Exploring patients' experiences of the impact of dialysis therapies on quality of life and wellbeing.
J Ren Care
; 49(1): 15-23, 2023 Mar.
Article
en En
| MEDLINE
| ID: mdl-35226403
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.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Diálisis Peritoneal
/
Insuficiencia Renal Crónica
/
Fallo Renal Crónico
Tipo de estudio:
Qualitative_research
Aspecto:
Patient_preference
Límite:
Adult
/
Humans
Idioma:
En
Revista:
J Ren Care
Asunto de la revista:
ENFERMAGEM
/
NEFROLOGIA
Año:
2023
Tipo del documento:
Article
País de afiliación:
Reino Unido