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Exploring patients' experiences of the impact of dialysis therapies on quality of life and wellbeing.
- Source :
- Journal of Renal Care; Mar2023, Vol. 49 Issue 1, p15-23, 9p
- Publication Year :
- 2023
-
Abstract
- Background: When people with chronic kidney disease reach kidney failure, renal replacement therapy is usually required to improve symptoms and maintain life. Although in‐centre haemodialysis is most commonly used for this purpose, other forms of dialysis are available, including home haemodialysis and peritoneal dialysis. Objectives: We aimed to explore the experiences of adults living with chronic kidney disease who were either approaching the need for dialysis or had reached kidney failure and were receiving a form of dialysis. In particular, we explored how different forms of dialysis affect their quality of life, wellbeing, and physical activity. Methods: Individual semistructured interviews were conducted with 40 adults with kidney failure, comprising four groups (n = 10 each): those receiving in‐centre haemodialysis, home haemodialysis or peritoneal dialysis, or predialysis. Interviews were transcribed verbatim, thematically analysed, and then composite vignettes were subsequently developed to present a rich narrative of the collective experiences of each group. Findings: Compared with adults who were predialysis, quality of life and wellbeing improved upon initiation of their home haemodialysis or peritoneal dialysis. Conversely, minimal improvement was perceived by those receiving in‐centre haemodialysis. Low physical activity was reported across all four groups, although those receiving home haemodialysis and peritoneal dialysis reported a greater desire and ability to be physically active than those in‐centre. Conclusion: These findings highlight that dialysis modalities not requiring regular hospital attendance (i.e., home haemodialysis and peritoneal dialysis) improve independence, quality of life, wellbeing, and can facilitate a more physically active lifestyle. [ABSTRACT FROM AUTHOR]
- Subjects :
- TREATMENT of chronic kidney failure
WELL-being
RESEARCH methodology
ATTITUDE (Psychology)
HOME hemodialysis
PERITONEAL dialysis
INTERVIEWING
PATIENTS' attitudes
EXPERIENCE
PHYSICAL activity
HEMODIALYSIS patients
COMPARATIVE studies
PHENOMENOLOGY
LIFE
NATIONAL health services
QUALITY of life
PSYCHOSOCIAL factors
RESEARCH funding
CASE studies
DESCRIPTIVE statistics
SOUND recordings
HEMODIALYSIS
THEMATIC analysis
DATA analysis software
MIDDLE age
OLD age
Subjects
Details
- Language :
- English
- ISSN :
- 17556678
- Volume :
- 49
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Journal of Renal Care
- Publication Type :
- Academic Journal
- Accession number :
- 161873764
- Full Text :
- https://doi.org/10.1111/jorc.12416