Chronic Kidney Disease Self-Management “Helps” and Hindrances in Older African-American and White Individuals Undergoing Hemodialysis: A Brief Report

Abstract

This brief report summarizes chronic kidney disease self-management “helps and hindrances” among older African American and White individuals undergoing in-center hemodialysis. Qualitative data from 107 interviews were analyzed using steps of content analysis. Seven “helps” and five hindrances were revealed. The “helps” were: following treatment orders/adherence; a social network; exercise and physical activity; faith practices/beliefs; distractions during treatment; maintaining a positive attitude; and resting. The hindrances were: functional limitations; managing co-occurring conditions; diet and fluid restrictions; feeling fatigued on treatment days; and social network/social activities. The authors conclude with five practice recommendations for increasing self-management behaviors among individuals undergoing hemodialysis.