{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,8]],"date-time":"2025-04-08T04:10:22Z","timestamp":1744085422986,"version":"3.40.3"},"reference-count":46,"publisher":"Korean Society of Nursing Science","issue":"1","license":[{"start":{"date-parts":[[2025,2,19]],"date-time":"2025-02-19T00:00:00Z","timestamp":1739923200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/"}],"content-domain":{"domain":["jkan.or.kr"],"crossmark-restriction":true},"short-container-title":["J Korean Acad Nurs"],"published-print":{"date-parts":[[2025,2,28]]},"abstract":"<jats:p>Purpose: This study aimed to understand the experiences of dialysis and their meaning among patients with chronic kidney disease through a meta-synthesis of the existing literature. Since 2010, the prevalence of end-stage renal disease has doubled in South Korea, which has the sixth-highest incidence worldwide. Although most kidney disease patients undergo dialysis to attenuate disease-related symptoms and prolong their lives, the implications of dialysis on their lives, together with the role played by patients\u2019 significant others, remain underexplored. Similarly, existing research has not considered both patients with hemodialysis and peritoneal dialysis.Methods: In this meta-synthesis, seven electronic databases (PubMed, CINAHL, EMBASE, PsycINFO, DBpia, KISS, and RISS) were searched for the terms \u201cdialysis\u201d and \u201cqualitative.\u201d Thirty qualitative studies were selected for examination.Results: The overriding theme observed in the studies was \u201cI do not have much time left.\u201d\u2013navigating the dual realities of one\u2019s limited existence, while other key themes were: (1) the inevitable experience of the troubles of dialysis, (2) life is extended, but deteriorating in every aspect, (3) accepting dialysis with a positive outlook for life, and (4) essential support experienced in an exhausting life.Conclusion: These findings are important for the design and delivery of practical and tailored nursing interventions to help patients overcome the various challenges related to dialysis treatment, and improve their quality of life.<\/jats:p>","DOI":"10.4040\/jkan.24102","type":"journal-article","created":{"date-parts":[[2025,2,19]],"date-time":"2025-02-19T00:14:40Z","timestamp":1739924080000},"page":"119-136","update-policy":"https:\/\/doi.org\/10.4040\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A qualitative meta-synthesis of the essence of patient experiences of dialysis"],"prefix":"10.4040","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4494-9344","authenticated-orcid":true,"given":"Soyoung","family":"Jang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2866-0911","authenticated-orcid":true,"given":"Eunyoung E.","family":"Suh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8659-9250","authenticated-orcid":true,"given":"Yoonhee","family":"Seok","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2474","reference":[{"volume-title":"Chronic kidney disease in the United States, 2021 [Internet]","year":"2021","key":"ref1"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)61601-9"},{"volume-title":"2020 Annual Data Report [Internet]","year":"2020","key":"ref3"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.23876\/j.krcp.20.202"},{"volume-title":"Current renal replacement therapy in Korea [Internet]","year":"2020","key":"ref5"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2012.04.003"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2004.12.021"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2011.01.024"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1080\/19371918.2015.1087908"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.25159\/2520-5293\/9182"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.12577"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.7475\/kjan.2021.33.2.156"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.3402\/qhw.v9.22952"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.5812\/ircmj.13748"},{"key":"ref15","first-page":"321","volume-title":"Hemodialysis stressors and coping strategies among Jordanian patients on hemodialysis: a qualitative study","author":"Al Nazly","year":"2013"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1186\/s12882-020-1695-1"},{"key":"ref17","first-page":"219","volume-title":"An alternative view of living well: survival trajectory of Korean patients with kidney failure on hemodialysis","author":"Yang","year":"2017"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.21037\/apm.2019.03.04"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-013-0600-9"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1111\/j.1755-6686.2011.00235.x"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2005.03380.x"},{"key":"ref22","doi-asserted-by":"crossref","DOI":"10.4135\/9781412985017","volume-title":"Meta-study of qualitative health research: a practical guide to meta-analysis and meta-synthesis [Internet]","author":"Paterson","year":"2001"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1177\/1049732304269888"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.4040\/jkan.2018.48.5.601"},{"key":"ref25","first-page":"295","volume-title":"Lived experiences of patients on hemodialysis: a meta-synthesis","author":"Hatthakit","year":"2012"},{"key":"ref26","first-page":"21","volume-title":"Experiences of kidney failure: a qualitative meta-synthesis","author":"Makaroff","year":"2012"},{"volume-title":"","year":"2006","author":"Sandelowski","key":"ref27"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1177\/1049732315576493"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2016.12.009"},{"volume-title":"","year":"c2018","key":"ref30"},{"key":"ref31","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.10561015"},{"key":"ref32","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnr.2016.08.008"},{"key":"ref33","first-page":"379","volume-title":"Experiences of Hmong patients on hemodialysis and the nurses working with them","author":"Krueger","year":"2009"},{"key":"ref34","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2012.08.045"},{"key":"ref35","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2004.01036.x"},{"key":"ref36","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-6712.2011.00902.x"},{"key":"ref37","doi-asserted-by":"publisher","DOI":"10.1177\/1359105313475898"},{"volume-title":"The problem of the life and death in the existential philosophy. Philos Stud [Internet]","year":"2006","author":"Lee","key":"ref38"},{"key":"ref39","first-page":"29","volume-title":"Life on dialysis: a lived experience","author":"Clarkson","year":"2010"},{"key":"ref40","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnss.2016.10.006"},{"key":"ref41","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2017.00045"},{"key":"ref42","doi-asserted-by":"publisher","DOI":"10.1080\/13548506.2014.952239"},{"key":"ref43","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2014-005945"},{"key":"ref44","doi-asserted-by":"publisher","DOI":"10.1097\/jnr.0000000000000100"},{"key":"ref45","doi-asserted-by":"publisher","DOI":"10.1007\/s11255-007-9265-z"},{"key":"ref46","first-page":"241","volume-title":"Experiences of patients on outpatient hemodialysis therapy who are anticipating a transplant","author":"Moran","year":"2016"}],"container-title":["Journal of Korean Academy of Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/jkan.or.kr\/upload\/pdf\/jkan-24102.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/jkan.or.kr\/journal\/view.php?doi=10.4040\/jkan.24102","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/jkan.or.kr\/upload\/pdf\/jkan-24102.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,7]],"date-time":"2025-04-07T06:19:14Z","timestamp":1744006754000},"score":1,"resource":{"primary":{"URL":"https:\/\/jkan.or.kr\/journal\/view.php?doi=10.4040\/jkan.24102"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,28]]},"references-count":46,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,2]]}},"URL":"https:\/\/doi.org\/10.4040\/jkan.24102","relation":{},"ISSN":["2093-758X"],"issn-type":[{"type":"electronic","value":"2093-758X"}],"subject":[],"published":{"date-parts":[[2025,2,28]]},"assertion":[{"value":"2024-08-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-03","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-19","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-28","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}