Related Experiment Video
Updated: Jun 15, 2026
07:13
Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
Published on: April 12, 2021
Nurse-patient communication while performing home dialysis: the patients' perceptions
Maria Lúcia Araújo Sadala1, Marcelo Guimarães Miranda, Marisa Lorençon
1Nursing Department, Medical School of Botucatu Universidade Estadual Júlio de Mesquita Filho (UNESP), São Paulo, Brazil. sadal@uol.com.br
Journal of Renal Care
|March 11, 2010
Summary
Effective nurse communication enhances patient self-care and autonomy during home dialysis. Adapting communication to individual patient needs is vital for successful Continuous Ambulatory Peritoneal Dialysis (CAPD) outcomes.
Area of Science:
- Nursing
- Nephrology
- Patient Care
Background:
- Home dialysis, including Continuous Ambulatory Peritoneal Dialysis (CAPD), requires significant patient self-care.
- Effective communication between nurses and patients is crucial for successful home dialysis management.
Purpose of the Study:
- To describe patients' perceptions of communication with nurses during home dialysis.
- To explore the impact of nurse communication on patient self-care and education in CAPD.
Main Methods:
- Qualitative study utilizing interviews with home dialysis patients.
- Interviews were guided by the question: "What is communication like, between you and nurses, during home dialysis treatment?"
Main Results:
- Patients value autonomy and self-care but some struggle with responsibility.
- The perception of nurse visits as "inspection" can alienate patients from CAPD education.
- Communication influences the patient-nurse relationship and the patient's experience of treatment.
Conclusions:
- Effective communication and a collaborative partnership are essential for optimal home dialysis outcomes.
- Nurses should tailor communication to patients' specific needs, characteristics, and limitations.
- Improving nurse communication strategies can enhance patient engagement and treatment success in CAPD.
Related Concept Videos
01:25Peritoneal Dialysis III: Nursing Management
Peritoneal dialysis, or PD, utilizes the peritoneal membrane as a filter to eliminate excess fluid and waste products. Effective nursing management is essential for ensuring patient safety, preventing complications, and promoting optimal function of the peritoneal dialysis process.Assessment and MonitoringNurses must thoroughly assess the patient before, during, and after each dialysis session. Regular monitoring includes vital signs, daily weight, fluid intake and output, and laboratory values...
01:25Hemodialysis III: Nursing Management
The nursing management of a patient undergoing hemodialysis includes several critical steps, starting with a thorough assessment before the procedure.Before the Hemodialysis ProcedureFirst, record the patient's vital signs—blood pressure, heart rate, respiratory rate, and temperature—to establish a baseline. This baseline is essential for detecting conditions such as hypotension that could impact the patient's response to dialysis. Document the patient's pre-dialysis weight, as this measurement...
01:27Dialysis
Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
01:15Dialysis
Dialysis is a diffusion-based purification process that separates analyte molecules from a complex matrix. This is accomplished by allowing molecules in the solution to pass through a semipermeable membrane into a liquid on the other side. The membrane is usually made of cellulose acetate or cellulose nitrate, and the second liquid must be miscible with the solution. Ions (e.g., chloride or sodium) or organic molecules (e.g., glucose) can pass through the membrane pores, which generally have...
01:24Hemodialysis II: Procedure and Complications
DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
01:25Hemodialysis I: Introduction
Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...