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An Exploration of Successful Psychosocial Adjustment to Long-Term In-Centre Haemodialysis

Kapadi, Romaana, ELANDER, James, BURTON, Amy, TAYLOR, Jennifer, Coyne, Emma, Selby, Nicholas, Taal, Maarten, Mitchell, Kathryn and Stalker, Carol (2023) An Exploration of Successful Psychosocial Adjustment to Long-Term In-Centre Haemodialysis. Psychology and Health. ISSN 0887-0446

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Abstract or description

Objectives: Haemodialysis extends life for people with end-stage kidney disease (ESKD) worldwide, but it imposes significant psychosocial burdens and there is little evidence about successful adjustment. This study aimed to improve understanding of successful psychosocial adjustment to in-centre haemodialysis (ICHD; dialysis in a hospital or satellite unit).

Methods: Individual semi-structured interviews were conducted with a purposive sample of 18 people with ESKD who had all received in-centre haemodialysis in the UK for at least 90 days in the last two years. An inductive thematic analysis was employed to identify themes from the verbatim interview transcripts.

Results: There were four themes: 1) reaching a state of acceptance, which described the importance of accepting the necessity of dialysis; 2) taking an active role in treatment, which described how being actively involved in treatment gave participants greater feelings of autonomy and control; 3) utilising social support networks, which described the benefits of instrumental and emotional support; and 4) building emotional resilience, which described the importance of optimism and positivity.

Conclusions: The themes demonstrated elements of successful adjustment that could be targeted by interventions to promote psychological flexibility and positive adjustment among people receiving in-centre haemodialysis worldwide.

Item Type: Article
Faculty: School of Life Sciences and Education > Psychology and Counselling
Depositing User: Amy BURTON
Date Deposited: 11 Jul 2023 13:51
Last Modified: 23 Oct 2023 14:40

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