Introduction
nausea, headaches, renal failure, vomiting, blood pressure disorders, muscle cramps, skin irritation, insomnia, chronic kidney failure, Chronic kidney disease, diabetes
VASCULAR COMPLICATIONS, RENAL FAILURE, ACUTE CORONARY SYNDROME, CHRONIC KIDNEY FAILURE, HYPERTENSION, CHRONIC KIDNEY DISEASE, COMPLICATIONS, DIABETES
Chronic kidney disease is a public health threat worldwide. The global prevalence of chronic kidney failure is 262 cases per one million. Hemodialysis patients experience various side effects such as insomnia, skin irritation, headaches, blood pressure disorders, vascular complications, muscle cramps, itches, nausea, and vomiting, which can affect different dimensions of their quality of life [The self-management program is a rehabilitation method in which patients play a critical role. All healthcare activities focus on patients to achieve self-decision-making, maximize independence, and improve personal health based on abilities and lifestyles by enhancing the quality of life [Different nursing models are usually employed to achieve self-management and improve the quality of life in chronic cases [The chronic nature of renal failure and dependence on hemodialysis for survival can impose high costs on patients and decline the quality of their lives. Thus, patients worry about their abilities to do daily tasks and live normally. Due to these patients’ various complications, comprehensive nursing interventions are essential, emphasizing rehabilitation programs. Therefore, necessary arrangements should be made to allow patients to take responsibility for improving self-efficacy and enhancing self-management behaviors. There are weaknesses in conventional education strategies. At the same time, the patient’s active participation in the therapeutic process and hemodialysis is essential. On the other hand, although the 5 A model has been assessed for the quality of life of patients with acute coronary syndrome, hypertension, and diabetes patients, the researcher did not find any study investigating the effect of the self-management program based on the 5 A model on the quality of life of hemodialysis patients. Hence, this study aimed to determine the role of a self-management program based on the 5 A nursing model in the quality of life of hemodialysis patients.