الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Hemodialysis is a therapy that filters waste, removes extra fluid and balances electrolytes (sodium, potassium, bicarbonate, chloride, calcium, magnesium and phosphate) when the kidneys are in a state of renal failure. Aim of the study: Improve home self-car for clients with hemodialysis. Design was used. A quasi experimental. Setting at hemodialysis unit in Ashmon district Hospital, Menofia governorate. The study sample A purposive sample of 80 clients hemodialysis Tools used were (1) structure an interview questionnaire used to collect data from clients, assistance related to demographic data and knowledge related to RF. (2) Client practices of self-care items, included Fluid, diet, medication and vascular access management. (3) Assessment of client activities of daily living, (4) Observation check list assessment of safety home environment. Results: finding of the present study revealed that, the age for more half of clients their age ranged from aged over 40-60 years. There is statistically significant relation pre and post program related to client’s knowledge about RF, related to diet regimen, fluid, vascular access and medication for clients HD. There is statistically significant relation pre and post program related to clients self-care practices at home related to fluid intake and diet, medication, vascular access, exercise and stress, there is statistically significant relation pre and post program related to HD clients related to daily living activity and safe home environment. Regarding to the outcome of the study (clients satisfaction), there is significant correlation were observed between age, education levels and occupational with clients knowledge about RF. There is significant correlation clients satisfaction practices pre and post program about RF. There is significant correlation between age, education levels and occupational with client’s practices about RF. Concluded: Revealed that. Improve client’s self-car, effect positively through knowledge and practices towards health problems, through stress and activity of daily living for client with hemodialysis post program. Recommendations: Health educational program to improve clients self-care practice, before starting HD sessions about medication, side effect of treatment, care of vascular access, diet and fluid restriction, important exercise, prevention and management of complication.