Main Article Content
To synthesize the meaning of self-care regarding peritoneal dialysis (PD) for end-stage renal disease (ESRD) patients. A systematic review and thematic analysis of qualitative studies were conducted regarding the perspectives of self-care by adults, and PD.MEDLINE, PsycINFO, and CINAHL databases were searched from January 1st, 2008 until April 1st, 2017. Seven studies involving 107 participants were included and three themes: self-control (adherence and confidence in managing PD), self-monitoring and self-management (lifestyle adaptation, managing dialysis, managing medicine and managing environment). The PD impacts on patients’ behaviors and lifestyle were identified. Self-care refers to individual actions that are associated and interact with everyday life activities for good living. Self-care involves self-monitoring, management and control of personal activities that affect health. Healthcare providers must support and educate PD patients to develop their own self-care abilities.
This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
2. O’Shaughnessy M. Application of Dorothea Orem’s theory of self-care to the elderly patient on peritoneal dialysis. Nephrol Nurs J 2014;41:495.
3. Baillie J, Lankshear A. Patient and family perspectives on peritoneal dialysis at home: findings from an ethnographic study. J Clin Nurs 2015;24:222-34.
4. Chaudhry RI, Golper TA. Automated cyclers used in peritoneal dialysis: technical aspects for the clinician. Med Devices (Auckl) 2015;8:95-102.
5. Zorzanello MM, Fleming WJ, Prowant BF. Use of tissue plasminogen activator in peritoneal dialysis catheters: a literature review and one center’s experience. Nephrol Nurs J 2004;31:534-8.
6. Orem D. Nursing: Concepts of Practice, 6th edn. St Louis: Mosby. 2001.
7. Bağ E, Mollaoğlu M. The evaluation of self-care and selfefficacy in patients undergoing hemodialysis. J Eval Clin Pract 2010;16:605-10.
8. Whittemore R, Knafl K. The integrative review: updated methodology. J Adv Nurs 2005;52:546-53
9. Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care 2007;19:349-57.
10. Lam LW, Lee DT, Shiu AT. The dynamic process of adherence to a renal therapeutic regimen: Perspectives of patients undergoing continuous ambulatory peritoneal dialysis. Int J Nurs Stud 2014;51:908-16.
11. Sadala MLA, Bruzos, Gabriela Azevedo de Souza, et.al. Patients’ experiences of peritoneal dialysis at home: a phenomenological approach. Rev Lat Am 2012;20:68-75.
12. Morton RL, Devitt J, Howard K, et.al. Patient views about treatment of stage 5 CKD: a qualitative analysis of semistructured interviews. Am J Kidney Dis 2010;55:431-40.
13. McCarthy A, Shaban R, Boys J, et.al. Compliance, normality, and the patient on peritoneal dialysis. Nephrol Nurs J 2010;37:243.
14. Baillie J, Lankshear A. Patient and family perspectives on peritoneal dialysis at home: findings from an ethnographic study. J Clin Nurs 2015;24:222-34.
15. Sadala MLA, Miranda MG, Lorençon M, et.al. Nurse-patient communication while performing home dialysis: the patients’ perceptions. J Ren Care 2010;36:34-40.
16. Lindberg M, Lindberg P. Overcoming obstacles for adherence to phosphate binding medication in dialysis patients: a qualitative study. Pharm World Sci 2008;30:571-6.
17. Orem DE. Self-care deficit nursing theory. Nursing Theories: The Base for Professional Nursing Practice, 6/e 2011:113.
18. Akinsola HA. Fostering hope in people living with AIDS in Africa: the role of primary health-care workers. Aust J Rural Health 2001; 9:158-65.
19. de Ridder DT, Lensvelt-Mulders G, Finkenauer C, et al. Taking stock of self-control: A meta-analysis of how trait selfcontrol relates to a wide range of behaviors. Pers Soc Psychol Rev 2012;16:76-99.
20. Krantz DS, Baum A, Wideman Mv. Assessment of Preferences for self-treatment and information in health care. J Pers Soc Psychol 1980; 39:977-90.
21. Wilde MH, Garvin S. A concept analysis of self-monitoring. J Adv Nurs 2007; 57:339-50.
22. Kauric-Klein Z, Artinian N. Improving blood pressure control in hypertensive hemodialysis patients. CANNT J 2007;17:24-8.
23. Nozaki C, Oka M, Chaboyer W, The effects of a cognitive behavioural therapy programme for self-care on haemodialysis patients. Int J Nurs Pract 2005;11:228-36.
24. Lorig KR, Holman HR. Self-management education: history, definition, outcomes, and mechanisms. Ann Behav Med 2003; 26:1-7.
25. Thorne S, Paterson B, Russell C. The structure of everyday self-care decision making in chronic illness. Qual Health Res 2003;13:1337-52.
26. Tsay SL, Hung LO. Empowerment of patients with end-stage renal disease—a randomized controlled trial. Int J Nurs Stud 2004; 41:59-65.
27. Mason J, Khunti K, Stone M, et al., Educational interventions in kidney disease care: a systematic review of randomized trials. Am J Kidney Dis 2008; 51:933-51