ArticleBMC nephrology2026
Facilitators and barriers to self-management among patients with maintenance hemodialysis in central China: a qualitative study.
Article in BMC nephrology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveThis study aimed to explore the facilitative and obstructive factors of self-management in patients undergoing maintenance hemodialysis to provide a reference for improving patient self-management in China.
methodsQualitative description was adopted as a suitable methodological. approach to characterize the phenomena of self-management experiences in patients undergoing maintenance hemodialysis. This qualitative study collected data via semi-structured interviews conducted with 18 maintenance hemodialysis patients in Henan Province, China, during the period from January 1 to February 28, 2025. Qualitative analysis of the recorded interviews was conducted to generate themes.
resultsBased on the Social Ecological Model, this study summarized the facilitators and barriers to self-management among patients receiving maintenance hemodialysis, and identified a total of 10 themes across five levels: individual, interpersonal, organizational, community, and social.
conclusionMaintenance hemodialysis patients' self-management is a systemic issue; single-level interventions fail to fundamentally improve outcomes. Based on the Social Ecological Model, it is imperative to establish a multidimensional collaborative intervention system covering individual, interpersonal, organizational, community, and social levels to comprehensively enhance their self-management capacity.
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