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Abstract

Introduction: In some cases, quality of life for dialysis patients leads to the search for home-based environments. In others, the home environment may represent a significant barrier. Analysing the environment in which dialysis treatment takes place is related to the patient’s capacity for self-management of both treatment and disease. Nursing care plans should, from an early stage, assess whether an environment is appropriate and consider the patient’s self-management style, encouraging an active role.
Objective: To explore the lived experience of dialysis patients in relation to personal self-management of treatment and the environment in which it occurs.
Material and Method: We conducted a descriptive phenomenological qualitative study through interviews with patients enrolled in different dialysis programmes. A non-probabilistic sampling method was used. Results were obtained through verbatim transcription, constant comparison, and field notes from the interviews. Discourse was analysed using triangulation and an iterative inductive thematic analysis.
Results: A total of 24 participants were interviewed. The categories and codes identified were: a) Hospital-based: a.a) Dialysis units: limited privacy, ineffective coping, social participation, passive role. b) Home-based: b.a) Home haemodialysis: active role, architectural barriers, family barriers. b.b) Peritoneal dialysis: daily exchanges, nocturnal cycler, space organisation, active role.
Conclusions: The environment in which dialysis treatment is carried out appears to be a key factor for patients and is linked to their capacity to enhance self-management. Nursing practice should involve early interventions aimed at understanding the impact of the environment.

Keywords

renal dialysis haemodialysis home peritoneal dialysis nursing dialysis

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Copyright (c) 2025 Miguel Ángel Escudero-López, Irene Marcilla-Toribio2, Raquel Bartolome-Gutierrez, María Martínez Andrés

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Escudero López M Ángel, Marcilla Toribio I, Bartolomé Gutiérrez R, Martínez Andrés M. Analysis of Patients’ Experience Regarding Self-Management Capacity in Dialysis Treatment and the Influence of the Environment. Enferm Nefrol [Internet]. 2025 [cited 2026 Ma 5];28(3):[about 8 p.]. Available from: https://enfermerianefrologica.syspre.sysprovider.com/revista/article/view/4908
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Escudero López M Ángel, Marcilla Toribio I, Bartolomé Gutiérrez R, Martínez Andrés M. Analysis of Patients’ Experience Regarding Self-Management Capacity in Dialysis Treatment and the Influence of the Environment. Enferm Nefrol [Internet]. 2025 [cited 2026 Ma 5];28(3):[about 8 p.]. Available from: https://enfermerianefrologica.syspre.sysprovider.com/revista/article/view/4908
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