Korean J Adult Nurs.  2015 Oct;27(5):493-504. 10.7475/kjan.2015.27.5.493.

Adaptation Experience among Hemodialysis of Women with End-Stage Renal Disease

• Park EJ
• Kim YH
• Son HM

• KMID: 2221728
• DOI: http://doi.org/10.7475/kjan.2015.27.5.493

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.

MeSH Terms

Dialysis
Disulfiram
Female
Femininity
Hospitals, General
Humans
Kidney Failure, Chronic*
Learning
Qualitative Research
Renal Dialysis*
Disulfiram

Figure

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  Figure 1. The adaptation process of hemodialysis on women with end-stage renal disease.

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