The Iranian Elderly Experiences undergoing Hemodialysis: A Qualitative Study

The incidence of chronic kidney disease is increasing due to increase in aging population, and higher incidence of diabetes, hypertension and cardiovascular disease in the world. This study aims to explore the lived experiences of old people undergoing hemodialysis. A qualitative study was conducted using interpretative hermeneutic phenomenology (Van Manen methodological approach). Nine elderly people (6 men & 3 women) undergoing hemodialysis was recruited based on purposive sampling and interviewed by depth and unstructured questions. Data were analyzed by Van- Manen methodology. Seven main themes and eighteen sub-themes emerged depicting the meaning of living with hemodialysis in the elderly. The main themes were “hemodialysis as life savior”, “problematic life with hemodialysis”, “contradictory feelings”, “faith in God”, “uncertainty”, “dependence”, “social support”. The results of this study reflect the experiences of the elderly hemodialysis patients. Considering that Iran is in the course of population aging and also, the number of elderly people with renal failure has increased, which is being treated with hemodialysis. Knowing these experiences will help gerontologist and other healthcare providers who have better strategic plan for elderly with deeper knowledge. And they will improve quality and quantity health promotion for them.