TY - JOUR PY - 2011// TI - How do Thai patients with end stage renal disease adapt to being dependent on haemodialysis?: a pilot study JO - Journal of Renal Care A1 - Yodchai, Kantaporn A1 - Dunning, Trisha A1 - Hutchinson, Alison M. A1 - Oumtanee, Areewan A1 - Savage, Sally SP - 216 EP - 223 VL - 37 IS - 4 N2 - BACKGROUND: Researchers have explored the experiences of patients on haemodialysis (HD); however, most studies do not include Thai patients. Thus, the way Thai patients experience and adapt to HD is unknown. AIM: To conduct a pilot study to explore how HD affects Thai patients with end stage renal disease (ESRD) and understand HD patients' perspectives about adapting to being dependant on HD. METHODS: Data were collected using semi-structured interviews that focused on problems, feelings, thoughts, attitudes and ways of adapting to HD. Grounded theory (GT) method was selected to guide data collection and analysis. FINDINGS: Five patients (age range 24-66 years; mean 45.40 years; mode = 24) participated in the study. Four main coping processes emerged during data analysis: planning, adjustment and avoidance, belief in religion and superstition and living with hope. In addition, the patients reported a range of adverse effects of HD including fluid restriction, fatigue, effects on sexual activity, altered body image, fear of dying, stress and depression and suicide. CONCLUSION: Thai patients with ESRD felt treatment, including HD, adversely affected their lives and required physical, psychological and social changes to enable them to cope. They reported use of a range of strategies to deal with the adverse effects.

Language: en

LA - en SN - 1755-6678 UR - http://dx.doi.org/10.1111/j.1755-6686.2011.00232.x ID - ref1 ER -