الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
The widespread availability of hemodialysis treatment modality saves and prolongs the lives of thousands of patients with end-stage renal diseases. These patients suffer from many problems and complications .Hemodialysis patients experience a high degree of disability, loss of functions, and dependency on their caregivers, particularly family members. There is no doubts that HD associated problems contribute directly to further morbidity and mortality. Nurses have vital roles to play that involve wide range of activities in the prevention and management of hemodialysis related problems. These activities include continuous assessment of patients condition as well as assuming the responsibility to carryout preventive measures and take proper action when necessary .A significant portion of these problems fortunately may be preventable with applying the appropriate medical and nursing interventions The present study showed that patients on maintenance hemodialysis have various physical and psychosocial problems. These problems identified by the patients need to be investigated further to determine interventions that can resolve them.
The aim of this study was to: Identify of common problems in functioning and disability among patients on maintenance hemodialysis. Materials and Method Research Design A descriptive study design was utilized to conduct the study. Setting The study was conducted at the Hemodialysis Unit, Alexandria Fever Hospital in Egypt. Subjects: A convenience sample of 90 adult patients with ESRD undergoing HD, showing up at the previously mentioned setting and who agreed to participate in the study, were included. Tool of the study: One tool was used for data collection. It was entitled ”The International Classification of Functioning, Disability (ICF) Hemodialysis Patient’s Checklist” This tool was adapted from the WHO (World Health Organization, 2001).The tool aim was to elicit and record information on the functioning and disability of ESRD patients undergoing HD .