The impact of dialysis on rurally based MÄori and their whÄnau/families.
Li-Chin Shih, RN, MN, Staff Nurse, Clinical Nurse Specialist-Dialysis Access, Renal Unit, Northland District Health Board
Michelle Honey, RN, PhD, FCNA(NZ), Senior Lecturer, School of Nursing, University of Auckland
Shih, L-C., & Honey, M. (2011). The impact of dialysis on rurally based MÄori and their whÄnau/families. Nursing Praxis in New Zealand, 27(2), 4-15.
Compared to non-MÄori, New Zealand MÄori are at a higher risk of kidney disease which can lead to End Stage Renal Disease (ESRD) and the consequent need for renal replacement therapy, including dialysis, to sustain life. This study was designed to explore the impact that dialysis has on MÄori and their whÄnau/families. An interpretive approach was used. The purposive sample consisted of seven MÄori clients having dialysis as outpatients while living in a rural area of Northland. Clients and their whÄnau/families were interviewed in 2008. A number of themes summarising client perspectives were indentified from analysis of the responses. Despite their differing journeys to the point of requiring haemodialysis four basic themes were revealed: facing their fear; stress from having haemodialysis; learning, adjusting and changing their attitude; and individual needs. Understanding MÄori clients’ experience of haemodialysis provides insight regarding their requirements, most notably in terms of education and support. Recommendations from this study include the need for early referral and effective education to promote self-management – factors which, in turn, can influence quality of life and lead to more cost effective health care.
Key Words: Kidney failure, MÄori, haemodialysis, quality of life.