ArticleJournal of clinical nursing2018
Understanding the impact of haemodialysis on UK National Health Service patients' well-being: A qualitative investigation.
Article in Journal of clinical nursing, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- Lived experiences of people with chronic kidney disease on maintenance dialysis: a systematic review and thematic synthesis of qualitative studies.BMC nephrology · 2025Pooled it
- Assessment of patient perspectives in the CONVINCE trial in end-stage kidney disease - a domain-guided approach.Frontiers in nephrology · 2026Article
- Using behavioural theory to explore barriers and facilitators to physical activity in haemodialysis patients: an updated systematic review of qualitative evidence.Health psychology and behavioral medicine · 2026Review
- A mixed-methods protocol to explore psychological distress and psychosocial needs along the continuum of CKD care- a single healthcare network.BMC nephrology · 2025Article
- A period prevalence study of palliative care need and provision in adult patients attending hospital-based dialysis units.Journal of nephrology · 2025Article
- Observational
- High rates of psychological distress, mental health diagnoses and suicide attempts in people with chronic kidney disease in Ireland.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2023Article
- Lived Experiences of Patients on Hemodialysis Treatment at Kiruddu National Referral Hospital: A Phenomenological Study.Patient related outcome measures · 2023Article
- Living normally without being oneself: A qualitative study on the experience of living with advanced chronic kidney disease.PloS one · 2023Article
- Functional Status and Engagement in Physical Activity Among Maintenance Dialysis Patients: A Mixed Methods Study.Kidney medicine · 2022Article
- Poor Sleep Quality, Depression and Social Support Are Determinants of Serum Phosphate Level among Hemodialysis Patients in Malaysia.International journal of environmental research and public health · 2020Article
- Understanding the impact of haemodialysis on UK National Health Service patients' well-being: A qualitative investigation.Journal of clinical nursing · 2018Article
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
AIMS AND
objectivesWhile haemodialysis is an effective treatment for end-stage renal disease, the requirements and restrictions it imposes on patients can be onerous. The aim of this study was to obtain UK National Health Service patients' perspectives on the challenges arising from haemodialysis with the intention of identifying potential improvements.
backgroundDepression rates are particularly high in those with end-stage renal disease; however, there is limited insight into the range of stressors associated with haemodialysis treatment within the National Health Service contributing to such high rates, particularly those of a cognitive or psychological nature.
designA qualitative approach was used to obtain rich, patient-focused data; one-to-one semi-structured interviews were conducted with twenty end-stage renal disease at a UK National Health Service centre.
methodsPatients were interviewed during a typical haemodialysis session. Thematic analysis was used to systematically interpret the data. Codes were created in an inductive and cyclical process using a constant comparative approach.
resultsThree themes emerged from the data: (i) fluctuations in cognitive/physical well-being across the haemodialysis cycle, (ii) restrictions arising from the haemodialysis treatment schedule, (iii) emotional impact of haemodialysis on the self and others. The findings are limited to predominantly white, older patients (median = 74 years) within a National Health Service setting.
conclusionsSeveral of the experiences reported by patients as challenging and distressing have so far been overlooked in the literature. A holistic-based approach to treatment, acknowledging all aspects of a patient's well-being, is essential if optimal quality of life is to be achieved by healthcare providers. RELEVANCE TO CLINICAL PRACTICE: The findings can be used to inform future interventions and guidelines aimed at improving patients' treatment adherence and outcomes, for example, improved reliable access to mental health specialists.
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