Analysis of the Concept of Self-Control of Health for Patients Undergoing Hemodialysis


  • Fernanda Beatriz Batista Lima Silva Federal University of Rio Grande do Norte
  • Ana Luisa Brandão de Carvalho Lira Federal University of Rio Grande do Norte
  • Kadyjina Daiane Batista Lúcio Federal University of Rio Grande do Norte
  • Jessica Dantas de Sá Federal University of Rio Grande do Norte
  • Millena Freire Delgado Federal University of Rio Grande do Norte
  • Maria das Graças Mariano Nunes de Paiva Federal University of Rio Grande do Norte



Nursing; Self-Control; Renal Dialysis, Nursing, Self-control, Renal Dialysis.


BACKGROUND: to analyze the concept of self-control of health in the context of hemodialysis. METHODS: a concept analysis was carried out based on the Walker and Avant reference in the period of February-March 2014 in the databases Scopus, CINAHL, PubMed, LILACS and COCHRANE. RESULTS: the elaborated concept was: decision-making necessary to achieve goals for compliance with the therapeutic  complex and agreement made with health professionals. Attributes: compliance with the therapeutic complex, decision-making, partnership/agreement between patient and professionals, reach goals. CONCLUSION: the concept analyzed is extensive and involves individual aspects of the patient, the therapy and the relationship between patients and professionals, with required good relationship between them so that one can achieve a goal that is shared by both of them: the pre-established target for treatment. Thus, with this knowledge, nurses can develop specific care strategies for this clientele.

Author Biographies

Fernanda Beatriz Batista Lima Silva, Federal University of Rio Grande do Norte

Nursing Department

Ana Luisa Brandão de Carvalho Lira, Federal University of Rio Grande do Norte

Nursing Department

Kadyjina Daiane Batista Lúcio, Federal University of Rio Grande do Norte

Nursing Department

Jessica Dantas de Sá, Federal University of Rio Grande do Norte

Nursing Department

Millena Freire Delgado, Federal University of Rio Grande do Norte

Nursing Department

Maria das Graças Mariano Nunes de Paiva, Federal University of Rio Grande do Norte

Nursing Department


Cravo CDL, Miranzi SSC, Iwamoto HH, Souza Júnior JL. Perfil epidemiológico dos pacientes em hemodiálise de um hospital universitário. Ciência Cuidado e Saúde. 2011;10(1),110-5. Available from:

Santos IS, Rocha RPF, Berardinelli LMM. Qualidade de vida de clientes em hemodiálise e necessidades de orientação de enfermagem para o autocuidado. Escola Anna Nery Revista de Enfermagem. 2011;15(1),31-8. Available from:

Beuter M, Muller LR, Brondani CM, Pauletto MR, Timm AMB, Perlini NMOG. Accession of individuals to hemodialysis therapy. R. pesq. cuid. fundam. Online. 2013 abr/jun.5(2):3558-66. Available from:

Herdman TH. NANDA International Nursing Diagnoses: Definitions and Classification 2012-2014. Oxford: Wiley-Blackwell; 2012.

Walker LO, Avant KC. Strategies for Theory construction in nursing. 5nd edn. Upper Saddle River: Pearson/Prentice Hall; 2010.

Whittemore R, Knafl K. The integrative review: updated methodology. J Adv Nurs. 2005;52(5),546–553.

Anson HM, Byrd MR, Koch EI. Cognitive Behavioral Treatment to Improve Adherence to Hemodialysis Fluid Restrictions: A Case Report. Case Rep Med. 2009;1-5. Available from:

Royani Z, Rayyani M, Behnampour N, Arab M, Goleij J. The effect of empowerment program on empowerment level and selfcare selfefficacy of patients on hemodialysis treatment. Iran J Nurs Midwifery Res. 2013;18(1),84–7. Available from:

Glidewell L, Boocock S, Pine K, Campbell R, Hackett J, Gill S et al. Using behavioural theories to optimise shared haemodialysis care: a qualitative intervention development study of patient and professional experience. Implement Sci. 2013;8(118),2-17. Available from:

Browne T, Merighi JR. Barriers to Adult Hemodialysis Patients’ Self-Management of Oral Medications. Am J Kidney Dis. 2010;56(3),547-57. Available from:

Stange D, Kriston L, Wolff A, Baehr M, Dartsch DC. Medication complexity, prescription behaviour and patient adherence at the interface between ambulatory and stationary medical care. Eur J Clin Pharmacol. 2013;69,573–80. Available from:

Novak M, Costantini L, Schneider S, Beanlands H, Approaches to Self-Management in Chronic Illness. Semin Dial. 2013;26(2),188–94. Available from:

Mellon L, Regan D, Curtis R. Factors influencing adherence among Irish haemodialysis patients. Patient Educ Couns. 2013;92,88-93. Available from:

Russell CL, Cronk NJ, Herron M, Knowles N, Matteson ML, Peace L et al. Motivational Interviewing in Dialysis Adherence Study (MIDAS). Nephrol Nurs J. 2011;38(3),229-36.

Branco JMA, Lisboa MTL. Adesão de clientes renais crônicos ao tratamento hemodialítico: Estratégias De Enfermagem. Rev Enferm (Lisboa). 2010;18(4),578-83. Available from:

Shahgholian N, Tajdari S, Nasiri M. Analisando e comparando o autoconceito em pacientes submetidos à hemodiálise e diálise peritoneal. Iran J Nurs Midwifery Res. 2012;17(2),85-90.

Kardas P, Lewek P, Matyjaszczyk M. Determinants of patient adherence: a review of systematic reviews. Front Pharmacol. 2013;4(91),1-16. Available from:

Heidarzadeh M, Atashpeikar S, Jalilazar T. Relação entre qualidade de vida e capacidade de autocuidado em pacientes submetidos a hemodiálise. Iran J Nurs Midwifery Res. 2010;15(2),71-6.

Oh HS, Park JS, Seo WS. Psychosocial influencers and mediators of treatment adherence in haemodialysis patients. J Adv Nurs. 2012;69(9),2041-53. Available from:

Kim Y, Evangelista LS, Phillips LR, Pavlish C, Kopple JD. The End-Stage Renal Disease Adherence Questionnaire (ESRD-AQ): Testing The Psychometric Properties in Patients Receiving In-Center Hemodialysis. Nephrol Nurs J. 2010;37(4),377-93. Available from:

Smith K, Coston M, Glock K, Elas TA, Wallston KA, Ikizler TA et al. Patient Perspectives on Fluid Management in Chronic Hemodialysis. J Ren Nutr. 2010;20(5),334-41. Available from:







Most read articles by the same author(s)