LIVED EXPERIENCE OF PATIENTS UNDERGOING HEMODIALYSIS

Ms. Saroj L Shah 1 and Mrs. K. Chithra 2 . 1. M.Sc. Nursing final year, Teerthanker Mahaveer College of Nursing, TMU, Moradabad, U. P. 2. Assistant Professor, Teerthanker Mahaveer College of Nursing, TMU, Moradabad, U. P. ...................................................................................................................... Manuscript Info Abstract ......................... ........................................................................ Manuscript History


ISSN: 2320-5407
Int. J. Adv. Res. 5(4), 1418-1426 1419 Patients with renal failure have been protectively treated in early stage of the disease and eventually they need a hemodialysis and renal transplantation for securing and extending their life. Hemodialysis is the most common protective treatment process in which the toxic nitrogenous substances, water and electrolytes are refined by hemodialysis unit in hemodialysis centers two or three times a week.
Patients with ESRD faced many challenges due to their disease condition which may leave them feeling fatigued and depressed (Theofilou, 2011(Theofilou, , 2012. There body image get affected by fistula or grafting for dialysis access. Economically they get affected by the high cost of weekly treatments for hemodialysis and sometime admission to the emergency department due to the complications. Relationships and independency are also threatened (Karamanidou, Theofilou, Ginieri-Coccossis, Synodinou, & Papadimitriou, 2009; Theofilou, 2011).
Nurses and health professionals need to understand the lived experiences of patients on hemodialysis to respond these physical, psychological, emotional, and spiritual changes. By gaining these insights, health professionals can develop appropriate nursing care and improve quality of care (Polaschek, 2003).
Thus, the purpose of this narrative review is to explore the lived experience of Chronic Kidney Disease and ESRD patients on routine hemodialysis treatments from their own perspectives.

Methods:-Search Strategy Methods
An electronic search of articles published in various journals till January 2016 was conducted. Search was bounded to only English language. The database search done was Pub med-Medline, EBSCO and DELNET. Articles containing following key search terms were retrieved.

Types of studies:
Qualitative studies with designs: Phenomenological designs, descriptive and exploratory design.

Type of participants:
Patients undergoing hemodialysis more than one year. Settings: Hospitals, health care centers.

Discussion:-
The qualitative studies of patients undergoing hemodialysis , mostly the research has been conducted in foreign countries: United States of America, Greece, Taiwan, Saudi Arabia and in India one study conducted in south Karnataka kasturba hospital.
This article observed that various themes emerged out acceptance, emotional distress and dependent. Some patients had a positive outlook towards it, others feel that hemodialysis psychologically and socially disturbed and which adhere their daily living and also suffer from deep pain, and others thought hemodialysis is the part of daily living for survival.
One study compared conducted this meta-synthesis analyzed and synthesized findings from qualitative studies of lived experiences of patients on hemodialysis. Four themes emerged as a result of synthesizing findings of the studies: having a physical shackle in life, feeling mental and emotional distress, relying on a hemodialysis machine, and dealing with problems. The themes of having a physical shackle in life and mental and emotional distress have a strong relationship.

Implications:-
Patients on hemodialysis have many difficulties and sufferings due to their illness and hemodialysis therapy. Individual and social aspects of their life, as well as physical and mental emotional problems, should be considered and understood by nurses and significant others. These problems should be solved so patients may achieve optimum health status and the balance of physical and psychological aspects of their overall life as well as individual and social life and to develop positivity towards their lives.
More studies should be conduct on lived experiences in India to understand more insights and to explore their sufferings which helps much more for health professionals to educate them regarding illness and reduce negative aspects of living.

Conclusion:-
The review makes an important contribution to understand the lived experiences of patients undergoing for hemodialysis and its describes in the patients perspectives that Patients on hemodialysis have some positivity, difficulties and sufferings due to their illness and hemodialysis therapy.

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These problems should be solved so patients may achieve optimum health status and the balance of physical and psychological aspects of their overall life as well as individual and social life and to develop positivity towards their lives.
In future more studies should be conduct on lived experiences of patients undergoing hemodialysis to understand their insights and to explore their sufferings which helps much more for health professionals to educate them regarding illness and reduce the negative aspects of living.