Work Experience of Patients Undergoing Hemodialysis

혈액투석 대상자의 직장생활 경험

  • Park, Min-Sun (Artificial Kidney Univ, Namyang-Ju Hanyang Hospital) ;
  • Kim, Mi-Young (Division of Nursing Science, College of Health Science, Ewha Womans University)
  • 박민선 (남양주한양병원 인공신장실) ;
  • 김미영 (이화여자대학교 건강과학대학 간호과학부)
  • Received : 2009.11.29
  • Accepted : 2010.03.25
  • Published : 2010.05.31

Abstract

Purpose: This study was done to gain understanding of what career and related experience mean to individuals undergoing hemodialysis. Methods: Ten male patients receiving hemodialysis participated in the study. Data collection took place between November 18, 2008 and February 10, 2010, via unstructured interviews. Data collection and analysis were conducted simultaneously, and Colaizzi's phenomenological method (1978) was used for the analysis. Results: The significance the participants found in their "dual" life as worker and dialysis patients was classified into five categories: 'Recognition of self-existence value', 'My health comes before my work', 'Being afraid of stigma', 'Limitation of restricted work', and 'Difficulty with time management.' Conclusion: It was found that the dialysis patients showed ambivalent feelings towards their careers, hoping they will be able to continue to work yet fearing that the continued work might break balance the between their livelihood and healing. Therefore, it is recommended that hours for hemodialysis be more flexible to ensure that patients can keep their jobs and better manage their time while undergoing treatment.

Keywords

References

  1. Bok, C. H. (2004). A study of factors on employment of people with renal transplantation. Disability & Employment, 14(3), 18-35.
  2. Cho, C. H., Woo, H. J., Cho, Y. S., Choi, Y. O., Kim, M. S., Lee, E. H., et al. (1999). The needs for the nursing care in hemodialysis patients. The chung-Ang Journal of Nursing, 3(2), 59-72.
  3. Choi, S. H., Baek, K. H., Lim, H. B., Lee, J. Y., Kim, H. J., & Kim, Y. S., et al. (2006). The effect of warm and ice application for pain control caused by arteriovenous fistular needling under hemodialysis. Journal of Korean Clinical Nursing Research, 12(1), 179-189.
  4. Choi, S. Y. (2007). A Study on factors affecting on the job maintenance of people with renal disease. Unpublished master's thesis, Seoul National University, Seoul.
  5. Cleary, J., & Drennan, J. (2005). Quality of life of patients on haemodialysis for end-stage renal disease. Journal of Advanced Nursing, 51(6), 577-586. https://doi.org/10.1111/j.1365-2648.2005.03547.x
  6. Colaizzi, P. F. (1978). Psychological research as the phenomenologist views it. In R. S. Valle & M. King, (Eds.), Existential-phenomenological alternatives for psychology (pp. 48-71), New York: Oxford University Press.
  7. Davison, S. N., & Simpson, C. (2006). Hope and advance care planning in patients with end stage renal disease: qualitative interview study. British Medical Journal, 333(7574), 886-890. https://doi.org/10.1136/bmj.38965.626250.55
  8. Guba, E. G., & Lincoln, Y. S. (1998). Competing paradigms in qualitative research. In N. K. Denzin & Y. S. Lincoln (Eds.), The landscape of qualitative research. Thousands Oaks, CA: Sage.
  9. Hagren, B., Pettersen, I. M., Severinsson, E., Lutzen, K., & Clyne, N. (2001). The haemodialysis machine as a lifeline: experiences of suffering from end-stage renal disease. Journal of Advanced Nursing, 34(2), 196-202. https://doi.org/10.1046/j.1365-2648.2001.01745.x
  10. Hagren, B., Pettersen, I. M., Severinsson, E., Lutzen, K., & Clyne, N. (2005). Maintenance haemodialysis: Patients' experiences of their life situation. Journal of Clinical Nursing, 14(3), 294-300. https://doi.org/10.1111/j.1365-2702.2004.01036.x
  11. Kaba, E., Bellou, P., Lordanou, P., Andrea, S., Kyritsi, E., Gerogianni, G., et al. (2007). Problems experienced by haemodialysis patients III Greece. British Journal of Nursing, 16(14), 868-872.
  12. Kim, B. H., Kim, K. J., Park, I. S., Lee, K. J., Kim J. K., Hong, J. J., et al. (1999). A comparison of phenomenological research methodology-focused on Giorgi, Colaizzi, Van Kaam methods-. Journal of Korean Academy of Nursing, 29(6), 1208-1220.
  13. Kim, H. B. (2005). A study on caring experience from their spouses perceived by hemodialysis patients: A grounded theory. Korean Journal of Rehabilitation Nursing, 8(2), 157-164.
  14. Korean Society of Nephrology, Registry Committee. (2005). Renal replacement therapy in Korea. The Korean Journal of Nephrology, 24(2), S367-S395.
  15. 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. https://doi.org/10.1111/j.1365-2702.2005.01409.x
  16. Lee, J. H. (2008, May 16). End of stage renal disease patient has financial difficulties. KBS news web site, Retrieved April 7, from http://news.kbs.co.kr/science/2008/05/16/1561683.html
  17. Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. Beverly Hills, CA: Sage.
  18. Limdqvist, R., Carlsson, M., & Sj6den, P. O. (2000). Perceived consequences of being a renal failure patient. Nephrology Nursing Journal, 27(3), 291-297.
  19. Mok, E., & Tam, B. (2001). Stressors and coping methods among chronic haemodialysis patients in Hong Kong. Journal of Clinical Nursing, 10(4), 503-511. https://doi.org/10.1046/j.1365-2702.2001.00500.x
  20. Park, S. D., & Kim S. J. (2003). A study on employment status and needs of people with renal disease. The Educational Journal for Physical and Multiple Disabilities, 41, 179-200.
  21. Polaschek, N. (2003). The experience of living on dialysis: a literature review Nephrology Nursing Journal, 30(3), 303-313.
  22. Shin, K. R., Cho, M. O., & Yang, J. H. (2004). Qualitative research methodology. Seoul: Ewha Womans University Press.
  23. Suet-Ching, W. L. (2001). The quality of life for Hong Kong dialysis patients. Journal of Advanced Nursing. 35(2), 218-227. https://doi.org/10.1046/j.1365-2648.2001.01839.x
  24. Tanyi, R. A., & Werner, J. S. (2008). Women's experience of spirituality within end-stage renal disease and hemodialysis. Clinical Nursing Research, 17(1), 32-49. https://doi.org/10.1177/1054773807311691
  25. Theorell, T., Konarski-Svensson, J. K., Ahlmen, J., & Perski, A. (1991). The role of paid work in Swedish chronic dialysis patient-a nation-wide survey: paid work and dialysis. Journal of Infernal Medicine, 230(6), 501-509. https://doi.org/10.1111/j.1365-2796.1991.tb00481.x
  26. Welch, J. L., & Austin, J. K. (2001). Stressors, coping and depression in haemodialysis patients. Journal of Advanced Nursing, 33(2), 200-207. https://doi.org/10.1046/j.1365-2648.2001.01654.x
  27. Yi, M. (1998). Psychosocial adjustment after kidney transplantation. Journal of Korean Academy of Nursing, 28(2), 291-302.