Key result
Qualitative interviews identify psychoeducation, positive psychology, spirituality, and social support to improve the HD experience.
Why the study?
Session duration and the lifelong nature of haemodialysis make it difficult to tolerate, motivating an exploration of turning treatment duration into an opportunity for meaningful patient engagement.
Integrating psychological interventions such as psychoeducation and positive psychology during haemodialysis sessions could positively transform the treatment experience for patients in Pakistan.
Answers are grounded in this paper and cite their sources.
Patient perspectives may guide supportive HD care; leaves open efficacy of these strategies in prospective trials.
Most patients with End Stage Kidney Failure (ESKF) in Pakistan must undergo maintenance haemodialysis (HD) to survive. Session duration and the often lifelong nature of this treatment, along with other factors associated with HD, make it difficult to tolerate. This study took a positive psychological perspective and considered that HD sessions' duration, which has been a major challenge for HD patients, can be turned to an opportunity for patients' meaningful engagement. Such meaningful engagement can positively transform Pakistani patients' experience of HD and extend into their lives outside HD. Twenty-four HD patients and six healthcare professionals were interviewed to explore the potential to transform the HD experience. Interview data were analysed using interpretive phenomenological analysis (IPA). Data analysis indicated that HD session duration was a significant and common challenge or all patients. Nevertheless, HD patients identified strategies such as psychoeducation, positive psychology, spiritual strategies, and social support as having the potential to positively affect the overall HD experience. The strategies identified in the study could be integrated in a psychological intervention to be implemented during regular HD sessions and potentially positively transform the experience of HD for Pakistani patients and improve their lives overall.
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Shouket et al. (2026) studied End Stage Kidney Failure (ESKF) requiring maintenance haemodialysis (n=30). Qualitative exploration of haemodialysis experience was evaluated on Identified strategies to positively affect the overall HD experience. Qualitative interviews identified psychoeducation, positive psychology, spiritual strategies, and social support as potential strategies to positively transform the haemodialysis experience.
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