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Montalescot L, Rascle N, Combe C, et al. Patients' experience one year after dialysis initiation: a lexicometric analysis. Health Psychol Behav Med. 2021;9(1):380-397doi: 10.1080/21642850.2021.1918552.
Montalescot, L., Rascle, N., Combe, C., & Untas, A. (2021). Patients' experience one year after dialysis initiation: a lexicometric analysis. Health psychology and behavioral medicine, 9(1), 380-397. https://doi.org/10.1080/21642850.2021.1918552
Montalescot, Lucile, et al. "Patients' experience one year after dialysis initiation: a lexicometric analysis." Health psychology and behavioral medicine vol. 9,1 (2021): 380-397. doi: https://doi.org/10.1080/21642850.2021.1918552
Montalescot L, Rascle N, Combe C, Untas A. Patients' experience one year after dialysis initiation: a lexicometric analysis. Health Psychol Behav Med. 2021 Apr 30;9(1):380-397. doi: 10.1080/21642850.2021.1918552. PMID: 34104566; PMCID: PMC8158193.
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Health Psychol Behav Med. 2021 Apr 30;9(1):380-397. doi: 10.1080/21642850.2021.1918552.

Patients' experience one year after dialysis initiation: a lexicometric analysis.

Health psychology and behavioral medicine

Lucile Montalescot, Nicole Rascle, Christian Combe, Aurélie Untas

Affiliations

  1. UNIV. NIMES, APSY-V, F-30021 Nîmes Cedex 1, France.
  2. Inserm U1219 'Bordeaux Population Health Research Center' Team 'Psychoepidemiology of Aging & Chronic Diseases', University of Bordeaux, Bordeaux, France.
  3. Department of Nephrology Transplantation Dialysis, Centre Hospitalier Universitaire de Bordeaux, Bordeaux, France.
  4. Inserm U1026, University of Bordeaux, Bordeaux, France.
  5. Université de Paris, Laboratoire de Psychopathologie et Processus de Santé, F-92100 Boulogne-Billancourt, France.

PMID: 34104566 PMCID: PMC8158193 DOI: 10.1080/21642850.2021.1918552

Abstract

BACKGROUND: Dialysis implies huge changes in patients' lives. Yet, there is a need to better understand patients' experience in the time following dialysis initiation.

OBJECTIVE: The objective of this study was to investigate patients' experience of dialysis a year after treatment initiation and the associations between patients' discourse and their anxiety and depression symptoms.

METHODS: Twenty two patients (mean age 63.4; 68% men) took part in a semi-directed interview about their experience with dialysis. Participants completed the Hospital Anxiety and Depression Scale (HADS). Interviews were analyzed using a lexicometric analysis.

RESULTS: The analysis generated five classes: experience with nephrological care, facing loss and family relationships, family and acceptance, implementation of a new routine and making sense of the end-stage renal disease experience. Patients' felt very passive in their experience with care. They reported the importance of integrating dialysis in their lives and the role of family support when facing treatment initiation. Depressed patients were more likely to describe their nephrological monitoring very factually and to talk about what they lost with dialysis initiation.

CONCLUSION: Dialysis initiation is a hard time for patients during which they face many challenges. This first year represents a time of adaptation, in which family seems essential.

© 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

Keywords: Dialysis; chronic kidney disease; lexicometry; qualitative methodology

Conflict of interest statement

No potential conflict of interest was reported by the author(s).

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