The perspectives of adults living with peritoneal dialysis: thematic synthesis of qualitative studies

Lesmana, B., Tong, A., Johnson, D. W., Wong, G., Campbell, D. and Craig, J. C. (2012). The perspectives of adults living with peritoneal dialysis: thematic synthesis of qualitative studies. In: Special Issue: Abstracts of the 48th Annual Scientific Meeting of the Australian and New Zealand Society of Nephrology. 48th Annual Scientific Meeting of the Australian and New Zealand Society of Nephrology, Auckland, New Zealand, (62-62). 27 - 9 August 2012.


Author Lesmana, B.
Tong, A.
Johnson, D. W.
Wong, G.
Campbell, D.
Craig, J. C.
Title of paper The perspectives of adults living with peritoneal dialysis: thematic synthesis of qualitative studies
Conference name 48th Annual Scientific Meeting of the Australian and New Zealand Society of Nephrology
Conference location Auckland, New Zealand
Conference dates 27 - 9 August 2012
Proceedings title Special Issue: Abstracts of the 48th Annual Scientific Meeting of the Australian and New Zealand Society of Nephrology   Check publisher's open access policy
Journal name Nephrology   Check publisher's open access policy
Place of Publication Richmond, VIC, Australia
Publisher Wiley-Blackwell Publishing Asia
Publication Year 2012
Sub-type Published abstract
ISSN 1320-5358
1440-1797
Volume 17
Issue s2
Start page 62
End page 62
Total pages 1
Language eng
Formatted Abstract/Summary
Aim: This study aims to synthesize published qualitative studies on patients’
experiences, beliefs and attitudes about PD.
Background: Most patients with end-stage kidney disease (ESKD) require dialysis
to survive, unable to access kidney transplantation. Peritoneal dialysis (PD)
is generally recommended as the fi rst choice of dialysis modality for adults without
signifi cant comorbidities or those with residual kidney function.
Methods:
We conducted a systematic review and thematic synthesis of qualitative
studies on adult perspectives of living with PD. MEDLINE, Embase, PsycINFO,
CINAHL, theses databases and reference lists were searched to November
2011.
Results: Thirty-nine studies involving 387 participants were included. We identifi
ed seven themes: resilience and confi dence (determination, overcoming vicissitudes);
support structures (strong family relationship, peer support, professional
dedication, social abandonment, desire for holistic care); overwhelming responsibility
(disruptive intrusion, family burden, onerous treatment regimen); control
(gaining bodily awareness, achieving independence and self-effi cacy, information
seeking); freedom (fl exibility and autonomy, retaining social functioning, ability
to travel); sick identity (damage to self-esteem, invisible suffering); and disablement
(physical incapacitation, social loss and devaluation).
Conclusions: Peritoneal dialysis can offer patients a sense of control, independence,
self-effi cacy and freedom. However, holistic and multidisciplinary care is
needed to mitigate the risks of impaired self-esteem, physical incapacitation,
reduced social functioning, and poor sense of self-worth. Strategies that aim to
strengthen social support, and promote resilience and confi dence in patients are
integral to achieving positive adjustment, improved psychosocial outcomes and
treatment satisfaction.
Q-Index Code CX
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Conference Paper
Collection: School of Medicine Publications
 
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