Living with Continuous Ambulatory Peritoneal Dialysis among Community-Dwelling Patients: A Qualitative Meta-synthesis
Keywords:
Continuous ambulatory peritoneal dialysis, living with chronic illness, community-dwelling patientsAbstract
This study aimed to synthesize and interpret in depth the lived experiences of community-dwelling patients undergoing Continuous Ambulatory Peritoneal Dialysis (CAPD). A qualitative meta-synthesis was conducted using the meta-ethnography approach proposed by Noblit and Hare. Eleven qualitative studies that met the inclusion criteria and passed quality appraisal were systematically analyzed through a process of cross-study translation.
The synthesis revealed that living with CAPD is not limited to technical self-care practices or adherence to medical regimens; rather, it represents a dynamic process of continual life reorganization under the conditions of long-term treatment. Four interrelated dimensions of shared meaning emerged: acceptance of treatment as a permanent life condition; intensive management of everyday life through the self-care role; self-care as an expression of dignity and personal identity; and the family as both a key support system and a space for negotiating roles and responsibilities.
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