title: How do Thai patients with end stage renal disease adapt to being dependent on haemodialysis?: a pilot study.
abstract: BACKGROUND
  Researchers have explored the experiences of patients on haemodialysis (HD); however, most studies do not include Thai patients. Thus, the way Thai patients experience and adapt to HD is unknown.
  
  
  OBJECTIVE
  To conduct a pilot study to explore how HD affects Thai patients with end stage renal disease (ESRD) and understand HD patients' perspectives about adapting to being dependant on HD.
  
  
  METHODS
  Data were collected using semi-structured interviews that focused on problems, feelings, thoughts, attitudes and ways of adapting to HD. Grounded theory (GT) method was selected to guide data collection and analysis.
  
  
  RESULTS
  Five patients (age range 24-66 years; mean 45.40 years; mode = 24) participated in the study. Four main coping processes emerged during data analysis: planning, adjustment and avoidance, belief in religion and superstition and living with hope. In addition, the patients reported a range of adverse effects of HD including fluid restriction, fatigue, effects on sexual activity, altered body image, fear of dying, stress and depression and suicide.
  
  
  CONCLUSIONS
  Thai patients with ESRD felt treatment, including HD, adversely affected their lives and required physical, psychological and social changes to enable them to cope. They reported use of a range of strategies to deal with the adverse effects.
authors.affiliation: School of Nursing and Midwifery, Medicine, Nursing and Behavioural Sciences, Deakin University, Australia. Kantaporn.y@psu.ac.th
authors.forename: Kantaporn
authors.initials: K
authors.lastname: Yodchai
authors.forename: Trisha
authors.initials: T
authors.lastname: Dunning
authors.forename: Alison M
authors.initials: AM
authors.lastname: Hutchinson
authors.forename: Areewan
authors.initials: A
authors.lastname: Oumtanee
authors.forename: Sally
authors.initials: S
authors.lastname: Savage
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology; D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D044466:Asian People / Q000523:psychology*; D001828:Body Image; D003431:Cross-Cultural Comparison; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000451:nursing* / Q000523:psychology*; D016030:Kidney Transplantation / Q000451:nursing / Q000523:psychology; D008019:Life Style; D008297:Male; D008393:Marriage / Q000523:psychology; D008875:Middle Aged; D010865:Pilot Projects; D012069:Religion and Psychology; D006435:Renal Dialysis / Q000451:nursing* / Q000523:psychology*; D012648:Self Care / Q000523:psychology; D012649:Self Concept; D013483:Superstitions; D013785:Thailand; D013894:Thirst