| [ Summary ] |
Home hemodialysis (HHD) allows an increase in the frequency and duration of treatment, thereby improving patients' quality of life (QOL) and ensuring early and easy social reintegration of patients. Notably, improving and maintaining patients' self-management ability are important. Additionally, empathetic caregivers are indispensable throughout the maintenance period from the introduction of HHD to ensure that patients can independently perform HHD with the caregiver's assistance. An important component of dialysis nursing with respect to HHD is improvement in patients' QOL by understanding and supporting the patient's psychological and physical needs. It is also necessary to support the patient's family members who are caregivers, as well as a patient. Close nurse-patient coordination, as well as coordination with a caregiver is important through the introductory period including the training and maintenance period to build a relationship of mutual trust. Multidisciplinary collaboration between physicians, nurses, and clinical engineers is useful to both, the patient and the caregiver because sharing information of their condition from the respective technical viewpoints is an essential part of this therapy. Notably, the home visiting nursing service is useful to evaluate both the patient's and caregiver's condition during the maintenance period. Nurses play a key role in ensuring safe and continued HHD for all people concerned HHD. |