Maintaining Safe Environment: Attitude of Haemodialysis Patients and Nurses

Abstract

Haemodialysis significantly adversely affects the physical and mental condition of the patients. It deteriorates the patients' well-being through troublesome symptoms, inconveniences associated with organizing the procedure [1]. Haemodialysis patients constitute a vulnerable population whose quality of life is affected by the many symptoms they experience. C. Cohen C et al. [2] study results show that participating nurses detected less than 50% of the symptoms perceived by haemodialysis patients. Providing high-quality care to patients undergoing haemodialysis is a priority for nurses [3]. Aim – to assess and compare attitude of maintaining safe environment of haemodialysis patients and nurses. Methodology. The study was conducted during September-November 2021. Totally participated 55 haemodialysis patients and 41 nurses from Nephrology or Dialysis department. Response rate was 82.8 %. The questionnaire was composed by the authors of the research according Nancy Roper, Winifred Logan, and Alison J. Tierney Model of Nursing Based on Activities of Living. From 12 activities we assessed activity maintaining safe environment.Questionnaire items were assessed from 1 - not important till 10 - extremely important. The study protocol was approved by the Centre of Bioethics at the Lithuanian University of Health Sciences (Nr. BEC-SL(N)-248). Results. Nurses reported most important problems for haemodialysis patients in their opinion was weakness (mean (SD) 7.8 (2.05)) and fear of procedures (mean (SD) 7.5 (2.2)) and less important was falls (mean (SD) 4.7 (2.28). According to haemodialysis patients the most important problem for them was weakness (mean (SD) 5.1 (2.82)) and dizziness (mean (SD) 4.3 (2.83)), and less important was not follow the treatment regimen (mean (SD) 2.9 (2.66)). All items of maintaining safe environment nurses found out more important than haemodialysis patients: weakness (respectively, nurses 7.8 (2.05) and patients 5.1 (2.82), p<0,001), fear of procedures (respectively, nurses 7.5 (2.25) and patients 3.3 (3.08), p<0,001), dizziness (respectively, nurses 7.2 (2.17) and patients 4.3 (2.83), p<0,001), lack of atrioventricular fistula care (respectively, nurses 7.1 (2.99) and patients 3.0 (2.65), p<0,001), fall risk (respectively, nurses 7.0 (2.42) and patients 2.9 (2.66), p<0,001), do not follow the treatment regimen (respectively, nurses 7.0 (2.52) and patients 2.80 (2.72), p<0,001) and falls (respectively, nurses 4.7 (2.28) and patients 1.8 (2.20), p<0,001). [...].