PATIENTS' EXPERIENCE OF TRANSITION ONTO HAEMODIALYSIS: A QUALITATIVE STUDY

PATIENTS' EXPERIENCE OF TRANSITION ONTO HAEMODIALYSIS: A QUALITATIVE STUDY

Journal of Renal Care
Volume 35 Issue 2, Pages 99 - 107
Published Online: 8 May 2009
© 2009 European Dialysis and Transplant Nurses Association/European Renal Care Association

Annie Mitchell, BSc, MA, MSc, AFBPsS, CPsychol 1 , Paul Farrand, BA, PGCert, PhD, AFBPsS, CPsychol, CSci 2 , Hayley James, BSc, MSc 3 , Rob Luke, RGN 4 , Rachel Purtell, MA 5 , Katrina Wyatt, BSc, PhD 6
1 Clinical Director and Senior Lecturer, Doctorate in Clinical Psychology, School of Applied Psychosocial Studies, Faculty of Health and Social Work, University of Plymouth, UK 2 Senior Lecturer in Psychology, School of Psychology, University of Exeter, UK 3 Matron for Haemodialysis Services, Royal Devon & Exeter NHS Foundation Healthcare Trust, Exeter, UK 4 Research Fellow in Behavioural Medicine, Unit of Behavioural Medicine, Division of Research Strategy, University College London Medical School, UK 5 Folk.us Co-ordinator, Peninsula College of Medicine and Dentistry, Royal Devon & Exeter Hospital, UK 6 Senior Lecturer in Child Health, Peninsula College of Medicine and Dentistry, Royal Devon & Exeter Hospital, UK
Correspondence to CORRESPONDENCE
Annie Mitchell, School of Applied Psychosocial Studies, Faculty of Health and Social Work, University of Plymouth, Peninsula Allied Health Collaboration, Derriford Road, Plymouth, Devon PL6 8BH, UK.
Tel.: +01752 586701
Fax: +01752 238874
annie.mitchell@plymouth.ac.uk
KEYWORDS
Cognitive style • Haemodialysis • Preparation • Qualitative • Support • Transition
ABSTRACT
Transition onto haemodialysis is a time of increased psychosocial difficulty, yet, many renal patients exhibit personal resilience in continuing to lead productive lives. Using a positive psychological methodology, this qualitative study aims to identify factors identified by patients as helpful in the transition onto haemodialysis. Semi-structured interviews were undertaken with 10 patients within six months of starting haemodialysis. Interpretive content analysis identified three main themes (each with subthemes) in patients' accounts—preparation, cognitive style and social support. Limited differences arose between patients who underwent a gradual versus acute transition onto haemodialysis. Themes are discussed with reference to implications for practice development.

DIGITAL OBJECT IDENTIFIER (DOI)
10.1111/j.1755-6686.2009.00094.x About DOI

http://www3.interscience.wiley.com/journal/122380305/abstract