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A contribution to supporting and understanding the end stage renal failure experience
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Seabrook, Hannah (2011) A contribution to supporting and understanding the end stage renal failure experience. DClinPsych thesis, University of Warwick.
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Official URL: http://webcat.warwick.ac.uk:80/record=b2581172~S1
Abstract
There are 30,000 people in the UK who are on dialysis or that have received a
transplant for chronic kidney failure (Stein & Wilde, 2006). Those with a diagnosis
of End Stage Renal Failure (ESRF) face a gruelling treatment regimen with dialysis
providing only 5% of the function two healthy kidneys would supply (Stein &
Wilde, 2006). Patients face many changes to their lifestyle and these are often
difficult to manage. The treatment necessary for such a condition is complex and
includes restrictions to diet and fluid intake as well ingestion of medication and
attending dialysis. Many patients struggle with adhering to this treatment and it is
important to have an understanding of the psychological factors that contribute to
this issue. Understanding the experience of being diagnosed and treated for ESRF
for specific groups of patients is an important area of research if the best quality care
is to be provided. This thesis is made up of three chapters, the first two are a
literature review and an empirical paper that focus on two under-researched areas in
the field of ESRF.
Those with ESRF often struggle to adhere to prescribed medical treatments with
rates estimated to be between 50-80% (Christensen, 2000; Morgan, 2001). The
social and psychological effects of this diagnosis on adherence have been well
recognised by the research. Chapter one presents a critical review of the literature
that considers psychological factors of adherence to the treatment for ESRF in its
entirety (rather than dietary restrictions or medication intake alone) in the last ten
years. The review reveals a number of important psychological factors related to
adherence to ESRF treatment. The review finds evidence to support the argument
that psychological factors associated with adherence are an important consideration
for supporting this group. The review highlights many of the limitations of the
current literature and identifies directions for future research.
Chapter two presents an empirical study exploring working age men’s experiences
of ESRF and haemodialysis. There is a lack of research into the experiences of
specific groups with this diagnosis and treatment experience. This includes working
age men, and there are no qualitative studies of this group. The paper focuses on the
experience of diagnosis, treatment and coping using Interpretative
Phenomenological Analysis. Findings revealed three superordinate themes these
were: ‘The many sides of the HD treatment experience’, ‘Coping the best way you
can’ and their experience of ESRF as a ‘Hidden diagnosis’. Clinical implications and
directions for future research are then discussed.
Chapter three is a reflective paper highlighting some of the issues that arose for the
researcher during the research process. This paper considers the different roles of the
researcher within and outside the research context, how they have converged and the
impact they have had. They include reflections that may be beneficial to future
researchers in this area.
Item Type: | Thesis (DClinPsych) | ||||
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Subjects: | B Philosophy. Psychology. Religion > BF Psychology R Medicine > RC Internal medicine |
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Library of Congress Subject Headings (LCSH): | Chronic renal failure -- Treatment -- Psychological aspects, Men -- Diseases -- Psychology | ||||
Official Date: | May 2011 | ||||
Dates: |
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Institution: | University of Warwick | ||||
Theses Department: | Department of Psychology | ||||
Thesis Type: | DClinPsych | ||||
Publication Status: | Unpublished | ||||
Supervisor(s)/Advisor: | Neal, Adrian ; Highfield, Julie | ||||
Description: | Completed in conjunction with Coventry University. School of Health and Social Sciences. |
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Extent: | x, 94 leaves | ||||
Language: | eng |
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