The Effect of Hemodialysis Treatment on Self-Care Power and Disease Adjustment of Patients

The study was conducted to determine the effect of self-care supported motivational interviewing on patients receiving hemodialysis treatment on self-care power, disease compliance and metabolic variables.

The study was completed with 77 patients. In the collection of data; Personal Information Form, Self-Care Strength Scale, Chronic Disease Adjustment Scale and Patient-Specific Metabolic Variables Form were used.

The study was conducted as a randomized controlled, repeated measurement, experimental research design.

The research was carried out in Muş Provincial Health Directorate Muş State Hospital Hemodialysis Unit between October 2020 and March 2021. There are 6 nurses, 7 dialysis technicians, 5 assistant health personnel, 2 specialist physicians, 28 patient beds and 28 hemodialysis machines in the hemodialysis unit where the research was conducted. In the hemodialysis unit, there are 1 waiting room where patients and their attendants wait, 4 private rooms and 2 large halls where patients receive hemodialysis treatment. There is no attempt at motivational interviewing in the hemodialysis center where the research was conducted.

The population of the study consisted of 97 patients who received hemodialysis treatment at the Muş Provincial Health Directorate, Muş State Hospital, Hemodialysis Unit on the specified dates. The sample of the research is "G. Using the "Power-3.1.9.2" program and based on similar articles, 80% power was determined at an effect size of 0.70 and it was calculated to have a minimum of 68 subjects in total. In the hemodialysis unit where the research was conducted, 85 patients who met the research criteria and volunteered to participate in the research were formed because 2 patients did not attend hemodialysis treatment regularly, 4 patients did not want to participate in the study, 3 patients had poor general health conditions, 2 patients had hearing problems, and 1 patient was transferred to another dialysis center. . Using the simple random sampling method, 45 patients were assigned to the experimental group and 40 patients to the control group. However, during the research period, the study was completed with 37 patients in the control group, as 40 patients in the experimental group and 3 patients in the control group died due to the death of 2 patients from the experimental group, the death of 2 patients and the transfer of 1 patient to another hemodialysis center during the research period.

Eligibility Criteria:
Inclusion Criteria:

1. Receiving hemodialysis treatment for at least three months at the time of the study,
2. HD treatment for 3-4 hours 2 or 3 days a week,
3. 18 years old and above,
4. Open to communication and cooperation,
5. Not visually or hearing impaired,
6. Being a reader and writer,
7. Not having any psychiatric diagnosis and/or not using any psychiatric medication,
8. Have not received motivational interviewing training before,
9. Individuals who agreed to participate in the study were included in the study.

Exclusion Criteria:

1. who are under the age of 18,
2. Having a communication problem,
3. Individuals who did not want to participate in the study or did not want to continue were excluded from the study.ı