Lived Experiences of Patients Undergoing Hemodialysis

Abstract

The kidney functions as an excretory, biosynthetic, metabolic organ and vital for maintaining normal physiology. Although dialysis can replace the kidney functions it can’t replace the biosynthetic and metabolic activities of the normal kidney. Aim: Study aimed to explore the lived experiences of the patients undergoing haemodialysis and thereby to generate data for improving quality of nursing care. Methods: The study utilized a qualitative approach with phenomenological design. Data was collected by using audio tape recording of the semi structured interview from eight participants selected through purposive sampling in Indira Gandhi Medical College & Hospital, Shimla,  9 themes and 38 subthemes emerged during the analysis following the seven steps delineated in Colaizzi’s procedural steps. Results The main findings of the study showed that the effects of dialysis were as physical impact, perception regarding dialysis and disease, family and societal impact, psychological and emotional impact, perception towards health care service, dietary restrictions, communication aspect, religious beliefs and economic and job impact. Conclusion The findings shed light on the lived experiences of  haemodialysis patients who need extreme positive support networks from family, health care systems and  society so that feelings of isolation, hopelessness and depression can be avoided. Spirituality and acquiring positivity from other patients with similar situations play an interrelational role in enabling patients to cope with the situation. Proper clarification about the disease condition and treatment regimen is required so that feelings of being dependent on dialysis and on others can be reduced. The findings of the study can be used by health professionals for improving the quality of nursing care and to help patients undergoing haemodialysis lead a better quality life.