollo de la práctica enfermera basada en la evidencia. 6rd ed. Barcelona: Elsevier. 2016. 532 p.
Díaz C. Investigación cualitativa y análisis de contenido temático. Rev. gen. inf. Doc [Internet]. 2018 [consultado 21 Feb 2024];28(1):119-42. Disponible en: https://revistas.ucm.es/index.php/RGID/article/view/60813
Fuentes N, Díaz J, Fernández J. Significado de la hemodiálisis para la persona con enfermedad renal crónica. Enferm Nefrol. [Internet]. 2023 [consultado 21 Ene 2025];26(1):41-7. Disponible en: https://www.enfermerianefrologica.com/revista/article/view/4483/1564
Kim S, Lee H. (2023). The Lived Self-Care Experiences of Patients Undergoing Long-Term Haemodialysis: A Phenomenological Study. Int. J. Environ. Res. Public Health [Internet]. 2023 [consultado 21 Feb 2024];20(6):4690. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC10048782/pdf/ijerph-20-04690.pdf
Hwang W, Lee J, Nam J, Oh J, Park I, Cho M. (2022). Self-care Through Dynamic Appetite Alteration: A Grounded Theory Study of Patient Experience on Maintenance Hemodialysis. Clin Nutr Res. [Internet]. 2022 [consultado 21 Feb 2024];11(4):264-76. Disponible en: https://pubmed.ncbi.nlm.nih.gov/36381473/.
Vijay V, Kaur H. (2022). The Worldwide Prevalence of Nonadherence to Diet and Fluid Restrictions Among Hemodialysis Patients: A Systematic Review and Meta-analysis. J Ren Nutr. [Internet]. 2022 [consultado 21 Feb 2024];32(6):658-69. Disponible en: https://pubmed.ncbi.nlm.nih.gov/34923113/.
Sukartini T, Efendi F, Putri N. A phenomenological study to explore patient experience of fluid and dietary restrictions imposed by hemodialysis. J Vasc Nurs. [Internet]. 2022 [consultado 21 Feb 2024];40(2):105-11. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S1062030322000243
Muthusamy D, Sudha R, Grace P, Cheranmadevi P. Assessment of knowledge and self-reported practices regarding self-care of arteriovenous (AV) fistula among patients undergoing hemodialysis. Manipal Journal of Nursing and Health Sciences [Internet]. 2021 [consultado 21 Feb 2024];7(2):27-33. Disponible en: https://impressions.manipal.edu/cgi/viewcontent.cgi?article=1033&context=mjnhs
Fernández R, Núñez M, Peláez B, Fernández M, Rábano M. Vivencias del paciente renal en la transición de diálisis peritoneal a hemodiálisis: estudio fenomenológico. Enferm Nefrol. [Internet]. 2019 [consultado 21 Ene 2025];22(1):68-79. Disponible en: https://www.enfermerianefrologica.com/revista/article/view/4007/1225