The phenomenology of deciding about hemodialysis among Taiwanese

West J Nurs Res. 2005 Nov;27(7):915-29; discussion 930-4. doi: 10.1177/0193945905278390.


The purpose of this study was to describe the experience of making hemodialysis choices among Taiwanese with end-stage renal disease (ESRD). Using Colaizzi's phenomenological method, 12 ESRD patients provided in-depth, audiotaped interviews that were then transcribed and analyzed. The results of the data analysis revealed three broad categories and ten themes. The first category, confronting the dialysis treatment, included four themes: fear caused by false beliefs, a sense of threat to life, concern about the impairment of self-concept, and fear of physical limitations. The second category, seeking further information, included three themes: getting opinions of family members, seeking professional confirmation, and exploring alternative treatments. The third category, living with dialysis, included three themes: worsening symptoms, support of the family, and law of causation. These categories and themes revealed the difficulties that ESRD patients dealt with and the influence these difficulties and their culture had on the treatment choice.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Psychological
  • Adult
  • Body Image
  • Buddhism / psychology
  • Causality
  • Choice Behavior*
  • Family / psychology
  • Fear
  • Female
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Kidney Failure, Chronic / ethnology*
  • Kidney Failure, Chronic / etiology
  • Kidney Failure, Chronic / therapy
  • Male
  • Middle Aged
  • Nursing Methodology Research
  • Patient Acceptance of Health Care / ethnology*
  • Patient Education as Topic
  • Qualitative Research
  • Quality of Life
  • Renal Dialysis / psychology*
  • Retrospective Studies
  • Self Concept
  • Social Support
  • Surveys and Questionnaires
  • Taiwan