Abstract
Introduction: Dialysis adequacy is a predictive factor for mortality and hemodialysis
outcomes.
Objectives: Given the limited knowledge regarding dialysis adequacy, we sought to investigate
the perceptions and experiences of patients as to subjective dialysis adequacy.
Materials and Methods: This qualitative study was carried out using the conventional
content analysis method. We enrolled 25 hemodialysis patients, their companions, nurses,
and nephrologists residing in Mashhad, Iran. We selected the participants through purposive
sampling. To collect the data, we used semi-structured interviews and recording field notes
until reaching data saturation. The data was analyzed by using Hsieh and Shannon qualitative
content analysis approach.
Results: From the experiences of the patients regarding dialysis adequacy, five categories
of inner wholeness, well-being, positive social interaction, effective self-empowerment and
improvement of economic conditions were extracted.
Conclusion: The obtained results can play a key role in implementation of effective
interventions for models of hemodialysis clinical function to lower the rate of mortality and
promote quality of life among dialysis patients.