Life Adjustments of Elderly Hemodialysis Patients for Continuing to Attend Dialysis Facility
ABSTRACT
This study aimed to elucidate elderly patients’ recognition of and life adjustment to attending dialysis facilities, and then to discuss factors for enabling such patients to continue attending dialysis facilities. Semi-structured interviews were conducted with 15 participants and interview data were analyzed using the modified grounded theory approach. The study was approved by the Ethical Review Board of Niigata University School of Medicine. The interview data yielded 21 concepts, comprising 2 categories and 7 subcategories. Patients who find themselves in a “Difficult Life ” often try to maintain their health and life by using required support for hemodialysis patients. Factors for continuing to attend dialysis facilities were the ability to cope with the Difficult Life and to adjust to Hemodialysis as a Life Priority. It is thought that switching from a model of economic security to one of providing living support will be effective for maintaining elderly dialysis patients’ life with only limited expenses. Additionally, it is necessary to consider the utilization of existing services.
This study aimed to elucidate elderly patients’ recognition of and life adjustment to attending dialysis facilities, and then to discuss factors for enabling such patients to continue attending dialysis facilities. Semi-structured interviews were conducted with 15 participants and interview data were analyzed using the modified grounded theory approach. The study was approved by the Ethical Review Board of Niigata University School of Medicine. The interview data yielded 21 concepts, comprising 2 categories and 7 subcategories. Patients who find themselves in a “Difficult Life ” often try to maintain their health and life by using required support for hemodialysis patients. Factors for continuing to attend dialysis facilities were the ability to cope with the Difficult Life and to adjust to Hemodialysis as a Life Priority. It is thought that switching from a model of economic security to one of providing living support will be effective for maintaining elderly dialysis patients’ life with only limited expenses. Additionally, it is necessary to consider the utilization of existing services.
Cite this paper
Shimizu, U. , Sakagami, M. , Uchiyama, M. and Aoki, H. (2015) Life Adjustments of Elderly Hemodialysis Patients for Continuing to Attend Dialysis Facility. Open Journal of Nursing, 5, 878-884. doi: 10.4236/ojn.2015.510092.
Shimizu, U. , Sakagami, M. , Uchiyama, M. and Aoki, H. (2015) Life Adjustments of Elderly Hemodialysis Patients for Continuing to Attend Dialysis Facility. Open Journal of Nursing, 5, 878-884. doi: 10.4236/ojn.2015.510092.
References
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[1] Nakai, S., Hanafusa, N., Masakane, I., Taniguchi, M., Hamano, T., Shoji, T., et al. (2014) An Overview of Regular Dialysis Treatment in Japan (as of 31 December 2012). Therapeutic Apheresis and Dialysis, 18, 535-602.
http://dx.doi.org/10.1111/1744-9987.12281 [2] United States Renal Data System (USRDS) (2014) USRDS Annual Data Report 2014.
http://www.usrds.org/2014/view/Default.aspx [3] Shaw, C., Pitcher, D., Pruthi, R. and Fogarty D. (2014) UK Renal Registry 16th Annual Report: Chapter 2 UK RRT Prevalence in 2012: National and Centre-specific Analyses. Nephron Clinical Practice, 125, 29-53.
http://dx.doi.org/10.1159/000360021 [4] The Japan Society for Transplantation, Japanese Society for Clinical Renal Transplantation (2014) Annual Progress Report from the Japanese Renal Transplant Registry: Number of Renal Transplantation in 2013 and Follow-up Survey. Transplant, 49, 240-260. (In Japanese) [5] Fukuhara, S., Lopes, A.A., Bragg-Gresham, J.L., Kurokawa, K., Mapes, D.L., Akizawa, T., et al. (2013) Health-Related Quality of Life among Dialysis Patients on Three Continents: The Dialysis Outcomes and Practice Patterns Study. Kidney International, 64, 1903-1910.
http://dx.doi.org/10.1046/j.1523-1755.2003.00289.x [6] Canaud, B., Tong, L., Tentori, F., Akiba, T., Karaboyas, A., Gillespie, B., et al. (2011) Clinical Practices and Outcomes in Elderly Hemodialysis Patients: Results from the Dialysis Outcomes and Practice Patterns Study (DOPPS). Clinical Journal of the American Society of Nephrology, 6, 1651-1662.
http://dx.doi.org/10.2215/CJN.03530410 [7] Kinoshita, Y. (2003) Practice of Grounded Theory Approach. Koubundou, Tokyo, 35-46. (In Japanese) [8] Glaser, B. and Strauss, A. (1967) The Discovery of Grounded Theory: Strategies for Qualitative Research. Transaction Publishers, Edison, 1-18. [9] Larsen, P.D. (2009) Chronic Illness. 7th Edition, Jones & Bartlett Publishers, Burlington, 35-36. [10] Crowley-Matoka, M. and Lock, M. (2006) Organ Transplantation in a Globalised World. Mortality, 11, 166-181.
http://dx.doi.org/10.1080/13576270600615310 [11] OECD (2015) Economic Outlook No 97 - June 2015 - OLIS Version.
http://stats.oecd.org/viewhtml.aspx?datasetcode=EO97_OUTLOOK97&lang=en [12] Fukuhara, S., Yamazaki, C., Hayashino, Y., Higashi, T., Eichleay, M.A., Akiba, et al. (2007) The Organization and Financing of End-Stage Renal Disease Treatment in Japan. International Journal of Health Care Finance & Economics, 7, 217-231.
http://dx.doi.org/10.1007/s10754-007-9017-8 [13] Larsen, P.D. (2015) Labkin’s Chronic Illness. 9th Edition, Jones & Bartlett Learning, Burlington, 101-125.