A qualitative meta-synthesis of the essence of patient experiences of dialysis.

Purpose: This study aimed to understand the experiences of dialysis and their meaning among patients with chronic kidney disease through a meta-synthesis of the existing literature. Since 2010, the prevalence of end-stage renal disease has doubled in South Korea, which has the sixth-highest incidenc...

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Publicado en:Journal of Korean Academy of Nursing Vol. 55; no. 1; pp. 119 - 137
Autores principales: Soyoung Jang, Suh, Eunyoung E., Yoonhee Seok
Formato: research systematic review tables/charts meta synthesis Journal Article
Publicado: Korean Society of Nursing Science Feb2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2025
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        atl: A qualitative meta-synthesis of the essence of patient experiences of dialysis.
      aug:
        au:
          Soyoung Jang
          Suh, Eunyoung E.
          Yoonhee Seok
        affil: College of Nursing, Kyungil University, Gyeongsan, Korea
      sug:
        subj:
          Renal Insufficiency, Chronic Therapy
          Hemodialysis Methods
          Patient Attitudes Evaluation
          Human
          Male
          Female
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Systematic Review
          Meta Synthesis
          PubMed
          CINAHL Database
          Embase
          Psycinfo
          Thematic Analysis
          Life Change Events
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Purpose: This study aimed to understand the experiences of dialysis and their meaning among patients with chronic kidney disease through a meta-synthesis of the existing literature. Since 2010, the prevalence of end-stage renal disease has doubled in South Korea, which has the sixth-highest incidence worldwide. Although most kidney disease patients undergo dialysis to attenuate disease-related symptoms and prolong their lives, the implications of dialysis on their lives, together with the role played by patients' significant others, remain underexplored. Similarly, existing research has not considered both patients with hemodialysis and peritoneal dialysis. Methods: In this meta-synthesis, seven electronic databases (PubMed, CINAHL, EMBASE, PsycINFO, DBpia, KISS, and RISS) were searched for the terms "dialysis" and "qualitative." Thirty qualitative studies were selected for examination. Results: The overriding theme observed in the studies was "I do not have much time left."--navigating the dual realities of one's limited existence, while other key themes were: (1) the inevitable experience of the troubles of dialysis, (2) life is extended, but deteriorating in every aspect, (3) accepting dialysis with a positive outlook for life, and (4) essential support experienced in an exhausting life. Conclusion: These findings are important for the design and delivery of practical and tailored nursing interventions to help patients overcome the various challenges related to dialysis treatment, and improve their quality of life.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        meta synthesis
        Journal Article
      ougenre: Article
    language: Korean
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