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Health SA Gesondheid (Online)

On-line version ISSN 2071-9736
Print version ISSN 1025-9848

Health SA Gesondheid (Online) vol.15 n.1 Cape Town  2010




Quality-of-life experiences from the perspective of patients receiving haemodialysis for chronic renal failure



Louis F. Small

Department of Nursing, University of Namibia, Namibia





This study describes the experiences of patients receiving haemodialysis for chronic renal failure at the only dialysis centre in Windhoek, Namibia. A qualitative, explorative and descriptive design was used. Data were collected by means of in-depth interviews and analysed using Tesch's process. Four themes emerged from the data, relating to (1) financial constraints, (2) loss of independence and spontaneous activities, (3) strain on relationships and (4) feelings of significant physiological changes and weakness. Based on the results, recommendations were submitted for psychosocial support and the establishment of support groups.

Keywords: chronic renal failure; experiences; haemodialysis; perspective of patients; quality of life


Hierdie studie beskryf die ervarings van pasiënte wat gehemodialiseer word vir chroniese nierversaking in die enigste dialise-eenheid in Windhoek. 'n Kwalitatiewe, verkennende en beskrywende studie is gedoen. Die data is deur middel van diepte-onderhoude ingesamel, waarna die data aan die hand van Tesch se metode geanaliseer is. Daar het vier temas uit die studie na vore gekom (1) finansiële beperkings, (2) verlies van onafhanklikheid en spontane aktiwiteite, (3) druk in verhoudings en (4) gewaarwordings van beduidende fisiologiese veranderinge en swakheid. Na aanleiding van hierdie bevindings is die daarstel van psigososiale ondersteuning asook ondersteuningsgroepe aanbeveel.



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Agency for Healthcare Research and Quality, 2000, 'Determinants of disability in patients with chronic renal failure. Summary, evidence report/technology assessment, number 13', viewed 31 July 2009, from        [ Links ]

Arefzadeh, A., Lessanpezeshki, M. & Seifi, S., 2009, 'The cost of hemodialysis in Iran', Saudi Journal of Kidney Disease and Transplants 20(2), 307-311, viewed July 2009, from        [ Links ]

Copstead, L.C. & Banasik, J.L., 2005, Pathophysiology, 3rd edn., Elsevier Saunders, St Louis.         [ Links ]

Creswell, J.W., 1998, Research design: Qualitative and quantitative approaches, Sage, California.         [ Links ]

Cukor, D., Cohen, S.D., Peterson, R.A. & Kimmel, P.L., 2005, 'Psychosocial aspects of chronic disease: ESRD as a paradigmatic illness', Journal of the American Society of Nephrology 18, 3042-3055.         [ Links ]

De Vos, A.S., Strydom, H., Fouché, C.B. & Delport, C.L.S., 2003, Research at grass roots: For the social science and human service professions, 2nd edn., Van Schaik, Pretoria.         [ Links ]

Fresenius Medical Care South Africa (Pty) Ltd., 2008, Induction and basic training for new FME employees, Service Department Training Room, Midrand.         [ Links ]

Guyatt, G.H., Feeny, D.H. & Patrick, D.L., 1993, 'Measuring health related quality of life', Annals of Internal Medicine 118(8), 622-629.         [ Links ]

Hagren, B., Pettersen, I.M., Severinsson, E., Lützen, K. & Clyne, N., 2005, 'Maintenance haemodialysis: Patients' experiences of their life situation', Journal of Clinical Nursing 14(3), 294-300.         [ Links ]

Hanson, S.M.H., Gedaly-Duff, V. & Kaakinen, J.R., 2005, Family health care nursing, 3rd edn., F.A. Davis, Philadelphia.         [ Links ]

Hirth, R., 2009, 'In focus: Medical adherence', University of Michigan School of Public Health 24(1), 1, viewed 31 July 2009, from        [ Links ]

Johnson, M. & Maas, M., 1997, Nursing outcomes classification (NOC), Mosby, St Louis.         [ Links ]

Ko, F.C., Lee, B.O. & Shih, H.T., 2007, 'Subjective quality of life in patients undergoing long-term maintenance hemodialysis treatment: A qualitative perspective', Hu Li Za Zhi 54(1), 53-61 (original article in Chinese), viewed 31 July 2009, from        [ Links ]

Krefting, L., 1991, 'Rigor in qualitative research: Assessment of trustworthiness', American Journal of Occupational Therapy 45(3), 214-222.         [ Links ]

Lee, B.O., Lin, C.C., Chaboyer, W., Chiang, C.L. & Hung, C.C., 2007, 'The fatigue experience of haemodialysis patients in Taiwan', Journal of Clinical Nursing 16(2), 407-413.         [ Links ]

Marieb, E.N. & Hoehn, K., 2007, Human anatomy & physiology, Pearson Benjamin Cummings, Cape Town.         [ Links ]

Maxwell, P. & Fitzpatrick, R., 1998, 'End stage renal failure and assessment of health related quality of life', Quality Health Care 7, 182, viewed 31 October 2009, from        [ Links ]

'Science and development', The Southern Times, 21 September, 2008, p. 12.         [ Links ]

South African Renal Society, 2006, SARS chronic dialysis guidelines, SARS, Cape Town.         [ Links ]

Swartz, L., De La Rey, C. & Duncan, N., 2006, Psychology. An introduction, Oxford University Press, Cape Town.         [ Links ]

Urden, L.B., Stacy, K.M. & Lough, M.E., 2006, Thelan's critical care nursing, 5th edn., Mosby, New York.         [ Links ]

Verrelli, M., Chronic Renal Failure E Medicine from Web MD, viewed 31 July 2009, from        [ Links ]

Wilson, H.S., 1989, Research in nursing, 2nd edn., Addison-Wesley Publishing Company, California.         [ Links ]



Louis Small
PO Box 86002
Windhoek 9000

Received: 19 Nov. 2009
Accepted: 12 July 2010
Published: 29 Nov. 2010

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