Meaning, Comprehension, and Manageability of End-Stage Renal Disease in Older Adults Living with Long-Term Hemodialysis

Abstract

The association between perceived meaning of chronic illness and adherence to treatment was explored with a sample of 100 participants, 50 years old and older, diagnosed with end-stage renal disease (ESRD) and being treated with outpatient hemodialysis. The meanings participants attached to their condition were examined in relation to their attitudes toward and adherence to their long-term hemodialysis and other prescribed interventions. The findings of this study suggest that the subjective meanings attached to a chronic illness greatly influence how older adults comprehend and manage their condition. The findings have important implications for health care professionals in terms of assessment and discharge planning for older adults.

KEYWORDS:

• sense of coherence
• end-stage renal disease
• meaning
• comprehensibility
• manageability
• assessment
• treatment adherence
• positive health outcomes