Ann-Christin Karlsson HAL - 2005:06, pp. 89. HAL/Sektionen för hälsa, 2006.
Living with dialysis treatment means disturbance and adjustment in one’s life and it is important for health care professionals to share persons’ personal understanding and experiences in order to provide good nephrology nursing care. A comprehensive understanding is lacking of the experiences persons with end-stage-renal-disease have of automated peritoneal dialysis (APD) and of the conditions influencing these experiences.
The thesis consists of two studies, where the first is an integrative literature review of scientific articles with the aim to describe every day life with APD treatment. The review showed that patients on APD had significantly more time for work, family, and social activities as compared to continuous ambulatory peritoneal dialysis (CAPD). Mental health was found to be better in APD than compared to patients on CAPD. Findings even suggested that the use of APD to treat elderly patients was effective. Not one study was found from the APD patient’s perspective.
The second study is an empirical part where six adults volunteered to be interviewed for their lived experiences of APD treatment. Using the latent content analysis the result is presented out of the themes; choice of dialysis modality, transfer to automated peritoneal dialysis, effects on daily living on dialysis, living and everyday life on dialysis, and thoughts about future. The implications for nursing research are discussed with focus on nursing empowering the chronically ill to maintain and improve the quality of life. Maximizing the individual’s power resources facilitates the individual’s ability to cope with chronic illness.