Affiliations 

  • 1 Unit of Palliative Medicine, Faculty of Medicine, University of Malaya Medical Centre, Kuala Lumpur, Malaysia. pramudita_1@hotmail.com
  • 2 Unit of Palliative Medicine, Faculty of Medicine, University of Malaya Medical Centre, Kuala Lumpur, Malaysia
  • 3 Unit of Renal Medicine, Department of Medicine, Faculty of Medicine, University of Malaya Medical Centre, Kuala Lumpur, Malaysia
Ann Palliat Med, 2019 Sep;8(4):401-410.
PMID: 30943744 DOI: 10.21037/apm.2019.03.04

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.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.