Exploring patients' experiences of the impact of dialysis therapies on quality of life and wellbeing

Antoun, Joe; Brown, Daniel J.; W., Daniel J.; Clarkson, Beth G.; Shepherd, Anthony I.; Sangala, Nicholas C.; Lewis, Robert J.; McNarry, Melitta; Mackintosh, Kelly; Mason, Laura; Corbett, Jo; Saynor, Zoe L.

doi:10.1111/jorc.12416

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Exploring patients' experiences of the impact of dialysis therapies on quality of life and wellbeing

Joe Antoun

, Daniel J. Brown

, Daniel J. W. Jones

, Beth G. Clarkson, Anthony I. Shepherd

, Nicholas C. Sangala, Robert J. Lewis, Melitta McNarry

, Kelly Mackintosh

, Laura Mason

, Jo Corbett

, Zoe L. Saynor

Journal of Renal Care, Volume: 49, Issue: 1

Swansea University Authors: Melitta McNarry , Kelly Mackintosh , Laura Mason

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DOI (Published version): 10.1111/jorc.12416

Abstract

BackgroundWhen people with chronic kidney disease reach kidney failure, renal replacement therapy is usually required to improve symptoms and maintain life. Although in-centre haemodialysis is most commonly used for this purpose, other forms of dialysis are available, including home haemodialysis an...

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Published in:	Journal of Renal Care
ISSN:	1755-6678 1755-6686
Published:	Wiley 2022
Online Access:	Check full text
URI:	https://cronfa.swan.ac.uk/Record/cronfa59328
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first_indexed	2022-02-08T08:55:53Z
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Although in-centre haemodialysis is most commonly used for this purpose, other forms of dialysis are available, including home haemodialysis and peritoneal dialysis. ObjectivesWe aimed to explore the experiences of adults living with chronic kidney disease who were either approaching the need for dialysis or had reached kidney failure and were receiving a form of dialysis. In particular, we explored how different forms of dialysis affect their quality of life, wellbeing and physical activity. MethodsIndividual semi-structured interviews were conducted with 40 adults with kidney failure, comprising four groups (n = 10 each): those receiving in-centre haemodialysis, home haemodialysis or peritoneal dialysis, or pre-dialysis. Interviews were transcribed verbatim, thematically analysed and then composite vignettes were subsequently developed to present a rich narrative of the collective experiences of each group. FindingsCompared with adults who were pre-dialysis, quality of life and wellbeing improved upon initiation of their home haemodialysis or peritoneal dialysis. Conversely, minimal improvement was perceived by those receiving in-centre haemodialysis. Low physical activity was reported across all four groups, although those receiving home haemodialysis and peritoneal dialysis reported a greater desire and ability to be physically active than those in-centre.ConclusionThese findings highlight that dialysis modalities not requiring regular hospital attendance (i.e. home haemodialysis and peritoneal dialysis) improve independence, quality of life, wellbeing and can facilitate a more physically active lifestyle.</abstract><type>Journal Article</type><journal>Journal of Renal Care</journal><volume>49</volume><journalNumber>1</journalNumber><paginationStart/><paginationEnd/><publisher>Wiley</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint>1755-6678</issnPrint><issnElectronic>1755-6686</issnElectronic><keywords>home haemodialysis; patient experience; peritoneal dialysis; quality of Life</keywords><publishedDay>28</publishedDay><publishedMonth>2</publishedMonth><publishedYear>2022</publishedYear><publishedDate>2022-02-28</publishedDate><doi>10.1111/jorc.12416</doi><url/><notes/><college>COLLEGE NANME</college><department>Sport and Exercise Sciences</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>STSC</DepartmentCode><institution>Swansea University</institution><apcterm/><funders>NxStage Medical Inc</funders><projectreference/><lastEdited>2023-05-04T16:53:35.6542775</lastEdited><Created>2022-02-08T08:52:06.0904664</Created><path><level id="1">Faculty of Science and Engineering</level><level id="2"/></path><authors><author><firstname>Joe</firstname><surname>Antoun</surname><orcid>0000-0002-9678-4326</orcid><order>1</order></author><author><firstname>Daniel J.</firstname><surname>Brown</surname><orcid>0000-0002-2210-3225</orcid><order>2</order></author><author><firstname>Daniel J. W.</firstname><surname>Jones</surname><orcid>0000-0003-2008-9658</orcid><order>3</order></author><author><firstname>Beth G.</firstname><surname>Clarkson</surname><order>4</order></author><author><firstname>Anthony I.</firstname><surname>Shepherd</surname><orcid>0000-0001-6392-7944</orcid><order>5</order></author><author><firstname>Nicholas C.</firstname><surname>Sangala</surname><order>6</order></author><author><firstname>Robert J.</firstname><surname>Lewis</surname><order>7</order></author><author><firstname>Melitta</firstname><surname>McNarry</surname><orcid>0000-0003-0813-7477</orcid><order>8</order></author><author><firstname>Kelly</firstname><surname>Mackintosh</surname><orcid>0000-0003-0355-6357</orcid><order>9</order></author><author><firstname>Laura</firstname><surname>Mason</surname><orcid>0000-0002-9679-7063</orcid><order>10</order></author><author><firstname>Jo</firstname><surname>Corbett</surname><orcid>0000-0002-6552-6471</orcid><order>11</order></author><author><firstname>Zoe L.</firstname><surname>Saynor</surname><orcid>0000-0003-0674-8477</orcid><order>12</order></author></authors><documents><document><filename>59328__22556__27bc28fcca854b0798f8c43acab4b27d.pdf</filename><originalFilename>59328.pdf</originalFilename><uploaded>2022-03-09T13:13:49.5183467</uploaded><type>Output</type><contentLength>1353328</contentLength><contentType>application/pdf</contentType><version>Version of Record</version><cronfaStatus>true</cronfaStatus><documentNotes>© 2022 The Authors. 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spelling	v2 59328 2022-02-08 Exploring patients' experiences of the impact of dialysis therapies on quality of life and wellbeing 062f5697ff59f004bc8c713955988398 0000-0003-0813-7477 Melitta McNarry Melitta McNarry true false bdb20e3f31bcccf95c7bc116070c4214 0000-0003-0355-6357 Kelly Mackintosh Kelly Mackintosh true false ef88a9ba99af7706e3e80e418f482e0a 0000-0002-9679-7063 Laura Mason Laura Mason true false 2022-02-08 STSC BackgroundWhen people with chronic kidney disease reach kidney failure, renal replacement therapy is usually required to improve symptoms and maintain life. Although in-centre haemodialysis is most commonly used for this purpose, other forms of dialysis are available, including home haemodialysis and peritoneal dialysis. ObjectivesWe aimed to explore the experiences of adults living with chronic kidney disease who were either approaching the need for dialysis or had reached kidney failure and were receiving a form of dialysis. In particular, we explored how different forms of dialysis affect their quality of life, wellbeing and physical activity. MethodsIndividual semi-structured interviews were conducted with 40 adults with kidney failure, comprising four groups (n = 10 each): those receiving in-centre haemodialysis, home haemodialysis or peritoneal dialysis, or pre-dialysis. Interviews were transcribed verbatim, thematically analysed and then composite vignettes were subsequently developed to present a rich narrative of the collective experiences of each group. FindingsCompared with adults who were pre-dialysis, quality of life and wellbeing improved upon initiation of their home haemodialysis or peritoneal dialysis. Conversely, minimal improvement was perceived by those receiving in-centre haemodialysis. Low physical activity was reported across all four groups, although those receiving home haemodialysis and peritoneal dialysis reported a greater desire and ability to be physically active than those in-centre.ConclusionThese findings highlight that dialysis modalities not requiring regular hospital attendance (i.e. home haemodialysis and peritoneal dialysis) improve independence, quality of life, wellbeing and can facilitate a more physically active lifestyle. Journal Article Journal of Renal Care 49 1 Wiley 1755-6678 1755-6686 home haemodialysis; patient experience; peritoneal dialysis; quality of Life 28 2 2022 2022-02-28 10.1111/jorc.12416 COLLEGE NANME Sport and Exercise Sciences COLLEGE CODE STSC Swansea University NxStage Medical Inc 2023-05-04T16:53:35.6542775 2022-02-08T08:52:06.0904664 Faculty of Science and Engineering Joe Antoun 0000-0002-9678-4326 1 Daniel J. Brown 0000-0002-2210-3225 2 Daniel J. W. Jones 0000-0003-2008-9658 3 Beth G. Clarkson 4 Anthony I. Shepherd 0000-0001-6392-7944 5 Nicholas C. Sangala 6 Robert J. Lewis 7 Melitta McNarry 0000-0003-0813-7477 8 Kelly Mackintosh 0000-0003-0355-6357 9 Laura Mason 0000-0002-9679-7063 10 Jo Corbett 0000-0002-6552-6471 11 Zoe L. Saynor 0000-0003-0674-8477 12 59328__22556__27bc28fcca854b0798f8c43acab4b27d.pdf 59328.pdf 2022-03-09T13:13:49.5183467 Output 1353328 application/pdf Version of Record true © 2022 The Authors. This is an open access article under the terms of the Creative Commons Attribution License true eng http://creativecommons.org/licenses/by/4.0/
title	Exploring patients' experiences of the impact of dialysis therapies on quality of life and wellbeing
spellingShingle	Exploring patients' experiences of the impact of dialysis therapies on quality of life and wellbeing Melitta McNarry Kelly Mackintosh Laura Mason
title_short	Exploring patients' experiences of the impact of dialysis therapies on quality of life and wellbeing
title_full	Exploring patients' experiences of the impact of dialysis therapies on quality of life and wellbeing
title_fullStr	Exploring patients' experiences of the impact of dialysis therapies on quality of life and wellbeing
title_full_unstemmed	Exploring patients' experiences of the impact of dialysis therapies on quality of life and wellbeing
title_sort	Exploring patients' experiences of the impact of dialysis therapies on quality of life and wellbeing
author_id_str_mv	062f5697ff59f004bc8c713955988398 bdb20e3f31bcccf95c7bc116070c4214 ef88a9ba99af7706e3e80e418f482e0a
author_id_fullname_str_mv	062f5697ff59f004bc8c713955988398_*_Melitta McNarry bdb20e3f31bcccf95c7bc116070c4214__Kelly Mackintosh ef88a9ba99af7706e3e80e418f482e0a_**_Laura Mason
author	Melitta McNarry Kelly Mackintosh Laura Mason
author2	Joe Antoun Daniel J. Brown Daniel J. W. Jones Beth G. Clarkson Anthony I. Shepherd Nicholas C. Sangala Robert J. Lewis Melitta McNarry Kelly Mackintosh Laura Mason Jo Corbett Zoe L. Saynor
format	Journal article
container_title	Journal of Renal Care
container_volume	49
container_issue	1
publishDate	2022
institution	Swansea University
issn	1755-6678 1755-6686
doi_str_mv	10.1111/jorc.12416
publisher	Wiley
college_str	Faculty of Science and Engineering
hierarchytype
hierarchy_top_id	facultyofscienceandengineering
hierarchy_top_title	Faculty of Science and Engineering
hierarchy_parent_id	facultyofscienceandengineering
hierarchy_parent_title	Faculty of Science and Engineering
document_store_str	1
active_str	0
description	BackgroundWhen people with chronic kidney disease reach kidney failure, renal replacement therapy is usually required to improve symptoms and maintain life. Although in-centre haemodialysis is most commonly used for this purpose, other forms of dialysis are available, including home haemodialysis and peritoneal dialysis. ObjectivesWe aimed to explore the experiences of adults living with chronic kidney disease who were either approaching the need for dialysis or had reached kidney failure and were receiving a form of dialysis. In particular, we explored how different forms of dialysis affect their quality of life, wellbeing and physical activity. MethodsIndividual semi-structured interviews were conducted with 40 adults with kidney failure, comprising four groups (n = 10 each): those receiving in-centre haemodialysis, home haemodialysis or peritoneal dialysis, or pre-dialysis. Interviews were transcribed verbatim, thematically analysed and then composite vignettes were subsequently developed to present a rich narrative of the collective experiences of each group. FindingsCompared with adults who were pre-dialysis, quality of life and wellbeing improved upon initiation of their home haemodialysis or peritoneal dialysis. Conversely, minimal improvement was perceived by those receiving in-centre haemodialysis. Low physical activity was reported across all four groups, although those receiving home haemodialysis and peritoneal dialysis reported a greater desire and ability to be physically active than those in-centre.ConclusionThese findings highlight that dialysis modalities not requiring regular hospital attendance (i.e. home haemodialysis and peritoneal dialysis) improve independence, quality of life, wellbeing and can facilitate a more physically active lifestyle.
published_date	2022-02-28T16:53:34Z
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Exploring patients' experiences of the impact of dialysis therapies on quality of life and wellbeing

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