Family adaptation in end stage renal disease patients undergoing haemodialysis

Abstract

Research shows that Haemodialysis affects not only the patient, but also spouses and family members (Biris et al 2002; Ferrario et al 2002; Daneker et al 2001). The aim of the study was to explore Family Adaptation in patients with ESRD undergoing haemodialysis. This small-scale qualitative study used a semistructured, face-to-face interview. Roy's Adaptation Model was the framework of the study. A convenience sample of 10 patients undergoing haemodialysis in the Local General Hospital was selected for the project. Interviews were audio-taped, transcribed and analysed using thematic analysis. Three themes were identified namely family adaptation by changes in family lifestyle, family adaptation by changes in relationships and factors influencing family adaptation. These findings suggest that the family experienced changes in family lifestyles and relationships. Factors such as love, independence of the patient, acceptance of the situation and religious beliefs appear to help the family towards adaptation. On the other end, chronicity of haemodialysis, fear of death and total dependence of patients hindered this adaptation. Following a discussion of the findings, several recommendations for clinical practice and education were made. Further research is suggested to explore adaptation of the family having a patient on haemodialysis in more depth.