title: [Needs of nursing guidance for self-care of clients on hemodialysis therapy].
abstract: OBJECTIVE
  To identify the needs of nursing guidance for the self-care of the clients on hemodialysis.
  
  
  METHODS
  Descriptive-exploratory research whose data were collected by means of individual interviews with clients who were on hemodialysis therapy, using the Orem conceptions.
  
  
  RESULTS
  43 clients were included in self-care system totally compensatory for the needs of guidance: nutritional therapy, fluid intake, hemodialysis complications, anticoagulation physical activity, emotional problems has been the group membership and leisure activities.
  
  
  CONCLUSIONS
  In managing hemodialysis sessions, the nurse is fundamental in the orientation of the clients and family. Her support to the patient in the administration of treatment contributes to acquire the competences and ability in self-care actions and thereby promote their quality of life.
authors.affiliation: Faculdade de Enfermagem, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ. jjosis@uerj.br
authors.forename: Iraci
authors.initials: I
authors.lastname: dos Santos
authors.forename: Renata de Paula Faria
authors.initials: Rde P
authors.lastname: Rocha
authors.forename: Lina Márcia Miguéis
authors.initials: LM
authors.lastname: Berardinelli
mesh_terms: D006801:Humans; D010353:Patient Education as Topic; D006435:Renal Dialysis / Q000451:nursing*; D012648:Self Care