Volume 25 , Issue 1 , June 2023 , Pages 71-81
Khalil Hamad Ibrahim 1 ; Niyan Hakim Ismael 1
1 Department of Adult Nursing, College of Nursing, University of Sulaimani, Sulaimaniyah, Iraq
Background: Chronic renal failure (CRF) is a significant and growing public
health issue globally with a negative impact on self-care and quality of life (QoL).
Self-care and QoL are essential aspects of controlling the adverse effects of the
illness. Objectives: To assess self-care and QoL of patients with CRF who
undergo hemodialysis (HD). Patients and methods: A descriptive-analytical
design was carried out in Sulaimani Province Hemodialysis Centers/Unit from
March to September 2022. About 150 patients with CRF undergoing
hemodialysis consented to participate in the study. Non-probability convince
sample technique was used to select the participants. The data were collected
through a questionnaire by direct interview. Results: Most patients were ≥60
years, males, married, illiterate, lived in an urban area and had barely sufficient
economic status with 4-6 family members. The study's findings revealed
inadequate self-care in >50% of patients. A significant correlation between selfcare and QoL in limitation of activities was found for CRF patients who
underwent Hemodialysis with no correlation for general health, physical and
emotional, and energy and emotion. Also, there was a significant difference
between QoL and age (for the general health domain), gender, and level of
education (for the limitations of the activities domain). Mean self-care
measurement was significantly associated between previous occupation and
duration of Hemodialysis. Conclusions: Most patients had inadequate self-care
and poor QoL, which means that higher self-care performance was associated
with better QoL in the limitation of activities only and no other QoL domains.