eISSN: 2345-2781  
Submitted: 01 Feb 2018

Accepted: 04 May 2018
First published online: 13 May 2018
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J Renal Inj Prev. 2018;7(3):164-170.
doi: 10.15171/jrip.2018.40

Original

Subjective adequacy of dialysis; a neglected concept in hemodialysis adequacy

Vajihe Biniaz 1, Hossein Karimi Moonaghi 2 * , Razieh Froutan 1, Abbass Ebadi 3

1 Department of Medical Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
2 Evidence-Based Caring Research Center, Department of Medical Surgical Nursing, School of Nursing and Midwifery, & Department of Medical
3 Education, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
4 Behavioral Sciences Research Center, Life style institute, Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran
*Corresponding author: Hossein Karimi Moonaghi, Email: Email: karimih@mums.ac.ir

Abstract

Introduction: Dialysis adequacy is a predictive factor for mortality and hemodialysis outcomes.

Objectives: Given the limited knowledge regarding dialysis adequacy, we sought to investigate the perceptions and experiences of patients as to subjective dialysis adequacy.

Materials and Methods: This qualitative study was carried out using the conventional content analysis method. We enrolled 25 hemodialysis patients, their companions, nurses, and nephrologists residing in Mashhad, Iran. We selected the participants through purposive sampling. To collect the data, we used semi-structured interviews and recording field notes until reaching data saturation. The data was analyzed by using Hsieh and Shannon qualitative content analysis approach.

Results: From the experiences of the patients regarding dialysis adequacy, five categories of inner wholeness, well-being, positive social interaction, effective self-empowerment and improvement of economic conditions were extracted.

Conclusion: The obtained results can play a key role in implementation of effective interventions for models of hemodialysis clinical function to lower the rate of mortality and promote quality of life among dialysis patients.

Implication for health policy/practice/research/medical education:

In the present study, profound investigation of experiences of hemodialysis patients clarified the concept of subjective dialysis adequacy and determined its indices. The obtained results, along with expanding the nursing knowledge, pave the way for creating a specific tool for measuring the aspects of subjective dialysis adequacy in hemodialysis patients. This tool can play a key role in implementation of effective interventions in models of hemodialysis clinical function to lower the rate of mortality and promote quality of life among dialysis patients.

Please cite this paper as: Biniaz V, Karimi Moonaghi H, Froutan R, Ebadi A. Subjective adequacy of dialysis; a neglected concept in hemodialysis adequacy. J Renal Inj Prev. 2018;7(3):164-170. doi: 10.15171/jrip.2018.40. 

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