title: The experience of individuals with renal failure participating in home haemodialysis: an interpretative phenomenological analysis.
abstract: This study explored the experience of individuals with renal failure undertaking home haemodialysis (HHD). Semi-structured interviews were conducted with six participants who were active HHD users in a UK region. Participants' accounts were transcribed verbatim and analysed using an interpretative phenomenological approach. Three main themes were identified: (1) embracing treatment and lifestyle freedom and flexibility; (2) re-establishing a sense of self and preferred self-identity; and (3) integrating aspects of active engagement and aspects of supported, life-sustaining dependence. A 'good fit' between the HHD user (an independent, self-determined health participant) and the healthcare provision (personalized, enabling) is proposed.
authors: Downshire Hospital, UK. Alex.Cases@setrust.hscni.net
authors: Alejandra
authors: A
authors: Cases
authors: Martin
authors: M
authors: Dempster
authors: Mark
authors: M
authors: Davies
authors: Gary
authors: G
authors: Gamble
mesh_terms: D000368:Aged; D005260:Female; D006437:Hemodialysis, Home / Q000523:psychology*; D006801:Humans; D057187:Independent Living / Q000523:psychology; D007407:Interviews as Topic; D007676:Kidney Failure, Chronic / Q000523:psychology* / Q000628:therapy; D008019:Life Style; D008297:Male; D008875:Middle Aged; D012648:Self Care / Q000523:psychology; D012649:Self Concept; D012803:Sick Role; D006113:United Kingdom