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Experience of Diagnosis and Initiation of Renal Replacement Therapy in Women with Chronic Kidney Disease

Author

Listed:
  • Miriam à lvarez-Villarreal
  • Juan Francisco Velarde-García
  • Ana San Martín-Gómez
  • Stella Maris Gómez-Sánchez
  • Antonio Gil-Crujera
  • Domingo Palacios-Ceña

Abstract

Chronic kidney disease (CKD) has considerable effects on the quality of life of female patients. Receiving the diagnosis and beginning renal replacement therapy (RRT) has a great personal impact on patients. The purpose of this study was to describe the experience of female patients with CKD at an ambulatory dialysis unit regarding diagnosis, life changes, and initiation of RRT. A qualitative exploratory study was conducted based on a social contructivism framework. Participants were recruited using purposeful sampling. In total, 18 women who received treatment for CKD with RRT were included. The women were attending the Ambulatory Dialysis Unit at a hospital belonging to the public health system of Madrid (Spain). Unstructured and semi-structured in-depth interviews, researchers’ field notes, and women’s personal letters were used. A systematic text condensation analysis was performed. The criteria used to control trustworthiness were credibility, transferability, dependability, and confirmability. Two themes emerged from the data: (a) A turning point in their lives, and (b) The emotional journey of beginning RRT. The diagnosis of CKD and the beginning of treatment implies changing routines and adapting to a new life with CKD. The first dialysis and puncture of the arteriovenous fistula is a major experience. Support from other CKD patients with more experience is perceived as a necessity and a tool to share their experiences and resolve doubts among peers. The diagnosis and initiation of RRT leads to numerous changes in the lives of women with CKD, which may influence the acceptance of treatment.

Suggested Citation

  • Miriam à lvarez-Villarreal & Juan Francisco Velarde-García & Ana San Martín-Gómez & Stella Maris Gómez-Sánchez & Antonio Gil-Crujera & Domingo Palacios-Ceña, 2024. "Experience of Diagnosis and Initiation of Renal Replacement Therapy in Women with Chronic Kidney Disease," Clinical Nursing Research, , vol. 33(7), pages 560-570, September.
  • Handle: RePEc:sae:clnure:v:33:y:2024:i:7:p:560-570
    DOI: 10.1177/10547738241264591
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    References listed on IDEAS

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    1. Miriam Álvarez-Villarreal & Juan Francisco Velarde-García & Lourdes Chocarro-Gonzalez & Jorge Pérez-Corrales & Javier Gueita-Rodriguez & Domingo Palacios-Ceña, 2019. "Body Changes and Decreased Sexual Drive after Dialysis: A Qualitative Study on the Experiences of Women at an Ambulatory Dialysis Unit in Spain," IJERPH, MDPI, vol. 16(17), pages 1-12, August.
    2. Janice Gullick & Susan Monaro & Glenn Stewart, 2017. "Compartmentalising time and space: a phenomenological interpretation of the temporal experience of commencing haemodialysis," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(21-22), pages 3382-3395, November.
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