The experience of individuals with renal failure participating in home haemodialysis: An interpretative phenomenological analysis

被引:25
|
作者
Cases, Alejandra [1 ,2 ]
Dempster, Martin [2 ]
Davies, Mark [3 ]
Gamble, Gary [4 ]
机构
[1] Downshire Hosp, Dept Clin Psychol, Downpatrick BT30 6RA, North Ireland
[2] Queens Univ Belfast, Belfast BT7 1NN, Antrim, North Ireland
[3] Belfast City Hosp, Belfast, Antrim, North Ireland
[4] Causeway Hosp, Coleraine, Londonderry, North Ireland
关键词
home haemodialysis; interpretative phenomenological analysis; qualitative study; users' experience; PATIENT EMPOWERMENT; DISEASE; DIALYSIS; LIFE; DISCOURSE; MACHINE; PEOPLE;
D O I
10.1177/1359105310393541
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
This study explored the experience of individuals with renal failure undertaking home haemodialysis (HHD). Semi-structured interviews were conducted with six participants who were active HHD users in a UK region. Participants' accounts were transcribed verbatim and analysed using an interpretative phenomenological approach. Three main themes were identified: (1) embracing treatment and lifestyle freedom and flexibility; (2) re-establishing a sense of self and preferred self-identity; and (3) integrating aspects of active engagement and aspects of supported, life-sustaining dependence. A 'good fit' between the HHD user (an independent, self-determined health participant) and the healthcare provision (personalized, enabling) is proposed.
引用
收藏
页码:884 / 894
页数:11
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