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Original Article

Hemodialysis Patients' Experience of Adapting to Dietary Therapy

Eun Kyung Yang1, Il-Ok Kim2
Korean Journal of Adult Nursing 2016;28(3):323-333.
Published online: June 30, 2016

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Corresponding author: Kim, Il-Ok Department of Nursing, Korea Sahmyook University, 815 Hwarang-ro, Nowon-gu, Seoul 01795, Korea. Tel: +82-2-3399-1587, Fax: +82-2-3399-1594, E-mail: kimio@syu.ac.kr
• Received: April 8, 2016   • Accepted: June 20, 2016

Copyright © 2016 Korean Society of Adult Nursing

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • Purpose
    The purpose of this study was to explore the meaning of the experience of adapting to the dietary treatment for hemodialysis patients.
  • Methods
    The data were collected through in-depth interviews of ten hemodialysis patients who have been dialyzed for longer than five months. Giorgi's phenomenological method was used for data analysis.
  • Results
    The findings included five constituents and 16 sub-constituents. The five constituents concerning diet therapy were: 'suffering', 'undergoing trial and error', 'understanding the need', 'finding alternatives', and 'realizing the meaning of dietary therapy.'
  • Conclusion
    The findings contribute to understanding the process of adapting to diet therapy. The results of this study may be utilized in assisting patients to understand the diet therapy process.
  • Key Words: Diet therapy; Adaptation; Hemodialysis; Phenomenology; Renal replacement therapy
Figure 1.
Meaning structure of adapting to the dietary therapy in hemodialysis patients.
kjan-28-323f1.jpg
Table 1.
Constituents and Subconstituents of Hemodialysis Patients' Experience of Adapting to Dietary Therapy
Constituents Participant 1 Participant 2 Participant 3 Participant 4 Participant 5
Dietary therapy as suffering ․ Suffering from ․ Suffering from powerlessness under prohibition of eating favorite food to full ․ Suffering from ․ Suffering from powerlessness under prohibition of eating favorite food to full ․ Suffering from
- limitation of social activity - limitation of social activity - limitation of social activity
- powerlessness under prohibition of eating favorite food to full - powerlessness under prohibition of eating favorite food to full - powerlessness under prohibition of eating favorite food to full
- being burden to family  
Undergoing trial and error in dietary therapy ․ Inappropriate help of family ․ Eating without realizing the powerlessness ․ Eating without realizing the powerlessness ․ Eating without realizing the powerlessness ․ Searching various methods ․Eating without realizing the powerlessness
․ Eating without realizing the powerlessness
․ Inappropriate help of family
Understanding need of dietary therapy ․ Realized need of dietary therapy by body's reaction ․ Realized need of dietary therapy by body's reaction ․ Realized need of dietary therapy by body's reaction ․ Realized need of dietary therapy by body's reaction ․ Realized need of dietary therapy by body's reaction
․ Reprimanded of dietary therapy by health care provider ․ Own enlightenment of the need for dietary therapy by weight gain ․ Own enlightenment of the need for dietary therapy by weight gain
․ Own enlightenment of the need for dietary therapy by weight gain
Finding an alternative of dietary therapy   ․ Change positive thinking of dietary stress ․ Realized need of dietary therapy by body's reaction ․ Finding an alternative stress relieving diet ․ Finding an alternative stress relieving diet
Realized the meaning of dietary therapy   ․ Realized that eating cannot be means of relieving stress     ․ Realized quality is more important than quantity of food
          ․ Realized health as essential to dietary therapy
Constituents Participant 6 Participant 7 Participant 8 Participant 9 Participant 10
Dietary therapy as suffering ․ Suffering from ․ Suffering from powerlessness under prohibition of eating favorite food to full ․ Suffering from powerlessness under prohibition of eating favorite food to full ․ Suffering from powerlessness under prohibition of eating favorite food to full ․ Suffering from
- being burden to family - limitation of social activity
- powerlessness under prohibition of eating favorite food to full
- powerlessness under prohibition of eating favorite food to full
Undergoing trial and error in diet therapy ․ Inappropriate help of family ․Eating without realizing the importance ․ Searching various methods ․ Searching various methods ․ Eating without realizing the importance ․ Eating without realizing the importance
․ Searching various methods ․ Searching various methods ․ Searching various methods
Understanding need of diet therapy ․ Realized need of dietary therapy by body's reaction ․ Realized need of dietary therapy by body's reaction ․ Realized need of dietary therapy by body's reaction ․ Realized need of dietary therapy by body's reaction ․ Realized need of dietary therapy by body's reaction
․ Do not want to mind to family by deterioration in health due to failure of dietary therapy ․ Reprimanded of dietary therapy by health care provider
․ Indirect experience of failure of dietary therapy by other people
Finding an alternative of diet therapy ․ Change positive thinking of diet stress ․ Change positive thinking of diet stress ․Finding an alternative stress relieving diet
․ Finding an alternative stress relieving diet
Realized the meaning of dietary therapy ․ Realized health as essential to dietary therapy
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    Hemodialysis Patients' Experience of Adapting to Dietary Therapy
    Korean J Adult Nurs. 2016;28(3):323-333.   Published online June 30, 2016
    DOI: https://doi.org/10.7475/kjan.2016.28.3.323
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    Hemodialysis Patients' Experience of Adapting to Dietary Therapy
    Korean J Adult Nurs. 2016;28(3):323-333.   Published online June 30, 2016
    DOI: https://doi.org/10.7475/kjan.2016.28.3.323
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    Hemodialysis Patients' Experience of Adapting to Dietary Therapy
    Image
    Figure 1. Meaning structure of adapting to the dietary therapy in hemodialysis patients.

    Figure 1.

    Hemodialysis Patients' Experience of Adapting to Dietary Therapy

    Constituents and Subconstituents of Hemodialysis Patients' Experience of Adapting to Dietary Therapy

    Constituents Participant 1 Participant 2 Participant 3 Participant 4 Participant 5
    Dietary therapy as suffering ․ Suffering from ․ Suffering from powerlessness under prohibition of eating favorite food to full ․ Suffering from ․ Suffering from powerlessness under prohibition of eating favorite food to full ․ Suffering from
    - limitation of social activity - limitation of social activity - limitation of social activity
    - powerlessness under prohibition of eating favorite food to full - powerlessness under prohibition of eating favorite food to full - powerlessness under prohibition of eating favorite food to full
    - being burden to family  
    Undergoing trial and error in dietary therapy ․ Inappropriate help of family ․ Eating without realizing the powerlessness ․ Eating without realizing the powerlessness ․ Eating without realizing the powerlessness ․ Searching various methods ․Eating without realizing the powerlessness
    ․ Eating without realizing the powerlessness
    ․ Inappropriate help of family
    Understanding need of dietary therapy ․ Realized need of dietary therapy by body's reaction ․ Realized need of dietary therapy by body's reaction ․ Realized need of dietary therapy by body's reaction ․ Realized need of dietary therapy by body's reaction ․ Realized need of dietary therapy by body's reaction
    ․ Reprimanded of dietary therapy by health care provider ․ Own enlightenment of the need for dietary therapy by weight gain ․ Own enlightenment of the need for dietary therapy by weight gain
    ․ Own enlightenment of the need for dietary therapy by weight gain
    Finding an alternative of dietary therapy   ․ Change positive thinking of dietary stress ․ Realized need of dietary therapy by body's reaction ․ Finding an alternative stress relieving diet ․ Finding an alternative stress relieving diet
    Realized the meaning of dietary therapy   ․ Realized that eating cannot be means of relieving stress     ․ Realized quality is more important than quantity of food
              ․ Realized health as essential to dietary therapy
    Constituents Participant 6 Participant 7 Participant 8 Participant 9 Participant 10
    Dietary therapy as suffering ․ Suffering from ․ Suffering from powerlessness under prohibition of eating favorite food to full ․ Suffering from powerlessness under prohibition of eating favorite food to full ․ Suffering from powerlessness under prohibition of eating favorite food to full ․ Suffering from
    - being burden to family - limitation of social activity
    - powerlessness under prohibition of eating favorite food to full
    - powerlessness under prohibition of eating favorite food to full
    Undergoing trial and error in diet therapy ․ Inappropriate help of family ․Eating without realizing the importance ․ Searching various methods ․ Searching various methods ․ Eating without realizing the importance ․ Eating without realizing the importance
    ․ Searching various methods ․ Searching various methods ․ Searching various methods
    Understanding need of diet therapy ․ Realized need of dietary therapy by body's reaction ․ Realized need of dietary therapy by body's reaction ․ Realized need of dietary therapy by body's reaction ․ Realized need of dietary therapy by body's reaction ․ Realized need of dietary therapy by body's reaction
    ․ Do not want to mind to family by deterioration in health due to failure of dietary therapy ․ Reprimanded of dietary therapy by health care provider
    ․ Indirect experience of failure of dietary therapy by other people
    Finding an alternative of diet therapy ․ Change positive thinking of diet stress ․ Change positive thinking of diet stress ․Finding an alternative stress relieving diet
    ․ Finding an alternative stress relieving diet
    Realized the meaning of dietary therapy ․ Realized health as essential to dietary therapy
    Table 1. Constituents and Subconstituents of Hemodialysis Patients' Experience of Adapting to Dietary Therapy

    Table 1.

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