Subjective adequacy of dialysis; A neglected concept in hemodialysis adequacy

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.