Open Access, Peer-reviewed
eISSN 2288-338X
    Korean J Adult Nurs. 2015 Oct;27(5):493-504. Korean.
    Published online Oct 31, 2015.
    https://doi.org/10.7475/kjan.2015.27.5.493
    © 2015 Korean Society of Adult Nursing
    Original Article

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

    Eui-Jung Park,1 Young-Hae Kim,2 and Hyun-Mi Son2
      • 1Department of Nursing, Kyungnam College of Information & Technology, Busan, Korea.
      • 2College of Nursing, Pusan National University, Yangsan, Korea.
    • Corresponding author: Son, Hyun Mi. College of Nursing, Pusan National University, 49 Busandaehak-ro, Mulgeum-eup, Yangsan 626-870, Korea. Tel: +82-51-510-8315, Fax: +82-51-510-8308, Email: hmson@pusan.ac.kr
    Received April 27, 2015; Revised October 07, 2015; Accepted October 13, 2015.

    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.

    Keywords
    Women; Hemodialysis; Adaptation; End-stage renal disease; Qualitative research

    Figures

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

    Tables

    Table 1
    Dimensions, Categories and Sub-categories of the Adaptation Experience of Hemodialysis on Women with End-stage Renal Disease

    Notes

    This manuscript is a revision of the first author's doctorial dissertation from Pusan National University.

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