{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T12:32:23Z","timestamp":1793363543669,"version":"4.5.0"},"reference-count":27,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T00:00:00Z","timestamp":1785283200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T00:00:00Z","timestamp":1785283200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Renal Care"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Chronic kidney disease\u2010associated pruritus is a common and often under\u2010recognized symptom among people receiving haemodialysis and may substantially impair daily life and wellbeing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To determine the prevalence and severity of pruritus in people receiving haemodialysis and to explore the lived experiences of those with moderate\u2010to\u2010severe pruritus.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Explanatory sequential mixed\u2010methods study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>A total of 294 adults receiving haemodialysis in three dialysis centres participated in the quantitative phase. The qualitative phase included 48 participants selected from the quantitative sample who had moderate\u2010to\u2010severe pruritus, defined as a Five\u2010D Itch Scale score of 12 or higher.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>Data were collected between October 2025 and January 2026. Quantitative data were collected using the Five\u2010Dimensional Itch Scale and a sociodemographic and clinical information form developed for this study. Qualitative data were generated through at least two semi\u2010structured interviews with each participant and analysed using reflexive thematic analysis. Integration was performed at the interpretation stage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The mean Five\u2010Dimensional Itch Scale score was 8.00\u2009\u00b1\u20093.21, and moderate\u2010to\u2010severe pruritus prevalence was 16.3%. Multivariable analysis showed lower symptom reporting among married participants, whereas comorbidity and previous pruritus\u2010related education were associated with higher symptom reporting. Qualitative findings indicated that pruritus was experienced as a fluctuating burden affecting sleep, daily comfort, and social roles. Participants described trial\u2010and\u2010error self\u2010management strategies and expressed a need for proactive assessment, practical guidance and individualised nursing care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Chronic kidney disease\u2010associated pruritus remains a multidimensional burden in haemodialysis care. Standardised assessment and person\u2010centred nursing care may improve its recognition and management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jorc.70075","type":"journal-article","created":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T10:32:21Z","timestamp":1785321141000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Chronic Kidney Disease\u2010Associated Pruritus in Haemodialysis: A Mixed\u2010Methods Study of Symptom Burden and Patient Experience"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2790-1426","authenticated-orcid":false,"given":"G\u00fclay","family":"Turgay","sequence":"first","affiliation":[{"name":"Dialysis Programme, Vocational School of Health Services Ba\u015fkent University Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5900-4220","authenticated-orcid":false,"given":"\u00c7i\u011fdem","family":"\u00d6zdemir Eler","sequence":"additional","affiliation":[{"name":"Dialysis Programme, Vocational School of Health Services Ba\u015fkent University Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,29]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.31067\/0.2018.66"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.xkme.2025.101055"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/capr.12360"},{"key":"e_1_2_15_6_1","volume-title":"Designing and Conducting Mixed Methods Research","author":"Creswell J. 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