Abstract
ABSTRACTObjective:To understand the experience of people living with Chronic Kidney Disease who have been transplanted, from the meanings constructed based on the experienced phenomenon. Method:Hermeneutic-phenomenological study based on the five lifeworld existentials, according to Van Manen’s theoretical framework. Eleven transplanted patients participated in the study and data collection was carried out through semi-structured interviews, after approval of the study by the Ethics Committee of the University of Antioquia. Results:The theme of Living with Chronic Kidney Disease emerged, and the subthemes were grouped as lifeworld existentials of Temporality: something unexpected, being present and not seeing it, being young and sick. Relationality: support, feeling stuck and Terminal Chronic Renal Failure. Spatiality: changes in life, sadness and depression. Corporeality: body deterioration and changes in sex life. Materiality: effects on the economic status. Conclusions:The care provided to people must be oriented in order to recognize their individualities, understanding what the illness means for the individual and his family, how they live with it and what the changes are, leading them to modify their lives and start a long process, such as living with a chronic disease.
Highlights
The main challenges faced by health systems are aging and chronic diseases
The analysis was centered on the lifeworld existentials(13): Relationality, it identifies the relationships that people maintain in their shared space, and leads to the reflection about how relationships can influence the perception of the phenomenon, recognizing common features in the other, the social components that give meaning to life(13)
This article addresses the descriptions of the theme of Living with Chronic Kidney Disease, and the discussion subthemes presented here were considered from the perspective of the lifeworld existentials(13)
Summary
The main challenges faced by health systems are aging and chronic diseases. The number of people with Chronic Kidney Disease and Terminal Chronic Renal Failure continues to increase exponentially, being a public health problem that could reach severe epidemic proportions. There are several important factors for its development, such as aging, cardiovascular diseases and type II diabetes mellitus, considered to be responsible for its increasing incidence(2). In 2010, more than 2 million people in the world were treated for this disease(3). By 2030, approximately 2.2 million people will require renal replacement therapy(5). The main treatment options are: kidney transplantation or dialysis, and given the limitations of kidney transplantation, it is recognized that most people enter a renal replacement therapy(2)
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