The experiences of suffering of end-stage renal failure patients in Malaysia: a thematic analysis

Ann Palliat Med. 2019 Sep;8(4):401-410. doi: 10.21037/apm.2019.03.04. Epub 2019 Apr 1.

Abstract

Background: The population of end-stage renal failure (ESRF) receiving dialysis treatment is increasing worldwide. For most patients with ESRF, dialysis can extend their life. However, treatment can be demanding and time-consuming. Despite dialysis treatment, many patients continue to experience various sufferings.

Methods: A qualitative study was conducted with semi-structured interviews to explore the experiences of suffering of ESRF patients on maintenance dialysis in Malaysia. The results were thematically analyzed.

Results: Nineteen ESRF patients were interviewed. The themes and subthemes were: (I) physical suffering-physical symptoms and functional limitations, (II) psychological suffering-the emotions and thoughts of suffering, (III) social suffering-healthcare-related suffering and burdening of others and (IV) spiritual suffering-the queries of suffering.

Conclusions: These findings may help healthcare professionals to fill in the gaps in the delivery of best renal palliative care.

Keywords: Malaysia; Suffering; dialysis; palliative care; renal failure.

MeSH terms

  • Adult
  • Aged
  • Female
  • Humans
  • Interpersonal Relations
  • Kidney Failure, Chronic / epidemiology
  • Kidney Failure, Chronic / psychology*
  • Kidney Failure, Chronic / therapy
  • Malaysia / epidemiology
  • Middle Aged
  • Pain / psychology*
  • Palliative Care / psychology*
  • Palliative Care / standards
  • Renal Dialysis / psychology
  • Spirituality
  • Stress, Psychological / epidemiology
  • Stress, Psychological / etiology*
  • Young Adult