Abstract:This study aimed at describing patients' perception of their communication with nurses when performing home dialysis. Data were collected from interviews guided by the question: "What is communication like, between you and nurses, during home dialysis treatment?" Results show participants' perception of treatment during home peritoneal dialysis [Continuous ambulatory peritoneal dialysis (CAPD)]; relationship with nurses and family and the effects of treatment on one's existence. Patients can be self-caring and… Show more
“…The PD nurse plays an important role in the success of the PD training program. Qualified renal nurses provide PD training in Japan as well as in other countries [2,3].…”
The relationship between nurses and peritoneal dialysis (PD) patients begins from the time of the selection of medical treatment for renal replacement therapy. There are various roles in this field that involve nurses, not only in providing technical guidance to patients but also in relaying dietary restrictions including those on fluid and diet, in providing information on public welfare for dialysis patients and in fostering interactions between the patient and doctors, nutritionists, social workers and medical support staff. The nurse plays an important role in the success of a PD training program. Only highly trained nurses should carry out PD training. The nurse trains the patient or a family member as a helper to perform PD. The ultimate goal is to make a plan to help the patient maintain his or her general condition and expand the quality of life by self-care. However, the most important role of nurses is to display empathy to the patient, that is, to put themselves in the patient's position, to foster an ongoing interaction between themselves and the patient and to listen to the patient and understand what is in the mind of the patient.
“…The PD nurse plays an important role in the success of the PD training program. Qualified renal nurses provide PD training in Japan as well as in other countries [2,3].…”
The relationship between nurses and peritoneal dialysis (PD) patients begins from the time of the selection of medical treatment for renal replacement therapy. There are various roles in this field that involve nurses, not only in providing technical guidance to patients but also in relaying dietary restrictions including those on fluid and diet, in providing information on public welfare for dialysis patients and in fostering interactions between the patient and doctors, nutritionists, social workers and medical support staff. The nurse plays an important role in the success of a PD training program. Only highly trained nurses should carry out PD training. The nurse trains the patient or a family member as a helper to perform PD. The ultimate goal is to make a plan to help the patient maintain his or her general condition and expand the quality of life by self-care. However, the most important role of nurses is to display empathy to the patient, that is, to put themselves in the patient's position, to foster an ongoing interaction between themselves and the patient and to listen to the patient and understand what is in the mind of the patient.
“…The descriptive statistics demonstrated 100% patient satisfaction after 12 weeks, which may be related to the following factors: (1) The intervention, which used visual graphs, was useful and acceptable and led to patients becoming actively involved in managing their own health [34]; (2) We had more opportunities than usual to communicate with patients in the intervention process [35], (3) The group and individual education improved the level of health knowledge, filled the gaps in patient knowledge, and met patient requirements for disease rehabilitation [36]; (4) Patients felt that they benefited from the activities. Moreover, self-perception of the therapeutic effect and physical changes may play an important role in improving patient satisfaction [37].…”
GraphInterdialytic weight gain Maintenance haemodialysis Patient adherence a b s t r a c t Purpose: To design interdialytic and daily weight gain graphs for patients on maintenance haemodialysis and to evaluate their effect on patient adherence to restricted fluid intake. Methods: Forty-five patients on maintenance haemodialysis were recruited from August to October 2012. The graphs were applied for 12 weeks based on Bandura's self-efficacy theory. Adherence to restricted fluid intake, dialysis adequacy, and satisfaction were compared before and after the graphs were applied. Results: Adherence to restricted fluid intake increased from 53.3% to 91.1%; the mean rate of urea clearance (Kt/V) decreased from 1.197 to 1.311, and the qualified rate increased from 42.5% to 70%. The rate of adherence was 86.77%; acceptance and satisfaction rates were 100%. Conclusion: It is acceptable to apply the graphs clinically for subsequent effective improvement of adherence to restricted fluid intake, promoting dialysis adequacy, and increasing patient satisfaction. Therefore, clinical application of the graphs is worthwhile.
“…The close bond developed between patient and professional due to the long‐term nature of ESKD has support within the literature (Polaschek ; Sadala et al ) and enables participants to cope with their conditions: … being a renal patient you do develop these long term relationships with nurses, doctors and patients. So that in itself takes a lot of stigma off treatments and what you're going through becomes abit less scary I suppose (Male 3; Home HD).…”
Section: Copingmentioning
confidence: 90%
“…The close bond developed between patient and professional due to the long-term nature of ESKD has support within the literature (Polaschek 2003;Sadala et al 2010) and enables participants to cope with their conditions:…”
SUMMARY
Background
Diagnosis and treatment for End‐Stage Kidney Disease (ESKD) results in vast lifestyle changes. Despite the high prevalence of depression in people with ESKD, the psychosocial impacts of ESKD are still often overlooked. Illness perceptions enable people to make sense of their illness and are closely associated with depression. Due to the high levels of depression within ESKD, this study sought to understand the nature of illness perceptions in people with ESKD.
Methodology
In this qualitative study, eleven participants were identified through hospital and online patient support groups. Semi‐structured interviews were audio‐taped, transcribed and analysed using grounded theory techniques.
Results
Three themes emerged from the data: Renal Conflicts, Forced Adjustment and Coping. The main dimensions of illness perception discussed by participants were Consequences, Control, Timeline and Identity.
Conclusion
The results of this study have practical implications for informing practitioners about the psychosocial effects of ESKD diagnosis and treatment.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
