Examining the suitability, and feasibility of a nurse-led foot care educational intervention in adult patients with end-stage kidney disease receiving haemodialysis

  • Layla Salem S Alshammari

Student thesis: Doctoral ThesisDoctor of Philosophy

Abstract

People with end-stage kidney disease undergoing haemodialysis are at risk for peripheral arterial disease, lower limb amputation, and foot ulceration. Neuropathy and previous ulceration are the major risk factors for foot ulceration in patients undergoing dialysis. Similar risks apply to people with diabetes mellitus. Providing haemodialysis patients with education about foot care is crucial because it can help improve patients’ foot care knowledge, foot self-care behaviour, and prevent or minimize the incidence of foot ulcer development and amputation of the lower limb. Haemodialysis nurses are well-placed to provide information, education, and support for patients with end-stage kidney disease receiving haemodialysis in the dialysis unit. However, there are no studies of nurse-led foot care educational intervention programs for end-stage kidney disease patients receiving haemodialysis, despite the fact that patients with end-stage kidney disease have prevalence rates of risk factors similar to those in patients with diabetes mellitus. Therefore, there is a need for a nurse-led foot care educational intervention that can feasibly be delivered by haemodialysis nurses to patients with end-stage kidney disease receiving dialysis.
Date of AwardJul 2024
Original languageEnglish
Awarding Institution
  • Queen's University Belfast
SponsorsSaudi Arabian Cultural Mission (SACM)
SupervisorHelen Noble (Supervisor), Peter O'Halloran (Supervisor), Oonagh McSorley (Supervisor) & Julie Doherty (Supervisor)

Keywords

  • End-stage kidney disease
  • foot care knowledge
  • foot complications
  • foot self care behaviour
  • foot ulceration

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