[Identification process in hemodialysis patients: impact of the technique on the life trajectory]

The haemodialysis is a palliative technical treatment relatively recent which makes it possible insufficient renal to continue to live. Those indefinitely follow in weekly time three meetings of extra-renal purification as long as they are not transplanted. Within the framework of the research task realized for obtaining the licence and the diploma of framework of health, I was interested in the trajectory of life and the identity of these patients by questioning the processes which lead it to be qualified by its treatment and becoming one "haemodialysis". I chose a step of sociological investigation of nature by leading a comparative analysis between two centres of haemodialysis. The trajectory of the patient is defined by a process in stages: the initial shock precedes the adaptation by the sick person and supports the emergence of a profane knowledge which will be or not recognized by the professionals of dialysis according to centres'. The technique structure also the identity process of the patients, process marked by signs of entry in the deviating career and/or stigmatization, which take part to build in return a singular identity, i.e. defined by a deficit of specific identity. This deficit could explain the request for training and the emergence of a technical skill among certain patients, whereas they attend heavy centres of haemodialysis. The recognition of the patient as an actor of the process of care as well as looking after redefines the place of the nurses who can find a benefit for their professional identity there.