NURSE GUIDED INTERVENTIONS ON SUBJECTIVE WELLBEING AMONG THE PATIENTS UNDERGOING HAEMODIALYSIS -A SYSTEMATIC REVIEW

Abstract

Chronic renal failure (CRF) is a progressive, irreversible loss of kidney function, leading to metabolic imbalances, uremia, anemia, and endocrine disorders. Major causes include diabetes, hypertension, glomerulonephritis, and polycystic kidney disease. Hemodialysis is the primary treatment but imposes significant lifestyle restrictions, negatively impacting patients’ physical and psychological well-being. Health-related quality of life (HRQOL) assesses a patient’s physical, psychological, and social well-being, serving as a key measure of medical care effectiveness. End-stage renal disease (ESRD) and its treatments significantly affect HRQOL. Hemodialysis patients face numerous physical, emotional, social, economic, and psychological challenges, often leading to poor knowledge and diminished quality of life. Nurses play a crucial role in patient education, which is essential for self-care in areas such as vascular access, diet, fluid management, medications, complications, and psychosocial well-being. Educational programs have been effective in disease prevention and health promotion.