الفهرس 
Chronic Renal failureOnly 14 pages are availabe for public view
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Abstract
Chronic renal failure is a major childhood health problem as it causes death all over the world which requires renal dialysis or kidney transplantation in order to survive. For this reason, complementary and
supportive cares are necessary for enhancing and improving the quality of
life of children undergoing hemodialysis. Therefore, nurses working in
Pediatric Hemodialysis Unit must develop their skills and knowledge in
order to help children to adapt and cope with their critical situations
through providing the appropriate nursing intervention and instructions.
A.The purpose of the study was :-
To evaluate the effect of self-care model intervention on quality of
life of children undergoing hemodialysis.
B. Research design:-
A quasi-experimental design was used to evaluate the effect of self-
care model intervention on quality of life of children undergoing
hemodialysis.
C. Setting:-
This study was conducted in the Pediatric Hemodialysis Unit at
Menoufia University Hospital, Shebin-Elkom city.
D. Sample:-
A purposive sample of 30 children receiving hemodialysis through
arteriovenous fistula was selected from the above mentioned setting.
Summary 81
E. Instruments of the study:-
Three instruments were utilized for data collection:
1) Instrument one: A structured interview questionnaire. It was
divided into two parts:
Part one: characteristics of studied children.
Part two: Medical history.
2) Instrument two: Standardized Quality Of Life (QOL)
questionnaires which includes:
2.a. General health
2.b. Limitation of activities
2.c. Physical health problems
2.d. Emotional health problems
2.e Pain perception
2.f. Energy and emotions
3) Instrument three: Orem’s self-care guidelines checklist which
includes:
3.a. Universal self-care requisites
3.b. Health deviation self-care requisites
The main results of the study showed that:
1- More than half of studied children were boys (56.7%) and their age
ranged from 8 to18 years old.
2- More than half of studied children (60%) had preparatory education and
live in village.
Summary 82
3- The majority of children gets regular medication and had no adverse
effect (86.7% & 66.7%) respectively and 76.7 % of the family
members were not affected with kidney disease.
4- There were highly statistical significant differences between pre, post
and follow up test regarding children’s self-care requisites at 0.001
level of statistical significance.
5- Total mean scores of children’s universal self-care requisites on pre
intervention was 20.53±2.19 compared to 26.55±5.07 and 28.60±2.60
on post and follow-up tests respectively. Therefore, there were highly
statistical significant differences at 0.001 level of statistical
significance.
6- There were highly statistical significant differences between pre, post
and follow up test regarding children’s health deviation self-care
requisites at 0.001 level of statistical significance.
7- Total mean scores of children’s health deviation self-care requisites on
pre intervention was 17.4 ±2.54 compared to 22.54±4.58 and
24.53±3.401 on post and follow-up tests respectively. Therefore, there
were obvious highly statistical significant differences at 0.001 level of
statistical significance.
8- Total mean scores of children’s quality of life on pre intervention were
61.16± 5.66 compared to 34.33± 2.88 and 33.66 ± 2.32 on post and
follow-up test respectively. Therefore, there were highly statistical
significant differences at 0.001 level of statistical significance. 9- There were a positive correlation between general health condition and
limitation of activities as well as energy and emotions at 0.001 level of
statistical significance. Also, there were a negative correlation between children’s general health and their physical health problems, pain Summary 83
perception and emotional health problems at 0.05 level of statistical
significance.
10- Children’s pain perception was reduced on post and follow up test(13.30% & 0.00%) respectively. 11- The self-care model intervention had high practical effect on children quality of life immediately post intervention (<0.8) in all quality of life domains. The study concluded that: Implementation of self-care model improved quality of life of children undergoing hemodialysis on post and follow-up tests than on pretest.Based on the results of the study it was recommended that:1. Ongoing in-service education training programs about self-care
model intervention should be designed and implemented at all
pediatric hemodialysis units.
2. Self-care model intervention should be integrated as a part of routine
daily care for children undergoing hemodialysis.
3. Advanced booklets regarding self-care model intervention should be
available at each pediatric hemodialysis unit.4. Application on larger sample should be done to ensure generalizability of the results.