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Living with Limits: A Phenomenological Study on the Experience of Intradialytic Weight Control in Hemodialysis
Sevda Tüzün Özdemir1, Öznur Usta Yeşilbalkan2
1Dialysis Programme, Izmir Konak Vocational School, Izmir, Turkey.
Abstract:
This phenomenological study explored the daily life experiences of 18 hemodialysis patients managing fluid restrictions, recruited from a university hospital in Turkey. Data were collected through semistructured interviews and analyzed using Colaizzi's phenomenological method supported by MAXQDA software. Two themes emerged: Living Amidst Constraints (environmental, psychological, physical, and professional challenges) and Finding Strength (behavioral adaptations, resilience, social support, and educational and technological tools). These findings suggest that knowledge alone is insufficient to ensure adherence to fluid restrictions; nursing practice must therefore embrace holistic, patient-centered approaches that incorporate psychological support and social reinforcement alongside education.
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Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...