Self‐care in Preserving the Vascular Network: Old Problem, New Challenge for the Medical Staff

Teaching/educating patients with end stage renal disease (ESRD) and identifying their self‐care behaviors for vascular network preservation are very important. However, the self‐care behaviors regularly performed by patients are still unknown. We compared self‐care behaviors for vascular network preservation performed by patients who are/are not followed‐up by the nephrologist. The study design was a prospective, observational and comparative study. Inclusion criteria were as follows: ESRD patients (at stages 4 or 5); at least 18 years old; in pre‐dialysis with at least a 6‐month follow‐up period by the nephrologist or who started dialysis in emergency and were not followed‐up by the nephrologist; with no memory problems; and medically stable. Primary outcome was the frequency of self‐care behaviors for vascular network preservation. Secondary outcome was the comparison between self‐care behaviors by ESRD patients who were/were not followed‐up by the nephrologist. The study involved 145 patients, 64.1% were female, the mean age was 69.5 years and the self‐care behaviors mean score was 36.8% (with a SD of 39.8%). The number of patients followed‐up and not followed‐up by the nephrologist was 109 (group 1) and 36 (group 2), respectively. Social characteristics were similar in the two groups (P > 0.05). The mean self‐care behaviors were 29.4% and 59.2% in groups 1 and 2, respectively (P = 0.000). Patients performed self‐care behaviors for vascular network preservation with a relatively low frequency (the mean score was 36.8% only). Patients not followed by the nephrologist performed self‐care behaviors more often than those who were followed (59.2% vs. 29.4% respectively, P = 0.000).