Kapadi Romaana, Elander James, Burton Amy E, Taylor Jennifer, Coyne Emma, Selby Nicholas M, Taal Maarten W, Mitchell Kathryn, Stalker Carol
School of Psychology, University of Derby, Derby, UK.
School of Health, Science and Wellbeing, Staffordshire University, Stoke-on-Trent, UK.
Psychol Health. 2025 Mar;40(3):394-409. doi: 10.1080/08870446.2023.2231007. Epub 2023 Jul 6.
Haemodialysis extends life for people with end-stage kidney disease (ESKD) worldwide, but it imposes significant psychosocial burdens and there is little evidence about successful adjustment. This study aimed to improve understanding of successful psychosocial adjustment to in-centre haemodialysis (ICHD; dialysis in a hospital or satellite unit).
Individual semi-structured interviews were conducted with a purposive sample of 18 people with ESKD who had all received in-centre haemodialysis in the UK for at least 90 days in the last two years. An inductive thematic analysis was employed to identify themes from the verbatim interview transcripts.
There were four themes: 1) , which described the importance of accepting the necessity of dialysis; 2) , which described how being actively involved in treatment gave participants greater feelings of autonomy and control; 3) , which described the benefits of instrumental and emotional support; and 4) , which described the importance of optimism and positivity.
The themes demonstrated elements of successful adjustment that could be targeted by interventions to promote psychological flexibility and positive adjustment among people receiving in-centre haemodialysis worldwide.
血液透析延长了全球终末期肾病（ESKD）患者的生命，但它带来了巨大的心理社会负担，而且关于成功适应的证据很少。本研究旨在增进对成功适应中心血液透析（ICHD；在医院或卫星单位进行的透析）的理解。
对18名ESKD患者进行了个体半结构化访谈，这些患者均在英国接受了至少90天的中心血液透析，时间为过去两年内。采用归纳主题分析法从访谈逐字记录中识别主题。
有四个主题：1） ，描述了接受透析必要性的重要性；2） ，描述了积极参与治疗如何让参与者有更强的自主感和掌控感；3） ，描述了工具性和情感支持的益处；4） ，描述了乐观和积极的重要性。
这些主题展示了成功适应的要素，全球接受中心血液透析的人群可通过干预措施针对这些要素来促进心理灵活性和积极适应。
