This work relates the needs of nursing guidance with quality of life of patients with chronic kidney disease on hemodialysis, considering conceptions of the Self-care of Orem. Descriptive search, through the interview held with 43 clients of the University Hospital of Rio de Janeiro, from 2008 to 2009. The Clients has arterial hypertension, being 83.72% on this treatment for less than a year. Applying the Kidney Disease Quality of Life Short Form obtained the lowest scores in the dimensions: physical emotional, work conditions, functional capacity. These results were related to the ones obtained with the needs of a guidance of nursing for nutrition, fluid intake, hemodialysis complications, anticoagulation, physical and leisure activities with membership associated groups. It was concluded that these clients are in this Totally Compensatory System of Self- care. Then It is suggested the development of the nursing guidance for the self-care through nursing consult, in order to promote the quality of life of the clients.
Nursing; Self-care; Hemodialysis; Quality of life