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An exploration of successful psychosocial adjustment to long-term in-centre haemodialysis.

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Title: An exploration of successful psychosocial adjustment to long-term in-centre haemodialysis.
Authors: Kapadi, Romaana, Elander, James, Burton, Amy E., Taylor, Jennifer, Coyne, Emma, Selby, Nicholas M., Taal, Maarten W., Mitchell, Kathryn, Stalker, Carol
Source: Psychology & Health. Mar2025, Vol. 40 Issue 3, p394-409. 16p.
Subjects: Treatment of chronic kidney failure, Hemodialysis patients, Patient autonomy, Psychological resilience, Research funding, Qualitative research, Optimism, Long-term health care, Interviewing, Psychological adaptation, Hemodialysis, Judgment sampling, Thematic analysis, Research methodology, Social support, Psychosocial factors
Geographic Terms: United Kingdom
Abstract: 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. [ABSTRACT FROM AUTHOR]
Copyright of Psychology & Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: An exploration of successful psychosocial adjustment to long-term in-centre haemodialysis.
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  Data: <searchLink fieldCode="AR" term="%22Kapadi%2C+Romaana%22">Kapadi, Romaana</searchLink><br /><searchLink fieldCode="AR" term="%22Elander%2C+James%22">Elander, James</searchLink><br /><searchLink fieldCode="AR" term="%22Burton%2C+Amy+E%2E%22">Burton, Amy E.</searchLink><br /><searchLink fieldCode="AR" term="%22Taylor%2C+Jennifer%22">Taylor, Jennifer</searchLink><br /><searchLink fieldCode="AR" term="%22Coyne%2C+Emma%22">Coyne, Emma</searchLink><br /><searchLink fieldCode="AR" term="%22Selby%2C+Nicholas+M%2E%22">Selby, Nicholas M.</searchLink><br /><searchLink fieldCode="AR" term="%22Taal%2C+Maarten+W%2E%22">Taal, Maarten W.</searchLink><br /><searchLink fieldCode="AR" term="%22Mitchell%2C+Kathryn%22">Mitchell, Kathryn</searchLink><br /><searchLink fieldCode="AR" term="%22Stalker%2C+Carol%22">Stalker, Carol</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Psychology+%26+Health%22">Psychology & Health</searchLink>. Mar2025, Vol. 40 Issue 3, p394-409. 16p.
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  Data: <searchLink fieldCode="DE" term="%22Treatment+of+chronic+kidney+failure%22">Treatment of chronic kidney failure</searchLink><br /><searchLink fieldCode="DE" term="%22Hemodialysis+patients%22">Hemodialysis patients</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+autonomy%22">Patient autonomy</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+resilience%22">Psychological resilience</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Qualitative+research%22">Qualitative research</searchLink><br /><searchLink fieldCode="DE" term="%22Optimism%22">Optimism</searchLink><br /><searchLink fieldCode="DE" term="%22Long-term+health+care%22">Long-term health care</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+adaptation%22">Psychological adaptation</searchLink><br /><searchLink fieldCode="DE" term="%22Hemodialysis%22">Hemodialysis</searchLink><br /><searchLink fieldCode="DE" term="%22Judgment+sampling%22">Judgment sampling</searchLink><br /><searchLink fieldCode="DE" term="%22Thematic+analysis%22">Thematic analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Social+support%22">Social support</searchLink><br /><searchLink fieldCode="DE" term="%22Psychosocial+factors%22">Psychosocial factors</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22United+Kingdom%22">United Kingdom</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: 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. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Psychology & Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1080/08870446.2023.2231007
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      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 16
        StartPage: 394
    Subjects:
      – SubjectFull: Treatment of chronic kidney failure
        Type: general
      – SubjectFull: Hemodialysis patients
        Type: general
      – SubjectFull: Patient autonomy
        Type: general
      – SubjectFull: Psychological resilience
        Type: general
      – SubjectFull: Research funding
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      – SubjectFull: Qualitative research
        Type: general
      – SubjectFull: Optimism
        Type: general
      – SubjectFull: Long-term health care
        Type: general
      – SubjectFull: Interviewing
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      – SubjectFull: Psychological adaptation
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      – SubjectFull: Hemodialysis
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      – SubjectFull: Judgment sampling
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      – SubjectFull: Thematic analysis
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      – SubjectFull: Social support
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      – SubjectFull: Psychosocial factors
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      – SubjectFull: United Kingdom
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      – TitleFull: An exploration of successful psychosocial adjustment to long-term in-centre haemodialysis.
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              Text: Mar2025
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              Y: 2025
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