Abstract:

Objective To identify the most commonly used instruments measuring self-management of hemodialysis（HD） patient based on the Consensus-based Standards for the Selection of Health Measurement Instruments（COSMIN） guidelines so as to provide proper instrument for nurses. Methods Published studies on HD patients self-management assessment tools in international and Chinese databases were searched，with a search period from the establishment of the database to June 8，2022. Two researchers completed literature screening，data extraction and quality evaluation independently. The methodological quality and measurement attributes of the included tools were evaluated by using the COSMIN systematic evaluation guideline and revised GRADE evidence grading method. Results Eight studies were included，involving seven Chinese version of the self-management scales for patients with HD（HDSMI，HDSMI-18，Hemodialysis Self-Management Instrument，Self-management Behavior Questionnaire for Hemodialysis Patients，Self-Management Behavior Questionnaire of HD Patients，Self-Management Scale for Hemodialysis Patients with Diabetic Nephropathy，Self-Management Scale for elderly Hemodialysis Patients）. None of the seven Chinese versions of self-management assessment tools for HD patients reported cross-cultural validity，hypothesis test of structural validity and responsiveness. The results of evidence grading show that the quality of HDSMI，HDSMI-18，Hemodialysis Self-Management Instrument and Self-Management Scale for Elderly Hemodialysis Patients are high or medium，while the others are low or extremely low. HDSMI is recommended as A，while others are recommended as B. Conclusion HDSMI was recommended as the most suitable measurement tools for evaluating the self-management level of HD patients in China，while the qualities of the measurement attributes of the remaining scales are still not perfect and need to be further explored.

Key words: Hemodialysis, Self Care, Psychometric, Systematic review