A descriptive study of meaning of illness in chronic renal disease

Ann Louise Caress, Karen A. Luker, R. Glynn Owens

Research output: Contribution to journalArticle

37 Citations (Scopus)

Abstract

Aim. To explore the subjective meaning of illness in a sample of renal patients. Background. Patients' illness representations, such as the meaning they attach to illness, may affect their coping and adaptation. Improved understanding in this area may therefore benefit patient care. Meaning of illness has not previously been explored in renal disease. Design and methods. Cross-sectional survey (n = 405) in a single regional renal unit in the North of England. Ethical approval was obtained and patients gave written consent. The instrument used was an eight-item schema, based on the work of Lipowski (1970, Psychiatry in Medicine 1, 91-102). Field notes regarding rationale for choice were recorded concurrently, then content analysed to enable identification of themes. The chi-square test (significance level P < 0-05) was used to analyse differences in selected meaning in older and younger patients; males and females; and patient groups (predialysis, haemodialysis and transplant). Findings. 'Challenge' was selected by most patients (n = 253, 62-5%), with similar results in all three patient groups. Slightly more older than younger patients selected 'challenge', although the difference was not statistically significant and older patients more commonly had a fatalistic interpretation of the option. More men selected 'challenge' than women. Those selecting 'challenge' and 'value' appeared to have a more positive outlook than other patients. Conclusions. Patients had identifiable meanings for their illness, and these may be associated with their response to renal disease. The schema appeared to be comprehensive, but is in need of further refinement. Consideration of the possible influence of social desirability is necessary.

LanguageEnglish
Pages716-727
Number of pages12
JournalJournal of Advanced Nursing
Volume33
Issue number6
DOIs
Publication statusPublished - 1 Mar 2001
Externally publishedYes

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Chronic Renal Insufficiency
Kidney
Social Desirability
Chi-Square Distribution
England
Psychiatry
Renal Dialysis
Patient Care
Cross-Sectional Studies
Medicine
Transplants

Cite this

Caress, Ann Louise ; Luker, Karen A. ; Owens, R. Glynn. / A descriptive study of meaning of illness in chronic renal disease. In: Journal of Advanced Nursing. 2001 ; Vol. 33, No. 6. pp. 716-727.
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A descriptive study of meaning of illness in chronic renal disease. / Caress, Ann Louise; Luker, Karen A.; Owens, R. Glynn.

In: Journal of Advanced Nursing, Vol. 33, No. 6, 01.03.2001, p. 716-727.

Research output: Contribution to journalArticle

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