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Nursing assistance in peritoneal dialysis: applicability of orem theory –mixed method studya

Abstract

Objective

To understand the applicability of Orem's General Nursing Theory in assisting patients on peritoneal dialysis at home.

Method

Mixed method study. In the quantitative stage, a cross-sectional, descriptive and exploratory study was carried out with 34 patients on peritoneal dialysis. An instrument was applied for sociodemographic and clinical characterization and the scale for assessing the capacity for self-care - Appraisal of Self Care Agency Scale Revised. Analysis of data using descriptive statistics. In the qualitative approach, Grounded Theory was used. 23 home interviews were conducted with 19 participants. Data analysis followed open, axial and selective coding.

Results

59% of the participants had the capacity for operationalized self-care. Patients on peritoneal dialysis met, to varying degrees, the six categories of self-care requirements for health deviation to perform therapy at home. Support and education stood out as a modality of the Nursing system.

Conclusion and implication for practice

Orem's General Nursing Theory applies to nursing care for people on peritoneal dialysis. Its use is suggested as a theoretical support for the Nursing Process.

Keywords:
Self-care; Peritoneal Dialysis; Nursing; Nursing Theory; Nephrology

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