Korean Journal of Adult Nursing (성인간호학회지)

Korean Society of Adult Nursing (한국성인간호학회)
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Adaptation Experience among Hemodialysis of Women with End-Stage Renal Disease

여성 말기신부전 환자의 혈액투석 적응경험

  • Park, Eui-Jung (Department of Nursing, Kyungnam College of Information & Technology) ;
  • Kim, Young-Hae (College of Nursing, Pusan National University) ;
  • Son, Hyun-Mi (College of Nursing, Pusan National University)
  • Received : 2015.04.27
  • Accepted : 2015.10.13
  • Published : 2015.10.31
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Abstract

Purpose: This study was a qualitative study to explore and understand the adaptation experiences of hemodialysis among women with End-Stage Renal Disease (ESRD) and to develop a substantive theory using the grounded theory method. Methods: Participants were 15 female patients who underwent hemodialysis for ESRD treatment from three general hospitals. The data were collected through in-depth individual interviews. Results: The adaptation experience of participants was emerged as a process of taking care and enduring. There were four adaptation stages as a negative, despair, receptive, and maintenance period in reference to hemodialysis. The causal conditions were a vague expectations of recovery and refusal to undergo hemodialysis. The core phenomenon was that of confinement to dialysis machine. The contextual conditions for this phenomenon were the loss of femininity. They used action/interaction strategies such as transition their life with a focus on hemodialysis, seeking information, and learning how to take care of their body. Through this process, they had a strong will to live or had sustained their life. Conclusion: These results indicate that there is a need for nurses to understand the different steps of adaptation experiences of the given patient population. It is necessary for nurses to support them to lead their life as much normal as possible and improve the adaptation experience of ESRD.

Keywords

References

  1. The Korean Society of Nephrology. Current renal replacement therapy in Korea [Internet]. Seoul: ESRD Registry Committee, Korean Society of nephrology; 2012 [cited 2013 Janu ary 12]. Available from: http://www.ksn.or.kr/journal/2011/index.html
  2. Suet-Ching WL. The psychometric properties of the chinese dialysis quality of life scale for Hong-Kong dialysis patients. Journal of Advanced Nursing. 2001;36(3):441-9. http://dx.doi.org/10.1046/j.1365-2648.2001.01992.x
  3. Wadd K, King L, Bennett P, Grant J. Being a parent on dialysis: a literature review. Journal of Renal Care. 2011;37(4):208-15. http://dx.doi.org/10.1111/j.1755-6686.2011.00220.x
  4. Tijerina MS. Mexican American women's adherence to hemodialysis treatment: a social constructivist perspective. Social Work. 2009;54(3):232-42. https://doi.org/10.1093/sw/54.3.232
  5. Hagren B, Pettersen IM, Severinsson E, Lutzen K, Clyne N. Maintenance hemodialysis: patients' experiences of their life situation. Journal of Clinical Nursing. 2005;14(3):294-300. http://dx.doi.org/10.1111/j.1365-2702.2004.01036.x
  6. Al Nazly EA, Ahmad M, Musil C, Nabolsi M. Hemodialysis stressors and coping strategies among Jordanian patients on hemodialysis: a qualitative study. Nephrology Nursing Journal. 2013;40(4):321-7.
  7. Wicks MN, Bolden L, Mynatt S, Rice MC, Acchiardo SR. IN SIGHT potentially prevents and treats depressive and anxiety symptoms in black women caring for chronic hemodialysis recipients. Nephrology Nursing Journal. 2007;34(6):623-9.
  8. Shim OS. The study on the elderly hemodialysis patients' transition of health condition and health-related quality of life. Journal of the Korean Gerontological Society. 2010;30(1):179-94.
  9. Choi YS. A study on the relationship between perceived social support, and compliance with sick role behavior in elderly hemodialysis patients. [master's thesis]. Seoul: Hanyang University;2008.
  10. Park HY, Moon CY, Lee KK. Quality of sleep and quality of life in patients with chronic renal failure on hemodialysis. Journal of the Korean Society of Biological Therapies in Psychiatry. 2008;14(2):185-93.
  11. Choi SL, Lee JS, Lee SY, Lee YY. Cutaneous manifestations in end-stage renal disease on hemodialysis and peritoneal dialysis. Journal of the Korean Dermatology. 2012;50(10):845-54.
  12. Williams AG, Crane PB, Kring D. Fatigue in African American women on hemodialysis. Nephrology Nursing Journal. 2007; 34(6):610-7.
  13. Choi EH. Symptoms, mood and sleep disturbance in hemodialysis. The Korean Journal of Rehabilitation Nursing. 2010; 13(2):105-13.
  14. Kim YG, Choi HJ. The influence of uncertainty and social support on general well-being among hemodialysis patients. The Korean Journal of Rehabilitation Nursing. 2012;15(1):20-9. https://doi.org/10.7587/kjrehn.2012.20
  15. Yoon SH, Kim SS. Influence of depression, hope, and social support on suicidal ideation in renal dialysis patients. Korean Journal of Adult Nursing. 2012;24(3):209-18. https://doi.org/10.7475/kjan.2012.24.3.209
  16. Seo NS, Kang SJ, Kim JH, Kim SJ. Relationships between fatigue, sleep disturbance,stress, self-efficacy and depression in hemodialysis patients. Journal of Korean Clinical Nursing Research. 2013;19(2):285-97. https://doi.org/10.22650/JKCNR.2013.19.2.285
  17. Han SS, Kim YH. Factors predicting depression in hemodialysis patients. Journal of Korean Academy of Nursing. 2005;35(7):1353-61. https://doi.org/10.4040/jkan.2005.35.7.1353
  18. Park MS, Kim MY. Work experience of patients undergoing hemodialysis. Journal of Korean Academy of Fundamentals of Nursing. 2010;17(2):149-58.
  19. Kim HB. Adjustment process of hemodialysis patients: a grounded theory approach. The Korean Journal of Rehabilitation Nursing. 2002;5(2):217-25.
  20. Kim HB. A study on caring experience from their spouses perceived by hemodialysis patients: a grounded theory. The Korean Journal of Rehabilitation Nursing. 2005;8(2):157-64.
  21. Corbin J, Strauss A. Basics of qualitative research. 3nd ed. Losangeles: Sage; 2008.
  22. Mishel MH, Germino BB, Lin L, Pruthi RS, Wallen EM, Crandell J, et al. Managing uncertainty about treatment decision making in early stage prostate cancer: a randomizedclinical trial. Patient Education and Counseling. 2009;77(3):349-59. http://dx.doi.org/10.1016/j.pec.2009.09.009
  23. Song DY, Kim MJ. Feminist social welfare for women. Paju: Yangseowon; 2011.
  24. Kimmel PL, Cukor D, Cohen SD, Peterson RA. Depression in end-stage renal disease patients: a critical review. Advances in Chronic Kidney Disease. 2007;14(4):328-34. http://dx.doi.org/10.1053/j.ackd.2007.07.007
  25. Kettas E, Cayan F, Akbay E, Kiykim A, Cayan S. Sexual dysfunction and associated risk factors in women with end-stage renal disease. Journal of Sex Medicine. 2008;5(4):872-7. http://dx.doi.org/10.1111/j.1743-6109.2007.00664.x
  26. Santos PR, Capote JR, Cavalcanti JU, Vieira CB, Rocha AR, Apolonio NA et al. Quality of life among women with sexual dysfunction undergoing hemodialysis: across sectional observational study. Health Quality of Life Outcomes. 2012;10:103-7. http://dx.doi.org/10.1186/1477-7525-10-103.
  27. Nadeau-Fredette AC, Hladunewich M, Hui D, Keunen J, Chan CT. End-stage renal disease and pregnancy. Advanced Chronic Kidney Disease. 2013;20(3):246-52. http://dx.doi.org/10.1053/j.ackd.2013.01.010
  28. Colye N. The hard work of living in the face of death. Journal of Pain Symptom Manage. 2006;32(3):266-74. http://dx.doi.org/10.1016/j.jpainsymman.2006.04.003
  29. Kvale K. Do cancer patients always want to talk about difficult emotions? a qualitative study of cancer inpatients communication needs. European Journal of Oncology Nursing. 2007;11(4):320-27. http://dx.doi.org/10.1016/j.ejon.2007.01.002

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