Living with haemodialysis: The experience of adolescents in Turkey


Hatice Başkale, Dokuz Eylul University—Pediatric Nursing, Izmir Izmir 35340, Turkey. Email:


Başkale H, Başer G. International Journal of Nursing Practice 2011; 17: 419–427

Living with haemodialysis: The experience of adolescents in Turkey

This study explored how adolescents receiving haemodialysis for end-stage renal disease were affected by their diagnosis and treatment. A qualitative approach was used, with data collected through individual interviews with 18 adolescents aged 12–20. Data were analysed using content analysis method. Adolescents reported physical, psychological and social problems. Compliance related to diet and fluid restrictions were issues for the adolescents interviewed. Body image problems related to physical limitations and the fistula were described. Their regular school attendance was reduced by the illness and therapy, as were socialization and peer interactions. Adolescents felt different from their friends/peers and had negative feelings about their future. Nurses need to assess each adolescent to determine their responses and take action to assist the adolescents with the many issues they are likely to experience. Parents and siblings, who contribute significantly to the care of adolescents on haemodialysis, also require support.