Fatigue, Loneliness, and Self-Care under Hemodialysis

Table of Contents

Research Proposal

Title of the study: Relationship between levels of fatigue, loneliness, and self-care among patients Undergoing Hemodialysis

Problem/Background

Hemodialysis plays a significant role in improving the quality of life in patients with end-stage renal disease. In most cases, patients encounter challenges during the procedure. These challenges include bodily changes, reliance on the HD machine as well as emotive problems such as apprehension and nervousness. The procedure also interferes with their societal roles and duties (Kauric-Klein, 2012). Recent times have seen a tremendous increase in the number of “practitioners encountering increasing numbers of older patients with end-stage renal disease (ESRD) who require renal replacement therapy” (Kara, 2009, p. 19). It is necessary to find out whether the use of nurse-guided procedures in hemodialysis settings yields similar have outcomes with physician-driven tactics in the management of anemia. Understanding this relationship provides useful information on improving the value of the life of patients in the final stages of kidney disease. It emphasizes the need for nurse practitioners to provide patients undergoing hemodialysis with physical, social, and emotive assistance (Akin, Mendi, Ozturk, Cinper, & Durna, 2012).

Understanding the challenges involved in hemodialysis provides insight into the influence of external factors on blood pressure outcomes in patients. Therefore, it is useful when assessing factors that affect the efficacy of blood pressure regimens. This highlights the role of patient support from health care providers and families in improving the adherence to hypertension medication (Kara, 2009). This is necessary for establishing the relevance in guiding the provision of hypertensive care by nurse practitioners to patients. The findings will provide a solution to the current challenge of inadequate personnel in the management of the increased incidence of chronic kidney disease. It will also indicate how nurses can facilitate the provision of dependable and efficient anemia care to patients on hemodialysis.

Purpose

The study will seek to establish the degree of exhaustion in patients undergoing hemodialysis when the capacity to provide self-care is diminished in terms of the extent of loneliness. The association evaluation will reveal the capacity to provide self-care in terms of its ability to reduce the degree of exhaustion and increase solitude. In addition, the study will establish if an increase in the age of the patients translates to an increase in the extent of loneliness and a diminished ability to provide self-care or not. The study will use 25 patients above 18 years who are undergoing hemodialysis and are willing to participate. The researchers will obtain the required information from the patients using previously developed tools for assessing fatigue, loneliness, and self-care. The interview sessions will last between 45 minutes and one hour and will be recorded on audiotapes. The participants will be required to provide simple yes and no responses to the questions. Thereafter, the interview outcomes will be transcribed word for word and evaluated by content analysis. A self-created form will be used to obtain information regarding hemodialysis during interviews. The findings of the forms will then be analyzed statistically (Saunders, MacLeod, Salyers, MacMillan, & Ogborn, 2013).

The quantitative study will employ a nurse-directed strategy in the control of renal anemia while the control group uses the conventional physician-guided approach in the management of anemia. The patient outcomes that are observed during the study will include the level of fatigue and loneliness of the respondents (Lewis, 2011). The study concludes whether or not nurse-directed approaches to managing anemia in hemodialysis patients are as effective as physician-directed approaches.

References

Akin, S., Mendi, B., Ozturk, B., Cinper, C., & Durna, Z. (2012). Assessment of relationship between self-care and fatigue and loneliness in haemodialysis patients. Journal of Clinical Nursing, 23(5-6), 856–864.

Kara, B. (2009). Herbal product use in a sample of Turkish patients undergoing haemodialysis. Journal of Clinical Nursing, 18(15), 2197–2205.

Kauric-Klein, Z. (2012). Improving blood pressure control in end stage renal disease through a supportive educative nursing intervention. Nephrology Nursing Journal, 39(3), 217-228.

Lewis L. M. (2011). Medication adherence and spiritual perspectives among African American older women with hypertension. Journal of Gerontological Nursing, 37(6), 34-41.

Saunders, S., MacLeod, M. L. P., Salyers, V., MacMillan, P. D., & Ogborn, M. R. (2013). Anaemia management protocols in the care of haemodialysis patients: Examining patient outcomes. Journal of Clinical Nursing, 22(15-16), 2206–2215.

Calculate the price
Make an order in advance and get the best price
Pages (550 words)
$0.00
*Price with a welcome 15% discount applied.
Pro tip: If you want to save more money and pay the lowest price, you need to set a more extended deadline.
We know how difficult it is to be a student these days. That's why our prices are one of the most affordable on the market, and there are no hidden fees.

Instead, we offer bonuses, discounts, and free services to make your experience outstanding.
How it works
Receive a 100% original paper that will pass Turnitin from a top essay writing service
step 1
Upload your instructions
Fill out the order form and provide paper details. You can even attach screenshots or add additional instructions later. If something is not clear or missing, the writer will contact you for clarification.
Pro service tips
How to get the most out of your experience with Online Academic Experts
One writer throughout the entire course
If you like the writer, you can hire them again. Just copy & paste their ID on the order form ("Preferred Writer's ID" field). This way, your vocabulary will be uniform, and the writer will be aware of your needs.
The same paper from different writers
You can order essay or any other work from two different writers to choose the best one or give another version to a friend. This can be done through the add-on "Same paper from another writer."
Copy of sources used by the writer
Our college essay writers work with ScienceDirect and other databases. They can send you articles or materials used in PDF or through screenshots. Just tick the "Copy of sources" field on the order form.
Testimonials
See why 20k+ students have chosen us as their sole writing assistance provider
Check out the latest reviews and opinions submitted by real customers worldwide and make an informed decision.
Economics
Nice work
Customer 453185, May 21st, 2022
Nursing
I just need some minor alterations. Thanks.
Customer 452547, February 10th, 2021
Management
It was gotten well after time I needed to make needed additions, but it is something that did help me. I could not get the concept of ho to start such a project but now reading this, I was over thinking the project it seems.
Customer 452801, July 19th, 2021
English 101
Thank you for this excellent analysis of the Alchemist.
Customer 453213, June 15th, 2022
Business Studies
Paper is great. Just only needed the one reference. Thank you
Customer 453139, May 4th, 2022
Emergency Management
Overall, I think it's a great service. I have yet to submit the assignment, so I don't know what kind of grade I'll get. But customer service was excellent. Reviews were made and the assignment proofed for satisfaction.
Customer 453015, December 15th, 2021
Nursing
Paper much better compared to the one prior revision request. References need to be no more than the past 5 years.
Customer 452547, July 20th, 2021
Business Studies
Thank you very much for a good job done and a quick turn around time.
Customer 452615, March 31st, 2021
Business Management
Awesome job, Thank you
Customer 453201, June 12th, 2022
Business and administrative studies
awesome work
Customer 453201, June 15th, 2022
Criminal Justice
The paper was not accused of plagiarism and was written very well. I will let you know the grade once it is graded. Thank you
Customer 452671, April 26th, 2021
Human Resources Management (HRM)
Always great! My son has been in critical health these last few semesters. Many times I have thought he wasn't going to make it and thought about quitting or postponing school until he was healthier but it always happens to be in the middle of the semester. This service has been a lifesaver for my mindset in helping keep my grades up and keep my son alive at the same time. I don't know if I could have made it through this period without it.
Customer 453077, June 6th, 2022
11,595
Customer reviews in total
96%
Current satisfaction rate
3 pages
Average paper length
37%
Customers referred by a friend
OUR GIFT TO YOU
15% OFF your first order
Use a coupon FIRST15 and enjoy expert help with any task at the most affordable price.
Claim my 15% OFF Order in Chat
AllEscortAllEscort
Live ChatWhatsApp
AllEscort