chronic kidney disease
Roy’s adaptation model
qualitative study

How to Cite

Agustiyowati, T. H. R., Sitorus, R., Waluyo, A., & Besral, B. (2018). THE LIVED EXPERIENCE OF PATIENTS WITH PRE-DIALYSIS CHRONIC KIDNEY DISEASE: A QUALITATIVE STUDY. Belitung Nursing Journal, 4(2), 263–270.
Google Scholar

Link to Google Scholar

Accepted for publication: 2018-04-08
Peer reviewed: Yes

Related articles in

Search Relations - Article by Author(s)

Share this article on:


Background: Chronic kidney disease is identified as kidney damage for more than three months with glomerulus filtration rate less than 60ml / min / 1.73 m2.

Objective: This study aims to explore the experience of life of patients with pre-dialysis chronic kidney disease used Roy’s adaptation model.

Methods: This study was a qualitative study using descriptive phenomenology approach in the General Hospital of Cibabat Cimahi West Java, Indonesia. Data were obtained with depth interviews involved eight participants with pre-dialysis chronic kidney disease consisting of two men and six women, aged ranged from 35 to 65 years. The years living with chronic kidney disease ranged from 1 to 2 years. Data were analyzed using Colaizzi’s methods.

Results: We found nine themes, namely: physical stimulus, psychic stimulus, socio-economic stimulus, physical coping mechanisms to control the situation, a coping mechanism to maintain health function, selecting behavioral adaptation physiology, selecting a behavior adaptation of the self-concept, selecting adaptation behaviors role function, and selecting behavioral adaptation interdependence.

Conclusion: It can be concluded that the experience of patients with pre-dialysis chronic kidney disease complained physical, psychological, social, economic, and spiritual problems. Therefore, health care professionals need to design an intervention to improve patients’ coping mechanism to maintain kidney function, and adapt to diet for foods and drinks, activity patterns and roles according to their conditions, which also elaborate the function of family support.

Supporting Agencies

Politeknik Kesehatan Bandung, West Java, Indonesia


Copyright (c) 2018 Tri Hapsari Retno Agustiyowati, Ratna Sitorus, Agung Waluyo, Besral

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Article Metrics

Total views 2394 [Abstract: 1420 | PDF: 974 ]


Download data is not yet available.

PlumX Metrics


Alligood, M. R. (2014). Nursing theorists and their work. Philadelphia: Elsevier Health Sciences.

Colaizzi, P. F. (1978). Psychological research as the phenomenologist views it. Oxford: Oxford University Press.

Daugirdas, J. T., Blake, P. G., & Ing, T. S. (2012). Handbook of dialysis. Philadelphia: Lippincott Williams & Wilkins.

Friedman, M. M., Bowden, V. R., & Jones, E. (2003). Family nursing: Research, theory, & practice (Vol. 16): New Jersey: Prentice Hall Upper Saddle River.

Giorgi, A. (1970). Psychology as a human science: A phenomenologically based approach. Oxford, England: Harper & Row.

King, G. A. (2004). The meaning of life experiences: application of a meta-model to rehabilitation sciences and services. American Journal of Orthopsychiatry, 74(1), 72.

Lewis, A. L., Stabler, K. A., & Welch, J. L. (2010). Perceived informational needs, problems, or concerns among patients with stage 4 chronic kidney disease. Nephrology Nursing Journal, 37(2), 143-148; quiz 149.

Pichon, L. C., Rossi, K. R., Ogg, S. A., Krull, L. J., & Griffin, D. Y. (2015). Social support, stigma and disclosure: Examining the relationship with HIV medication adherence among Ryan White Program clients in the Mid-South USA. International Journal of Environmental Research and Public Health, 12(6), 7073-7084.

Polit, D. F., & Beck, C. T. (2004). Nursing research: Principles and methods. Philadelphia: Lippincott Williams & Wilkins.

Saunders, L. D., Soomro, G. M., Buckingham, J., Jamtvedt, G., & Raina, P. (2003). Assessing the methodological quality of nonrandomized intervention studies. Western Journal of Nursing Research, 25(2), 223-237.

Vilaplana, J. M. G., Zampieron, A., Craver, L., & Buja, A. (2009). Evaluation of psychological outcomes following the intervention ‘teaching group’: Study on predialysis patients. Journal of Renal Care, 35(3), 159-164.

Weiss, M., & Weisshaar, E. (2014). Qualitative interviews on chronic pruritus in haemodialysis patients. Acta Dermato-Venereologica, 94(6), 713-714.

Zawadzka, B., & Byrczek, M. (2012). The formation of a temporal perspective as an aspect of adaptation to disease and treatment. Analysis based on studies of renal replacement therapy patients. Psychiatria Polska, 46(5), 743-756.

Readers are able to give us their valuable feedbacks here. The comments will be reviewed by the editors and then published here. Important Note: The "Comments" related to the Galley Proof PDF must NOT be submitted via this form. Authors should submit their comments on their galley proofs only via system